Rationale and design of a randomized study to assess the efficacy and safety of evolocumab in patients with diabetes and dyslipidemia: The BERSON clinical trial.

Abstract:

:Type 2 diabetes mellitus (T2DM) is a major independent risk factor for cardiovascular disease, and diabetic dyslipidemia is a major contributor to cardiovascular risk in these patients. Here we report the rationale and design of a phase 3, double-blind study specifically designed to evaluate the lipid-lowering efficacy of the proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitor evolocumab in patients with T2DM and hyperlipidemia or mixed dyslipidemia who are on background statin therapy. In the BERSON (evolocumaB Efficacy for LDL-C Reduction in subjectS with T2DM On background statiN) trial, patients with T2DM, a screening low-density lipoprotein cholesterol (LDL-C) level of ≥ 2.6 mmol/L (≥100 mg/dL) or ≥ 3.4 mmol/L (≥130 mg/dL), and with or without statin treatment at screening, respectively, were enrolled and started on atorvastatin 20 mg/day for a lipid stabilization period of at least 4 weeks. Then, patients were randomly assigned in a 2:2:1:1 ratio to receive atorvastatin 20 mg once daily plus either evolocumab 140 mg every 2 weeks (Q2W), evolocumab 420 mg every month (QM), placebo Q2W, or placebo QM. The co-primary outcome measures were the percentage change from baseline in LDL-C at week 12 and the percentage change from baseline in LDL-C at the mean of weeks 10 and 12. The BERSON trial has completed enrollment. The study completed in the first half of 2018, and will provide information on the efficacy and safety of evolocumab in patients with T2DM and dyslipidemia.

journal_name

Clin Cardiol

journal_title

Clinical cardiology

authors

Lorenzatti AJ,Eliaschewitz FG,Chen Y,Fialkow J,Lu J,Baass A,Monsalvo ML,Hsu HC,Somaratne R,Ge J

doi

10.1002/clc.23018

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

1117-1122

issue

9

eissn

0160-9289

issn

1932-8737

journal_volume

41

pub_type

杂志文章,多中心研究,随机对照试验
  • Circadian rhythmic fractal scaling of heart rate variability in health and coronary artery disease.

    abstract:BACKGROUND:In clinical cardiology, heart rate variability is a putative index of autonomic cardiovascular function. Signs of reduced vagal activity are not only associated with an enhanced risk of sudden cardiac death, but such impaired heart rate variability became a new predictor of sudden cardiac death and other mor...

    journal_title:Clinical cardiology

    pub_type: 临床试验,杂志文章

    doi:10.1002/clc.4960200710

    authors: Otsuka K,Cornélissen G,Halberg F

    更新日期:1997-07-01 00:00:00

  • Chronic Chagas' heart disease presenting as an impending myocardial infarction: a case favoring the neurogenic pathogenesis concept.

    abstract::A 55-year-old Caucasian woman suddenly developed substernal chest pain at rest accompanied by pallor, diaphoresis, nausea, and vomiting. Physical examination was otherwise unremarkable. The resting ECG showed T-wave inversion in all anterior leads which returned to normal 24 h after the onset of the symptoms. The pain...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960100614

    authors: Bestetti RB,Finzi LA,Oliveira JS

    更新日期:1987-06-01 00:00:00

  • Targeting treatment for optimal outcome.

    abstract::Rapid assessment of patients presenting with acute chest pain is essential, in order to distinguish between those who have a life-threatening condition, such as myocardial infarction or unstable angina, and the substantial proportion who do not have an acute coronary syndrome. It is thus of vital importance that relia...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960231306

    authors: Husted SE

    更新日期:2000-01-01 00:00:00

  • Effectiveness of intravenous streptokinase on infarct size and left ventricular function in acute myocardial infarction. Prospective and randomized study.

    abstract::Within 3 h after the onset of symptoms of myocardial infarction, 64 patients were randomly assigned to receive either a 1-h intravenous infusion of 1,500,000 IU of streptokinase (SK) or a conventional therapy. Infarct size was estimated in CK gram equivalent (CKg) by measurement of CK-MB every 3 hours during a 48-h pe...

    journal_title:Clinical cardiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1002/clc.4960100704

    authors: Durand P,Asseman P,Pruvost P,Bertrand ME,LaBlanche JM,Thery C

    更新日期:1987-07-01 00:00:00

  • Contraction-excitation feedback in human atrial fibrillation.

    abstract:BACKGROUND:Contraction-excitation feedback, that is, electrophysiologic changes that are caused or preceded by mechanical changes of the myocardium, has been extensively studied in the ventricles. The role of contraction-excitation feedback in the atria, and more particularly in the genesis and maintenance of atrial fi...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960200514

    authors: Antoniou A,Milonas D,Kanakakis J,Rokas S,Sideris DA

    更新日期:1997-05-01 00:00:00

  • Effects of acute angiotensin-converting enzyme inhibition on diastolic ventricular interaction in the dilated heart.

    abstract:BACKGROUND:The normal and dilated heart behaves as a single functional unit during preload reduction: volume unloading in the setting of diastolic ventricular interaction allows for increased left ventricular (LV) filling. HYPOTHESIS:We hypothesized that reduction of venous return induced by a physiologic stimulus (ti...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960260909

    authors: Pepi M,Tamborini G,Maltagliati A,Guazzi M,Berna G,Susini F,Muratori M,Celeste F

    更新日期:2003-09-01 00:00:00

  • Reperfusion revisited: beyond TIMI 3 flow.

    abstract::Therapy for acute myocardial infarction has advanced dramatically since the early 1980s with the use of early intravenous fibrinolytic therapy. Combining low-dose fibrinolysis and platelet lysis appears to provide an additional increase in infarct-related artery (IRA) patency, but the large-scale mortality reduction t...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960221605

    authors: Gassler JP,Topol EJ

    更新日期:1999-08-01 00:00:00

  • Magnetic resonance imaging (MRI) in different stages of myocardial infarction using the contrast agent gadolinium-DTPA.

    abstract::We investigated 26 patients admitted to our catheterization laboratory with a diagnosis of acute myocardial infarction. In each case acute revascularization was unsuccessful, but the diagnosis was confirmed by angiography. In 11 patients with an uncomplicated course of acute myocardial infarction magnetic resonance im...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960091102

    authors: Eichstaedt HW,Felix R,Dougherty FC,Langer M,Rutsch W,Schmutzler H

    更新日期:1986-11-01 00:00:00

  • The role of prolonged thrombolytic infusions and transesophageal echocardiography in thrombosed prosthetic heart valves: case report and review of the literature.

    abstract::Thrombolytic therapy for prosthetic heart valve thrombosis has recently been receiving increased attention and is now frequently used an alternative to high-risk surgery. A case is presented describing a novel thrombolytic therapy regimen with emphasis on the role of transesophageal echocardiography in diagnosis and m...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960181117

    authors: Puleo JA,Fontanet HL,Schocken DD

    更新日期:1995-11-01 00:00:00

  • Changes in inflammatory biomarkers in patients treated with ticagrelor or clopidogrel.

    abstract:BACKGROUND:Inflammation is a key factor in the development of atherosclerotic disease and acute coronary syndromes (ACS). The P2Y(12) receptor antagonists ticagrelor (AZD6140) and clopidogrel may have anti-inflammatory effects. The objective of this analysis from the Dose Confirmation Study Assessing Anti-Platelet Effe...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1002/clc.20732

    authors: Husted S,Storey RF,Harrington RA,Emanuelsson H,Cannon CP

    更新日期:2010-04-01 00:00:00

  • Thyroid function is associated with presence and severity of coronary atherosclerosis.

    abstract:BACKGROUND:Overt hypothyroidism has been found to be associated with cardiovascular disease. Moreover, subclinical hypothyroidism is a strong indicator of risk for aortic atherosclerosis and myocardial infarction. HYPOTHESIS:We hypothesized that variation of thyroid function within the normal range may influence the p...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960261205

    authors: Auer J,Berent R,Weber T,Lassnig E,Eber B

    更新日期:2003-12-01 00:00:00

  • The pacemaker syndrome: old and new causes.

    abstract::The pacemaker syndrome refers to symptoms and signs in the pacemaker patient caused by inadequate timing of atrial and ventricular contractions. The lack of normal atrioventricular synchrony may result in decreased cardiac output and venous "cannon A waves." A sudden increase in atrial pressure at the onset of asynchr...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960140410

    authors: Schüller H,Brandt J

    更新日期:1991-04-01 00:00:00

  • Study of lipoprotein(a) and its impact on atherosclerotic cardiovascular disease: Design and rationale of the Mass General Brigham Lp(a) Registry.

    abstract::Lipoprotein(a) [Lp(a)] is independently associated with atherosclerotic cardiovascular disease and calcific aortic valve stenosis. Elevated Lp(a) affects approximately one in five individuals and meaningfully contributes to the residual cardiovascular risk in individuals with otherwise well-controlled risk factors. Wi...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.23456

    authors: Berman AN,Biery DW,Ginder C,Hulme OL,Marcusa D,Leiva O,Wu WY,Singh A,Divakaran S,Hainer J,Turchin A,Januzzi JL,Natarajan P,Cannon CP,Di Carli MF,Bhatt DL,Blankstein R

    更新日期:2020-11-01 00:00:00

  • Intervention to improve adherence to ACC/AHA recommended adjunctive medications for the management of patients with an acute myocardial infarction.

    abstract:BACKGROUND:The most recent published guidelines regarding management of patients surviving an acute myocardial infarction (AMI) advocate the administration of aspirin (ASA), beta blockers (BB), and angiotensin-converting enzyme inhibitors (ACEi) and discourages the use of calcium-channel blockers (CCB). Previous data c...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960240204

    authors: Axtell SS,Ludwig E,Lope-Candales P

    更新日期:2001-02-01 00:00:00

  • The measurement of lipids currently and 9 years ago--which is more associated with carotid intima-media thickness?

    abstract:BACKGROUND:Massive evidence supports that increase of lipids bring more risk of atherosclerosis. However, it is not clear if lipids measured a long time ago bear more risk than the current measurement. HYPOTHESIS:Lipids measured currently is more associated with carotid atherosclerosis than lipids measured long time a...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.22015

    authors: Huang Y,Yu X,Millican D,Wu L,Shi P,Lu M,Wu Y

    更新日期:2012-08-01 00:00:00

  • Coronary collateral circulation.

    abstract::The occurrence and influence of coronary collateral circulation and obstruction of the supplying coronary arteries on left ventricular contractility, prevalence of myocardial infarction, and bicycle exercise ergometer test were studied in a random sample of 286 patients with angiographically documented coronary artery...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960140206

    authors: Pellinen TJ,Virtanen KS,Toivonen L,Heikkilä J,Hekali P,Frick MH

    更新日期:1991-02-01 00:00:00

  • A critique of the new ST-segment criteria for the diagnosis of acute myocardial infarction in patients with left bundle-branch block.

    abstract:BACKGROUND:Recently, electrocardiogram (ECG) criteria have been proposed for the diagnosis of acute myocardial infarction (AMI) in the presence of left bundle-branch block (LBBB). However, clinical experience indicates that such ECG changes indicative of AMI are occasionally noted in clinically stable patients with LBB...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960241004

    authors: Madias JE,Sinha A,Ashtiani R,Agarwal H,Win M,Narayan VK

    更新日期:2001-10-01 00:00:00

  • Efficacy and safety of clentiazem in patients with essential hypertension: results of an early pilot test.

    abstract::The purpose of this study was to evaluate the antihypertensive effect of a new calcium antagonist, clentiazem, on inpatients or outpatients with essential hypertension. After blood pressure was stable and greater than 160/95 mmHg with placebo for at least a 2-week observation period, oral clentiazem was administered o...

    journal_title:Clinical cardiology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1002/clc.4960140112

    authors: Kawakita S,Kinoshita M,Ishikawa H,Kagoshima T,Katori R,Ishikawa K,Hirota Y

    更新日期:1991-01-01 00:00:00

  • A systolic murmur is a common presentation of aortic regurgitation detected by echocardiography.

    abstract:BACKGROUND:The finding of aortic regurgitation at a classical examination is a diastolic murmur. HYPOTHESIS:Aortic regurgitation is more likely to be associated with a systolic than with a diastolic murmur during routine screening by a noncardiologist physician. METHODS:In all, 243 asymptomatic patients (mean age 42 ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960270905

    authors: Heidenreich PA,Schnittger I,Hancock SL,Atwood JE

    更新日期:2004-09-01 00:00:00

  • Stroke and Systemic Embolism After Successful Ablation of Typical Atrial Flutter.

    abstract:BACKGROUND:Following successful cavotricuspid isthmus (CTI) ablation during typical atrial flutter (AFL), anticoagulation therapy is usually withdrawn. However, potential subsequent atrial fibrillation (AF) in these patients may increase embolic risk in the long term. Embolic rates in this setting have not been clearly...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.22538

    authors: Expósito V,Rodríguez-Entem F,González-Enríquez S,Veiga G,Olavarri I,Olalla JJ

    更新日期:2016-06-01 00:00:00

  • Early presentation of dilated cardiomyopathy as a part of seroconversion illness in human immunodeficiency virus infection.

    abstract::It has been debated whether dilated cardiomyopathy seen in patients with acquired immune deficiency syndrome is caused by the virus itself or by the combination of other factors such as presence of opportunistic pathogens and/or severe immunosuppression. This paper describes the first reported case of a patient with h...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960200815

    authors: Fath-Ordoubadi F,van der Watt MJ,Noble MI

    更新日期:1997-08-01 00:00:00

  • Ethanol-induced myocardial ischemia: close relation between blood acetaldehyde level and myocardial ischemia.

    abstract::A patient with vasospastic angina who developed myocardial ischemia following ethanol ingestion but not after exercise was described. Myocardial ischemia was evidenced by electrocardiograms (ECGs) and thallium-201 scintigrams. The blood acetaldehyde level after ethanol ingestion was abnormally high. The time course an...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960160514

    authors: Ando H,Abe H,Hisanou R

    更新日期:1993-05-01 00:00:00

  • Isolated tricuspid stenosis: report of a case submitted to valvular commissurotomy.

    abstract::In this report, a rare case of tricuspid stenosis uncomplicated by other valve lesions is presented, with clinical, hemodynamic, echocardiographic, and angiographic studies. The patient was markedly incapacitated, mostly as a result of a restricted cardiac output. Tricuspid commissurotomy was performed, with a stenoti...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960060406

    authors: Schlesinger P,Benchimol CB,Lopes AS,Barbosa J,Jasbik W,Benchimol AB

    更新日期:1983-04-01 00:00:00

  • Stroke and atrial fibrillation: to anticoagulate or not.

    abstract::After reviewing these published studies, I think one can conclude that in the patient population with chronic and/or paroxysmal atrial fibrillation, warfarin is beneficial and the benefits outweigh the risks. However, it is important to point out that patients at high risk for embolic disease, for example, dilated car...

    journal_title:Clinical cardiology

    pub_type: 社论

    doi:10.1002/clc.4960160703

    authors: Conti CR

    更新日期:1993-07-01 00:00:00

  • Rest myocardial perfusion imaging in a patient with atypical chest pain and a nondiagnostic electrocardiogram.

    abstract::ACC/AHA guidelines assign a class I indication for use of myocardial perfusion imaging (MPI) for the evaluation of chest pain in patients with acute coronary syndromes and a nondiagnostic ECG. However, MPI is not a widely used modality for the evaluation of patients who present to the ER with chest pain and an interme...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.20549

    authors: Grube H,Rosenblatt J

    更新日期:2010-02-01 00:00:00

  • Association of cholesterol levels and occurrence of angiographically detectable endothelial disruption during coronary angioplasty.

    abstract:BACKGROUND:Disruption of the atherosclerotic plaque is a common feature of both acute coronary syndromes and balloon dilatation of coronary artery stenoses. HYPOTHESIS:The study was undertaken to evaluate whether the known association of cholesterol levels and acute coronary syndromes also exists for the occurrence of...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4950260708

    authors: Rubboli A,Euler DE,Sangiorgio P,Casella G,La Vechia L,Fontanelli A,Bracchetti D

    更新日期:2003-07-01 00:00:00

  • Current trends in admissions and outcomes of cardiac diseases in Ghana.

    abstract::Cardiovascular diseases (CVDs) pose a major burden in Africa, but data on temporal trends in disease burden are lacking. We assessed trends in CVD admissions and outcomes in central Ghana using a retrospective analysis of data from January 2004 to December 2015 among patients admitted to the medical wards of a tertiar...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.22753

    authors: Appiah LT,Sarfo FS,Agyemang C,Tweneboah HO,Appiah NABA,Bedu-Addo G,Opare-Sem O

    更新日期:2017-10-01 00:00:00

  • Peripheral levels of matrix metalloproteinase-9, interleukin-6, and C-reactive protein are elevated in patients with acute coronary syndromes: correlations with serum troponin I.

    abstract:BACKGROUND:Acute coronary syndromes (ACS) are characterized by activation of systemic and local inflammatory mediators. The interrelation between these soluble inflammatory markers and their association with markers of myocardial necrosis have not been extensively studied. HYPOTHESIS:The study was undertaken to evalua...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960280405

    authors: Manginas A,Bei E,Chaidaroglou A,Degiannis D,Koniavitou K,Voudris V,Pavlides G,Panagiotakos D,Cokkinos DV

    更新日期:2005-04-01 00:00:00

  • Long-term efficacy of percutaneous transluminal angioplasty on incidence of myocardial infarction, relief of symptoms and survival.

    abstract::This study was conducted to determine the long-term effects of percutaneous transluminal coronary angioplasty (PTCA) on the incidence of myocardial infarction, survival, and relief of symptoms. A total of 124 patients were included in the study and were followed for 16 to 25 months. The success rate of PTCA was 91.2% ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960120805

    authors: Sahni R,Maniet AR,Banka VS

    更新日期:1989-08-01 00:00:00

  • Late percutaneous coronary intervention prevents left ventricular remodeling and improves clinical outcomes in patients with ST-elevation myocardial infarction.

    abstract:BACKGROUND:The optimal strategy for treating late presenters of ST-elevation myocardial infarction (STEMI) remains uncertain. HYPOTHESIS:percutaneous coronary intervention (PCI) has a favorable effect on left ventricular (LV) remodeling and clinical outcomes in late presenters of STEMI. METHODS:Patients with STEMI wh...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,多中心研究

    doi:10.1002/clc.22356

    authors: Fan Y,Bai X,Chen Y,Shen G,Lu Q,Wan Z,Zhou D,Shen Y,Ma A

    更新日期:2015-02-01 00:00:00