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10.1161/JAHA.115.002171

http://scihub22266oqcxt.onion/10.1161/JAHA.115.002171
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suck abstract from ncbi


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pmid26307570
      J+Am+Heart+Assoc 2015 ; 4 (8 ): e002171
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  • Infusion of Reconstituted High-Density Lipoprotein, CSL112, in Patients With Atherosclerosis: Safety and Pharmacokinetic Results From a Phase 2a Randomized Clinical Trial #MMPMID26307570
  • Tricoci P ; D'Andrea DM ; Gurbel PA ; Yao Z ; Cuchel M ; Winston B ; Schott R ; Weiss R ; Blazing MA ; Cannon L ; Bailey A ; Angiolillo DJ ; Gille A ; Shear CL ; Wright SD ; Alexander JH
  • J Am Heart Assoc 2015[Aug]; 4 (8 ): e002171 PMID26307570 show ga
  • BACKGROUND: CSL112 is a new formulation of human apolipoprotein A-I (apoA-I) being developed to reduce cardiovascular events following acute coronary syndrome. This phase 2a, randomized, double-blind, multicenter, dose-ranging trial represents the first clinical investigation to assess the safety and pharmacokinetics/pharmacodynamics of a CSL112 infusion among patients with stable atherosclerotic disease. METHODS AND RESULTS: Patients were randomized to single ascending doses of CSL112 (1.7, 3.4, or 6.8 g) or placebo, administered over a 2-hour period. Primary safety assessments consisted of alanine aminotransferase or aspartate aminotransferase elevations >3× upper limits of normal and study drug-related adverse events. Pharmacokinetic/pharmacodynamic assessments included apoA-I plasma concentration and measures of the ability of serum to promote cholesterol efflux from cells ex vivo. Of 45 patients randomized, 7, 12, and 14 received 1.7-, 3.4-, and 6.8-g CSL112, respectively, and 11 received placebo. There were no clinically significant elevations (>3× upper limit of normal) in alanine aminotransferase or aspartate aminotransferase. Adverse events were nonserious and mild and occurred in 5 (71%), 5 (41%), and 6 (43%) patients in the CSL112 1.7-, 3.4-, and 6.8-g groups, respectively, compared with 3 (27%) placebo patients. The imbalance in adverse events was attributable to vessel puncture/infusion-site bruising. CSL112 resulted in rapid (T(max)?2 hours) and dose-dependent increases in apoA-I (145% increase in the 6.8-g group) and total cholesterol efflux (up to 3.1-fold higher than placebo) (P<0.001). CONCLUSIONS: CSL112 infusion was well tolerated in patients with stable atherosclerotic disease. CSL112 immediately raised apoA-I levels and caused a rapid and marked increase in the capacity of serum to efflux cholesterol. This potential novel approach for the treatment of atherosclerosis warrants further investigation. CLINICAL TRIAL REGISTRATION: URL: http://www.ClinicalTrials.gov. Unique identifier: NCT01499420.
  • |Adult [MESH]
  • |Aged [MESH]
  • |Apolipoprotein A-I/blood [MESH]
  • |Atherosclerosis/blood/diagnosis/*drug therapy [MESH]
  • |Biomarkers/blood [MESH]
  • |Cholesterol/blood [MESH]
  • |Coronary Artery Disease/blood/diagnosis/*drug therapy [MESH]
  • |Double-Blind Method [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Hypolipidemic Agents/*administration & dosage/adverse effects/blood/*pharmacokinetics [MESH]
  • |Infusions, Intravenous [MESH]
  • |Lipoproteins, HDL/*administration & dosage/adverse effects/blood/*pharmacokinetics [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Peripheral Vascular Diseases/blood/diagnosis/*drug therapy [MESH]
  • |Treatment Outcome [MESH]


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