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10.1111/cts.12487

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suck abstract from ncbi


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pmid28795506
      Clin+Transl+Sci 2017 ; 10 (6 ): 455-469
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  • Oral Apolipoprotein A-I Mimetic D-4F Lowers HDL-Inflammatory Index in High-Risk Patients: A First-in-Human Multiple-Dose, Randomized Controlled Trial #MMPMID28795506
  • Dunbar RL ; Movva R ; Bloedon LT ; Duffy D ; Norris RB ; Navab M ; Fogelman AM ; Rader DJ
  • Clin Transl Sci 2017[Nov]; 10 (6 ): 455-469 PMID28795506 show ga
  • A single dose of the apolipoprotein (apo)A-I mimetic peptide D-4F rendered high-density lipoprotein (HDL) less inflammatory, motivating the first multiple-dose study. We aimed to assess safety/tolerability, pharmacokinetics, and pharmacodynamics of daily, orally administered D-4F. High-risk coronary heart disease (CHD) subjects added double-blinded placebo or D-4F to statin for 13 days, randomly assigned 1:3 to ascending cohorts of 100, 300, then 500 mg (n = 62; 46 men/16 women). D-4F was safe and well-tolerated. Mean ± SD plasma D-4F area under the curve (AUC, 0-8h) was 6.9 ± 5.7 ng/mL*h (100 mg), 22.7 ± 19.6 ng/mL*h (300 mg), and 104.0 ± 60.9 ng/mL*h (500 mg) among men, higher among women. Whereas placebo dropped HDL inflammatory index (HII) 28% 8 h postdose (range, 1.25-0.86), 300-500 mg D-4F effectively halved HII: 1.35-0.57 and 1.22-0.63, respectively (P < 0.03 vs. placebo). Oral D-4F peptide dose predicted HII suppression, whereas plasma D-4F exposure was dissociated, suggesting plasma penetration is unnecessary. In conclusion, oral D-4F dosing rendered HDL less inflammatory, affirming oral D-4F as a potential therapy to improve HDL function.
  • |Administration, Oral [MESH]
  • |Adult [MESH]
  • |Aged [MESH]
  • |Apolipoprotein A-I/*administration & dosage/adverse effects/pharmacokinetics/*therapeutic use [MESH]
  • |Dose-Response Relationship, Drug [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Inflammation/*drug therapy [MESH]
  • |Lipoproteins, HDL/*metabolism [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Risk Factors [MESH]


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