Effects of eicosapentaenoic acid on cardiovascular events in Japanese patients with hypercholesterolemia: rationale, design, and baseline characteristics of the Japan EPA Lipid Intervention Study (JELIS)
Yokoyama M, Origasa H, JELIS Investigators
American heart journal · 77 citas
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Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Eventos clínicos como enfermedad o muerte
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2003-10-01 · Am Heart J · vol. 146 · número 4 · págs. 613–620
- Editorial
- Elsevier BV
- Citado
- 117 citas · más que el 95% de estudios similares · 5.0× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 40 trabajos
- Acceso
- De pago
- Áreas de investigación
- Fatty Acid Research and Health · Lipoproteins and Cardiovascular Health · Paraoxonase enzyme and polymorphisms
- Palabras clave
- eicosapentaenoic acid, hypercholesterolemia, coronary artery disease, cardiovascular events, statins, omega-3 fatty acids, fish oil supplementation, primary and secondary prevention, LDL cholesterol, plasma fatty acid composition, all-cause mortality, stroke, peripheral arterial disease, cancer, Japanese patients
- MeSH
- humans, death, sudden, cardiac, angina, unstable, myocardial infarction, hypercholesterolemia, simvastatin, pravastatin, eicosapentaenoic acid, fatty acids, unsaturated, anticholesteremic agents, hydroxymethylglutaryl-coa reductase inhibitors, chemotherapy, adjuvant, prospective studies, adult, aged, middle aged, japan, female, male, coronary artery disease
2 autores
- Mitsuhiro Yokoyama🇯🇵 · autor de correspondenciaKobe University
- Hideki Origasa🇯🇵University of Toyama
Resumen
El texto original del estudio, en el idioma en que se publicó.
Hypothesis
The principle aim of the current study is to test the hypothesis that the long-term use of highly purified EPA (eicosapentaenoic acid: 1800 mg/day), in addition to HMG-CoA reductase inhibitor, is effective in preventing cardiovascular events in Japanese patients with hypercholesterolemia.
Background
Epidemiological and clinical evidence suggest that intake of long-chain polyunsaturated n-3 fatty acids (PUFAs), which are abundant in fish, might have a significant role in the prevention of coronary artery disease, as marine PUFAs have multiple biological functions through lipid-dependent and lipid-independent mechanisms.
Methods
The Japan EPA Lipid Intervention Study (JELIS) is a prospective, randomized, open-label, blinded end point trial including both primary and secondary prevention strata, with a maximum follow-up of 5 years. Its main purpose is to examine the clinical effectiveness of EPA oil given as an additional treatment to patients taking HMG-CoA reductase inhibitors for hypercholesterolemia. A primary end point is major coronary events: sudden cardiac death, fatal and nonfatal myocardial infarction, and unstable angina pectoris including hospitalization for documented ischemic episodes, and events of angioplasty/stenting or coronary artery bypass grafting. Secondary end points include all-cause mortality, stroke, peripheral artery disease, and cancer. Baseline study composition comprises 15,000 participants (4204 men and 10,796 women) in the primary prevention stratum and 3645 (1656 men and 1989 women) in the secondary stratum. The minimum age is 40 years for men, women are required to be postmenopausal, and all patients must be < or =75 years of age. The mean age of participants is 61 years, and 69% are female. The schedule for plasma fatty acid composition measurement is as follows: at baseline, at 6 month, and yearly thereafter. The mean baseline total and low-density lipoprotein cholesterol levels were 275 mg/dL (7.1 mmol/L) and 180 mg/dL (4.6 mmol/L).
Results
Results are expected in 2005.
Conclusion
JELIS is a large clinical trial that will evaluate whether EPA can make an additional improvement in mortality and morbidity of coronary artery disease beyond that of HMG-CoA reductase inhibitor treatment.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
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