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A survey on the efficacy and tolerability of micronized fenofibrate in patients with dyslipidemia 被引量:1
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作者 诸骏仁 叶平 《Chinese Medical Journal》 SCIE CAS CSCD 2003年第6期840-843,共4页
Objective To demonstrate the clinical efficacy of micronized fenofibrate on mildly-moderately elevated LDL-C levels and reduced HDL-C levels.Methods During 1998 - 1999, 2358 patients with type II a, II b and IV hyperl... Objective To demonstrate the clinical efficacy of micronized fenofibrate on mildly-moderately elevated LDL-C levels and reduced HDL-C levels.Methods During 1998 - 1999, 2358 patients with type II a, II b and IV hyperlipidemia weremonitored in 16 cities in China. They were treated daily with micronized fenofibrate (micronizedlipanthyl) 200 mg for 8 weeks. Lipid levels before and after the treatment were measured and analyzed.Results Micronized fenofibrate significantly increased HDL-C levels by 12.7%, the effect being inversely correlated to the baseline level of HDL-C. Out of the total patient population, a baseline level of HDL-C <1. 0 mmol/L was found in 837 patients: amongst this group, 510 patients (60. 9%) were observed to have an increase in the level of HDL-C to >1. 0 mmol/L with a mean of 1. 3 mmol/L, after 8-week micronized fenofibrate therapy. Furthermore, the mean LDL-C level decreased by 15. 9% following an 8-week treatment of micronized fenofibrate, an effect positively correlated to the baseline level of LDL In general, all patients tolerated the drug comfortably.Conclusions Short-term treatment of micronized fenofibrate in patients with dyslipidemia significantly increases HDL-C level and reduces mildly-moderately elevated LDL-C level. As expected, it also reduces triglyceride levels. 展开更多
关键词 dyslipidemia·fenofibrate treatment·efficacy
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非诺贝特酸降脂疗效和安全性评价--一项中国区随机、双盲、安慰剂对照临床研究
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作者 赵水平 郑泽琪 +10 位作者 胡玲玲 赵瑛 宋卫红 尹淇 张国刚 龚浩 孙英贤 郭书红 郭延松 汪芳 赵秀丽 《中国循环杂志》 CSCD 北大核心 2024年第5期477-483,共7页
目的:验证非诺贝特酸在中国人群中的降脂疗效和安全性。方法:采用多中心双盲随机对照试验设计,将不同类型的高脂血症患者分为重度、中度高甘油三酯血症(HTG)及混合型血脂异常(MD)3个队列,1:1随机化将不同队列患者分为非诺贝特酸组与安... 目的:验证非诺贝特酸在中国人群中的降脂疗效和安全性。方法:采用多中心双盲随机对照试验设计,将不同类型的高脂血症患者分为重度、中度高甘油三酯血症(HTG)及混合型血脂异常(MD)3个队列,1:1随机化将不同队列患者分为非诺贝特酸组与安慰剂组,分别给予非诺贝特酸(135mg,每天1次)或安慰剂治疗12周,主要终点为甘油三酯(TG)从基线至治疗12周时的变化百分比,次要终点为其他血脂成分和高敏C反应蛋白的变化百分比,同时记录不良事件的发生情况。结果:重度(n=52)、中度(n=23)HTG和MD(n=52)三个队列患者中,非诺贝特酸组的TG水平从基线至治疗12周分别降低(49.12±29.19)%、(47.95±25.19)%和(49.79±19.28)%,安慰剂组分别降低(18.88±40.69)%、(8.11±29.86)%和升高了(10.42±73.04)%,非诺贝特酸组TG降低幅度与安慰剂组相比差异均有统计学意义(重度HTG队列P<0.017,中度HTG和MD队列P均<0.05)。非诺贝特酸组高密度脂蛋白胆固醇(HDL-C)升高(25.51±21.45)%、(24.55±24.73)%和(23.60±27.38)%,安慰剂组升高(1.91±20.42)%、(2.40±9.32)%和(7.13±19.12)%,差异均有统计学意义(P均<0.05)。非诺贝特酸组发生率>5%的不良事件包括上呼吸道感染(10.9%)、腹痛(6.3%)及血肌酐水平升高(6.3%),与安慰剂组比较发生率差异无统计学意义。结论:对于中国重度、中度HTG患者或已接受他汀类药物治疗的MD患者,非诺贝特酸可显著降低TG水平,并升高HDL-C水平,不良事件发生率与服用安慰剂相似。 展开更多
关键词 非诺贝特酸 高甘油三酯血症 混合型血脂异常 疗效 安全性
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