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Can We Cure Atherosclerosis?
Journal article   Open access   Peer reviewed

Can We Cure Atherosclerosis?

Jennifer G Robinson and Michael H Davidson
Reviews in cardiovascular medicine, Vol.19(S1), pp.S20-S24
2018
DOI: 10.3909/ricm19S1S0003
PMID: 30207554
url
https://doi.org/10.3909/ricm19S1S0003View
Published (Version of record) Open Access

Abstract

Cardiovascular disease mortality rates have begun to rise in the United States. Based on the large body of supportive evidence, we propose a proof-of-concept, first-in-human trial to cure atherosclerosis: CURing Early ATHEROsclerosis (CURE ATHERO). This trial is based on a model of intensive induction therapy for extensive, if not complete, plaque regression, followed by intermittent maintenance therapy. An extensive body of evidence has demonstrated the causal role of apolipoprotein B lipoproteins in atherosclerosis progression and data suggest intensive low-density lipoprotein cholesterol (LDL-C) lowering may have a substantial impact on earlier stages of atherosclerosis. Compared with lifetime treatment to prevent atherosclerosis progression, this induction-intermittent treatment model will minimize costs and maximize adherence and safety.
Hydroxymethylglutaryl-CoA Reductase Inhibitors - administration & dosage Humans Apolipoprotein B-100 - blood Atherosclerosis - epidemiology Dyslipidemias - blood Time Factors Atherosclerosis - diagnosis Cholesterol, LDL - blood Drug Therapy, Combination Dyslipidemias - diagnosis Serine Proteinase Inhibitors - administration & dosage Dyslipidemias - drug therapy Atherosclerosis - drug therapy Drug Administration Schedule Treatment Outcome Biomarkers - blood Proprotein Convertase 9 - metabolism Plaque, Atherosclerotic Anticholesteremic Agents - adverse effects Randomized Controlled Trials as Topic Atherosclerosis - blood Dyslipidemias - epidemiology Proprotein Convertase 9 - antagonists & inhibitors Anticholesteremic Agents - administration & dosage Research Design

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