About: Darapladib for Preventing Ischemic Events in Stable Coronary Heart Disease     Goto   Sponge   NotDistinct   Permalink

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  • BackgroundElevated lipoprotein-associated phospholipase A(2) activity promotes the development of vulnerable atherosclerotic plaques, and elevated plasma levels of this enzyme are associated with an increased risk of coronary events. Darapladib is a selective oral inhibitor of lipoprotein-associated phospholipase A(2). MethodsIn a double-blind trial, we randomly assigned 15,828 patients with stable coronary heart disease to receive either once-daily darapladib (at a dose of 160 mg) or placebo. The primary end point was a composite of cardiovascular death, myocardial infarction, or stroke. Secondary end points included the components of the primary end point as well as major coronary events (death from coronary heart disease, myocardial infarction, or urgent coronary revascularization for myocardial ischemia) and total coronary events (death from coronary heart disease, myocardial infarction, hospitalization for unstable angina, or any coronary revascularization). ResultsDuring a median follow-up period of 3.7 years, the primary end point occurred in 769 of 7924 patients (9.7%) in the darapladib group and 819 of 7904 patients (10.4%) in the placebo group (hazard ratio in the darapladib group, 0.94; 95% confidence interval [CI], 0.85 to 1.03; P=0.20). There were also no significant between-group differences in the rates of the individual components of the primary end point or in all-cause mortality. Darapladib, as compared with placebo, reduced the rate of major coronary events (9.3% vs. 10.3%; hazard ratio, 0.90; 95% CI, 0.82 to 1.00; P=0.045) and total coronary events (14.6% vs. 16.1%; hazard ratio, 0.91; 95% CI, 0.84 to 0.98; P=0.02). ConclusionsIn patients with stable coronary heart disease, darapladib did not significantly reduce the risk of the primary composite end point of cardiovascular death, myocardial infarction, or stroke. (Funded by GlaxoSmithKline; STABILITY ClinicalTrials.gov number, NCT00799903.)
  • BackgroundElevated lipoprotein-associated phospholipase A(2) activity promotes the development of vulnerable atherosclerotic plaques, and elevated plasma levels of this enzyme are associated with an increased risk of coronary events. Darapladib is a selective oral inhibitor of lipoprotein-associated phospholipase A(2). MethodsIn a double-blind trial, we randomly assigned 15,828 patients with stable coronary heart disease to receive either once-daily darapladib (at a dose of 160 mg) or placebo. The primary end point was a composite of cardiovascular death, myocardial infarction, or stroke. Secondary end points included the components of the primary end point as well as major coronary events (death from coronary heart disease, myocardial infarction, or urgent coronary revascularization for myocardial ischemia) and total coronary events (death from coronary heart disease, myocardial infarction, hospitalization for unstable angina, or any coronary revascularization). ResultsDuring a median follow-up period of 3.7 years, the primary end point occurred in 769 of 7924 patients (9.7%) in the darapladib group and 819 of 7904 patients (10.4%) in the placebo group (hazard ratio in the darapladib group, 0.94; 95% confidence interval [CI], 0.85 to 1.03; P=0.20). There were also no significant between-group differences in the rates of the individual components of the primary end point or in all-cause mortality. Darapladib, as compared with placebo, reduced the rate of major coronary events (9.3% vs. 10.3%; hazard ratio, 0.90; 95% CI, 0.82 to 1.00; P=0.045) and total coronary events (14.6% vs. 16.1%; hazard ratio, 0.91; 95% CI, 0.84 to 0.98; P=0.02). ConclusionsIn patients with stable coronary heart disease, darapladib did not significantly reduce the risk of the primary composite end point of cardiovascular death, myocardial infarction, or stroke. (Funded by GlaxoSmithKline; STABILITY ClinicalTrials.gov number, NCT00799903.) (en)
Title
  • Darapladib for Preventing Ischemic Events in Stable Coronary Heart Disease
  • Darapladib for Preventing Ischemic Events in Stable Coronary Heart Disease (en)
skos:prefLabel
  • Darapladib for Preventing Ischemic Events in Stable Coronary Heart Disease
  • Darapladib for Preventing Ischemic Events in Stable Coronary Heart Disease (en)
skos:notation
  • RIV/00216208:11110/14:10284668!RIV15-MSM-11110___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • N
http://linked.open...iv/cisloPeriodika
  • 18
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 9752
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11110/14:10284668
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • trial; therapy; inhibitor; risk; lipoprotein; oxidized ldl; clinical-outcomes; atherosclerotic plaque; phospholipase a(2); activating-factor acetylhydrolase (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [466A2D9C1645]
http://linked.open...i/riv/nazevZdroje
  • New England Journal of Medicine
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 370
http://linked.open...iv/tvurceVysledku
  • Linhart, Aleš
  • Granger, Christopher B.
  • Avezum, Alvaro
  • Flather, Marcus D.
  • Danchin, Nicolas
  • Ardis-Sino, Diego
  • Armstrong, Paul W.
  • Aylward, Philip E.
  • Brown, Rebekkah
  • Bryce, Alfonso
  • Budaj, Andrzej
  • Chen, Hong
  • Chen, Ming-Fong
  • Corbalan, Ramon
  • Dalby, Anthony J.
  • Davies, Richard Y.
  • De Winter, Robbert J.
  • Denchev, Stefan
  • Diaz, Rafael
  • Elisaf, Moses
  • Goudev, Assen R.
  • Grinfeld, Liliana
  • Harrington, Robert A.
  • Held, Claes
  • Hochman, Judith S.
  • Husted, Steen
  • Kim, Hyo-Soo
  • Steg, P. Gabriel
  • Stewart, Ralph
  • Tarka, Elizabeth
  • White, Harvey D.
http://linked.open...ain/vavai/riv/wos
  • 000335405200008
issn
  • 0028-4793
number of pages
http://bibframe.org/vocab/doi
  • 10.1056/NEJMoa1315878
http://localhost/t...ganizacniJednotka
  • 11110
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