Rosuvastatin-Induced Arrest in Progression of Renal Disease
| Autor: | Howard Gerard Hutchinson, Susan Harris, John Stuart Pears, Michael D. Cressman, Donald G. Vidt |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Male
Simvastatin medicine.medical_specialty Population Urology Renal function Kidney urologic and male genital diseases Placebo Drug Administration Schedule chemistry.chemical_compound Internal medicine Atorvastatin medicine Humans Pyrroles Pharmacology (medical) Rosuvastatin Rosuvastatin Calcium education Aged Hypolipidemic Agents Pravastatin Sulfonamides Creatinine education.field_of_study business.industry nutritional and metabolic diseases Middle Aged Creatine Fluorobenzenes Pyrimidines medicine.anatomical_structure chemistry Heptanoic Acids Disease Progression Cardiology Female Kidney Diseases Controlled Clinical Trials as Topic Hydroxymethylglutaryl-CoA Reductase Inhibitors Cardiology and Cardiovascular Medicine business Glomerular Filtration Rate medicine.drug |
| Zdroj: | Cardiology. 102:52-60 |
| ISSN: | 1421-9751 0008-6312 |
| Popis: | Preclinical and limited clinical data suggest that statins decrease the progressive decline in renal function that occurs in patients with renal disease. Pooled analysis of data obtained from a population of hyperlipidemic patients enrolled in the rosuvastatin (Crestor®) clinical development program permitted assessment of its effects on renal function both early and later in the course of treatment. Study participants were initially included in controlled clinical trials that evaluated the lipid-lowering efficacy and safety of rosuvastatin when compared with placebo or other lipid-lowering agents (i.e., atorvastatin, simvastatin, pravastatin, cholestyramine, fenofibrate or extended-release niacin). The median duration of treatment with the various doses of statins in these trials was approximately 8 weeks. Following completion of a controlled clinical trial, patients were permitted to enter an open-label extension trial and received rosuvastatin treatment. These data permitted assessment of renal function in a diverse group of over 10,000 patients who received rosuvastatin in its recommended dose range (5–40 mg) for up to 3.8 years. Mean serum creatinine concentrations were lower when compared with baseline both early and later in the course of rosuvastatin treatment. In contrast, no change in mean serum creatinine was observed with placebo. Mean glomerular filtration rates (GFR) predicted from the Modification of Diet in Renal Disease (MDRD) equation were higher when compared with baseline both early and later in the course of rosuvastatin treatment. No change in GFR was observed in the placebo group. Among patients who received long-term rosuvastatin treatment (≧96 weeks), GFR was unchanged or tended to increase, rather than decrease, when compared with baseline irrespective of age, gender, hypertensive or diabetic status, level of renal function (GFR ≧60 vs. 2) at entry or urine dipstick protein status prior to or during the period of treatment. These findings suggest that rosuvastatin may arrest the progression of renal disease. |
| Databáze: | OpenAIRE |
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