JUPITER NEJM PDF

The results of the Justification for the Use of Statins in Primary Prevention: an Intervention Trial Evaluating Rosuvastatin (JUPITER; number. Editorial from The New England Journal of Medicine — JUPITER Clinical Directions — Polling Results. Authors & Reviewers · Submit a Manuscript · Subscribers · Institutions · Media · Advertisers · Agents · Permissions · Reprints · NEJM Career.

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In this trial of apparently healthy persons without nem but with elevated high-sensitivity C-reactive protein levels, rosuvastatin significantly reduced the incidence of major cardiovascular events. Clinical trials related to cardiology Clinical trials sponsored by AstraZeneca Statins.

This page was last edited jupitef 4 Novemberat Comment in Ann Intern Med. Retrieved July 1, Consistent effects were observed in all subgroups evaluated.

Since statins lower levels of high-sensitivity C-reactive protein as well as cholesterol, we hypothesized that people with elevated high-sensitivity C-reactive protein levels but without hyperlipidemia might benefit from statin treatment.

Cleve Clin J Med. Retrieved from ” https: The article’s authors critiqued what they saw as flaws in the trial, pointing out that the cardiovascular mortality rate and the case-fatality rate for myocardial infarction were much lower than they expected.

JUPITER trial

The trial was sponsored by AstraZenecathe marketer of Crestor rosuvastatin. The trial focused on patients with normal low-density lipoprotein LDL cholesterol levels but increased levels of high-sensitivity C-reactive protein hs-CRP. Inresults presented at the American Heart Association meeting and published in the New England Journal of Medicine found that patients with low-to-normal LDL cholesterol receiving rosuvastatin had a lower rate of major cardiovascular events.

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On the role of C-reactive protein, a study employing Mendelian randomizationpublished in the Journal of the American Medical Association suggested that CRP does not play a causal role in cardiovascular disease; the results may argue against CRP’s use as a marker of cardiovascular disease risk or for identifying subjects for statin therapy as in JUPITER, and more strongly argue against using CRP as a therapeutic target per se.

The jupter analyzed 17, patients without evidence of heart disease but with high CRP levels. N Engl J Med. By using this site, you agree to the Terms of Use and Privacy Policy.

Cardiovascular Quality and Outcomes. Compared to patients taking a placebopatients given rosuvastatin had reductions in LDL and CRP levels, and a reduction of 0.

JUPITER trial – Wikipedia

Michel de Lorgeril, et al. Because half of all vascular events occur in patients with normal or low levels of LDL cholesterol, JUPITER was designed to determine whether hs-CRP testing could identify these patients, and whether statin therapy could prevent cardiovascular events among them. JUPITER was a randomized double-blind placebo-controlled study investigating the use of rosuvastatin in the primary prevention of cardiovascular disease.

An I ntervention T rial E valuating R osuvastatin trial was a clinical trial aimed at evaluating whether statins reduce heart attacks and strokes in people with normal cholesterol levels. Increased levels of the inflammatory biomarker high-sensitivity C-reactive protein predict cardiovascular events.

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They also raised concerns about conflict of interest in the trial design and leadership: There were no significant differences between the treatment groups with respect to muscle pain, muscle weakness, hepatic function, or renal function; however, the researchers noted small but statistically significant increases in the rate of physician-reported diabetes and glycated hemoglobin values in the rosuvastatin group, an effect that has also been seen in studies with other statins.

The rosuvastatin group did not have a significant increase in myopathy or cancer but did have a higher incidence of physician-reported diabetes. Am J Kidney Dis. The trial was stopped after a median follow-up of 1.

Rosuvastatin to prevent vascular events in men and women with elevated C-reactive protein.

We randomly assigned 17, apparently healthy men and women with low-density lipoprotein LDL cholesterol levels of less than mg per deciliter 3. Views Read Edit View history.

They concluded that, “The results of the trial do not support the use of statin treatment for primary prevention of cardiovascular diseases and raise troubling questions concerning the role of commercial sponsors. The trial was stopped early, after just 1.

Results, Controversies, and Implications for Prevention”. The rates of the primary end point were 0. From Wikipedia, the free encyclopedia.