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The selective peroxisome proliferator-activated receptor alpha modulator (SPPARMα) paradigm: conceptual framework and therapeutic potential : A consensus statement from the International Atherosclerosis Society (IAS) and the Residual Risk Reduction Initiative (R3i) Foundation

JC. Fruchart, RD. Santos, C. Aguilar-Salinas, M. Aikawa, K. Al Rasadi, P. Amarenco, PJ. Barter, R. Ceska, A. Corsini, JP. Després, P. Duriez, RH. Eckel, MV. Ezhov, M. Farnier, HN. Ginsberg, MP. Hermans, S. Ishibashi, F. Karpe, T. Kodama, W....

. 2019 ; 18 (1) : 71. [pub] 20190604

Language English Country Great Britain

Document type Journal Article, Research Support, Non-U.S. Gov't, Review

In the era of precision medicine, treatments that target specific modifiable characteristics of high-risk patients have the potential to lower further the residual risk of atherosclerotic cardiovascular events. Correction of atherogenic dyslipidemia, however, remains a major unmet clinical need. Elevated plasma triglycerides, with or without low levels of high-density lipoprotein cholesterol (HDL-C), offer a key modifiable component of this common dyslipidemia, especially in insulin resistant conditions such as type 2 diabetes mellitus. The development of selective peroxisome proliferator-activated receptor alpha modulators (SPPARMα) offers an approach to address this treatment gap. This Joint Consensus Panel appraised evidence for the first SPPARMα agonist and concluded that this agent represents a novel therapeutic class, distinct from fibrates, based on pharmacological activity, and, importantly, a safe hepatic and renal profile. The ongoing PROMINENT cardiovascular outcomes trial is testing in 10,000 patients with type 2 diabetes mellitus, elevated triglycerides, and low levels of HDL-C whether treatment with this SPPARMα agonist safely reduces residual cardiovascular risk.

3rd Department of Medicine 1st Faculty of Medicine of Charles University and General University Hospital Prague Prague Czech Republic

3rd Dept Int Med Center for Preventive Cardiology 3rd Internal Medicine Clinic University General Hospital and Charles University Prague Czech Republic

Cardiovascular Medicine Brigham and Women's Hospital Harvard Medical School Boston MA USA

Center for Interdisciplinary Cardiovascular Sciences and Center for Excellence in Vascular Biology Division of Cardiovascular Medicine and Channing Division of Network Medicine Brigham and Women's Hospital Harvard Medical School Boston MA USA

Centre de recherche sur les soins et les services de première ligne Université Laval du CIUSSS de la Capitale Nationale Department of Kinesiology Faculty of Medicine Université Laval Québec QC Canada

Columbia University Vagelos College of Physicians and Surgeons New York USA

Copenhagen University Hospital Faculty of Health and Medical Sciences University of Copenhagen Copenhagen Denmark The Copenhagen General Population Study Herlev and Gentofte Hospital Herlev Denmark

DAMIC Medical Institute Rusculleda Foundation for Research Córdoba Argentina Cardiology Department Córdoba Hospital Córdoba Argentina

Department of Cardiology Faculty of Medicine Hacettepe University Ankara Turkey

Department of Clinical Biochemistry Herlev and Gentofte Hospital Copenhagen University Hospital Herlev Denmark The Copenhagen General Population Study Herlev and Gentofte Hospital Copenhagen University Hospital Herlev Denmark Faculty of Health and Medical Sciences University of Copenhagen Copenhagen Denmark

Department of Clinical Biochemistry Rigshospitalet

Department of Clinical Biochemistry Sultan Qaboos University Hospital Muscat Oman

Department of Endocrinology Diabetology and Nutrition Jean Verdier Hospital Paris 13 University Sorbonne Paris Cité CRNH IdF CINFO 93140 Bondy France

Department of Endocrinology Diabetology Jaslok Hospital and Research Centre Mumbai India

Department of Endocrinology Hematology and Gerontology Clinical Cell Biology and Medicine Chiba University Graduate School of Medicine Chiba Japan

Department of Internal Medicine Faculty of Medicine University of Tsukuba Ibaraki 305 8575 Japan

Department of Internal Medicine Seoul National University Bundang Hospital and Seoul National University College of Medicine Seongnam Republic of Korea

Department of Internal Medicine University Hospital Centre Zagreb School of Medicine Zagreb University Kispaticeva 12 Zagreb Croatia

Department of Medicine and Theraputics The Chinese University of Hong Kong Hong Kong Hong Kong

Department of Medicine DIMED University of Padua Padua Italy

Department of Medicine Ramathibodi Hospital Mahidol University Bangkok Thailand

Department of Neurology and Stroke Center Paris Diderot Sorbonne University Paris France

Department of Pharmacological and Biomolecular Sciences Università Degli Studi di Milano Milan Italy

Departments of Internal Medicine and Environmental and Occupational Medicine National Taiwan University

Deutsches Herzzentrum München Technische Universitat München Germany

Division of Cardiovascular Medicine and Center for Cardiovascular Disease Prevention Brigham and Women's Hospital Harvard Medical School Boston MA USA

Division of Cardiovascular Medicine Department of Medicine Brigham and Women's Hospital Harvard Medical School Boston MA USA

Division of Cardiovascular Medicine VA Boston Medical Center Boston MA USA Division of Preventive Medicine Brigham and Women's Hospital Harvard Medical School Boston MA USA

Division of Endocrinology and Metabolism Department of Internal Medicine Jichi Medical University Shimotsuke Japan

Division of Endocrinology and Nutrition Cliniques Universitaires St Luc and Institut de Recherche Expérimentale et Clinique Université Catholique de Louvain Brussels Belgium

Division of Endocrinology Metabolism and Diabetes Department of Medicine University of Colorado School of Medicine Anschutz Medical Campus Aurora CO USA

DZHK Partner Site Munich Heart Alliance Munich Germany Institute of Epidemiology and Medical Biometry University of Ulm Ulm Germany

Faculté de Pharmacie de Lille Lille France

Faculty of Clinical Pharmacology and Therapeutics Academy for Postgraduate Continuous Medical Education Moscow Russian Federation

Hospital Israelita Albert Einstein and Lipid Clinic Heart Institute University of Sao Paulo Medical School Hospital Sao Paulo Brazil

Imperial Centre for Cardiovascular Disease Prevention Department of Primary Care and Public Health Imperial College London London UK

INSERM CHU Lille U1171 Degenerative and Vascular Cognitive Disorders University of Lille Faculty of Pharmacy University of Lille UDSL Lille France

Institute of Cardiovascular and Medical Sciences University of Glasgow Glasgow UK

Institute of Occupational Medicine and Industrial Hygiene National Taiwan University College of Public Health Taipei Taiwan

Internal Medicine Lipids Unit Gregorio Marañón University Hospital Madrid Spain Department of Medicine School of Medicine Universidad Complutense de Madrid Madrid Spain Instituto de Investigaciones Sanitarias Gregorio Marañón Madrid Spain

Laboratory for System Biology and Medicine Research Center for Advanced Science and Technology The University of Tokyo Tokyo Japan

Laboratory of Lipid Disorders National Cardiology Research Center Moscow Russian Federation

Lee Kong Chian School of Medicine Nanyang Technological University Singapore Clinical Sciences Building 11 Mandalay Road Singapore 308232 Singapore Center for Integrative Genomics Université de Lausanne Le Génopode CH 1015 Lausanne Switzerland Institut National de La Recherche Agronomique UMR1331 ToxAlim Toulouse France

Lipid Clinic Point Médical and Department of Cardiology CHU Dijon Bourgogne Dijon France

Lipid Disorders Clinic Department of Cardiology Royal Perth Hospital School of Medicine University of Western Australia Perth Australia

Lipid Research Group School of Medical Sciences University of New South Wales Sydney NSW Australia

Mass Spectrometry Core facility of West Human Nutrition Research Center Hotel Dieu Hospital Nantes France Inra UMR 1280 Physiologie des Adaptations Nutritionnelles Nantes France Department of Endocrinology Metabolic diseases and Nutrition G and R Laennec Hospital Nantes France

National Cerebral and Cardiovascular Center Suita Osaka Japan

OCDEM University of Oxford and the NIHR Oxford Biomedical Research Centre OUH Foundation Trust Churchill Hospital Oxford UK

R3i Foundation Picassoplatz 8 4010 Basel Switzerland

Research Program for Clinical and Molecular Metabolism Faculty of Medicine University of Helsinki and Clinical Research Institute HUCH Ltd Helsinki Finland

Rinku General Medical Center Izumisano Osaka Japan Department of Community Medicine Osaka University Graduate School of Medicine Suita Osaka Japan Department of Cardiovascular Medicine Osaka University Graduate School of Medicine Suita Osaka Japan

Ruddy Canadian Cardiovascular Genetics Centre University of Ottawa Heart Institute Ottawa Canada

Sackler Faculty of Medicine Tel Aviv University 6997801 Tel Aviv Israel Cardiac Rehabilitation Institute Sheba Medical Center 5265601 Tel Hashomer Israel

Unidad de Investigacion de Enfermedades Metabolicas Department of Endocrinolgy and Metabolism Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán Mexico City Mexico Tecnologico de Monterrey Escuela de Medicina y Ciencias de la Salud Monterrey Mexico

Unidad de Prevención Cardiometabólica Cardiocob Servicio de Cardiología Hospital el Pino Santiago de Chile Sociedad Inter Americana de Cardiología SIAC Chairman Cardiovascular Prevention Comite Santiago de Chile Chile

References provided by Crossref.org

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