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Niacin for cardiovascular prevention clinical trials results

niacin versus control
VA drugs, 1968
niacin
versus
double blind
Follow-up duration: 3.2 years
niacin versus ezetimibe
ARBITER 6-HALTS (niacin vs ezetimibe), 2009
NCT00397657
extended-release niacin 1 g/d, titrated to max tolerable dose up to 2 g/d (HDL-focused strategy)
versus
ezetimibe 10 mg/d (LDL-focused strategy)
patients with known coronary or vascular disease or coronary risk equivalentsopen
Follow-up duration: 14 months
US
niacin versus placebo
CDP niacin, 1975
niacin 3 mg/d
versus
placebo
Hommes, de 30 à 64 ans double blind
Follow-up duration: 6.2 years
niacin versus placebo (on top statin)
AIM-HIGH, 2011
NCT00120289
high-dose, extended-release niacin in gradually increasing doses up to 2000 mg daily (+ simvastatin)
versus
placebo
patients with a history of cardiovascular disease, high triglycerides, and low levels of HDL cholesteroldouble blind
Follow-up duration: 32 months
US, Canada
HPS 2-Thrive,
NCT00461630
2 g of extended-release niacin and 40 mg of laropiprant
versus
placebo
patients with vascular diseasedouble blind
Follow-up duration: 3.9y (median)
UK, Scandinavia, China
Oxford Niaspan Study, 2009
NCT00232531
niacin 2g daily (added to statin therapy)
versus
placebo (statins alone)
patients with low HDL-C (<40 mg/dl) and either a type 2 diabetes with coronary heart disease or a carotid/peripheral atherosclerosisdouble blind
Follow-up duration: 1 year
USA
ARBITER 2, 2009
long-acting niacin target dose of 1 g/day (added to statin therapy)
versus
placebo
patients with known coronary artery disease and well controlled on statin therapydouble blind
Follow-up duration: 1 y
USA
HATS, 2001
simvastatin plus niacin
versus
placebo
patients with coronary disease, low HDL cholesterol levels and normal LDL cholesterol levels double blind
Follow-up duration: 3 y
USA, Canada

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