Evolocumab treatment in patients with HIV and hypercholesterolemia/mixed dyslipidemia: BEIJERINCK study design and baseline characteristics
dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | |
dc.contributor.author | BOCCARA, Franck | |
dc.contributor.author | KUMAR, Princy | |
dc.contributor.author | CARAMELLI, Bruno | |
dc.contributor.author | CALMY, Alexandra | |
dc.contributor.author | LOPEZ, J. Antonio G. | |
dc.contributor.author | BRAY, Sarah | |
dc.contributor.author | CYRILLE, Marcoli | |
dc.contributor.author | ROSENSON, Robert S. | |
dc.date.accessioned | 2020-03-24T14:46:15Z | |
dc.date.available | 2020-03-24T14:46:15Z | |
dc.date.issued | 2020 | |
dc.description.abstract | Background People living with human immunodeficiency virus (PLHIV) are at higher risk of atherosclerotic cardiovascular disease (ASCVD) due to traditional and HIV- or antiretroviral treatment (ART)-related risk factors. The use of high-intensity statin therapy is often limited by comorbidities and drug-drug interactions with ART. Herein, we present the design and baseline characteristics of the BEIJERINCK study, which will assess the safety and efficacy of evolocumab in PLHIV and hypercholesterolemia/mixed dyslipidemia. Methods Randomized, double-blind, placebo-controlled, multinational trial that investigates monthly subcutaneous evolocumab 420 mg versus placebo in PLHIV with hypercholesterolemia/mixed dyslipidemia who are treated with maximally-tolerated statin therapy. The primary outcome is the baseline to week 24 percent change in low density lipoprotein cholesterol (LDL-C). Secondary outcomes include achievement of LDL-C < 70 mg/dL and percent change in other plasma lipid and lipoprotein levels. Safety will also be examined. Results This study enrolled and dosed 464 patients who had a mean age of 56.4 years and were mostly male (82.5%). Mean duration with HIV was 17.4 years, and, by design, HIV viral load at screening was <= 50 copies/mL. ASCVD was documented in 35.6% of patients. Mean LDL-C of enrolled patients at baseline was 133.3 mg/dl. Statin use was prevalent (79.3% overall) with 74.6% receiving moderate or high-intensity statins. In total, 20.7% of patients did not receive statins due to intolerance/contraindications. Conclusions The BEUERINCK study is the first clinical trial to examine the lipid-lowering efficacy and safety of a fully human PCSK9 monoclonal antibody inhibitor in a moderate/high cardiovascular risk population of PLHIV. | eng |
dc.description.index | MEDLINE | eng |
dc.description.sponsorship | Amgen Inc.Amgen | |
dc.identifier.citation | AMERICAN HEART JOURNAL, v.220, p.203-212, 2020 | |
dc.identifier.doi | 10.1016/j.ahj.2019.11.004 | |
dc.identifier.eissn | 1097-5330 | |
dc.identifier.issn | 0002-8703 | |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/35424 | |
dc.language.iso | eng | |
dc.publisher | MOSBY-ELSEVIER | eng |
dc.relation.ispartof | American Heart Journal | |
dc.rights | openAccess | eng |
dc.rights.holder | Copyright MOSBY-ELSEVIER | eng |
dc.subject.other | cardiovascular-disease | eng |
dc.subject.other | statin therapy | eng |
dc.subject.other | pcsk9 | eng |
dc.subject.other | risk | eng |
dc.subject.other | individuals | eng |
dc.subject.other | management | eng |
dc.subject.other | lipoprotein(a) | eng |
dc.subject.other | inhibitors | eng |
dc.subject.other | infection | eng |
dc.subject.other | time | eng |
dc.subject.wos | Cardiac & Cardiovascular Systems | eng |
dc.title | Evolocumab treatment in patients with HIV and hypercholesterolemia/mixed dyslipidemia: BEIJERINCK study design and baseline characteristics | eng |
dc.type | article | eng |
dc.type.category | original article | eng |
dc.type.version | publishedVersion | eng |
dspace.entity.type | Publication | |
hcfmusp.affiliation.country | Suíça | |
hcfmusp.affiliation.country | Estados Unidos | |
hcfmusp.affiliation.country | França | |
hcfmusp.affiliation.countryiso | fr | |
hcfmusp.affiliation.countryiso | us | |
hcfmusp.affiliation.countryiso | ch | |
hcfmusp.author.external | BOCCARA, Franck:Sorbonne Univ, Hop St Antoine, AP HP,Dept Cardiol, INSERM UMR S 938,Ctr Rech St Antoine,Hop Est Pari, Paris, France | |
hcfmusp.author.external | KUMAR, Princy:Georgetown Univ, Sch Med, Div Infect Dis & Travel Med, Washington, DC USA | |
hcfmusp.author.external | CALMY, Alexandra:Geneva Univ Hosp, Div Infect Dis, HIV AIDS Unit, Geneva, Switzerland | |
hcfmusp.author.external | LOPEZ, J. Antonio G.:Amgen Inc, Global Dev, Thousand Oaks, CA 91320 USA | |
hcfmusp.author.external | BRAY, Sarah:Amgen Inc, Global Dev, Thousand Oaks, CA 91320 USA | |
hcfmusp.author.external | CYRILLE, Marcoli:Amgen Inc, Global Dev, Thousand Oaks, CA 91320 USA | |
hcfmusp.author.external | ROSENSON, Robert S.:Icahn Sch Med Mt Sinai, Cardiometabol Unit, Mt Sinai Heart, New York, NY 10029 USA | |
hcfmusp.citation.scopus | 6 | |
hcfmusp.contributor.author-fmusphc | BRUNO CARAMELLI | |
hcfmusp.description.beginpage | 203 | |
hcfmusp.description.endpage | 212 | |
hcfmusp.description.volume | 220 | |
hcfmusp.origem | WOS | |
hcfmusp.origem.pubmed | 31841795 | |
hcfmusp.origem.scopus | 2-s2.0-85076244824 | |
hcfmusp.origem.wos | WOS:000510852400022 | |
hcfmusp.publisher.city | NEW YORK | eng |
hcfmusp.publisher.country | USA | eng |
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hcfmusp.scopus.lastupdate | 2024-05-10 | |
relation.isAuthorOfPublication | 0874df84-3783-4ad0-a812-982a731ec038 | |
relation.isAuthorOfPublication.latestForDiscovery | 0874df84-3783-4ad0-a812-982a731ec038 |
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