Barter - Figure 23 - dal-OUTCOMES
Given all of the above, there are 3 further trials currently underway, assessing a strategy
of CETP inhibition:
- dal-OUTCOMES
- DEFINE
- REVEAL: HPS3-TIMI 55
The first trial, dal-OUTCOMES, is with dalcetrapib (Roche), another member of the
CETP inhibitor class, as shown in this
Figure. This trial is now close to completion,
having enrolled 15,600 patients who were 4-12 weeks post acute coronary syndrome
(ACS) event, or acute myocardial infarction (MI). They were all on statin therapy to
achieve optimal LDL levels, which was maintained throughout the study, and half were
randomized to receive dalcetrapib at a 600 mg dose, with a planned follow-up of 2.5
years, but with everybody followed up for at least 2 years and 80% reaching the 2.5
years. dal-OUTCOMES is an event-driven trial, and it will continue until the required
number of events has been reached, a composite endpoint of various cardiovascular
events typical of most trials of this kind.
Barter P.
J Clin Lipidol.
2011; 5(6).