ACCORD Lipid Flashcards

1
Q

ACCORD Lipid Clinical Q

A

Among adults with T2DM on statin monotherapy, does addition of a fibrate reduce risk of CVD?

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2
Q

ACCORD Lipid Bottom Line

A

Among adults with T2DM on statin monotherapy, the addition of fenofibrate does not reduce CVD endpoints.

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3
Q

ACCORD Lipid Primary outcome

A

First nonfatal MI, nonfatal stroke, or CVD mortality

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4
Q

ACCORD Lipid Interventions

A
  • This was a 2x2 factorial substudy (n=5,518) of the ACCORD study (n=10,251). All participants in ACCORD Lipid were also included in the Hgb A1c-targeted therapy of the main ACCORD study.
  • In ACCORD Lipid, participants were randomized to a group:
  • —Fenofibrate - Fenofibrate 160 mg/day, this became GFR-dose adjusted starting in 2004
  • —Placebo
  • All participants received simvastatin 20-40 mg/day
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5
Q

ACCORD Lipid

A

There was heterogeneity in lipid profiles of participants. Those with high triglycerides and low HDL may have benefited.

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