Table 1. Serial intravascular ultrasound studies of plaque progression/regression.
Study | Year | Design | Treatment | N | Follow-up | LDL-C |
IVUS assessment | Serial IVUS results | |
---|---|---|---|---|---|---|---|---|---|
at baseline | at follow-up | ||||||||
Mild to moderate intensity statin studies | |||||||||
KOBE | 1997 | RCT | Pravastatin 10 mg Control |
13 12 |
3 years | 150.2 165.4 |
133 | Plaque area | −7% (p < 0.001) +27% |
GAIN | 2001 | RCT | Atorvastatin 20–80 mg Control |
48 51 |
12 months | 155 166 |
86 140 |
% change in PV | +2.5% (p = 0.14) 11.80% |
LACMART | 2002 | OBS | Medication plus LDL-apheresis Medication only |
11 7 |
12 months | 213 174 |
140 181 |
Plaque area | −0.69 mm2 (p = 0.017) + 0.88 mm2 |
ESTABLISH | 2004 | RCT | Atorvastatin 20 mg Control |
24 24 |
6 months | 124.6 123.9 |
70 119.4 |
% change in PV | −13.1% (p < 0.0001) +8.7% |
JAPAN-ACS | 2009 | RCT | Atorvastatin 20 mg Pitavastatin 4 mg |
127 125 |
10 months | 130.9 133.8 |
81.1 84.1 |
% change in PV | −18.1% (p = 0.5) −16.90% |
COSMOS | 2009 | OBS | Rosuvastatin 2.5–20 mg | 126 | 18 months | 140.2 | 82.9 | % change in PV | −5.10% (p < 0.0001 vs. baseline) |
High intensity statin studies | |||||||||
REVERSAL | 2004 | RCT | Atorvastatin 80 mg Pravastatin 40 mg |
253 249 |
18 months | 150.2 150.2 |
78.9 110.4 |
Change in PAV | −0.4% (p = 0.02) 2.70% |
ASTEROID | 2006 | OBS | Rosuvastatin 40 mg | 349 | 24 months | 130.4 | 60.8 | Change in PAV | −0.98% (p = 0.001 vs. baseline) |
SATURN | 2011 | RCT | Atorvastatin 80 mg Rosuvastatin 40 mg |
519 520 |
24 months | 119.9 120.0 |
70.2 62.6 |
Change in PAV | −0.99% (p = 0.17) −1.22% |
Additional non-statin studies on the top of statin | |||||||||
ZEUS49 | 2014 | OBS | Atorvastatin plus ezetimibe 10 mg Atorvastatin alone |
45 50 |
6 months | 116.2 114.3 |
56.8 70.3 |
% change in PV | −12.5% (p = 0.06) −7.50% |
PRECISE-IVUS | 2015 | RCT | Atorvastatin plus ezetimibe 10 mg Atorvastatin alone |
100 102 |
10 months | 109.8 108.3 |
63.2 73.3 |
Change in PAV | −5.2% (p < 0.001) −1.30% |
GRAGOV | 2016 | RCT | Statin+PCSK9i Statin alone |
423 423 |
18 months | 92.6 92.4 |
36.6 93.0 |
Change in PAV | −0.95% (p < 0.0001) 0.05% |
RCT: randomized controlled trial; OBS: observational study: PV: plaque volume; PAV: percent atheroma volume; IVUS: intravascular ultrasound