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. 2019 Jul 1;26(7):592–600. doi: 10.5551/jat.48603

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