Table 1.
Summary of Clinical Trials with PPARα agonists for Cardiovascular Disease.
Study Name/Drug | Condition | Primary Endpoints | Outcome | Trial Identifier/Reference |
---|---|---|---|---|
Fenofibrate Intervention and Event Lowering in Diabetes (FIELD) study Fenofibrate |
9795 patients with diabetes and dyslipidemia | Nonfatal myocardial infarction, coronary heart disease mortality | No significant reduction of coronary events | number ISRCTN 64783481 [29] |
Action to control cardiovascular risk in diabetes (ACCORD) trial Simvastatin alone or in combination with Fenofibrate |
5518 patients with Diabetes | Nonfatal myocardial infarction, nonfatal stroke, cardiovascular death | No reduction of nonfatal myocardial infarction, nonfatal stroke, cardiovascular death |
NCT00000620 [30] |
Helsinki Heart Study Gemfibrozil |
4081 male patients with hyperlipidemia | Cardiac death, myocardial infarction | Reduction of coronary heart disease progression | [33] |
Veterans Affairs High-Density Lipoprotein Cholesterol Intervention Trial Gemfibrozil |
2531 male patients with dyslipidemia and coronary artery disease | Myocardial infarction, death from coronary artery disease | Reduction of major cardiovascular events | [34,35] |
Pemafibrate to Reduce Cardiovascular Outcomes by Reducing Triglycerides in Patients with Diabetes (PROMINENT) trial Pemafibrate |
10,544 patients with diabetes | Nonfatal myocardial infarction, nonfatal stroke, cardiovascular death | Stopped in 2022 due to futility | [36] NCT03071692 |