Copyleft Clinical Trial Results. You Must Redistribute Slides ASTEROID Trial A Study to Evaluate the Effect of Rosuvastatin on Intravascular Ultrasound-Derived Coronary Atheroma Burden

ASTEROID Trial Presented at ACC / i in Chicago Presented by Dr. Christie M. Ballantyne ASTEROID Trial Copyleft Clinical Trial Results. You Must Redistribute Slides

ASTEROID Trial: Background Assessed the effects of rosuvastatin on atherosclerosis regression in patients who had angiographic evidence of coronary artery disease (CAD).Assessed the effects of rosuvastatin on atherosclerosis regression in patients who had angiographic evidence of coronary artery disease (CAD). Prior studies have shown evidence of a decrease in atherosclerosis progression with statin therapy.Prior studies have shown evidence of a decrease in atherosclerosis progression with statin therapy. No statin monotherapy has demonstrated a cessation or regression of atherosclerosis. No statin monotherapy has demonstrated a cessation or regression of atherosclerosis. Presented at ACC 08

ASTEROID Trial: Study Design  Primary Endpoint: Rosuvastatin regression of coronary atherosclerosis by intravascular ultrasound (IVUS)  Secondary Endpoint: Rosuvastatin regression of coronary atherosclerosis by quantitative coronary angiography (QCA). Rosuvastatin 40 mg/day n= patients > 18 years with angiographic evidence of CAD, excluding patients using lipid-lowering medication for more than 3 mos within the previous 12 mos, uncontrolled triglyceride levels, and poorly controlled diabetes. Prospective. Multicenter. International. Open Label. Treatment for 24 mos. 292 patients with 613 matched stenoses at baseline and study end. Presented at ACC month treatment 24 month treatment Copyleft Clinical Trial Results. You Must Redistribute Slides

The mean percent diameter stenosis decreased from 37.3±8.4% to 36±10.1% after 24 months of rosuvastatin therapy.The mean percent diameter stenosis decreased from 37.3±8.4% to 36±10.1% after 24 months of rosuvastatin therapy. There was a progression of atherosclerosis in 6% of patients by >0.2mm.There was a progression of atherosclerosis in 6% of patients by >0.2mm. Mean diameter stenosis (%) Mean diameter stenosis (%) ASTEROID Trial: Mean Diameter Stenosis n = 292 p < Presented at ACC 08 Copyleft Clinical Trial Results. You Must Redistribute Slides 37.3 ± 8.4% 36.0 ± 10.1%

Minimum lumen diameter (mm) Minimum lumen diameter (mm) ASTEROID Trial: Minimum Lumen Diameter Presented at ACC 08 Copyleft Clinical Trial Results. You Must Redistribute Slides The percent minimum lumen diameter (MLD) increased from 1.65 ± 0.36 mm to 1.68 ± 0.38mmafter 24 months of rosuvastatin therapy.The percent minimum lumen diameter (MLD) increased from 1.65 ± 0.36 mm to 1.68 ± 0.38mm after 24 months of rosuvastatin therapy. The MLD increased in 55.2% of patients.The MLD increased in 55.2% of patients. n = 292 p < ± ± 0.38

ASTEROID Trial: LDL-C and HDL-C levels Presented at ACC 08 Copyleft Clinical Trial Results. You Must Redistribute Slides LDL-C levels were reduced to a mean of 61.1±20.3 mg/dL (53.3% reduction) after rosuvastatin therapy. LDL-C levels were reduced to a mean of 61.1±20.3 mg/dL (53.3% reduction) after rosuvastatin therapy. HDL-C levels increased from 42.8 mg/dL to 48.3±12.4 mg/dL (13.8% increase) after rosuvastatin therapy. HDL-C levels increased from 42.8 mg/dL to 48.3±12.4 mg/dL (13.8% increase) after rosuvastatin therapy. LDL-C levels were reduced to a mean of 61.1±20.3 mg/dL (53.3% reduction) after rosuvastatin therapy. LDL-C levels were reduced to a mean of 61.1±20.3 mg/dL (53.3% reduction) after rosuvastatin therapy. HDL-C levels increased from 42.8 mg/dL to 48.3±12.4 mg/dL (13.8% increase) after rosuvastatin therapy. HDL-C levels increased from 42.8 mg/dL to 48.3±12.4 mg/dL (13.8% increase) after rosuvastatin therapy.

Copyleft Clinical Trial Results. You Must Redistribute Slides ASTEROID Trial: Limitations This was an observational, open-label trial, and as such, the results presented may have been affected by unidentified confounders.This was an observational, open-label trial, and as such, the results presented may have been affected by unidentified confounders. The small sample size may have restricted the statistical power of the study.The small sample size may have restricted the statistical power of the study. Presented at ACC 08

Copyleft Clinical Trial Results. You Must Redistribute Slides ASTEROID Trial: Summary Treatment of rosuvastatin for 24 months was associated with atherosclerosis regression evidenced by an increase in the minimum lumen diameter and a decrease in percent diameter stenosis in patients with coronary artery disease.Treatment of rosuvastatin for 24 months was associated with atherosclerosis regression evidenced by an increase in the minimum lumen diameter and a decrease in percent diameter stenosis in patients with coronary artery disease. Rosuvastatin also increased HDL cholesterol levels while jointly reducing LDL cholesterol levels to less than 70 mg/dL.Rosuvastatin also increased HDL cholesterol levels while jointly reducing LDL cholesterol levels to less than 70 mg/dL. Presented at ACC 08