SATURN: Objective To compare the effects of rosuvastatin 40 mg versus atorvastatin 80 mg on progression of coronary atherosclerosis assessed by intravascular.

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Presentation transcript:

SATURN: Objective To compare the effects of rosuvastatin 40 mg versus atorvastatin 80 mg on progression of coronary atherosclerosis assessed by intravascular ultrasound.

SATURN; Study Design 1385 patients with symptomatic CAD (angiographic stenosis >20%) LDL-C with (>80 mg/dL) or without (>100 mg/dL) statin use last 4 weeks Atorva 40 mg Rosuvastatin 40 mg (n =694) Rosuva 20 mg Atorvastatin 80 mg (n=691) Visit: Week: 1 –4 2 –2 3 4 13 5 26 6 39 7 52 8 65 9 78 10 91 11 104 IVUS Lipids Lipids Safety Safety Lipids Safety Safety Lipids Safety Safety Lipids Safety Safety IVUS Lipids Safety Screening Period Randomization Period

SATURN Trial: Flow of Patients 4255 patients screened and 1578 patients treated at centers in North America, Europe, South America and Australia Treatment for 2 weeks with atorvastatin 40 mg or rosuvastatin 20 mg for 2 weeks to achieve LDL-C <116 mg/dL 24 months treatment Atorvastatin 80 mg (n=691) Rosuvastatin 40 mg (n=694) 346 (25%) patients withdrew or did not have an evaluable final IVUS Follow-up IVUS of originally imaged “target” vessel (n=1039)

SATURN: Clinical Characteristics Parameter Atorvastatin (n=519) Rosuvastatin (n=520) Mean age in years 57.9 57.4 Males 74.4% 72.9% Median Body Mass Index 29.2 28.9 History of Hypertension 70.7% 70.0% History of Diabetes 16.8% 13.8% Prior Statin Use 61.5% 58.3% Concomitant Medications Anti-platelet Therapy 97.9% 97.5% Beta-blockers 61.1% 60.6% ACE Inhibitors 44.5% 43.5% Angiotensin Receptor Antagonists 15.8% 16.7%

SATURN: Time-Weighted Lipid Levels and hsCRP Parameter Atorvastatin (n=519) Rosuvastatin (n=520) P Value LDL cholesterol (mg/dL) 70.2 62.6 <0.001 HDL cholesterol (mg/dL) 48.6 50.4 0.01 Triglycerides (mg/dL)* 110 120 0.02 LDL:HDL cholesterol 1.5 1.3 <0.01 hsCRP (mg/L)* 1.0 1.1 0.05

SATURN: Primary IVUS Efficacy Parameter Change Percent Atheroma Volume Median Change Percent Atheroma Volume P=0.17† -0.99 P<0.001* -1.22 P<0.001*

LDL-C and Disease Progression Median Change Percent Atheroma Volume