Evidence map›Paper›PMID 25463109›Full record

ReviewAtherosclerosis2014

ETC-1002: a future option for lipid disorders?

Dragana Nikolic, Dimitri P Mikhailidis, Michael H Davidson, Manfredi Rizzo, Maciej Banach

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Atherosclerosis, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02659397 (A Study to Assess the Pharmacokinetics, Pharmacodynamics and Safety of Adding ETC-1002 180 mg to Atorvastatin 80 mg Background Therapy in Statin-Treated Patients), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02659397 phase2completedstarted 2015, after this paper: background citation

A Study to Assess the Pharmacokinetics, Pharmacodynamics and Safety of Adding ETC-1002 180 mg to Atorvastatin 80 mg Background Therapy in Statin-Treated Patients

Ran2015Enrolled68Registered outcomes8Posted comparisons0ConditionsHyperlipidemiaArmsAtorvastatin, ETC-1002, Placebo
Open the trial in the graph
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. New insights into the ACLY-mediated metabolic and epigenetic interplay in macrophages.Journal of enzyme inhibition and medicinal chemistry · 2026
    Review
  3. Article
  4. Review
  5. Review
  6. Review
  7. Review
  8. ETC-1002 AttenuatesDisease markers · 2022
    Article
  9. Novel Therapeutical Approaches to Managing Atherosclerotic Risk.International journal of molecular sciences · 2021
    Review
  10. Novel therapeutic targets and agents for pediatric dyslipidemia.Therapeutic advances in endocrinology and metabolism · 2021
    Review
  11. Mipomersen and its use in familial hypercholesterolemia.Expert opinion on pharmacotherapy · 2019
    Review
  12. Management of Statin Intolerance in 2018: Still More Questions Than Answers.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2018
    Review
  13. Article
  14. Lipids, blood pressure and kidney update 2015.Lipids in health and disease · 2015
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 4 countries.

Dragana NikolicBiomedical Department of Internal Medicine and Medical Specialties, University of Palermo, Italy.
Dimitri P MikhailidisDepartment of Clinical Biochemistry, Royal Free Campus, University College London Medical School, University College London (UCL), London, UK.
Michael H DavidsonDepartment of Medicine, University of Chicago Medicine, Chicago, IL, USA.
Manfredi RizzoBiomedical Department of Internal Medicine and Medical Specialties, University of Palermo, Italy; Euro-Mediterranean Institute of Science and Technology, Italy.
Maciej BanachDepartment of Hypertension, Chair of Nephrology and Hypertension, University of Lodz, Poland. Electronic address: maciejbanach@aol.co.uk.
Istituto Euro Mediterraneo di Scienza e Tecnologia · ITThe Royal Free Hospital · GBUniversity of Chicago · USUniversity of Łódź · PLUniversity of Palermo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ETC-1002 is a new investigational low density lipoprotein cholesterol (LDL-C)-lowering agent (Esperion Therapeutics, Inc.). ETC-1002 is a dicarboxylic acid derivative with a novel mechanism of action targeting two hepatic enzymes--adenosine triphosphate-citrate lyase (ACL) and adenosine monophosphate-activated protein kinase (AMPK), inhibiting sterol and fatty acid synthesis and promoting mitochondrial long-chain fatty acid oxidation. This agent is currently in phase II clinical research. Available data report that ETC-1002 significantly decreased LDL-C levels (up to 32%) in both patients with normal and elevated baseline levels of triglycerides. Such beneficial effect is superior to currently approved non-statin lipid lowering agents. The levels of apolipoprotein B (apoB) and non-high density lipoprotein cholesterol (non-HDL-C) were also reduced with beneficial effect on other cardiometabolic factors such as inflammatory markers, blood pressure and body weight. Although, the safety and tolerability of ETC-1002 needs to be confirmed in ongoing and future, larger studies, this agent has, so far, been generally safe and well tolerated. This novel, oral, once-daily, small molecule may lead to effective LDL-C lowering treatment in hypercholesterolaemic subjects who are statin intolerant or as add-on therapy in those who are unable to reach the LDL-C goals despite being on statin therapy. This agent might not only exert lipid-lowering related benefits, but also favourable cardiometabolic effects.

Indexed as

AMP-Activated Protein KinasesAnimalsApolipoproteins BATP Citrate (pro-S)-LyaseBlood PressureBody WeightCholesterol, LDLClinical Trials, Phase II as TopicDicarboxylic AcidsDisease Models, AnimalFatty AcidsHumansHypercholesterolemiaHyperlipidemiasHypolipidemic AgentsLiver8-hydroxy-2,2,14,14-tetramethylpentadecanedioic acidAMP-Activated Protein KinasesApolipoproteins BATP Citrate (pro-S)-LyaseCholesterol, LDLDicarboxylic AcidsFatty AcidsHypolipidemic AgentsCardiometabolic riskETC-1002Lipid lowering therapyLow density lipoprotein cholesterol

Identifiers

PMID25463109
OpenAlexW2059391864

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.