Evidence map›Paper›PMID 28450679›Full record

ArticleJournal of atherosclerosis and thrombosis2017

The Combination Therapy of Fenofibrate and Ezetimibe Improved Lipid Profile and Vascular Function Compared with Statins in Patients with Type 2 Diabetes.

Atsushi Shinnakasu, Kiyoaki Yamamoto, Mihoko Kurano, Hiroshi Arimura, Aiko Arimura, Akira Kikuti, Hiroshi Hashiguchi, Takahisa Deguchi, Yoshihiko Nishio

Open access · diamondAbstract readComparative Study
In one paragraph

Article in Journal of atherosclerosis and thrombosis, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. A Comprehensive, Updated Review of Ezetimibe: Evidence-Based Clinical Use for Atherosclerotic Cardiovascular Disease.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2026
    Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
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

9 authors at 1 institution in 1 country.

Atsushi ShinnakasuDepartment of Diabetes and Endocrine Medicine, Kagoshima University Graduate School of Medical and Dental Sciences.
Kiyoaki YamamotoDepartment of Diabetes and Endocrine Medicine, Kagoshima University Graduate School of Medical and Dental Sciences.
Mihoko KuranoDepartment of Diabetes and Endocrine Medicine, Kagoshima University Graduate School of Medical and Dental Sciences.
Hiroshi ArimuraDepartment of Diabetes and Endocrine Medicine, Kagoshima University Graduate School of Medical and Dental Sciences.
Aiko ArimuraDepartment of Diabetes and Endocrine Medicine, Kagoshima University Graduate School of Medical and Dental Sciences.
Akira KikutiDepartment of Diabetes and Endocrine Medicine, Kagoshima University Graduate School of Medical and Dental Sciences.
Hiroshi HashiguchiDepartment of Diabetes and Endocrine Medicine, Kagoshima University Graduate School of Medical and Dental Sciences.
Takahisa DeguchiDepartment of Diabetes and Endocrine Medicine, Kagoshima University Graduate School of Medical and Dental Sciences.
Yoshihiko NishioDepartment of Diabetes and Endocrine Medicine, Kagoshima University Graduate School of Medical and Dental Sciences.
Kagoshima University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimElevated level of serum triglyceride (TG) is a characteristic of type 2 diabetes. We evaluated the clinical significance of intervention for the serum TG levels in the fasting and postprandial states in patients with type 2 diabetes.

methodsFifty patients with type 2 diabetes, treated with statins, were selected and divided into two groups. One group was treated with a combination of fenofibrate and ezetimibe (F/E group) and the other group with statins (statin group) for 12 weeks. The lipoprotein profile of both groups was compared using high-performance liquid chromatography, and the vascular function was assessed using flow-mediated dilation (FMD) at the forearm.

resultsThe levels of very low-density lipoprotein (VLDL) cholesterol, malondialdehyde low-density lipoprotein (MDA-LDL), total TG, chylomicron-TG, VLDL-TG, and HDL-TG decreased in the F/E group, whereas those of HDL cholesterol increased. Furthermore, the peak particle size of LDL increased, but that of HDL decreased in the F/E group. The combination treatment significantly improved the FMD. The change in the cholesterol level in a very small fraction of HDL was a significant independent predictor for determining the improvement of FMD (p<0.01).

conclusionsCompared with the treatment with statins, the treatment with the combination of fenofibrate and ezetimibe effectively controlled the LDL cholesterol and TG levels, increased the HDL cholesterol level, especially in its small fraction, and improved vascular function of patients with type 2 diabetes.

Indexed as

Anticholesteremic AgentsBiomarkersDiabetes Mellitus, Type 2Drug Therapy, CombinationEzetimibeFemaleFenofibrateFollow-Up StudiesHumansHydroxymethylglutaryl-CoA Reductase InhibitorsHypolipidemic AgentsLipidsMaleMiddle AgedPrognosisAnticholesteremic AgentsBiomarkersEzetimibeFenofibrateHydroxymethylglutaryl-CoA Reductase InhibitorsHypolipidemic AgentsLipidsEndothelial functionHDLSmall dense LDLTriglyceride

Identifiers

PMID28450679
PMCPMC5517547
OpenAlexW2610097180

What Socratic holds

Texttitle and abstract
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

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.