Evidence mapPaperPMID 34710343Full record

Trial reportCirculation2021

Icosapent Ethyl Reduces Ischemic Events in Patients With a History of Previous Coronary Artery Bypass Grafting: REDUCE-IT CABG.

Subodh Verma, Deepak L Bhatt, Ph Gabriel Steg, Michael Miller, Eliot A Brinton, Terry A Jacobson, Nitish K Dhingra, Steven B Ketchum, Rebecca A Juliano, Lixia Jiao and 10 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Circulation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT01492361. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
9.2field-weighted citation impact, top 1% 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.

NCT01492361 phase3completed

Evaluation of the Effect of AMR101 on Cardiovascular Health and Mortality in Hypertriglyceridemic Patients With Cardiovascular Disease or at High Risk for Cardiovascular Disease: REDUCE-IT (Reduction of Cardiovascular Events With EPA - Intervention Trial)

Ran2011Enrolled8,179Registered outcomes10Posted comparisons10ConditionsCardiovascular DiseasesArmsAMR101, Placebo, Statin therapy
Open the trial in the graph
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Marine-derived n-3 fatty acids therapy for stroke.The Cochrane database of systematic reviews · 2022
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Review
  9. Review
  10. Observational
  11. Article
  12. Do patients benefit from omega-3 fatty acids?Cardiovascular research · 2024
    Review
  13. Article
  14. Article
  15. Review
  16. A Critical Review of Icosapent Ethyl in Cardiovascular Risk Reduction.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2023
    Review
  17. Article
  18. Review
  19. Review
  20. 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

20 authors at 12 institutions in 3 countries.

Subodh VermaMontreal Heart Institute, Université de Montréal, Quebec, Canada (J-C.T.).ORCID 0000-0002-4018-8533
Deepak L BhattBrigham and Women's Hospital Heart and Vascular Center, Harvard Medical School, Boston, MA (D.L.B., R.P.G.).ORCID 0000-0002-1278-6245
Ph Gabriel StegUniversité de Paris, Assistance Publique-Hôpitaux de Paris, Hôpital Bichat, French Alliance for Cardiovascular Trials, and Institut National de la Santé et de la Recherche Médicale U-1148, Paris, France (P.G.S.).ORCID 0000-0001-6896-2941
Michael MillerDepartment of Medicine, University of Maryland School of Medicine, Baltimore (M.M.).ORCID 0000-0002-1679-2095
Eliot A BrintonUtah Lipid Center, Salt Lake City (E.A.B.).ORCID 0000-0002-9807-4010
Terry A JacobsonOffice of Health Promotion and Disease Prevention, Department of Medicine, Emory University School of Medicine, Atlanta, GA (T.A.J.).
Nitish K DhingraDivision of Cardiac Surgery, St Michael's Hospital, University of Toronto, ON, Canada (S.V., N.K.D.).
Steven B KetchumAmarin Pharma Inc, Bridgewater, NJ (S.B.K., R.A.J., L.J., R.T.D., C.G.).
Rebecca A JulianoAmarin Pharma Inc, Bridgewater, NJ (S.B.K., R.A.J., L.J., R.T.D., C.G.).ORCID 0000-0002-3714-6084
Lixia JiaoAmarin Pharma Inc, Bridgewater, NJ (S.B.K., R.A.J., L.J., R.T.D., C.G.).
Ralph T DoyleAmarin Pharma Inc, Bridgewater, NJ (S.B.K., R.A.J., L.J., R.T.D., C.G.).ORCID 0000-0003-4068-7778
Craig GranowitzAmarin Pharma Inc, Bridgewater, NJ (S.B.K., R.A.J., L.J., R.T.D., C.G.).
C Michael GibsonBaim Clinical Research Institute, Boston, MA (C.M.G., D.P.).
Duane PintoBaim Clinical Research Institute, Boston, MA (C.M.G., D.P.).
Robert P GiuglianoBrigham and Women's Hospital Heart and Vascular Center, Harvard Medical School, Boston, MA (D.L.B., R.P.G.).ORCID 0000-0003-4110-7675
Matthew J BudoffDavid Geffen School of Medicine, Lundquist Institute, Torrance, CA (M.J.B.).ORCID 0000-0002-9616-1946
R Preston MasonElucida Research, Beverly, MA (R.P.M.).ORCID 0000-0001-5483-1852
Jean-Claude TardifMontreal Heart Institute, Université de Montréal, Quebec, Canada (J-C.T.).ORCID 0000-0002-8200-8983
Christie M BallantyneDepartment of Medicine, Baylor College of Medicine, and Center for Cardiovascular Disease Prevention, Methodist DeBakey Heart and Vascular Center, Houston, TX (C.M.B.).ORCID 0000-0002-6432-1730
REDUCE-IT Investigators
Bridge Pharma (United States) · USBaim Institute for Clinical Research · USBrigham and Women's Hospital · USMontreal Heart Institute · CAAssistance Publique – Hôpitaux de Paris · FREmory University · USHouston Methodist · USLos Angeles Biomedical Research Institute · USPyrexar Medical (United States) · USUniversity of Maryland, Baltimore · USBeverly Hospital · USSt. Michael's Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite advances in surgery and pharmacotherapy, there remains significant residual ischemic risk after coronary artery bypass grafting surgery.

methodsIn REDUCE-IT (Reduction of Cardiovascular Events With Icosapent Ethyl-Intervention Trial), a multicenter, placebo-controlled, double-blind trial, statin-treated patients with controlled low-density lipoprotein cholesterol and mild to moderate hypertriglyceridemia were randomized to 4 g daily of icosapent ethyl or placebo. They experienced a 25% reduction in risk of a primary efficacy end point (composite of cardiovascular death, myocardial infarction, stroke, coronary revascularization, or hospitalization for unstable angina) and a 26% reduction in risk of a key secondary efficacy end point (composite of cardiovascular death, myocardial infarction, or stroke) when compared with placebo. The current analysis reports on the subgroup of patients from the trial with a history of coronary artery bypass grafting.

resultsOf the 8179 patients randomized in REDUCE-IT, a total of 1837 (22.5%) had a history of coronary artery bypass grafting, with 897 patients randomized to icosapent ethyl and 940 to placebo. Baseline characteristics were similar between treatment groups. Randomization to icosapent ethyl was associated with a significant reduction in the primary end point (hazard ratio [HR], 0.76 [95% CI, 0.63-0.92];

conclusionsIn REDUCE-IT patients with a history of coronary artery bypass grafting, treatment with icosapent ethyl was associated with significant reductions in first and recurrent ischemic events. Registration: URL: https://www.clinicaltrials.gov; Unique identifier: NCT01492361.

Indexed as

Coronary Artery BypassAgedDouble-Blind MethodEicosapentaenoic AcidFemaleHumansIschemiaMaleMiddle AgedRisk FactorsEicosapentaenoic Acideicosapentaenoic acid ethyl estercoronary artery bypasseicosapentaenoic acidfatty acidsfatty acids, omega-3lipidsprevention and controltriglycerides

Identifiers

PMID34710343
OpenAlexW3209557925

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.