Evidence map›Paper›PMID 41452383›Full record

ReviewCurrent atherosclerosis reports2025

Fibrates : Do They Still Have a Role in Therapy in 2025?

Angela Pirillo, Alberto Zambon, Alberico L Catapano

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current atherosclerosis reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Targeting triglycerides for cardiovascular risk reduction.Internal and emergency medicine · 2026
    Review
  3. 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

3 authors.

Angela PirilloCenter for the Study of Atherosclerosis, E. Bassini Hospital, Via Gorki 50, Cinisello Balsamo, Milan, 20092, Italy.ORCID https://orcid.org/0000-0002-2948-6257
Alberto ZambonDepartment of Medicine, University of Padua, Via Giustiniani, 2, Padua, 35128, Italy.ORCID https://orcid.org/0000-0001-7096-5201
Alberico L CatapanoCenter for the Study of Atherosclerosis, IRCCS MultiMedica, Via Milanese 300, Sesto S. Giovanni, Milan, 20099, Italy. alberico.catapano@unimi.it.ORCID https://orcid.org/0000-0002-7593-2094

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewAtherosclerotic cardiovascular disease (ASCVD) remains a leading cause of mortality despite optimal LDL-C control, leaving substantial residual risk in patients with atherogenic dyslipidaemia. This review re-examines the evolving role of fibrates in the management of dyslipidaemia, metabolic dysfunction-associated steatotic liver disease (MASLD), chronic kidney disease (CKD), and diabetic microvascular complications. RECENT

findingsLarge trials have demonstrated modest or inconsistent cardiovascular benefits with fibrates, with effects mainly limited to patients with elevated triglycerides and low HDL-C. The PROMINENT trial confirmed that lowering triglycerides alone does not improve cardiovascular outcomes. However, emerging evidence suggests that fibrates, particularly fenofibrate and pemafibrate, have beneficial effects on albuminuria, hepatic steatosis, and diabetic retinopathy, indicating pleiotropic metabolic benefits beyond lipid lowering. Fibrates remain therapeutically relevant in selected dyslipidaemic or metabolically altered phenotypes. Their future lies in precision metabolic therapy, targeting microvascular, hepatic, and renal complications within a personalised cardiometabolic approach.

Indexed as

AtherosclerosisDyslipidemiasFibric AcidsHypolipidemic AgentsCardiovascular DiseasesHumansFibric AcidsHypolipidemic AgentsAtherogenic dyslipidaemiaAtherosclerotic cardiovascular diseaseDiabetesFibratesTriglycerides

Identifiers

What Socratic holds

Textmetadata
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.