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Vol 273 No 7316 p337
11 September 2004

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Rosuvastatin improves lipid profile in metabolic syndrome

Low-dose rosuvastatin achieves major reductions in LDL-cholesterol and increases HDL-cholesterol in patients with metabolic syndrome, according to results from an AstraZeneca-sponsored study reported at the European Association for the Study of Diabetes meeting in Munich this week.

The COMETS study randomised 397 patients with metabolic syndrome (a cluster of three or more cardiovascular risk factors) to treatment with rosuvastatin (10mg daily), atorvastatin (10mg daily) or placebo for six weeks. The dose of the statins was then doubled for a further six weeks, and the placebo group transferred to rosuvastatin (20mg daily).

Results showed that LDL-cholesterol was reduced by 41.7 per cent in the rosuvastatin group at six weeks, compared with 35.7 per cent in the atorvastatin group (p<0.001). Levels of HDL-cholesterol increased by 9.3 per cent after six weeks’ treatment with rosuvastatin, compared with 4.8 per cent with atorvastatin (p<0.001). These differences were maintained at 12 weeks.

A second study showed similar results in type 2 diabetes. Results after eight weeks’ treatment showed that 10mg rosuvastatin achieved greater improvements in the lipid profile than 10mg atorvastatin and similar effects to a 20mg dose of atorvastatin.

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