New Study on Effects of CRESTOR on Carotid Atherosclerosis Presented at European Atherosclerosis Society Congress
24 Avril 2005 - 11:00PM
PR Newswire (US)
New Study on Effects of CRESTOR on Carotid Atherosclerosis
Presented at European Atherosclerosis Society Congress - First of
its kind ORION Study examines effects of statin therapy on plaque
composition using high-resolution MRI - PRAGUE, Czech Republic,
April 24 /PRNewswire-FirstCall/ -- New data presented today from
ORION (Outcome of Rosuvastatin treatment on carotid artery
atheroma: a magnetic resonance Imaging ObservatioN) showed that
CRESTOR 5 mg and 40 mg reduced the proportion of lipid-rich
necrotic core (LRNC) in the most diseased area of atherosclerotic
plaques by 17.6% (p=NS) and 35.5% (p=0.006), respectively. The
ORION study was designed to assess and visualize the effect of
CRESTOR on the composition of atherosclerotic plaques using
advanced, non-invasive and high-resolution magnetic resonance
imaging (MRI) techniques. These data were presented at the 75th
European Atherosclerosis Society Congress (EAS). "Atherosclerosis
occurs when there is a build up of fatty or fibrous deposits to
form areas called plaques in the artery wall," said Thomas
Hatsukami, Professor of Surgery at the University of Washington
School of Medicine and assistant chief of vascular surgery in the
VA Puget Sound Health Care System and principal investigator of the
ORION study. "Prior studies have used imaging to examine changes in
the size of plaque in response to statin therapy. The ORION study
is novel in that we used advanced MRI techniques to not only
measure the size of atherosclerotic carotid arteries, but also
changes in the composition of the plaque following two years of
treatment with rosuvastatin." In ORION, 35 patients with moderate
hypercholesterolemia and established carotid atherosclerosis were
treated with either CRESTOR 5 mg (N=15) or 40 mg (N=20) for two
years. The findings from ORION showed that CRESTOR 5 mg and 40 mg
reduced LDL-C from baseline by 39 percent and 58 percent,
respectively (p190 mg/dL) and aggressive lipid targets, a 20-mg
starting dose may be considered. AstraZeneca licensed worldwide
rights to CRESTOR from the Japanese pharmaceutical company Shionogi
& Co., Ltd. Important Safety Information CRESTOR is
contraindicated in patients with active liver disease or
unexplained persistent elevations of serum transaminases, in women
who are pregnant or may become pregnant, and in nursing mothers. It
is recommended that liver function tests be performed before and at
12 weeks following both the initiation of therapy and any elevation
of dose, and periodically (e.g., semiannually) thereafter. Rare
cases of rhabdomyolysis with acute renal failure secondary to
myoglobinuria have been reported with CRESTOR and with other drugs
in this class. The 40-mg dose of CRESTOR is reserved only for those
patients who have not achieved their LDL-C goal utilizing the 20 mg
dose of CRESTOR once daily. When initiating statin therapy or
switching from another statin therapy, the appropriate CRESTOR
starting dose should first be utilized, and only then titrated
according to the patient's individualized goal of therapy. The
benefit of further alterations in lipid levels by the combined use
of rosuvastatin with fibrates or niacin should be carefully weighed
against the potential risks of this combination. Combination
therapy with rosuvastatin and gemfibrozil should generally be
avoided. CRESTOR should be prescribed with caution in patients with
predisposing factors for myopathy, such as renal impairment,
advanced age, and inadequately treated hypothyroidism. Patients
should be advised to promptly report unexplained muscle pain,
tenderness, or weakness, particularly if accompanied by malaise or
fever. CRESTOR is generally well-tolerated. Adverse reactions have
usually been mild and transient. The most frequent adverse events
thought to be related to CRESTOR were myalgia (3.3%), constipation
(1.4%), asthenia (1.3%), abdominal pain (1.3%) and nausea (1.3%). A
full copy of the prescribing information for CRESTOR is available
at http://www.astrazeneca-us.com/pi/crestor.pdf or by calling
1-877-420-7249. About AstraZeneca AstraZeneca is a major
international healthcare business engaged in the research,
development, manufacture and marketing of prescription
pharmaceuticals and the supply of healthcare services. It is one of
the world's leading pharmaceutical companies with healthcare sales
of over $21.4 billion and leading positions in sales of
gastrointestinal, cardiovascular, respiratory, oncology and
neuroscience products. In the United States, AstraZeneca is a $9.6
billion healthcare business with more than 12,000 employees.
AstraZeneca is listed in the Dow Jones Sustainability Index
(Global) as well as the FTSE4Good Index. For more information about
AstraZeneca, please visit: http://www.astrazeneca-us.com/.
DATASOURCE: AstraZeneca CONTACT: Kellie Caldwell of AstraZeneca LP,
+1-302-885-1435, Web site: http://www.astrazeneca-us.com/ Company
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