Cardiovascular Research Advance Access originally published online on January 10, 2008
Cardiovascular Research 2008 77(4):614-615; doi:10.1093/cvr/cvn003
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org
High-density lipoprotein mass, cholesteryl ester transport protein, and macrophage reverse cholesterol transport: from the bedside back to the bench
Department Medicine D Lipid Disorders Clinic Rambam Health Care Campus Bat Galim, P.O. Box 31096 Haifa 35254 Israel and The Ruth and Bruce Rappaport Faculty of Medicine Technion – Institute of Technology, Efron St. P.O. Box 9649, Bat Galim Haifa 31096 Israel
Corresponding author. Tel: +972 4 854 2263; fax: +972 4 854 3286. E-mail address: ys_levy@rambam.health.gov.il
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In December 2006, the ILLUMINATE study was unexpectedly terminated because of excess mortality in the treatment group. In this study, which enrolled more than 15 000 patients, the leading cholesteryl ester transport protein (CETP) inhibitor Torcetrapib, plus Atorvastatin, was compared with Atorvastatin plus placebo in a high cardiovascular risk population. An impressive response with a 72.1% increase in high-density lipoprotein (HDL)–cholesterol accompanied by a 24.9% decrease in low-density lipoprotein (LDL)–cholesterol was demonstrated. However, a 25% increased rate of cardiovascular events and a 40% increase in cardiovascular death occurred, and mortality due to noncardiovascular events was doubled.1 Other trials failed to show any benefit of Torcetrapib in the postponement of atherosclerosis