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Effectiveness and Safety of Novel Nutraceutical Formulation Added to Ezetimibe in Statin-Intolerant Hypercholesterolemic Subjects with Moderate-to-High Cardiovascular Risk

Journal of Medicinal Food 2021년 24권 1호 p.59 ~ 66
Mazza Alberto, Nicoletti Mariaceleste, Lenti Salvatore, Torin Gioia, Rigatelli Gianluca, Pellizzato Marzia, Fratter Andrea,
소속 상세정보
 ( Mazza Alberto ) - Santa Maria della Misericordia General Hospital Internal Medicine Unit
 ( Nicoletti Mariaceleste ) - Krea Innovazione srl
 ( Lenti Salvatore ) - San Donato Hospital Internal Medicine and Geriatrics
 ( Torin Gioia ) - Santa Maria della Misericordia General Hospital Department of Medicine
 ( Rigatelli Gianluca ) - S. Maria della Misericordia General Hospital Division of Cardiology
 ( Pellizzato Marzia ) - Italian Society of Nutraceutical Formulators
 ( Fratter Andrea ) - Italian Society of Nutraceutical Formulators

Abstract


The effectiveness of statins in the primary and secondary prevention of cardiovascular (CV) diseases has been widely proven. However, the onset of adverse events associated with their use prevents to achieve the therapeutic targets recommended by the guidelines (GL) for the management of dyslipidemia. In the event of statin intolerance, the GL recommend to use bile acid sequestrants, fibrates, and ezetimibe in monotherapy, but their benefits in improving lipid pattern are quite modest. This study aims at evaluating the effectiveness and safety of a nutraceutical compound (NC) associated with ezetimibe (EZE) on the lipid profile in statin-intolerant patients with moderate-to-high CV risk. Ninety-six statin-intolerant hypertensive and hypercholesterolemic subjects treated pharmacologically with EZE 10?mg daily were randomized in open label (n?=?48) to take for 3 months a NC containing Monacolin-K (MK), Berberine Hydrochloride (BC), t-Resveratrol (RES), Quercetin (QUER), and Chromium (CH) in the form of a gastro-resistant tablet that improves enteric bioaccessibility and bioavailability of these substances. The control group (n?=?48) took only EZE in monotherapy at the same dosage; both groups followed a standardized lipid-lowering diet. The total serum cholesterol (TC), low density lipoprotein cholesterol (LDLC), high density lipoprotein cholesterol (HDLC), triglycerides (TG), aspartate aminotransferase (AST), alanine aminotransferase (ALT), and creatinine phosphokinase (CPK) levels were compared at the follow-up in both groups using Student's t-test. TC and LDL levels reduced in both groups, but were lower in the group treated with EZE + NC (?25.9% vs. ?15%, P?

키워드

bioavailability; cardiovascular risk; ezetimibe; LDL cholesterol; Monacolin-K; nutraceutical compounds; quercetin; resveratrol; statin intolerance

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