2024 | Neila Sayah, Deepak L. Bhatt, Michael Miller, Eliot A. Brinton, Terry A. Jacobson, Steven B. Ketchum, Lixia Jiao, Armando Lira Pineda, Ralph T. Doyle Jr., Jean Claude Tardif, Christie M. Ballantyne, Ph. Gabriel Steg
The REDUCE-IT trial, which evaluated the efficacy and safety of icosapent ethyl (IPE) in reducing cardiovascular events, found significant reductions in ischemic events with IPE compared to placebo, including a 37% reduction in the first primary composite outcome and a 36% reduction in total primary composite outcomes. These benefits were more pronounced in patients with recent acute coronary syndrome (ACS) (<12 months before randomization) compared to those with ACS ≥12 months before randomization. IPE also reduced the incidence of urgent or emergent revascularization by 44% and lowered the composite of cardiovascular death and non-fatal myocardial infarction by 36%. However, IPE increased the risk of atrial fibrillation or flutter, though not significantly. The study concluded that IPE can be safely initiated in high-risk, statin-treated patients with recent ACS to reduce the risk of ischemic events without increasing bleeding risk.The REDUCE-IT trial, which evaluated the efficacy and safety of icosapent ethyl (IPE) in reducing cardiovascular events, found significant reductions in ischemic events with IPE compared to placebo, including a 37% reduction in the first primary composite outcome and a 36% reduction in total primary composite outcomes. These benefits were more pronounced in patients with recent acute coronary syndrome (ACS) (<12 months before randomization) compared to those with ACS ≥12 months before randomization. IPE also reduced the incidence of urgent or emergent revascularization by 44% and lowered the composite of cardiovascular death and non-fatal myocardial infarction by 36%. However, IPE increased the risk of atrial fibrillation or flutter, though not significantly. The study concluded that IPE can be safely initiated in high-risk, statin-treated patients with recent ACS to reduce the risk of ischemic events without increasing bleeding risk.