MBX-8025, A Novel Peroxisome Proliferator Receptor-δ Agonist: Lipid and Other Metabolic Effects in Dyslipidemic Overweight Patients Treated with and without Atorvastatin

Context: Preclinical and clinical studies suggest that peroxisome proliferator-activated receptor (PPAR)-δ agonists favorably affect multiple metabolic parameters that are otherwise proatherogenic, many that are not optimally managed with statins alone. Objective: The aim of this study was to evalua...

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Veröffentlicht in:The journal of clinical endocrinology and metabolism 2011-09, Vol.96 (9), p.2889-2897
Hauptverfasser: Bays, Harold E, Schwartz, Sherwyn, Littlejohn, Thomas, Kerzner, Boris, Krauss, Ronald M, Karpf, David B, Choi, Yun-Jung, Wang, Xueyan, Naim, Sue, Roberts, Brian K
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container_end_page 2897
container_issue 9
container_start_page 2889
container_title The journal of clinical endocrinology and metabolism
container_volume 96
creator Bays, Harold E
Schwartz, Sherwyn
Littlejohn, Thomas
Kerzner, Boris
Krauss, Ronald M
Karpf, David B
Choi, Yun-Jung
Wang, Xueyan
Naim, Sue
Roberts, Brian K
description Context: Preclinical and clinical studies suggest that peroxisome proliferator-activated receptor (PPAR)-δ agonists favorably affect multiple metabolic parameters that are otherwise proatherogenic, many that are not optimally managed with statins alone. Objective: The aim of this study was to evaluate the effects of MBX-8025 (a novel PPAR-δ agonist) on lipid and other metabolic parameters associated with increased atherosclerotic risk, administered alone and in combination with atorvastatin. Design and Setting: This was a randomized, double-blind, placebo-controlled, parallel group proof-of-concept study conducted at 30 U.S. research sites. Participants: This study evaluated 181 overweight men and women with mixed dyslipidemia. Intervention(s): Subjects were administered once daily placebo, atorvastatin 20 mg, or MBX-8025 at 50 or 100 mg alone or combined with atorvastatin for 8 wk. Main Outcome Measures: The main efficacy measures included change from baseline in apolipoprotein B-100, lipid levels, high-sensitivity C-reactive protein, and additional metabolic parameters, as well as the effect on the metabolic syndrome and LDL particle size. Results: Compared to placebo, MBX-8025 alone and in combination with atorvastatin significantly (P < 0.05) reduced apolipoprotein B-100 20–38%, LDL 18–43%, triglycerides 26–30%, non-high-density lipoprotein cholesterol 18–41%, free fatty acids 16–28%, and high-sensitivity C-reactive protein 43–72%; it raised high-density lipoprotein cholesterol 1–12% and also reduced the number of patients with the metabolic syndrome and a preponderance of small LDL particles. MBX-8025 was safe and generally well-tolerated. MBX-8025 also reduced liver enzyme levels. Conclusion: MBX-8025, a novel PPAR-δ agonist, favorably affected multiple metabolic parameters with and without atorvastatin. A more complete understanding of MBX-8025 requires a larger future study.
doi_str_mv 10.1210/jc.2011-1061
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Objective: The aim of this study was to evaluate the effects of MBX-8025 (a novel PPAR-δ agonist) on lipid and other metabolic parameters associated with increased atherosclerotic risk, administered alone and in combination with atorvastatin. Design and Setting: This was a randomized, double-blind, placebo-controlled, parallel group proof-of-concept study conducted at 30 U.S. research sites. Participants: This study evaluated 181 overweight men and women with mixed dyslipidemia. Intervention(s): Subjects were administered once daily placebo, atorvastatin 20 mg, or MBX-8025 at 50 or 100 mg alone or combined with atorvastatin for 8 wk. Main Outcome Measures: The main efficacy measures included change from baseline in apolipoprotein B-100, lipid levels, high-sensitivity C-reactive protein, and additional metabolic parameters, as well as the effect on the metabolic syndrome and LDL particle size. Results: Compared to placebo, MBX-8025 alone and in combination with atorvastatin significantly (P &lt; 0.05) reduced apolipoprotein B-100 20–38%, LDL 18–43%, triglycerides 26–30%, non-high-density lipoprotein cholesterol 18–41%, free fatty acids 16–28%, and high-sensitivity C-reactive protein 43–72%; it raised high-density lipoprotein cholesterol 1–12% and also reduced the number of patients with the metabolic syndrome and a preponderance of small LDL particles. MBX-8025 was safe and generally well-tolerated. MBX-8025 also reduced liver enzyme levels. Conclusion: MBX-8025, a novel PPAR-δ agonist, favorably affected multiple metabolic parameters with and without atorvastatin. 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Objective: The aim of this study was to evaluate the effects of MBX-8025 (a novel PPAR-δ agonist) on lipid and other metabolic parameters associated with increased atherosclerotic risk, administered alone and in combination with atorvastatin. Design and Setting: This was a randomized, double-blind, placebo-controlled, parallel group proof-of-concept study conducted at 30 U.S. research sites. Participants: This study evaluated 181 overweight men and women with mixed dyslipidemia. Intervention(s): Subjects were administered once daily placebo, atorvastatin 20 mg, or MBX-8025 at 50 or 100 mg alone or combined with atorvastatin for 8 wk. Main Outcome Measures: The main efficacy measures included change from baseline in apolipoprotein B-100, lipid levels, high-sensitivity C-reactive protein, and additional metabolic parameters, as well as the effect on the metabolic syndrome and LDL particle size. Results: Compared to placebo, MBX-8025 alone and in combination with atorvastatin significantly (P &lt; 0.05) reduced apolipoprotein B-100 20–38%, LDL 18–43%, triglycerides 26–30%, non-high-density lipoprotein cholesterol 18–41%, free fatty acids 16–28%, and high-sensitivity C-reactive protein 43–72%; it raised high-density lipoprotein cholesterol 1–12% and also reduced the number of patients with the metabolic syndrome and a preponderance of small LDL particles. MBX-8025 was safe and generally well-tolerated. MBX-8025 also reduced liver enzyme levels. Conclusion: MBX-8025, a novel PPAR-δ agonist, favorably affected multiple metabolic parameters with and without atorvastatin. 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Psychology</subject><subject>Heptanoic Acids - pharmacology</subject><subject>Heptanoic Acids - therapeutic use</subject><subject>Humans</subject><subject>Hydroxymethylglutaryl-CoA Reductase Inhibitors - pharmacology</subject><subject>Hydroxymethylglutaryl-CoA Reductase Inhibitors - therapeutic use</subject><subject>Lipids</subject><subject>Lipids - blood</subject><subject>Liver</subject><subject>Liver - drug effects</subject><subject>Liver - metabolism</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Overweight - complications</subject><subject>Overweight - drug therapy</subject><subject>Overweight - metabolism</subject><subject>Patients</subject><subject>PPAR delta - agonists</subject><subject>Proteins</subject><subject>Pyrroles - pharmacology</subject><subject>Pyrroles - therapeutic use</subject><subject>Research (statistical design)</subject><subject>Self efficacy</subject><subject>Treatment Outcome</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Vertebrates: endocrinology</subject><subject>Women</subject><issn>0021-972X</issn><issn>1945-7197</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90U9v0zAUAPAIgVgZ3DgjXxAcluGX2ImzWxnjj9TRCg1pt8hxnleXNC6207KvxJnPwWfCWQtcEJYsW9bvvWf7JclToKeQAX21UqcZBUiBFnAvmUDFeFpCVd5PJpRmkFZldn2UPPJ-RSkwxvOHyVEGJc-EoJPk--Xr61TQjJ-QKflot9iRBTr7zXi7RrJwtjManQzWkU-ocBM36c8fZHpje-PDGZmZjWmJ7FsyD0t05BKDbGKQIhdaowqemJ68ufXd6HAdz-dbdDs0N8tAFjIY7KO5cigDtmRnwvIu2bixQyDTWG8rfYiwf5w80LLz-OSwHief315cnb9PZ_N3H86ns1QxQVmq2oxlmS55UTaslVoWEisQWjcFa9oiF2UueFnxRiCqslJtAwXwRiNoJYBW-XHyYp934-zXAX2o18Yr7DrZox18LeLHVRQoRPnyvxJozgSwgotIT_ZUOeu9Q11vnFlLdxtRPfaxXql67GM99jHyZ4fMQ7PG9g_-3bgInh-A9Ep22sleGf_XMU6B3zm2dzvbBXT-Szfs0NVLlF1Y1jQOVpQiHSvHR1GaxpmzGJbvw7BvrXKmx41D7-uVHVwfP__ft_4FzcfISw</recordid><startdate>201109</startdate><enddate>201109</enddate><creator>Bays, Harold E</creator><creator>Schwartz, Sherwyn</creator><creator>Littlejohn, Thomas</creator><creator>Kerzner, Boris</creator><creator>Krauss, Ronald M</creator><creator>Karpf, David B</creator><creator>Choi, Yun-Jung</creator><creator>Wang, Xueyan</creator><creator>Naim, Sue</creator><creator>Roberts, Brian K</creator><general>Endocrine Society</general><general>Copyright by The Endocrine Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7X8</scope></search><sort><creationdate>201109</creationdate><title>MBX-8025, A Novel Peroxisome Proliferator Receptor-δ Agonist: Lipid and Other Metabolic Effects in Dyslipidemic Overweight Patients Treated with and without Atorvastatin</title><author>Bays, Harold E ; Schwartz, Sherwyn ; Littlejohn, Thomas ; Kerzner, Boris ; Krauss, Ronald M ; Karpf, David B ; Choi, Yun-Jung ; Wang, Xueyan ; Naim, Sue ; Roberts, Brian K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4804-cd2422f7567b4dafa6ae918ffb64bd6387385795b8eec79cdb1615bfe1fc81093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Atorvastatin Calcium</topic><topic>Biological and medical sciences</topic><topic>C-Reactive Protein - metabolism</topic><topic>Double-Blind Method</topic><topic>Drug Therapy, Combination</topic><topic>Dyslipidemias - complications</topic><topic>Dyslipidemias - drug therapy</topic><topic>Dyslipidemias - metabolism</topic><topic>Endocrinopathies</topic><topic>Enzymes</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Heptanoic Acids - pharmacology</topic><topic>Heptanoic Acids - therapeutic use</topic><topic>Humans</topic><topic>Hydroxymethylglutaryl-CoA Reductase Inhibitors - pharmacology</topic><topic>Hydroxymethylglutaryl-CoA Reductase Inhibitors - therapeutic use</topic><topic>Lipids</topic><topic>Lipids - blood</topic><topic>Liver</topic><topic>Liver - drug effects</topic><topic>Liver - metabolism</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Overweight - complications</topic><topic>Overweight - drug therapy</topic><topic>Overweight - metabolism</topic><topic>Patients</topic><topic>PPAR delta - agonists</topic><topic>Proteins</topic><topic>Pyrroles - pharmacology</topic><topic>Pyrroles - therapeutic use</topic><topic>Research (statistical design)</topic><topic>Self efficacy</topic><topic>Treatment Outcome</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Vertebrates: endocrinology</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bays, Harold E</creatorcontrib><creatorcontrib>Schwartz, Sherwyn</creatorcontrib><creatorcontrib>Littlejohn, Thomas</creatorcontrib><creatorcontrib>Kerzner, Boris</creatorcontrib><creatorcontrib>Krauss, Ronald M</creatorcontrib><creatorcontrib>Karpf, David B</creatorcontrib><creatorcontrib>Choi, Yun-Jung</creatorcontrib><creatorcontrib>Wang, Xueyan</creatorcontrib><creatorcontrib>Naim, Sue</creatorcontrib><creatorcontrib>Roberts, Brian K</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of clinical endocrinology and metabolism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bays, Harold E</au><au>Schwartz, Sherwyn</au><au>Littlejohn, Thomas</au><au>Kerzner, Boris</au><au>Krauss, Ronald M</au><au>Karpf, David B</au><au>Choi, Yun-Jung</au><au>Wang, Xueyan</au><au>Naim, Sue</au><au>Roberts, Brian K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>MBX-8025, A Novel Peroxisome Proliferator Receptor-δ Agonist: Lipid and Other Metabolic Effects in Dyslipidemic Overweight Patients Treated with and without Atorvastatin</atitle><jtitle>The journal of clinical endocrinology and metabolism</jtitle><addtitle>J Clin Endocrinol Metab</addtitle><date>2011-09</date><risdate>2011</risdate><volume>96</volume><issue>9</issue><spage>2889</spage><epage>2897</epage><pages>2889-2897</pages><issn>0021-972X</issn><eissn>1945-7197</eissn><coden>JCEMAZ</coden><abstract>Context: Preclinical and clinical studies suggest that peroxisome proliferator-activated receptor (PPAR)-δ agonists favorably affect multiple metabolic parameters that are otherwise proatherogenic, many that are not optimally managed with statins alone. Objective: The aim of this study was to evaluate the effects of MBX-8025 (a novel PPAR-δ agonist) on lipid and other metabolic parameters associated with increased atherosclerotic risk, administered alone and in combination with atorvastatin. Design and Setting: This was a randomized, double-blind, placebo-controlled, parallel group proof-of-concept study conducted at 30 U.S. research sites. Participants: This study evaluated 181 overweight men and women with mixed dyslipidemia. Intervention(s): Subjects were administered once daily placebo, atorvastatin 20 mg, or MBX-8025 at 50 or 100 mg alone or combined with atorvastatin for 8 wk. Main Outcome Measures: The main efficacy measures included change from baseline in apolipoprotein B-100, lipid levels, high-sensitivity C-reactive protein, and additional metabolic parameters, as well as the effect on the metabolic syndrome and LDL particle size. Results: Compared to placebo, MBX-8025 alone and in combination with atorvastatin significantly (P &lt; 0.05) reduced apolipoprotein B-100 20–38%, LDL 18–43%, triglycerides 26–30%, non-high-density lipoprotein cholesterol 18–41%, free fatty acids 16–28%, and high-sensitivity C-reactive protein 43–72%; it raised high-density lipoprotein cholesterol 1–12% and also reduced the number of patients with the metabolic syndrome and a preponderance of small LDL particles. MBX-8025 was safe and generally well-tolerated. MBX-8025 also reduced liver enzyme levels. Conclusion: MBX-8025, a novel PPAR-δ agonist, favorably affected multiple metabolic parameters with and without atorvastatin. A more complete understanding of MBX-8025 requires a larger future study.</abstract><cop>Bethesda, MD</cop><pub>Endocrine Society</pub><pmid>21752880</pmid><doi>10.1210/jc.2011-1061</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Atorvastatin Calcium
Biological and medical sciences
C-Reactive Protein - metabolism
Double-Blind Method
Drug Therapy, Combination
Dyslipidemias - complications
Dyslipidemias - drug therapy
Dyslipidemias - metabolism
Endocrinopathies
Enzymes
Feeding. Feeding behavior
Female
Fundamental and applied biological sciences. Psychology
Heptanoic Acids - pharmacology
Heptanoic Acids - therapeutic use
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors - pharmacology
Hydroxymethylglutaryl-CoA Reductase Inhibitors - therapeutic use
Lipids
Lipids - blood
Liver
Liver - drug effects
Liver - metabolism
Male
Medical sciences
Middle Aged
Obesity
Overweight - complications
Overweight - drug therapy
Overweight - metabolism
Patients
PPAR delta - agonists
Proteins
Pyrroles - pharmacology
Pyrroles - therapeutic use
Research (statistical design)
Self efficacy
Treatment Outcome
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Vertebrates: endocrinology
Women
title MBX-8025, A Novel Peroxisome Proliferator Receptor-δ Agonist: Lipid and Other Metabolic Effects in Dyslipidemic Overweight Patients Treated with and without Atorvastatin
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