Page last updated: 2024-10-19

niacin and Arterial Diseases, Carotid

niacin has been researched along with Arterial Diseases, Carotid in 23 studies

Niacin: A water-soluble vitamin of the B complex occurring in various animal and plant tissues. It is required by the body for the formation of coenzymes NAD and NADP. It has PELLAGRA-curative, vasodilating, and antilipemic properties.
vitamin B3 : Any member of a group of vitamers that belong to the chemical structural class called pyridines that exhibit biological activity against vitamin B3 deficiency. Vitamin B3 deficiency causes a condition known as pellagra whose symptoms include depression, dermatitis and diarrhea. The vitamers include nicotinic acid and nicotinamide (and their ionized and salt forms).
nicotinic acid : A pyridinemonocarboxylic acid that is pyridine in which the hydrogen at position 3 is replaced by a carboxy group.

Research Excerpts

ExcerptRelevanceReference
"To determine if niacin can confer cardiovascular benefit by inhibiting vascular inflammation and improving endothelial function independent of changes in plasma lipid and lipoprotein levels."7.76Evidence that niacin inhibits acute vascular inflammation and improves endothelial dysfunction independent of changes in plasma lipids. ( Barter, PJ; Charlton, F; Rye, KA; Witting, P; Wu, BJ; Yan, L, 2010)
"Niacin is a safe and effective means of raising HDL, yet its role in stroke prevention is not well characterized."6.44Niacin for stroke prevention: evidence and rationale. ( Keener, A; Sanossian, N, 2008)
"Niacin reduces coronary heart disease morbidity and mortality when taken either alone or in combination with statins; however, the incremental impact of adding niacin to background statin therapy is unknown."5.11Arterial Biology for the Investigation of the Treatment Effects of Reducing Cholesterol (ARBITER) 2: a double-blind, placebo-controlled study of extended-release niacin on atherosclerosis progression in secondary prevention patients treated with statins. ( Grace, KA; Lee, HJ; Lee, JK; Sullenberger, LE; Taylor, AJ, 2004)
"To determine if niacin can confer cardiovascular benefit by inhibiting vascular inflammation and improving endothelial function independent of changes in plasma lipid and lipoprotein levels."3.76Evidence that niacin inhibits acute vascular inflammation and improves endothelial dysfunction independent of changes in plasma lipids. ( Barter, PJ; Charlton, F; Rye, KA; Witting, P; Wu, BJ; Yan, L, 2010)
"Niacin has multiple lipoprotein effects that may provide cardiovascular benefit when added to statin monotherapy."2.74Atheroprotective lipoprotein effects of a niacin-simvastatin combination compared to low- and high-dose simvastatin monotherapy. ( Airan-Javia, SL; Mohler, E; Reilly, MP; Tadesse, M; Wolf, RL; Wolfe, ML, 2009)
"Niacin is a safe and effective means of raising HDL, yet its role in stroke prevention is not well characterized."2.44Niacin for stroke prevention: evidence and rationale. ( Keener, A; Sanossian, N, 2008)
"Niacin is a unique lipid-lowering medication with a capacity to lower low-density lipoprotein cholesterol (LDL-c), triglyceride and increase HDL-c."1.36What does the future hold for niacin as a treatment for hyperlipidaemia and cardiovascular disease? ( Ahmed, MH, 2010)

Research

Studies (23)

TimeframeStudies, this research(%)All Research%
pre-19902 (8.70)18.7374
1990's2 (8.70)18.2507
2000's11 (47.83)29.6817
2010's8 (34.78)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Sibley, CT1
Vavere, AL1
Gottlieb, I1
Cox, C1
Matheson, M1
Spooner, A1
Godoy, G1
Fernandes, V1
Wasserman, BA2
Bluemke, DA2
Lima, JA2
Lim, GB1
Khera, AV1
Patel, PJ1
Reilly, MP2
Rader, DJ1
Ronsein, GE1
Hutchins, PM1
Isquith, D1
Vaisar, T1
Zhao, XQ2
Heinecke, JW1
Keener, A1
Sanossian, N1
Airan-Javia, SL1
Wolf, RL1
Wolfe, ML1
Tadesse, M1
Mohler, E1
Jaffer, FA1
Lee, JM1
Robson, MD1
Yu, LM1
Shirodaria, CC1
Cunnington, C1
Kylintireas, I1
Digby, JE1
Bannister, T1
Handa, A1
Wiesmann, F1
Durrington, PN1
Channon, KM1
Neubauer, S1
Choudhury, RP1
Parhofer, K1
Cobble, M1
Bale, B1
Wu, BJ1
Yan, L1
Charlton, F1
Witting, P1
Barter, PJ1
Rye, KA1
Ahmed, MH1
MANGUEL, M1
RAMOS, AO1
GORDON, DM1
Taylor, AJ3
Sullenberger, LE3
Lee, HJ3
Lee, JK2
Grace, KA2
Grundy, SM1
Desai, MY1
Rodriguez, A1
Gerstenblith, G1
Agarwal, S1
Kennedy, M1
Phan, BA1
Chu, B1
Polissar, N1
Hatsukami, TS1
Yuan, C1
Zhu, D1
Riasina, TV1
Korshunova, TS1
Polianskiĭ, NB1
Muranov, KO1
Blankenhorn, DH1
Selzer, RH1
Crawford, DW1
Barth, JD1
Liu, CR1
Liu, CH1
Mack, WJ1
Alaupovic, P1

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
The RIGHT Study: Risk Stratification With Image Guidance of HMG Coa Reductase Inhibitor Therapy[NCT01212900]Phase 4230 participants (Actual)Interventional2010-09-30Completed
Carotid Plaque Composition by Magnetic Resonance Imaging During Lipid Lowering Therapy[NCT00715273]Phase 4217 participants (Actual)Interventional2001-05-01Completed
Cardiovascular Magnetic Resonance Evaluation of the Effects of Niaspan on Regression of Atherosclerosis and Restoration of Endothelial Function[NCT00232531]70 participants Interventional2004-09-30Active, not recruiting
ARBITER 6: ARterial Biology for the Investigation of the Treatment Effects of Reducing Cholesterol 6 - HDL and LDL Treatment Strategies in Atherosclerosis (HALTS)[NCT00397657]Phase 4400 participants (Anticipated)Interventional2006-11-30Terminated (stopped due to Independent steering committee has stopped the trial based on results of a prespecified, blinded interim analysis. It was not stopped due to safety concerns.)
[NCT00000599]Phase 30 participants Interventional1980-06-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Mean of Wall Volume of Internal Carotid Arteries

Wall volume of internal carotid arteries was measured using magnetic resonance imaging. Participants will undergo 2D and 3D carotid MRI using a 3 Tesla scanner and surface carotid coils. Participants with mild or no atherosclerosis, defined as the lowest tertile of wall volume, will have statin therapy adjusted to a target range of 100-130 mg/dL. Participants in the middle tertile will receive statin therapy adjusted to achieve a target LDL 70-100 mg/dL. Participants with the most severe atherosclerosis will receive statin therapy to an LDL target between 40 and 70 mg/dL. Participants in the Standard arm will have lipid sub-fraction targets determined according to estimated 10 year cardiovascular risk, as per standard NCEP guidelines. (NCT01212900)
Timeframe: 24 months

InterventionOther - mm^3 ( cubic millimeter ) (Mean)
Imaging-3.52
Standard-5.91

Annualized LRNC Volume Change in Carotid Plaque Composition, as Assessed by MRI

"The primary endpoint of this study is carotid plaque lipid composition identified by MRI. The determination of plaque lipid content for each carotid artery will be performed using the automated interactive system. These measurements will be performed from the MRI scans at four time points blinded to time sequence of MRI examinations, patient treatment, lipid levels and clinical course.~Volume Measurements: Contours were placed around the lumen, outer-wall boundaries, and plaque features of carotid artery. (Arterial wall area) = (outer-wall area) - (lumen area). Volume calculated as: area x 2 mm (slice thickness). Tissue volume/wall volume x (100%) is presented as percentage. Annualized change presented mm^3/year (for volume) and as percentage change/year." (NCT00715273)
Timeframe: Measured at Years 1, 2, and 3

Interventionmm^3/year (Mean)
1 - Single Therapy Group-4.6
2 - Double Therapy Group-15.1
3 - Triple Therapy Group-9.4

Annualized LRNC and Wall Volume Changes in Carotid Plaque Composition, as Assessed by MRI

"The primary endpoint of this study is carotid plaque lipid composition identified by MRI. The determination of plaque lipid content for each carotid artery will be performed using the automated interactive system. These measurements will be performed from the MRI scans at four time points blinded to time sequence of MRI examinations, patient treatment, lipid levels and clinical course.~Volume Measurements: Contours were placed around the lumen, outer-wall boundaries, and plaque features of carotid artery. (Arterial wall area) = (outer-wall area) - (lumen area). Volume calculated as: area x 2 mm (slice thickness). Tissue volume/wall volume x (100%) is presented as percentage. Annualized change presented mm^3/year (for volume) and as percentage change/year." (NCT00715273)
Timeframe: Measured at Years 1, 2, and 3

,,
Interventionpercentage change/year (Mean)
LRNC changeWall Volume change
1 - Single Therapy Group-1.6-0.6
2 - Double Therapy Group-3.6-1.4
3 - Triple Therapy Group-2.8-1.2

Composite of Cardiovascular Endpoints: Number of Participants With Cardiovascular Disease Death, Non-fatal Heart Attack, Stroke, and Worsening Ischemia Requiring Medical Interventions

Any cardiovascular events such as death from any cause, nonfatal myocardial infarction, stroke, and revascularization procedures (PCI or CABG) due to unstable ischemia will be recorded and verified. (NCT00715273)
Timeframe: Measured at Years 3, 4, and 5

,,
InterventionParticipants (Count of Participants)
Composite Measured at Year 3Composite Measured at Year 4 (cumulative)Composite Measured at Year 5 (cumulative)
1 - Single Therapy Group679
2 - Double Therapy Group61111
3 - Triple Therapy Group799

Reviews

2 reviews available for niacin and Arterial Diseases, Carotid

ArticleYear
Niacin for stroke prevention: evidence and rationale.
    CNS neuroscience & therapeutics, 2008,Winter, Volume: 14, Issue:4

    Topics: Carotid Artery Diseases; Cholesterol, HDL; Cholesterol, LDL; Clinical Trials as Topic; Humans; Niaci

2008
Carotid intima-media thickness: knowledge and application to everyday practice.
    Postgraduate medicine, 2010, Volume: 122, Issue:1

    Topics: Antihypertensive Agents; Cardiovascular Diseases; Carotid Arteries; Carotid Artery Diseases; Confide

2010

Trials

9 trials available for niacin and Arterial Diseases, Carotid

ArticleYear
MRI-measured regression of carotid atherosclerosis induced by statins with and without niacin in a randomised controlled trial: the NIA plaque study.
    Heart (British Cardiac Society), 2013, Volume: 99, Issue:22

    Topics: Aged; Carotid Artery Diseases; Double-Blind Method; Drug Therapy, Combination; Female; Humans; Hydro

2013
Niacin Therapy Increases High-Density Lipoprotein Particles and Total Cholesterol Efflux Capacity But Not ABCA1-Specific Cholesterol Efflux in Statin-Treated Subjects.
    Arteriosclerosis, thrombosis, and vascular biology, 2016, Volume: 36, Issue:2

    Topics: Animals; Atorvastatin; ATP Binding Cassette Transporter 1; Biological Transport; Carotid Artery Dise

2016
Atheroprotective lipoprotein effects of a niacin-simvastatin combination compared to low- and high-dose simvastatin monotherapy.
    American heart journal, 2009, Volume: 157, Issue:4

    Topics: Aged; Aged, 80 and over; Carotid Artery Diseases; Dose-Response Relationship, Drug; Drug Therapy, Co

2009
Effects of high-dose modified-release nicotinic acid on atherosclerosis and vascular function: a randomized, placebo-controlled, magnetic resonance imaging study.
    Journal of the American College of Cardiology, 2009, Nov-03, Volume: 54, Issue:19

    Topics: Aged; Carotid Artery Diseases; Cholesterol, HDL; Cholesterol, LDL; Confounding Factors, Epidemiologi

2009
Arterial Biology for the Investigation of the Treatment Effects of Reducing Cholesterol (ARBITER) 2: a double-blind, placebo-controlled study of extended-release niacin on atherosclerosis progression in secondary prevention patients treated with statins.
    Circulation, 2004, Dec-07, Volume: 110, Issue:23

    Topics: Aged; Biomarkers; Carotid Artery Diseases; Carotid Artery, Common; Cholesterol, HDL; Coronary Diseas

2004
Association of cholesterol subfractions and carotid lipid core measured by MRI.
    Arteriosclerosis, thrombosis, and vascular biology, 2005, Volume: 25, Issue:6

    Topics: Aged; Carotid Artery Diseases; Cholesterol; Female; Humans; Hypolipidemic Agents; Magnetic Resonance

2005
The effect of 24 months of combination statin and extended-release niacin on carotid intima-media thickness: ARBITER 3.
    Current medical research and opinion, 2006, Volume: 22, Issue:11

    Topics: Aged; Carotid Arteries; Carotid Artery Diseases; Cholesterol, HDL; Delayed-Action Preparations; Drug

2006
Relationship between glycemic status and progression of carotid intima-media thickness during treatment with combined statin and extended-release niacin in ARBITER 2.
    Vascular health and risk management, 2007, Volume: 3, Issue:1

    Topics: Aged; Blood Glucose; Carotid Artery Diseases; Carotid Artery, Common; Cholesterol, HDL; Cholesterol,

2007
Beneficial effects of colestipol-niacin therapy on the common carotid artery. Two- and four-year reduction of intima-media thickness measured by ultrasound.
    Circulation, 1993, Volume: 88, Issue:1

    Topics: Adult; Arteriosclerosis; Carotid Artery Diseases; Carotid Artery, Common; Colestipol; Drug Therapy,

1993

Other Studies

12 other studies available for niacin and Arterial Diseases, Carotid

ArticleYear
Atherosclerosis: Addition of niacin to optimal statin therapy does not affect plaque regression.
    Nature reviews. Cardiology, 2013, Volume: 10, Issue:10

    Topics: Carotid Artery Diseases; Female; Humans; Hydroxymethylglutaryl-CoA Reductase Inhibitors; Magnetic Re

2013
The addition of niacin to statin therapy improves high-density lipoprotein cholesterol levels but not metrics of functionality.
    Journal of the American College of Cardiology, 2013, Nov-12, Volume: 62, Issue:20

    Topics: Aged; Carotid Artery Diseases; Cholesterol, HDL; Clinical Trials as Topic; Female; Humans; Hypolipid

2013
Assessing niacin as an atherosclerosis therapeutic agent valuable insights provided by high-resolution vascular magnetic resonance imaging.
    Journal of the American College of Cardiology, 2009, Nov-03, Volume: 54, Issue:19

    Topics: Carotid Artery Diseases; Cholesterol, HDL; Cholesterol, LDL; Delayed-Action Preparations; Drug Admin

2009
[Statin plus niacin or ezetimibe? What combination for which patients?].
    MMW Fortschritte der Medizin, 2009, Dec-03, Volume: 151, Issue:49-50

    Topics: Anticholesteremic Agents; Atherosclerosis; Azetidines; Carotid Artery Diseases; Coronary Disease; Dr

2009
Evidence that niacin inhibits acute vascular inflammation and improves endothelial dysfunction independent of changes in plasma lipids.
    Arteriosclerosis, thrombosis, and vascular biology, 2010, Volume: 30, Issue:5

    Topics: Animals; Anti-Inflammatory Agents; Aortic Diseases; Carotid Artery Diseases; Chemokine CCL2; Cyclic

2010
What does the future hold for niacin as a treatment for hyperlipidaemia and cardiovascular disease?
    Journal of cardiovascular medicine (Hagerstown, Md.), 2010, Volume: 11, Issue:11

    Topics: Biomarkers; Cardiovascular Diseases; Carotid Artery Diseases; Cholesterol, HDL; Cholesterol, LDL; Dr

2010
Niacin, fenofibrates increase benefits for statin users. These HDL- raising, triglyceride-lowering drugs beat out the use of additional LDL-lowering drugs.
    DukeMedicine healthnews, 2010, Volume: 16, Issue:8

    Topics: Carotid Artery Diseases; Cholesterol, HDL; Female; Fenofibrate; Humans; Hyperlipidemias; Hypolipidem

2010
[HEADACHES].
    Prensa medica argentina, 1963, Jul-12, Volume: 50

    Topics: Amyl Nitrite; Carotid Artery Diseases; Classification; Ephedrine; Epinephrine; Ergotamine; Headache;

1963
SUDDEN LOSS OF VISION; DIAGNOSIS AND MANAGEMENT.
    Medical times, 1964, Volume: 92

    Topics: Adrenal Cortex Hormones; Angiomatosis; Anticoagulants; Aortic Diseases; Blindness; Carbonic Anhydras

1964
Atherosclerosis imaging and the future of lipid management.
    Circulation, 2004, Dec-07, Volume: 110, Issue:23

    Topics: Aged; Carotid Artery Diseases; Carotid Artery, Common; Cholesterol, HDL; Coronary Disease; Drug Ther

2004
Association of high-density lipoprotein levels and carotid atherosclerotic plaque characteristics by magnetic resonance imaging.
    The international journal of cardiovascular imaging, 2007, Volume: 23, Issue:3

    Topics: Adult; Atherosclerosis; Carotid Artery Diseases; Chi-Square Distribution; Coronary Angiography; Fema

2007
[Anti-ischemic effect of a new derivative of oxynicotinic acid].
    Biulleten' eksperimental'noi biologii i meditsiny, 1994, Volume: 118, Issue:7

    Topics: Animals; Arterial Occlusive Diseases; Brain Ischemia; Carotid Artery Diseases; Free Radicals; Lipid

1994