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Future of Cholesteryl Ester Transfer Protein Inhibitors
Abstract
The cholesteryl ester transfer protein (CETP) plays an integral role in the metabolism of plasma lipoproteins. Despite two failures, CETP inhibitors are still in clinical development. We review the genetics of CETP and coronary disease, preclinical data on CETP inhibition and atherosclerosis, and the effects of CETP inhibition on cholesterol efflux and reverse cholesterol transport. We discuss the two failed CETP inhibitors, torcetrapib and dalcetrapib, and attempt to extract lessons learned. Two CETP inhibitors, anacetrapib and evacetrapib, are in phase III development, and we attempt to differentiate them from the failed drugs. Whether pharmacologic CETP inhibition will reduce the risk of cardiovascular disease is one of the most fascinating and important questions in the field of cardiovascular medicine.
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“the poor performance of CETP inhibitors and other HDL-C raising therapies in recent clinical trials (Rader and deGoma, 2014; Rader and Hovingh, 2014).”
From Genetic dissection of the impact of miR-33a and miR-33b during the progression of atherosclerosis (2017) · cites this paper as Rader and deGoma, 2014
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References 65 · Cited by 66
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Metadata
- Authors
- Rader, D. J., & deGoma, E. M.
- Affiliations
- Division of Translational Medicine and Human Genetics, Cardiovascular Institute and Institute for Translational Medicine and Therapeutics, and
- University of Pennsylvania (US)
- Venue
- Annual Review of Medicine
- Publisher
- Annual Reviews
- Published
- 2014-01-14
- Volume
- 65
- Issue
- 1
- Pages
- 385-403
- ISSN
- 0066-4219 (ISSN-L)
- 1545-326X
- OpenAlex
- W2111699021
- Cited by
- 66
- References
- 65
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 3 · 2020: 2 · 2019: 4 · 2018: 2 · 2017: 9 · 2016: 13 · 2015: 13 · 2014: 13
- FWCI
- 3.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annual Review of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipoproteins and Cardiovascular Health
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Cholesterol and Lipid Metabolism
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipid metabolism and disorders
- Keywords
- cholesteryl ester transfer protein, CETP inhibitors, torcetrapib, dalcetrapib, anacetrapib, evacetrapib, coronary disease, atherosclerosis, cholesterol efflux, reverse cholesterol transport, plasma lipoprotein metabolism, cardiovascular risk, drug development failure
- MeSH terms
- Amides, Anticholesteremic Agents, Benzodiazepines, Cholesterol, Clinical Trials as Topic, Coronary Disease, Esters, Humans, Cholesterol, HDL, Cholesterol, LDL, Quinolines, Sulfhydryl Compounds, Oxazolidinones, Atherosclerosis, Cholesterol Ester Transfer Proteins
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