Rosuvastatin in hemodialysis: short-term effects on lipids and C-reactive protein.
BACKGROUND
Patients on regular hemodialysis present high cardiovascular mortality. Uremic dyslipidemia and inflammation take part in the etiology of atherosclerosis. Rosuvastatin calcium has not been studied in patients on dialysis to date. We sought to evaluate the results of rosuvastatin therapy regarding lipids, lipoproteins and a marker of inflammation in hemodialysis patients.


METHODS
In a double-blind randomized placebo-controlled trial, 59 patients on hemodialysis (31 in the placebo group, and 28 taking rosuvastatin 10 mg/day) were followed for 3 months. Lipids, lipoproteins and high-sensitivity C-reactive protein (hs-CRP) were measured at baseline, 30 days and 3 months.


RESULTS
In the rosuvastatin group, there was a significant decrease from baseline to the study end in total cholesterol (163+/-53 mg/dL to 142+/-43 mg/dL; p<0.05), in LDL cholesterol (90+/-39 mg/dL to 69+/-32 mg/dL; p<0.05) and in non-HDL cholesterol (121+/-46 mg/dL to 99+/-39 mg/dL; p<0.05). In the placebo group, no significant decrease was observed. High-sensitivity CRP was lower in the rosuvastatin than in the placebo group at 3 months (p<0.01).


CONCLUSIONS
Rosuvastatin calcium at 10 mg/day was effective in lowering total cholesterol, LDL cholesterol, non-HDL cholesterol and hs-CRP in hemodialysis patients.
Burmeister
Jayme E
JE
Renal Medicine Unit, Medicine School, Universidade Luterana do Brasil (ULBRA), Canoas, Rio Grande do Sul, Brazil. burmeister@via-rs.net
Miltersteiner
Diego R
DR
Campos
Bruno M
BM
D000328:Adult; D000368:Aged; D015415:Biomarkers / Q000097:blood; D002097:C-Reactive Protein / Q000378:metabolism*; D002784:Cholesterol / Q000097:blood; D008078:Cholesterol, LDL / Q000097:blood; D004305:Dose-Response Relationship, Drug; D004311:Double-Blind Method; D050171:Dyslipidemias / Q000097:blood* / Q000188:drug therapy*; D005260:Female; D005464:Fluorobenzenes / Q000009:adverse effects / Q000627:therapeutic use*; D006801:Humans; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors / Q000009:adverse effects / Q000627:therapeutic use; D007674:Kidney Diseases / Q000097:blood / Q000628:therapy*; D008055:Lipids / Q000097:blood*; D008297:Male; D008875:Middle Aged; D011743:Pyrimidines / Q000009:adverse effects / Q000627:therapeutic use*; D006435:Renal Dialysis; D000068718:Rosuvastatin Calcium; D013449:Sulfonamides / Q000009:adverse effects / Q000627:therapeutic use*; D016896:Treatment Outcome
D015415:Biomarkers; D008078:Cholesterol, LDL; D005464:Fluorobenzenes; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors; D008055:Lipids; D011743:Pyrimidines; D013449:Sulfonamides; D000068718:Rosuvastatin Calcium; D002097:C-Reactive Protein; D002784:Cholesterol