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Table 1 Change in efficacy parameters following IPE treatment in diabetes subgroups by median baseline A 1c

From: Effects of icosapent ethyl on lipid and inflammatory parameters in patients with diabetes mellitus-2, residual elevated triglycerides (200–500 mg/dL), and on statin therapy at LDL-C goal: the ANCHOR study

Parameter

All patients with diabetes mellitus

A1c<6.8%

A1c≥6.8%

All patients with diabetes mellitus

A1c<6.8%

A1c≥6.8%

IPE dose (n = all patients, A1c<6.8%, A1c≥6.8%)

Baseline

End of treatment

Baseline

End of treatment

Baseline

End of treatment

Median placebo-adjusted change from baseline, %, p

TG (mg/dL)

         

4 g/day

262

217

262

228

268

203

-23.2

-21.0

-24.8

(n=165, 78, 87)

(220-312)

(179-267)

(223-316)

(186-290)

(218-309)

(166-261)

<0.0001

<0.0001

<0.0001

2 g/day

254

244

264

238

250

248

-9.8

-15.1

-4.8

(n=171, 81, 90)

(216-303)

(199-315)

(218-325)

(196-307)

(214-297)

(203-318)

<0.01

<0.01

0.39

Placebo

259

276

258

276

260

274

   

(n=165, 87, 78)

(221-299)

(214-367)

(220-294)

(210-343)

(223-315)

(216-379)

   

LDL-C (mg/dL)

         

4 g/day

81

83

85

83

79

83

-6.3

-6.6

-5.7

(n=165, 78, 87)

(70-96)

(69-98)

(70-101)

(69-96)

(70-93)

(69-100)

0.02

0.08

0.13

2 g/day

82

87

83

89

82

85

-3.8

-3.7

-4.7

(n=170, 80, 90)

(73-97)

(74-100)

(76-97)

(78-99)

(69-96)

(72-102)

0.15

0.33

0.25

Placebo

84

88

84

85

84

93

   

(n=164, 87, 77)

(72-97)

(74-105)

(70-97)

(75-102)

(72-97)

(72-108)

   

Non–HDL-C (mg/dL)

         

4 g/day

128

121

129

124

128

119

-14.4

-11.3

-18.0

(n=165, 78, 87)

(111-146)

(104-144)

(111-146)

(107-144)

(111-146)

(101-143)

<0.0001

<0.01

<0.0001

2 g/day

125

135

128

135

124

136

-4.4

-4.6

-4.2

(n=171, 81, 90)

(113-146)

(117-158)

(115-145)

(119-154)

(111-148)

(113-162)

0.07

0.17

0.22

Placebo

128

136

128

136

130

140

   

(n=165, 87, 78)

(113-147)

(123-167)

(114-142)

(121-161)

(112-154)

(126-173)

   

VLDL-C (mg/dL)

         

4 g/day

44

37

45

41

43

35

-24.1

-14.3

-33.8

(n=165, 78, 87)

(33-54)

(29-50)

(32-53)

(31-52)

(33-56)

(28-47)

<0.0001

0.01

<0.0001

2 g/day

42

42

42

44

42

42

-6.1

-3.8

-9.0

(n=170, 80, 90)

(32-51)

(33-58)

(32-53)

(30-60)

(33-51)

(34-55)

0.21

0.57

0.17

Placebo

42

49

42

45

43

53

   

(n=164, 87, 77)

(35-56)

(37-66)

(35-56)

(37-63)

(36-54)

(40-67)

   

Lp-PLA 2 (ng/mL)

         

4 g/day

180

160

179

166

180

153

-19.1

-17.9

-20.3

(n=160, 75, 85)

(160-212)

(134-186)

(161-213)

(137-191)

(153-211)

(130-179)

<0.0001

<0.0001

<0.0001

2 g/day

192

184

196

185

182

178

-7.5

-9.5

-5.7

(n=163, 78, 85)

(164-219)

(159-215)

(169-237)

(163-219)

(161-212)

(153-210)

<0.001

<0.01

0.08

Placebo

184

197

189

200

181

188

   

(n=156, 85, 71)

(159-219)

(165-233)

(166-221)

(170-241)

(142-216)

(163-220)

   

Apo B (mg/dL)

         

4 g/day

91

89

91

90

91

88

-9.5

-6.1

-12.8

(n=160, 75, 85)

(80-104)

(79-105)

(82-107)

(80-107)

(79-101)

(78-103)

<0.0001

0.02

<0.0001

2 g/day

91

95

91

96

91

95

-3.4

-2.1

-5.1

(n=166, 79, 87)

(84-104)

(86-107)

(84-105)

(87-106)

(83-103)

(85-112)

0.08

0.46

0.07

Placebo

93

98

93

96

93

103

   

(n=158, 86, 72)

(82-105)

(88-113)

(82-104)

(86-109)

(82-106)

(90-117)

   

TC (mg/dL)

         

4 g/day

167

160

173

166

165

157

-12.7

-10.7

-15.1

(n=165, 78, 87)

(147-188)

(142-181)

(150-189)

(143-184)

(145-187)

(140-177)

<0.0001

0.0001

<0.0001

2 g/day

166

176

170

177

164

175

-4.0

-4.1

-4.1

(n=171, 81, 90)

(150-185)

(154-198)

(156-184)

(162-196)

(146-185)

(151-201)

0.04

0.10

0.15

Placebo

167

181

167

181

168

184

   

(n=165, 87, 78)

(151-190)

(166-211)

(154-189)

(168-206)

(147-191)

(160-216)

   

HDL-C (mg/dL)

         

4 g/day

36

36

38

38

36

35

-5.0

-5.9

-4.3

(n=165, 78, 87)

(31-43)

(30-43)

(32-45)

(30-43)

(30-42)

(30-44)

<0.01

0.02

0.05

2 g/day

39

40

40

41

39

39

-2.3

-1.6

-2.9

(n=171, 81, 90)

(32-46)

(33-45)

(32-46)

(34-47)

(31-45)

(32-45)

0.17

0.51

0.18

Placebo

38

39

41

40

37

38

   

(n=165, 87, 78)

(32-45)

(34-48)

(33-47)

(34-50)

(32-42)

(32-47)

   

VLDL-TG (mg/dL)

         

4 g/day

186

145

189

163

185

140

-28.9

-23.5

-34.1

(n=165, 78, 87)

(147-245)

(113-200)

(147-238)

(111-214)

(140-249)

(113-177)

<0.0001

<0.001

<0.0001

2 g/day

181

168

186

172

177

163

-10.8

-10.9

-10.7

(n=170, 80, 90)

(143-232)

(136-236)

(145-243)

(136-239)

(143-230)

(136-236)

0.02

0.12

0.11

Placebo

186

202

176

196

197

209

   

(n=164, 87, 77)

(145-238)

(146-277)

(142-224)

(142-275)

(146-243)

(146-283)

   

Ox-LDL (U/L)

         

4 g/day

54

52

55

52

52

53

-16.1

-13.8

-17.4

(n=60, 29, 31)

(46-60)

(44-59)

(49-58)

(44-63)

(44-66)

(45-59)

<0.0001

<0.01

<0.001

2 g/day

55

56

55

57

53

56

-8.9

-10.3

-8.2

(n=59, 24, 35)

(48-66)

(49-71)

(49-59)

(49-62)

(48-69)

(49-74)

0.03

0.07

0.15

Placebo

52

60

52

60

53

61

   

(n=64, 34, 30)

(45-62)

(51-70)

(46-63)

(51-66)

(42-62)

(47-73)

   

hsCRP (mg/L)

         

4 g/day

2.5

2.1

1.8

2.0

2.9

2.1

-21.5

-4.0

-34.6

(n=160, 75, 85)

(1.3-4.1)

(1.0-4.4)

(1.1-3.6)

(0.9-4.4)

(1.4-4.9)

(1.1-4.3)

<0.01

0.74

<0.001

2 g/day

2.1

2.7

1.5

1.7

2.5

3.2

-8.2

-8.4

-8.7

(n=166, 79, 87)

(1.0-4.6)

(1.1-4.5)

(0.9-3.1)

(0.9-3.9)

(1.3-5.8)

(1.5-5.0)

0.26

0.41

0.41

Placebo

2.5

3.1

2.1

2.7

2.7

3.4

   

(n=158, 86, 72)

(1.2-5.1)

(1.3-6.0)

(1.1-5.0)

(1.2-6.1)

(1.4-5.2)

(1.4-5.9)

   

RLP-C (mg/dL)

         

4 g/day

13.0

10.0

14.0

11.5

12.5

9.0

-25.0

-26.7

-21.3

(n=60, 28, 32)

(11.0-17.0)

(8.0-13.6)

(11.0-16.6)

(8.0-14.5)

(10.0-18.0)

(8.0-11.5)

<0.01

0.05

0.04

2 g/day

15.0

11.0

16.0

13.0

12.0

10.5

-16.6

-27.8

-3.0

(n=62, 32, 30)

(11.0-18.0)

(9.0-16.0)

(13.0-18.5)

(10.0-16.0)

(10.0-18.0)

(8.0-14.0)

0.06

0.02

0.84

Placebo

14.0

13.0

14.0

15.5

14.0

12.0

   

(n=61, 34, 27)

(11.0-17.0)

(9.0-20.0)

(11.0-18.0)

(11.0-22.0)

(11.0-16.0)

(9.0-16.0)

   
  1. Data are presented as median (lower and upper quartile) for end point values.
  2. Apo B = apolipoprotein B; HDL-C = high-density lipoprotein cholesterol; hsCRP = high-sensitivity C-reactive protein; IPE = icosapent ethyl; LDL-C = low-density lipoprotein cholesterol; Lp-PLA2 = lipoprotein-associated phospholipase A2; non–HDL-C = non–high-density lipoprotein cholesterol; Ox-LDL = oxidized low-density lipoprotein; RLP-C = remnant-like particle cholesterol; TC = total cholesterol; TG = triglyceride; VLDL-C = very-low-density lipoprotein cholesterol; VLDL-TG = very-low-density lipoprotein triglycerides.