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Table 3 Risk indicators for CVD: comparison for before v. after PEG There were small numbers of participants and changes for most markers did not reach statistical significance

From: Clinical effectiveness and cost-effectiveness of pegvisomant for the treatment of acromegaly: a systematic review and economic evaluation

 

Sesmilo 2002[9]§

n = 26

Colao 2006[16]

n = 16

Parkinson 2002 [22]†

n = 20

Parkinson 2002 [22]†

n = 20

Paisley 2006 [13]*

n = 20

PARAMETER

Mean change from baseline P

Paired t test

Before

v.

after Tx P

Paired t test Before

v.

after Tx P

Cases:

Before Tx

v.

after Tx P

Cases before Tx

v.

Healthy controls P

Total chol (mM)

0.22 NS

NS

Increased <0.01

Increased <0.01

0.16

HDL chol (mM)

0.006 NS

Increased 0.0017

NS

--

--

LDL chol (mM)

-0.13 NS

--

Increased <0.01

--

--

[Total/HDL] chol

0.21 NS

Reduced 0.0012

--

--

--

TG (mM)

0.25 0.007

NS

NS

0.3

0.13

Lipo (a) (mg/l)

-70 0.039

--

Reduced <0.01

--

--

Apo B

--

--

Increased <0.01

--

--

Apo A1

--

--

Increased <0.05

--

--

Homocysteine (?M)

-0.16 NS

--

--

--

--

CRP

2 0.0002

--

--

--

--

Interleucin 6

0.17 NS

--

--

--

--

Blood pressure

--

NS

--

--

--

Fibrinogen

--

NS

--

--

--

Heart rate

--

NS

--

--

--

MMP-2 (ng/ml)

--

--

--

Reduced <0.001

Higher <0.001

MMP-9

--

--

--

0.76

0.87

VEGF

--

--

--

Reduced 0.008

0.18

  1. § results for the open label part of the study, patients included if they normalised IGF-1 with treatment. It is unclear if the number of patients analysed was 34 or 26. † Units for Total chol and total TG given in paper as mM but are actually mg/dl. * It is possible that some participants may have been used in both these studies.
  2. Apo A1 = apoprotein A1 (on HDL & chylomicrons). Apo B = apoprotein B (on LDL). chol = cholesterol CRP = C-reactive protein. HDL = high density lipoprotein. LDL = low density lipoprotein. Lipo (a) = lipoprotein little a. MMP = matrix metalloproteinase. NS = not statistically significant. P = probability. PEG = pegvisomant. TG = triacyl glyceride. Tx = treatment. VEGF = vascular endothelial growth factor.
  3. Note: There were small numbers of participants and changes for most markers did not reach statistical significance.