Coronary disease & ACS

Apolipoprotein A-I infusions and cardiovascular outcomes in acute myocardial infarction according to baseline LDL-cholesterol levels: the AEGIS-II trial

Eur Heart JPublished Secondary analysis of the AEGIS-II randomised trial

Authors' conclusion

In this population, treatment with CSL112 compared to placebo was associated with a significantly lower risk of recurrent cardiovascular events among patients with a baseline LDL-C ≥ 100 mg/dL.

Study context

Population
Patients with acute myocardial infarction (MI), multivessel CAD and additional risk factors, prescribed guideline-directed statin therapy at randomisationof 18,219 randomized
Participants
15,731 patients
Comparison
CSL112 vs placebo, by baseline low-density lipoprotein cholesterol (LDL-C)
Primary endpoint
Primary endpoint (as in AEGIS-II), by baseline LDL-C
Follow-up
90 days
Methodological detailsexploratory post-hoc analysis
  • Exploratory post-hoc analysis

Primary result

As reported in the abstract

CV death, MI or stroke, by baseline LDL-C (subgroups)
CSL112 vs PlaceboHazard ratio (CI)
LDL-C ≥ 100 mg/dL, 90 days
.69(.53-.90)
LDL-C ≥ 100 mg/dL, 180 days
.71(.57-.88)
LDL-C ≥ 100 mg/dL, 365 days
.78(.65-.93)

Original publication

Apolipoprotein A-I infusions and cardiovascular outcomes in acute myocardial infarction according to baseline LDL-cholesterol levels: the AEGIS-II trial. Eur Heart J. Published 2 September 2024. doi:10.1093/eurheartj/ehae614

Summarised from the published abstract; every number is checked against it

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