Atherosclerosis imaging in drug development

Stephen J Nicholls1, Srinivasa Kalidindi, Keon-Woong Moon

  • 1Cleveland Clinic, Department of Cardiovascular Medicine, Mail Code JJ-65, 9500 Euclid Avenue, Cleveland OH, 44195, USA +1 216 444 2678 ; +1 216 445 5769 ; nichols1@ccf.org.

Insights

Developing new antiatherosclerotic agents is challenging due to lengthy clinical trials. Arterial wall imaging offers a promising approach for evaluating novel therapies targeting atherosclerotic cardiovascular disease.

Area of Science:

  • Cardiovascular Medicine
  • Pharmacology
  • Medical Imaging

Background:

  • Established therapies complicate the evaluation of new antiatherosclerosis drugs.
  • Extensive clinical trials with large patient numbers and long follow-up periods hinder drug development.
  • Atherosclerotic cardiovascular disease remains a leading cause of mortality worldwide.

Purpose of the Study:

  • To address the challenges in assessing experimental antiatherosclerotic agents.
  • To explore the utility of advanced imaging techniques in clinical trials.
  • To facilitate the development of novel therapies for atherosclerotic cardiovascular disease.

Main Methods:

  • Utilizing technological advances in arterial wall imaging.
  • Implementing clinical trial designs that incorporate serial imaging of the arterial wall.
  • Evaluating the impact of therapies on the natural progression of atherosclerosis.

Main Results:

  • Serial arterial wall imaging provides an efficient method for assessing antiatherosclerotic agents.
  • This imaging approach can potentially reduce the duration and size of clinical trials.
  • The use of imaging in trials is becoming increasingly prevalent in drug development.

Conclusions:

  • Technological advancements in arterial wall imaging offer a viable solution to the challenges in developing new antiatherosclerosis treatments.
  • Serial imaging facilitates a more efficient assessment of therapeutic efficacy.
  • This methodology supports the advancement of treatments for atherosclerotic cardiovascular disease.

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