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Updated: Aug 16, 2026

Cholesterol Efflux Assay
Published on: March 6, 2012
Efficacy and safety of ciprofibrate in hyperlipoproteinaemias
1Department of Endocrinology and Metabolism, Pitié-Salpétrière Hospital Center, Paris, France.
Insights
Ciprofibrate effectively treats atherogenic hyperlipoproteinaemia, lowering cholesterol and triglycerides. This medication improves lipid profiles in patients with hypercholesterolaemia and hypertriglyceridaemia.
Area of Science:
- Cardiology
- Pharmacology
- Metabolic Disorders
Background:
- Atherogenic hyperlipoproteinaemia encompasses conditions like hypercholesterolaemia and hypertriglyceridaemia.
- Effective lipid-lowering therapies are crucial for managing cardiovascular risk.
Purpose of the Study:
- To evaluate the efficacy of ciprofibrate in treating specific types of atherogenic hyperlipoproteinaemia.
- To analyze the effects of ciprofibrate on lipid profiles and apolipoproteins.
Main Methods:
- Clinical study involving approximately 7300 patients with type IIa, IIb, and IV hyperlipoproteinaemia.
- Administration of ciprofibrate at a dosage of 100 mg/day.
- Monitoring of total cholesterol, triglycerides, LDL cholesterol, HDL cholesterol, apolipoprotein B, and apolipoprotein AI levels.
Main Results:
- Ciprofibrate significantly decreased total cholesterol, triglycerides, and LDL cholesterol in type IIa and IIb hyperlipoproteinaemia.
- The drug increased HDL cholesterol and apolipoprotein AI levels.
- In type IV hypertriglyceridaemia, ciprofibrate reduced total cholesterol primarily by lowering triglycerides and increasing HDL cholesterol.
Conclusions:
- Ciprofibrate demonstrates efficacy in managing type IIa, IIb, and IV hyperlipoproteinaemia.
- The drug favorably modulates key lipid parameters, including LDL and HDL cholesterol.
- Further discussion includes ciprofibrate's pharmacokinetics, mechanism of action, and safety profile.
Abstract:
Ciprofibrate is an effective treatment for three main types of atherogenic hyperlipoproteinaemia: type IIa hypercholesterolaemia, type IIb combined hyperlipidaemia, and type IV hypertriglyceridaemia. In type IIa hypercholesterolaemia, administration of 100 mg/day of ciprofibrate, to approximately 3000 patients, decreased total cholesterol (TC), triglycerides, apolipoprotein B (apo B) and low-density lipoprotein (LDL) cholesterol. Levels of apolipoproteins in high-density lipoprotein (HDL) cholesterol and apolipoprotein AI (apo A-I) were increased. Administration of the same dose of ciprofibrate, to approximately 3500 patients with type IIb combined hyperlipidaemia, had a marked cholesterol- and triglyceride-lowering effect, in addition to producing a decrease in LDL cholesterol and apo B, and an increase in apo A-I. TC levels were also decreased in type IV hypertriglyceridaemia following administration of 100 mg/day of ciprofibrate to 800 patients. The decrease in TC levels was attributable to a decrease in triglyceride levels and an increase in HDL cholesterol levels. The pharmacokinetics, mechanism of action and safety of ciprofibrate treatment are also discussed.
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