The JUPITER trial: How will it change clinical practice?

Rev Cardiovasc Med. 2009 Spring;10(2):91-6.

Abstract

Several studies have shown that baseline levels of high-sensitivity C-reactive protein (hs-CRP) in apparently healthy men and women are predictive of future cardiovascular events. In primary prevention, hs-CRP levels could indicate which primary prevention patients are at higher risk and might benefit from preventive statin therapy. Justification for the Use of Statins in Primary Prevention: An Intervention Trial Evaluating Rosuvastatin (JUPITER) aimed to determine whether treatment with rosuvastatin 20 mg/d would reduce the rate of first major cardiovascular events among apparently healthy individuals with low-density lipoprotein cholesterol (LDL-C) levels below 130 mg/dL, but with hs-CRP levels of 2 mg/L or higher. At the time of study closure, it was found that treatment with rosuvastatin significantly reduced the primary composite endpoint by 44% as compared with placebo. Results of the JUPITER trial clearly suggest that patients with elevated hs-CRP stand to benefit from statin therapy, regardless of their LDL-C level.

Publication types

  • Review

MeSH terms

  • Biomarkers / blood
  • C-Reactive Protein / analysis*
  • Cardiovascular Diseases / blood
  • Cardiovascular Diseases / etiology
  • Cardiovascular Diseases / prevention & control*
  • Cholesterol, LDL / blood*
  • Female
  • Fluorobenzenes / therapeutic use*
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use*
  • Male
  • Multicenter Studies as Topic
  • Patient Selection
  • Practice Guidelines as Topic
  • Predictive Value of Tests
  • Primary Prevention*
  • Pyrimidines / therapeutic use*
  • Randomized Controlled Trials as Topic
  • Risk Assessment
  • Risk Factors
  • Rosuvastatin Calcium
  • Sulfonamides / therapeutic use*
  • Treatment Outcome

Substances

  • Biomarkers
  • Cholesterol, LDL
  • Fluorobenzenes
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • Pyrimidines
  • Sulfonamides
  • Rosuvastatin Calcium
  • C-Reactive Protein