陆继红, Kermit Bonovich, Harry Colfer, Michael Davidson, Carlos A. Dujovne, David L. Fried, Mitchell Greenspan, Ronald P. Karlsberg, Stephen P. King, Craig F. LaForce, Marc Litt, J. Robert McGhee, 曾润海, 朱佳石, 谈宁芝. 红曲对中度血脂升高美国人调节血脂作用的临床研究[J]. 上海预防医学, 2013, 25(9): 501-506.
引用本文: 陆继红, Kermit Bonovich, Harry Colfer, Michael Davidson, Carlos A. Dujovne, David L. Fried, Mitchell Greenspan, Ronald P. Karlsberg, Stephen P. King, Craig F. LaForce, Marc Litt, J. Robert McGhee, 曾润海, 朱佳石, 谈宁芝. 红曲对中度血脂升高美国人调节血脂作用的临床研究[J]. 上海预防医学, 2013, 25(9): 501-506.
LU Ji-hong, Kermit Bonovich, Harry Colfer, Michael Davidson, Carlos A. Dujovne, David L. Fried, Mitchell Greenspan, Ronald P. Karlsberg, Stephen P. King, Craig F. LaForce, Marc Litt, J. Robert McGhee, ZENG Run-hai, ZHU Jia-Shi, TAN Ning-zhi. Clinical study on cholesterol-lowering effect of RYR Cholestin among Americans with moderate hypercholesterolemia[J]. Shanghai Journal of Preventive Medicine, 2013, 25(9): 501-506.
Citation: LU Ji-hong, Kermit Bonovich, Harry Colfer, Michael Davidson, Carlos A. Dujovne, David L. Fried, Mitchell Greenspan, Ronald P. Karlsberg, Stephen P. King, Craig F. LaForce, Marc Litt, J. Robert McGhee, ZENG Run-hai, ZHU Jia-Shi, TAN Ning-zhi. Clinical study on cholesterol-lowering effect of RYR Cholestin among Americans with moderate hypercholesterolemia[J]. Shanghai Journal of Preventive Medicine, 2013, 25(9): 501-506.

Clinical study on cholesterol-lowering effect of RYR Cholestin among Americans with moderate hypercholesterolemia

  • 摘要: 目的评价在饮食控制的情况下红曲(RYR Cholestin)对美国高血脂人群的降脂作用和安全性。方法开放标记,自身对照,多中心临床试验。187名美国高血脂人群入选(血清低密度脂蛋白胆固醇3.50~4.92 mmol/L,总胆固醇5.18~7.25 mmol/L;男116人,女71人),162人完成试验。在整个试验中受试者遵照美国国家胆固醇教育计划的饮食要求。试验的前4周仅控制饮食,第5周至第12周连续服用8周RYR Cholestin(每日2.4 g)。结果经前4周饮食控制,血清脂质各指标无显著变化。口服RYR Cholestin 8周后,血清总胆固醇、低密度脂蛋白胆固醇和三酰甘油分别降低16.6%,24.0%和25.2%,高密度脂蛋白胆固醇升高14.3%(P<0.001)。显效率为79.0%,有效率为97.5%。停服14 d(2周)后,血脂各指标回到试验前水平。试验中共发现可能与服用产品相关的、轻度的29项不良反应。结论RYR Cholestin的耐受性良好,它可降低血清总胆固醇、低密度脂蛋白胆固醇和三酰甘油,升高血清高密度脂蛋白胆固醇。停服2周后受试者的血脂各项指标均恢复到试验前水平。

     

    Abstract: Objective To evaluate lipid-lowering efficacy and safety of RYR Cholestin, or Monascus purpureus (Red Yeast) Rice, in Americans with moderate hypercholesterolemia. Methods This study was an open-label, self-control, and multi-center clinical trial. A total of 187 subjects were entered into this trial (serum LDL-Cholesterol 3.50~4.92 mmol/L,total cholesterol 5.18~7.25 mmol/L, male:female=116:71), of whom 162 completed the study. Subjects were placed on the NCEP Step I Diet throughout the study and RYR Cholestin (2.4 g/day) was administered for 8 weeks following initial 4-week diet control. Results Being on the diet alone for 4 weeks resulted in no significant changes in serum lipids. RYR Cholestin treatment for 8 weeks reduced serum total cholesterol, LDL-Cholesterol and triglycerides by 16.6%, 24.0%, and 25.2%, respectively, and increased HDL-Cholesterol by 14.3% (all P<0.001). There were 97.5% of patients having ≥ 10% improvement in at least one of lipid risk factors, and 79.0% having ≥ 20% improvement. Discontinuation of RYR Cholestin intervention for 14 d led to a return of serum lipids to baseline of pre-study. And 29 possible product-related mild adverse reactions were reported. Conclusion RYR Cholestin is well tolerated and effective in reducing total and LDL-Cholesterol, and triglycerides, as well as in increasing HDL-Cholesterol in hypercholesterolemic patients, but those indicators return to the beginning baseline when the treatment is discontinued.

     

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