Lovaza Mechanisms of Action



Status:Completed
Conditions:High Cholesterol, Metabolic
Therapuetic Areas:Cardiology / Vascular Diseases, Pharmacology / Toxicology
Healthy:No
Age Range:21 - 65
Updated:4/2/2016
Start Date:August 2012
End Date:August 2014
Contact:Jorge Plutzky, MD
Email:jplutzky@rics.bwh.harvard.edu
Phone:617-525-4360

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Study of the Effects of Lovaza (Omega 3 Fatty Acids) On Lipoprotein Particles and Their Transcriptional Effects

High levels of triglycerides is a common abnormality found in patients with diabetes and
also cardiovascular disease, and may contribute to the risk for both. Omega 3 fatty acids,
as found enriched in fish and also in the commercial agent called Lovaza lower triglyceride
levels. Prior work from the investigators group demonstrated that an enzyme responsible for
the break down of triglycerides - lipoprotein lipase - generates molecules that can activate
a specific nuclear receptor known as PPAR-alpha. This study investigates the hypothesis that
taking Lovaza shifts the specific fatty acid content of triglyceride containing lipoproteins
and increases the ability of those lipoproteins to activate PPAR-alpha.

This study will investigate changes in lipid and other metabolic parameters as well as the
ability of isolated lipoproteins to activate PPARs in the presence or absence of lipoprotein
lipase in a cohort of normal healthy individuals with modest hypertriglyceridemia before and
after a course of Lovaza.

Inclusion Criteria:

- Otherwise healthy 21 to 65 year old men and women

- Triglycerides >150 < 500 mg/dL

Exclusion Criteria:

- Other lipid lowering medication including fish oil

- Major illnesses

- Diabetes

- Cardiovascular disease

- Abnormalities uncovered on screening blood work including undiagnosed diabetes,
abnormal liver function tests, triglycerides > 500 mg/dL

- Indication for immediate statin therapy

- Pregnancy

- Contraindication for fish oil use or muscle biopsy
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Boston, Massachusetts 02115
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