Favourable effects of fenofibrate on lipids and cardiovascular disease in women with type 2 diabetes: results from the Fenofibrate Intervention and Event Lowering in Diabetes (FIELD) study
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- d’Emden, M.C., Jenkins, A.J., Li, L. et al. Diabetologia (2014) 57: 2296. doi:10.1007/s00125-014-3344-3
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In the double-blind placebo-controlled Fenofibrate Intervention and Event Lowering in Diabetes trial (n = 9,795), fenofibrate reduced major cardiovascular events in type 2 diabetes. Sex-related differences in fenofibrate response could be clinically relevant and were pre-specified analyses.
Women (n = 3,657) and men (n = 6,138) with type 2 diabetes not using statins were assigned fenofibrate (200 mg/day) or placebo for 5 years. Effects on lipoproteins and total cardiovascular events were evaluated by sex.
Baseline total, LDL-, HDL- and non-HDL cholesterol and apolipoproteins A-I and B differed between sexes, and these and triacylglycerol levels improved with fenofibrate in both sexes (all p < 0.001). Fenofibrate reduced total, LDL- and non-HDL cholesterol and apolipoprotein B more in women (all p < 0.001), independent of menopausal status and statin uptake. Adjusted for covariates, fenofibrate reduced total cardiovascular outcomes (cardiovascular death, fatal and non-fatal stroke and carotid and coronary revascularisation) by 30% in women (95% CI 8%, 46%; p = 0.008) and 13% in men (95% CI −1%, 24%; p = 0.07) with no treatment-by-sex interaction (p > 0.1). In patients with high triacylglycerol levels and low HDL-cholesterol, fenofibrate reduced total cardiovascular outcomes by 30% (95% CI −7%, 54%) in women and 24% (95% CI 2%, 42%) in men, with no treatment-by-sex interaction (p > 0.1).
Fenofibrate improved the lipoprotein profile more in women than men. Cardiovascular event reductions with fenofibrate were consistently similar in women and men, both overall and among those with low HDL-cholesterol and high triacylglycerol levels. These data provide reassurance about fenofibrate efficacy in women and men. Both sexes with type 2 diabetes should be considered for fenofibrate therapy for cardioprotection.
KeywordsAdultCardiovascular preventionCardiovascular riskDrug effectsFibrateMajor clinical studyNon-insulin-dependent diabetes mellitusRandomised controlled trialSex differencesStatinType 2 diabetes mellitus
Action to Control Cardiovascular Risk in Diabetes
Fenofibrate Intervention and Event Lowering in Diabetes
- NHMRC CTC
National Health and Medical Research Council Clinical Trials Centre
Cardiovascular disease (CVD) is a major cause of death among women . Women are more likely than men to die as a result of a first myocardial infarction (MI) or to have a second cardiovascular event . In general, women have a more favourable lipid profile than men, but the differences diminish once women become postmenopausal . Before the Fenofibrate Intervention and Event Lowering in Diabetes (FIELD) study  some [5, 6] but not all  fibrate trials had shown that long-term fibrate treatment reduced CVD events, although few women had been randomised into fibrate trials [5–7]. More recently the Action to Control Cardiovascular Risk in Diabetes (ACCORD) Lipid study, which evaluated fenofibrate added to background simvastatin therapy, reported a 9.1% rate of CVD events for 851 women receiving fenofibrate and a non-significantly lower rate of 6.6% in 843 women on placebo, although there was a significant interaction between treatment and sex, in favour of men (p = 0.01) . This raised questions about the role of fenofibrate as a therapy for women with diabetes and led to a safety alert being issued by the US Food and Drug Administration [9, 10].
The FIELD study (n = 9,795, including 3,657 women) is the largest study of fibrate use in women with diabetes (International Standard Randomised Controlled Trial [ISRCTN] registration no. 64783481). In FIELD, fenofibrate did not significantly reduce the primary endpoint of CHD events (non-fatal MI and CHD death; HR 0.89; 95% CI 0.75, 1.05, p = 0.16) . After adjustment for fenofibrate adherence and imbalanced uptake of statins and other cardiovascular drugs, this effect increased but remained non-significant (HR 0.84; 95% CI 0.69, 1.01, p = 0.06) . There was no significant interaction between fenofibrate treatment and sex for total CVD events (non-fatal MI, stroke, all CVD death, and coronary and carotid revascularisation), the pre-specified endpoint for all subgroup analyses . The FIELD study provides a unique opportunity to explore the effects of fenofibrate treatment by sex in more detail. This analysis also addresses the potentially adverse findings for women in the ACCORD Lipid study.
Study design and patients
The study design, patient characteristics and outcome analysis of the FIELD trial have been reported . In brief, 9,795 patients with type 2 diabetes aged 50–75 years were randomised to 200 mg micronised fenofibrate daily (Laboratoires Fournier, Dijon, France) or matching placebo. All had baseline total cholesterol levels of 3.0–6.5 mmol/l, plus a total cholesterol:HDL-cholesterol ratio ≥4 or a triacylglycerol concentration of 1–5 mmol/l, with no clear indication for lipid-modifying therapy at the time of study initiation. Traditional lipid levels were measured on all participants at baseline, at 4, 8 and 12 months, 2 years and at the end of the study. Apolipoproteins A-I and B were measured at baseline, 4 months, 2 years and study close. Additional cardiovascular medicines, including statins and other lipid-modifying treatments, could be commenced during the trial at the discretion of the patient’s treating doctor. Medication adherence was assessed by returned tablet counts at each visit.
All patients gave written informed consent. The FIELD protocol was approved by local and national ethics committees and undertaken in accordance with the Declaration of Helsinki and Good Clinical Practice guidelines.
The primary endpoint, which was not statistically significant,  was the first occurrence of non-fatal MI or death from CHD. Secondary endpoints included major CVD events (the primary endpoint plus stroke and other CVD death). The pre-specified outcome for all subgroup analyses, including by sex, was total CVD events (the composite of major CVD events plus coronary and carotid revascularisation). Cause-specific and total mortality were also examined . In the current detailed analysis, we explore the effects of fenofibrate by sex on total CVD and the component endpoints of the total CVD outcome and also the influence of sex on the effect of fenofibrate on lipid levels measured at baseline, 4 months, 1 year, 2 years and study close. The influences of menopausal status, oestrogen use, concurrent use of statins, and metformin and insulin therapy were assessed. All lipid analyses were performed in two central laboratories with standard techniques. Rigorous quality-assurance procedures were used to verify stable assay characteristics, as previously reported . Non-HDL cholesterol was calculated (total cholesterol − HDL-cholesterol). The LDL-cholesterol level was calculated using standard methods . Dyslipidaemia was defined a priori as fasting triacylglycerol levels ≥1.7 mmol/l in both sexes, and HDL-cholesterol levels <1.03 mmol/l for men and <1.29 mmol/l for women (according to Adult Treatment Panel [ATP] III guidelines ). Marked dyslipidaemia used a higher cutpoint of triacylglycerol levels >2.3 mmol/l, with the same sex-specific HDL-cholesterol cutpoints. For the purposes of this analysis, the ACCORD definition of dyslipidaemia based on the upper triacylglycerol and lower HDL-cholesterol tertiles, respectively (triacylglycerol >2.3 mmol/l and HDL-cholesterol ≤0.88 mmol/l, for both women and men) was also applied. Apolipoprotein A-I and apolipoprotein B were measured with a nephelometer (Array Protein System, Beckman-Coulter, Sydney, NSW, Australia) (Australian and New Zealand samples) or a Cobas Mira analyser (Hoffman La Roche, Basel, Switzerland) (Finland samples). The two laboratories were aligned by participation in an external quality-assurance programme coordinated by the Canadian Reference Laboratory (Vancouver, BC, Canada) using Centers for Disease Control (CDC)-traceable standard materials. Day-to-day CVs were <5% throughout the study.
All analyses were done at the National Health and Medical Research Council Clinical Trials Centre (NHMRC CTC), University of Sydney. The data were analysed on an intention-to-treat basis with SAS (version 9.2; SAS, Cary, NC, USA). The analysis of differences for baseline characteristics used χ2 tests for binary variables and t tests for continuous outcomes unless the distribution of the data was not normal, in which case the Wilcoxon rank-sum test was used. Spearman correlations were computed on non-transformed data. Time-to-event analyses used the logrank test and the Kaplan–Meier method. HRs and 95% CIs were generated from Cox proportional-hazards models . Analyses were adjusted for covariates (including ethnicity, age, diabetes duration, BMI, waist-to-hip ratio, systolic and diastolic blood pressure, smoking, prior CVD, prior coronary revascularisation, hypertension, microvascular disease, baseline total cholesterol, LDL-cholesterol, HDL-cholesterol, creatinine, homocysteine, dyslipidaemia, microalbuminuria, macroalbuminuria, use of metformin, and use of sulfonylurea) and on-trial statin uptake . ANOVA methods were used to assess the treatment-effect difference in the change in lipid and apolipoprotein levels. Heterogeneity across the sexes was assessed by determining the interaction term for sex between the treatment group and outcome, with significance drawn at two-sided p < 0.05 with no adjustment for multiple comparisons.
Women comprised 37.3% of the cohort. At the final visit, 95.0% of the women and 92.0% of the men allocated to placebo and 94.3% of the women and 91.3% of the men allocated to fenofibrate remained alive. There was no difference between women and men or between the two treatment groups in the rates of loss to follow-up (0.3% in all groups).
Baseline characteristics and medication
(n = 3,657)
(n = 6,138)
Age at visit 1, years
Diabetes duration, years
Body surface area, m2a
Plasma creatinine, μmol/l
Microalbuminuria, % b
Macroalbuminuria, % b
Blood pressure, mmHg
Prior CVD, %
History of hypertension, %
Prior microvascular disease, %
Current or ex-smoker, %
Lipid and apolipoprotein variables
Total cholesterol, mmol/l
Non-HDL cholesterol, mmol/l
Apolipoprotein A-I, g/l
Apolipoprotein B, g/l
Cardiovascular medication, %
ACE inhibitors or angiotensin II receptor antagonist
Blood-glucose-lowering medication, %
Sulfonylurea and metformin
Insulin alone or with oral agent
Adherence to assigned treatment and lipid drug drop-in rates
At the end of the study, women and men had discontinued fenofibrate treatment at similar rates (19.8% vs 19.3%), equivalent to the placebo discontinuation rates. There were no statistically significant differences in adherence rates between the sexes on the basis of returned tablet counts (data not shown).
Among the participants allocated to fenofibrate, women were less likely than men to commence other active cholesterol-lowering medication, mainly statins (16.3% vs 21%, p < 0.001), but women and men allocated to placebo had similar commencement rates of such medications (37.2% vs 35.7% at study close, p = 0.3).
Effect of fenofibrate therapy on lipid and apolipoprotein levels by sex
At study close, fenofibrate had almost halved the percentage of patients with dyslipidaemia, from 42.7% to 23.9% in women (p < 0.001) and from 34.0% to 20.2% in men (p < 0.001), a significantly greater reduction in women (p = 0.04).
Effect of statin therapy on fenofibrate-induced lipid changes
The differences between treatment groups in total cholesterol and LDL-cholesterol in both sexes attenuated over time (ESM Fig. 1a, b) , but among patients not commencing statins, the effect of fenofibrate was preserved. The LDL-cholesterol-lowering effect of fenofibrate was greater in these women than men at all time points: 18.1% vs 10.8% at 4 months and 20.1% vs 11.2% at study close (all p < 0.001) (ESM Fig. 1). Neither statin commencement rates nor differences in body weight explained the greater LDL-cholesterol reduction in women.
Effect of insulin, metformin, and oestrogen therapy on fenofibrate-induced lipid changes
There were no significant effects of initiation of metformin or insulin treatment during follow-up on the fenofibrate-induced lipid changes over 5 years. Only small numbers of women used oestrogen throughout the study, with no significant effect on lipid changes due to fenofibrate (not shown).
Effect of fenofibrate on CVD events in women
Among patients who did not have CVD at study entry, fenofibrate reduced the risk of total CVD events by 26% (p = 0.04) in women and 16% (p = 0.04) in men (interaction by sex, p = 0.45). Non-fatal MI was reduced by 41% in women (p = 0.05) and 29% in men (p = 0.04; interaction p = 0.54). Fenofibrate reduced the risk of coronary events (CHD death or non-fatal MI, the primary study endpoint) by 41% (p = 0.02) in women and 17% in men (p = 0.17) and revascularisation by 31% in women (p = 0.06) and 27% (p = 0.002) in men. Again, interactions between sex and treatment were not statistically significant, as was also the case among those patients with dyslipidaemia (all interaction p values > 0.24). For example, the effects of fenofibrate on total CVD events among those with dyslipidaemia were 24% (95% CI −4%, 45%) reduction in women and 10% (95% CI −9%, 26%) reduction in men, and among those with marked dyslipidaemia (95% CI −7%, 54%) reduction in women and 24% (95% CI 2%, 42%) in men . Applying the ACCORD Lipid definition of dyslipidaemia  gave similar results (ESM Table 2).
Adjusted effects of fenofibrate treatment
With adjustment for statin use and other baseline covariates,  allocation to fenofibrate reduced total CVD events by 17% overall (95% CI 6%, 27%, and in women by 30% (95% CI 8%, 46%) although not significantly in men (13%; 95% CI –1%, 24%), with no statistical evidence of heterogeneity of effect by sex (p = 0.17). There was no significant reduction in non-fatal MI among women (35%; 95% CI –5%, 61%) but there was for men (28%; 95% CI 5%, 47%). Revascularisation procedures were reduced by 34% (95% CI 7%, 55%) in women and by 27% (95% CI 13%, 40%) for men (Fig. 3).
Safety of fenofibrate in women
There were no significant differences in total cancer incidence with allocation to fenofibrate in either sex (ESM Table 3). Nor was there any excess of rhabdomyolysis, irrespective of statin commencement during follow-up in either sex. Small excesses of pancreatitis and pulmonary embolism with fenofibrate did not differ significantly by sex. End-stage renal disease requiring dialysis was not increased with treatment in men or women.
On the basis of ACCORD Lipid study results , the Food and Drug Administration reviewed the cardiovascular safety of fenofibrate in women with diabetes . Our results indicate that fenofibrate is generally safe for women with type 2 diabetes. Although in the FIELD study, the primary endpoint of non-fatal MI plus coronary death was not significantly reduced, the secondary endpoint of total CVD events was reduced (without adjustment for multiple comparisons). Women allocated fenofibrate, including those with dyslipidaemia at baseline, had risk reductions in CVD events that did not differ statistically significantly from those in men, and for some event types tended to have greater benefit. Women also had significantly greater improvements in traditional lipids variables and in apolipoprotein B levels.
Differences between treatment groups in LDL-cholesterol concentrations always remained larger in women, and were most clearly evident in statin-naive patients. These differences were not explained by differences in baseline characteristics such as body habitus, insulin or metformin therapy, menopausal status or oestrogen use. The apparent attenuation over time of the effect of fenofibrate on lipid and apolipoprotein levels in both sexes combined was driven by the higher rate of statin initiation in the placebo groups than in those allocated to fenofibrate.
The significant differences between women and men in the effects of fenofibrate on lipid and apolipoproteins were unexpected. Women were lighter than men, with a smaller body surface area, but had a higher body mass index (BMI, 31.5 vs 29.1 kg/m2) (Table 1). Sex differences in mass, BMI and body surface area might be associated with differences in the volume of distribution or other pharmacodynamic properties of fenofibrate. Oestrogenic hormones are potential confounding factors, given that they are known to increase HDL-cholesterol and reduce LDL-cholesterol [15, 16] and to influence lipoprotein-related enzyme levels. In our study, most women (94%) were postmenopausal (average age at study entry 61 years), but the effects of fenofibrate in premenopausal and postmenopausal women were not different for lipoprotein measures or for clinical CVD event reductions, and too few women continued exogenous oestrogen therapy to have any plausible impact on the results. Nor did insulin use or differences in statin uptake between the sexes explain the difference in LDL-cholesterol and fenofibrate response (see ESM Fig. 1 and Simes et al ). Uptake of statin therapy during the trial may have confounded the treatment effects. We adjusted the results for statin uptake (and covariates), which is considered a better method of accounting for this than using analytical methods that do not maintain the randomised comparisons . In fact, there was little difference between the unadjusted results and the results adjusted for statin use and covariates. Metformin use, which can improve the lipid profile , was more common in women, but in FIELD, metformin use did not contribute materially to the observed sex differences in lipid and apolipoprotein changes.
Previous studies with fenofibrate or, indeed, any fibrate have not reported a sex difference in responsiveness to therapy. However, most of the large prospective CVD intervention studies with fibrate monotherapy have either not included women or have had relatively small numbers of women [5, 6], and even fewer have had women with diabetes.
The ACCORD Lipid study had 1,694 women (31% of patients) randomly assigned to fenofibrate or placebo on background statin therapy . Lipid changes by sex in ACCORD Lipid have yet to be published in a journal article, but have been reported to the US Food and Drug Administration  and show larger LDL-cholesterol reductions in women. In contrast to our study, ACCORD Lipid reported that the primary outcome (CVD death or non-fatal MI or non-fatal stroke) was less frequent (11.2%) in men using the combination of fenofibrate and simvastatin than in men receiving simvastatin alone (13.3%), but the rate for women was non-significantly more frequent in the combination therapy group (9.1% vs 6.6%); the difference between the sexes was significant (p = 0.01 for interaction) . Such sex-specific differences in treatment benefits were not apparent among participants with dyslipidaemia in ACCORD Lipid , where CVD benefits were greatest . FIELD has also reported similarly large CVD benefits in men and women with diabetes and dyslipidaemia . Only a small number of women in FIELD met the ACCORD Lipid definition for dyslipidaemia, but patterns of fenofibrate effect among them were similar to those for men (ESM Table 2).
There are several potential reasons for the discrepant results between FIELD and ACCORD Lipid. All patients in ACCORD Lipid but fewer than one-third of FIELD patients received statin therapy. Patients in FIELD may have had a higher background risk by virtue of not being on statin therapy at randomisation, but they had a shorter duration of diabetes and a lower HbA1c at study entry. Nevertheless, CVD event rates among women in the control arm in FIELD appeared to be about 50% higher than in ACCORD Lipid (ESM Table 2). The apparent higher event rate combined with the greater number would offer substantially more power in FIELD to evaluate the effects of fenofibrate in women. It is possible that the non-significantly adverse CVD result for women in ACCORD Lipid was just the play of chance. It is important to note that event rates were reduced similarly in dislipidaemic women and men in ACCORD Lipid . The results do suggest that the combination of fenofibrate with a statin will be most beneficial for CVD prevention in patients with dyslipidaemia on statin therapy and are consistent with findings in FIELD that the effect is greatest in patients with dyslipidaemia .
In summary, the FIELD study showed that both men and women with diabetes had significantly improved lipoproteins with fenofibrate therapy, with changes in women being greater than in men. The primary endpoint of the study was not statistically significantly reduced, but total CVD events were significantly lowered with allocation to fenofibrate. In pre-specified analyses by sex, there was no evidence that women did worse than men and for several endpoints, including total CVD events, there was a trend suggesting that women may have benefited more. These benefits were particularly large in those with dyslipidaemia, consistent with the findings in ACCORD Lipid. These results suggest that fenofibrate is effective for improving an adverse lipoprotein profile and for reducing total CVD event risk in women with type 2 diabetes, especially those with dyslipidaemia.
The authors had full access to all study data. Data were analysed by statisticians D. Zannino and K. Mann at the NHMRC CTC, University of Sydney. We thank R. Pike for assistance with the manuscript and M. Donoghoe for assistance with analyses (both from NHMRC CTC).
FIELD was supported by a grant from Laboratoires Fournier, Dijon, France (now part of Abbott Pharmaceuticals) and by the National Health and Medical Research Council of Australia (grants 457103, 1024105 and 1037786) and was coordinated independently by the NHMRC CTC.
Duality of interest
ACK and MCDE have received speaker’s bureau fees from Solvay (now Abbott Pharmaceuticals). ACK and AJJ have received travel and/or research grant support from Solvay (now Abbott Pharmaceuticals). All other authors declare that there is no duality of interest associated with their contribution to this manuscript.
MCDE, JDB and ACK designed the study; MCDE, AJJ and ACK wrote the manuscript; LL researched the data; DZ and KPM analysed the data; MCDE, AJJ, LL, DZ, KPM, JDB, BGAS, KP, JS and ACK interpreted the data; LL, DZ, KPM, JDB, BGAS, KP and JS contributed to the discussion and reviewed and revised the manuscript. All authors approved the final manuscript. ACK is the guarantor of this work.