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Studies on the use of omega-3 fatty acids to reduce residual cardiovascular risks have yielded mixed results. In the industry-funded STRENGTH trial, researchers have now assessed the effects of a carboxylic acid formulation (omega-3 CA) of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) on clinical outcomes; the formulation was thought to yield greater bioavailability.
The 13,078 participants were at high cardiovascular risk (patients with atherosclerotic cardiovascular disease, those with diabetes plus at least 1 other risk factor, and high-risk primary-prevention patients) and were randomized to receive omega-3 CA (4 g/day) or corn oil (placebo). Participants also were stably treated with a statin; either had LDL levels <100 mg/…