Table 3.
Outcome | Study | Treatment of interest | Control group | Summary of findings | NOS score (0-10) |
New-onset diabetes | Barkas et al31 | Ezetimibe+statin | Statin | Ezetimibe did not increase the risk of new-onset diabetes (adjusted OR 1.01; 95% CI 0.51 to 1.99). OR was adjusted for the log-transformed baseline fasting glucose levels and follow-up duration, the presence of metabolic syndrome, and family history of diabetes. | 7 |
Kim et al32 | Simvastatin (20 mg) with ezetimibe (10 or 20 mg) complex | Simvastatin (20 and 40 mg) | Ezetimibe did not increase the risk of new-onset diabetes (adjusted OR via indirect comparison* 1.24; 95% CI 0.65 to 2.39). OR was adjusted for baseline variables, which were not reported explicitly. | 7 | |
Myalgia or muscular pain leading to discontinuation | Kłosiewicz-Latoszek et al33 | Ezetimibe+statin | Statin | No case of myalgia or muscular pain leading to discontinuation was reported in each group. | 6 |
Rivers et al34 | Phase 1: ezetimibe; phase 2: ezetimibe+colesevelam | Phase 1: colesevelam; phase 2: ezetimibe+colesevelam | No case of myalgia or muscular pain leading to discontinuation was reported in each group. | 6 | |
Discontinuation due to any gastrointestinal adverse events | Rivers et al34 | Phase !: ezetimibe; phase 2: ezetimibe+colesevelam | Phase 1: colesevelam; phase 2: ezetimibe+colesevelam | No case of discontinuation due to any gastrointestinal adverse events was reported in each group. | 6 |
Discontinuation due to any adverse events | Rivers et al34 | Phase 1: ezetimibe; phase 2: ezetimibe+colesevelam | Phase 1: colesevelam; phase 2: ezetimibe+colesevelam | No case of discontinuation due to any adverse events was reported in each group. | 6 |
CI=confidence interval; NOS=Newcastle-Ottawa quality assessment scale; OR=odds ratio.
*The comparison was indirect because the OR and 95% CI of simvastatin and ezetimibe versus imvastatin were calculated from the ORs and 95% CIs of simvastatin versus atorvastatin and of simvastatin and ezetimibe versus atorvastatin.