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Journal of Atherosclerosis and Thrombosis logoLink to Journal of Atherosclerosis and Thrombosis
. 2023 May 2;30(6):698–699. doi: 10.5551/jat.ER63659

Efficacy and Safety of Pemafibrate Versus Bezafibrate to Treat Patients with Hypertriglyceridemia: A Randomized Crossover Study

Akihiro Nakamura, Yuta Kagaya, Hiroki Saito, Masanori Kanazawa, Kenjiro Sato, Masanobu Miura, Masateru Kondo, Hideaki Endo
PMCID: PMC10244067  PMID: 37150612

The following article which appeared in J Atheroscler Thromb, 2023; 30: 443-454, contained the errors described below.

(on page 443)

Abstract

Incorrect

Results: The %Change in TG and Apo A-I levels was significantly greater with pemafibrate than with bezafibrate (−46.1% vs. −34.7%, p<0.001; 9.2% vs. 5.7%, p=0.018, respectively). %Change in HDL-C levels was not significantly different between the two treatments. %Change in liver enzyme levels was markedly decreased with pemafibrate than with bezafibrate. Creatinine levels significantly increased in both treatments; however, its %Change was significantly lower with pemafibrate than with bezafibrate (5.72% vs. 15.5%, p<0.001). The incidence of adverse events (AEs) or serious AEs did not differ between the two treatments; however, the number of patients with elevated creatinine levels (≥ 0.5 mg/dL and/or 25% from baseline) was significantly lower in the bezafibrate group than in the pemafibrate group (16/60 vs. 3/60, p =0.004).

Correct

Results: The %Change in TG and Apo A-I levels was significantly greater with pemafibrate than with bezafibrate (−46.1% vs. −34.7%, p<0.001; 9.2% vs. 5.7%, p =0.018, respectively). %Change in HDL-C levels was not significantly different between the two treatments. %Change in liver enzyme levels was markedly decreased with pemafibrate than with bezafibrate. Creatinine levels significantly increased in both treatments; however, its %Change was significantly lower with pemafibrate than with bezafibrate (5.72% vs. 15.5%, p<0.001). The incidence of adverse events (AEs) or serious AEs did not differ between the two treatments; however, the number of patients with elevated creatinine levels (≥ 0.5 mg/dL and/or 25% from baseline) was significantly higher in the bezafibrate group than in the pemafibrate group (14/60 vs. 3/60, p =0.004).

(on page 450)

Table 6

Incorrect

Table 6. Safety assessment because of adverse events and abnormal laboratory values during the study.

Bezafibrate treatment (n= 60) Pemafibrate treatment (n= 60)
Total AEs 22 (37) 26 (43)
Treatment-related AEs 1 (2) 1 (2)
Discontinuation due to AEs 0 (0) 0 (0)
SAEs 5 (8) 6 (10)
Treatment-related SAEs 0 (0) 0 (0)
Discontinuation due to SAEs 0 (0) 0 (0)
AEs of clinical interest
CK levels of >5×ULN 1 (2) 0 (0)
AST and/or ALT levels of >3×ULN 0 (0) 0 (0)
Increase in the creatinine levels of ≥ 0.5 mg/day and/or 25% 14 (23) 3 (5)
Symptoms related to rhabdomyolysis/myopathy 0 (0) 0 (0)
Symptoms related to gallbladder disease 1 (2) 0 (0)
Symptoms related to hepatic disease 0 (0) 0 (0)
Symptoms related to pancreatic disease 0 (0) 0 (0)
Symptoms related to gastrointestinal disease 0 (0) 0 (0)

Data are presented as n (%). p<0.005 vs. pemafibrate treatment. AEs, adverse events; SAEs, serious adverse events; CK, creatine kinase; ULN, upper limit of normal; AST, aspartate aminotransferase; ALT, alanine aminotransferase.

Correct

Table 6. Safety assessment because of adverse events and abnormal laboratory values during the study.

Bezafibrate treatment (n= 60) Pemafibrate treatment (n= 60)
Total AEs 22 (37) 26 (43)
Treatment-related AEs 3 (5) 1 (2)
Discontinuation due to AEs 0 (0) 0 (0)
SAEs 5 (8) 6 (10)
Treatment-related SAEs 2 (3) 0 (0)
Discontinuation due to SAEs 0 (0) 0 (0)
AEs of clinical interest
CK levels of >5×ULN 1 (2) 0 (0)
AST and/or ALT levels of >3×ULN 0 (0) 0 (0)
Increase in the creatinine levels of ≥ 0.5 mg/dL and/or 25% 14 (23) 3 (5)
Symptoms related to rhabdomyolysis/myopathy 0 (0) 0 (0)
Symptoms related to gallbladder disease 1 (2) 0 (0)
Symptoms related to hepatic disease 0 (0) 0 (0)
Symptoms related to pancreatic disease 0 (0) 0 (0)
Symptoms related to gastrointestinal disease 0 (0) 0 (0)

Data are presented as n (%). p<0.005 vs. pemafibrate treatment. AEs, adverse events; SAEs, serious adverse events; CK, creatine kinase; ULN, upper limit of normal; AST, aspartate aminotransferase; ALT, alanine aminotransferase.


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