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. 2024 Mar 19;23:104. doi: 10.1186/s12933-024-02180-8

Table 4.

Key information of the CLEAR Outcomes trial [55]

CLEAR Outcomes

Class &

Cardiovascular (CV) outcomes

HR (95% CI) p-value
Primary efficacy endpoint
Composite of 4P-MACE: CV death, nonfatal MI, nonfatal stroke, or coronary revascularization 0.87 (0.79 to 0.96) 0.004
Key secondary efficacy endpoints
Composite of 3P-MACE: CV death, nonfatal stroke, or nonfatal MI 0.85 (0.76 to 0.96) 0.006
Fatal or nonfatal MI 0.77 (0.66 to 0.91) 0.002
Coronary revascularization 0.81 (0.72 to 0.92) 0.001
Fatal or nonfatal stroke 0.85 (0.67 to 1.07) 0.16
CV death 1.04 (0.88 to 1.24)
Death from any cause 1.03 (0.90 to 1.18)
Adverse events of special interest Event rate (%) active vs. placebo group

Any adverse event that started or worsened after the first dose

of a trial agent

86.3 vs. 85.0
Any muscle disorder adverse event 15.0 vs. 15.4
Myalgia 5.6 vs. 6.8
New onset diabetes in patients without diabetes at baseline 16.1 vs. 17.1
Worsening hyperglycemia 22.7 vs. 23.1
Hypoglycemia 4.3 vs. 3.8
Metabolic acidosis 0.2 vs. 0.2
Elevated hepatic-enzyme level 4.5 vs. 3.0
Renal impairment 11.5 vs. 8.6
Hyperuricemia 10.9 vs. 5.6
Gout 3.1 vs. 2.1
Cholelithiasis 2.2 vs. 1.2

‡ p-values after the first nonsignificant p-value are not presented

CI, confidence interval; CV, cardiovascular; HR, hazard ratio; MACE, major adverse cardiovascular event; MI, myocardial infarction