Table 1.
Subject | Study | Lipid criteria (mg/dL) | Study drug | Duration | n | Percent change from baseline | Baseline level (mg/dL) | Safety | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
LDL-C | TG | HDL-C | TC | LDL-C | TG | HDL-C | TC | |||||||
Japan | Saito et al45 | TC ≥ 220, TG < 400 | PTV 2 mg | 12 wks | 120 | −37.6 | 8.9 | −28.0 | 194.2 | 158.0 | 56.8 | 279.7 | Both treatments well tolerated | |
PRV 10 mg | 105 | −18.4 | 9.8 | −13.8 | 195.3 | 166.8 | 52.9 | 278.8 | ||||||
CHIBA43 | TC ≥ 220, TG < 400 | PTV 2 mg | 12 wks | 93 | −42.6 | −17.3 | 3.2 | −29.7 | 177.1 | 155.2 | 58.5 | 262.8 | AST, ALT, γ-GTP elevated in ATV | |
ATV 10 mg | 98 | −44.1 | −10.7 | 1.7 | −31.1 | 178.3 | 138.9 | 60.2 | 265.8 | |||||
PIAT39* | LDL-C ≥ 140, HDL-C < 80, TG < 500 | PTV 2 mg | 8 wks | 88 | −36.8 | 8.2 | 163.7 | 155.1 | 51.9 | 246.9 | No significant differences | |||
ATV 10 mg | 85 | −37.9 | 3.4 | 161.9 | 171.9 | 51.6 | 246.7 | |||||||
Korea | Park et al46 | LDL-C > 130, TG < 600 | PTV 2 mg | 8 wks | 49 | −38.2 | 8.3 | −26.9 | 170.0 | 168.1 | 51.0 | 246.8 | More incidence of ADRs in SMV | |
SMV 20 mg | 46 | −39.4 | 3.6 | −28.5 | 165.7 | 153.6 | 52.1 | 240.0 | ||||||
Lee et al44 | LDL-C > 130, TG < 400 | PTV 2 mg | 4 wks | 110 | −44.4 | −13.4 | 4.6 | −30.1 | 159 | 142 | 52 | 239 | No significant differences | |
ATV 10 mg | 112 | −43.2 | −13.3 | 5.7 | −29.3 | 160 | 136 | 52 | 239 | |||||
Thailand | Sansanayudh et al42 | Indicated for statin therapy by NCEP-ATP III | PTV 1 mg | 8 wks | 50 | −37.4 | −10.4 | 2.8 | −27.6 | 176.0 | 145.2 | 53.4 | 258.4 | Both treatments well tolerated |
ATV 10 mg | 50 | −45.8 | −7.1 | −0.4 | −32.3 | 172.9 | 141.9 | 53.9 | 255.2 | |||||
Europe | Budinski et al48 | 160 ≤ LDL-C ≤ 220, TG ≤ 400 | PTV 2 mg | 12 wks | 315 | −37.9 | −14.1 | 4 | −27.7 | 183.6 | 157.8 | 48.5 | 263.6 | All treatments well tolerated |
ATV 10 mg | 102 | −37.8 | −17.7 | 3 | −28.1 | 179.8 | 156.8 | 50.2 | 261.3 | |||||
PTV 4 mg | 298 | −44.6 | −19 | 5 | −32.4 | 182 | 156.8 | 49.9 | 263.3 | |||||
ATV 20 mg | 102 | −43.5 | −22.3 | 2.5 | −32.7 | 181.9 | 161.9 | 48.4 | 262.7 | |||||
Ose et al47 | 160 ≤ LDL-C ≤ 220, TG ≤ 400 | PTV 2 mg | 12 wks | 307 | −39.0 | −15.9 | 6.0 | −27.9 | 183.6 | 163.8 | 51.3 | 267.6 | All treatments well tolerated | |
SMV 20 mg | 107 | −35.0 | −15.6 | 5.5 | −25.4 | 184.1 | 166.7 | 51.0 | 268.4 | |||||
PTV 4 mg | 319 | −44.0 | −16.8 | 6.2 | −31.5 | 184.1 | 155.4 | 52.8 | 268.0 | |||||
SMV 40 mg | 110 | −42.8 | −16.1 | 6.8 | −30.5 | 184.0 | 153.9 | 52.3 | 267.0 | |||||
Hounslow49 | 130 ≤ LDL-C ≤ 220 | PTV 1 mg | 12 wks | −31.4 | All treatments well tolerated | |||||||||
PRV 10 mg | −22.4 | |||||||||||||
PTV 2 mg | −39.0 | 162.8– | ||||||||||||
PRV 20 mg | −28.8 | 166.6 | ||||||||||||
PTV 4 mg | −44.3 | |||||||||||||
PRV 40 mg | −34.0 | |||||||||||||
Japan | JAPAN-ACS16,40 | TC ≥ 180, LDL-C ≥ 100 | PTV 4 mg | 8–12 mos | 125 | −36.2 | 16.2 | 9.9 | −21.6 | 130.9 | 119.2 | 45.0 | 196.5 | No significant differences |
ATV 20 mg | 127 | −35.8 | 21.2 | 8.0 | −21.9 | 133.8 | 116.7 | 43.9 | 197.9 | |||||
Toi et al41 | Unspecified | PTV 2 mg | 2–3 wks | 80 | −31.0 | −8.0 | −2.6 | −22.5 | 114.7 | 86.2 | 45.5 | 178.0 | NA | |
ATV 10 mg | 80 | −27.9 | 0.8 | −5.1 | −22.0 | 122.0 | 120.3 | 45.5 | 191.1 |
Note: Patients with impaired glucose tolerance or Type 2 diabetes mellitus.
Abbreviations: ACS, acute coronary syndrome; n, number of patients; PTV, pitavastatin; PRV, pravastatin; ATV, atorvastatin; SMV, simvastatin; NA, data not available; ADRs, adverse drug reactions; TC, toal cholesterol; TG, triglycerides; LDL-C, low-density lipoprotein cholesterol; HDL-C, high-density lipoprotein cholesterol.