Table 2.
Details of the large fibrate outcome trials in the total cohort are provided in this table
Trial | HHS | VA-HIT | BIP | FIELD | ACCORD |
Drug | Gemfibrozil | Gemfibrozil | Bezafibrate | Fenofibrate | Fenofibrate |
Dose | 1200 mg/d | 1200 mg/d | 400 mg/d | 200 mg/d | 200 mg/d |
Primary endpoint | MI (fatal and non-fatal), cardiac death | Combined incidence of nonfatal MI and death from CAD | MI (fatal and non-fatal), sudden death | CHD death, non-fatal MI | Non-fatal MI, non-fatal stroke, or CVD death |
Mean follow-up (yr) | 5 | 5 | 6 | 5 | 5 |
Patients (total) | Fibrate = 2051; placebo = 2030 | Fibrate = 1264; placebo = 1267 | Fibrate = 1548; placebo = 1542 | Fibrate = 4895; placebo = 4900 | Fibrate = 2765; placebo = 2753 |
Effect on Lipids (% change from baseline) | LDL-C: -10; TC: -11; TG: -43; HDL-C: +10 | LDL-C: 0; TC: -4; TG: -31; HDL-C: +6 | LDL-C: -6.5; TC: -4.5; TG: -21; HDL-C: +18 | LDL-C: -12; TC: -11; TG: -29; HDL-C: +5 | LDL-C: -19; TC: -14; TG: -22; HDL-C: +8.4 |
Outcomes | CHD: ↓ 34%; non-fatal MI: ↓ 37%; total mortality: No change | CHD and non-fatal MI: ↓ 22%; total mortality: ↓ 11% (NS) | Fatal and nonfatal MI and sudden death: ↓ 9% (NS); total mortality: No change | CHD and non-fatal MI: ↓ 11% (NS); total mortality: ↑ 19% (NS) | Nonfatal MI nonfatal stroke CVD death: ↓ 8% (NS); total mortality: ↓ 9 % (NS) |
HHS: Helsinki Heart Study; VA-HIT: Veterans Affairs High-Density Cholesterol Intervention Trial; BIP: Bezafibrate Infarction Prevention; FIELD: Fenofibrate Intervention and Event Lowering in Diabetes; ACCORD: Action to Control Cardiovascular Risk in Diabetes; CVD: Cardiovascular disease; NS: Not significant; LDL-C: Low density lipoprotein cholesterol; TC: Total cholesterol; TG: Triglycerides; HDL-C: High density lipoprotein cholesterol; MI: Myocardial infarction; CAD: Coronary artery disease; CHD: Coronary heart disease.