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. 2016 Mar 10;7(5):74–88. doi: 10.4239/wjd.v7.i5.74

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.