Table 3.
End Points | Sex | Placebo/Simvastatin | Ezetimibe/Simvastatin | P Valuea | P int b |
---|---|---|---|---|---|
Permanently stopped study drug because of adverse events | Women | 274 (14.6) | 272 (14.3) | 0.85 | 0.45 |
Men | 739 (12.4) | 778 (13.1) | 0.27 | ||
ALT, AST, or both ≥3× ULN | Women | 57 (2.6) | 56 (2.5) | 0.92 | 0.50 |
Men | 151 (2.2) | 168 (2.5) | 0.31 | ||
Gallbladder‐related AEs | Women | 95 (4.3) | 86 (3.9) | 0.45 | 0.91 |
Men | 226 (3.3) | 196 (2.9) | 0.17 | ||
Rhabdomyolysis | Women | 10 (0.5) | 5 (0.2) | 0.21 | 0.33 |
Men | 8 (0.1) | 8 (0.1) | >0.99 | ||
Rhabdomyolysis or myopathy | Women | 15 (0.7) | 10 (0.4) | 0.32 | 0.21 |
Men | 13 (0.2) | 17 (0.2) | 0.47 | ||
Rhabdomyolysis, myopathy, or myalgia with CK elevation ≥5× ULN | Women | 24 (1.1) | 13 (0.6) | 0.07 | 0.054 |
Men | 34 (0.5) | 40 (0.6) | 0.49 | ||
Cancer | Women | 145 (8.3) | 144 (8.2) | 0.97 | 0.83 |
Men | 587 (10.8) | 604 (10.8) | 0.53 |
Ezetimibe did not increase the risk of adverse myotoxic events or cancer regardless of sex. Data shown are number (percentage), except for cancer, which is shown as 7‐year Kaplan‐Meier rates. AE indicates adverse event; ALT, alanine aminotransferase; AST, aspartate aminotransferase; CK, creatine kinase; P int, P value for interaction; and ULN, upper limit of normal.
P value comparing treatment within the same sex group.
P int comparing treatment effects between women and men.