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. 2017 Nov 18;6(11):e006901. doi: 10.1161/JAHA.117.006901

Table 3.

Safety Outcomes by Sex (Intention to Treat Population)

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.

a

P value comparing treatment within the same sex group.

b

P int comparing treatment effects between women and men.