Schrott 1998.
Methods | 6‐Week placebo baseline period 6‐Week multi‐centre randomised parallel‐group placebo‐controlled trial | |
Participants | 65 men and women from the USA, mean age 58 (18‐75) years; type IIa and IIb hypercholesterolaemia, LDL 4.1 to 6.5 mmol/L (159‐251 mg/dL), TG ≤ 4.5 mmol/L (399 mg/dL)
Exclusion criteria: women likely to become pregnant, hepatic dysfunction, renal dysfunction, uncontrolled HTN, diabetes, metabolic endocrine disease, alcohol consumption > 14‐oz/wk equivalents, taking lipid‐altering drugs Placebo baseline TC: 7.10 mmol/L (275 mg/dL) Placebo baseline LDL‐C: 4.93 mmol/L (191 mg/dL) Placebo baseline HDL‐C: 1.24 mmol/L (48 mg/dL) Placebo baseline TG: 2.09 mmol/L (185 mg/dL) Atorvastatin 10 mg/d baseline TC: 7.17 mmol/L (277 mg/dL) Atorvastatin 10 mg/d baseline LDL‐C: 4.95 mmol/L (191 mg/dL) Atorvastatin 10 mg/d baseline HDL‐C: 1.11 mmol/L (43 mg/dL) Atorvastatin 10 mg/d baseline TG: 2.38 mmol/L (211 mg/dL) Atorvastatin 20 mg/d baseline TC: 7.07 mmol/L (273 mg/dL) Atorvastatin 20 mg/d baseline LDL‐C: 4.85 mmol/L (188 mg/dL) Atorvastatin 20 mg/d baseline HDL‐C: 1.21 mmol/L (47 mg/dL) Atorvastatin 20 mg/d baseline TG: 2.07 mmol/L (183 mg/dL) Atorvastatin 40 mg/d baseline TC: 6.94 mmol/L (268 mg/dL) Atorvastatin 40 mg/d baseline LDL‐C: 4.77 mmol/L (184 mg/dL) Atorvastatin 40 mg/d baseline HDL‐C: 1.42 mmol/L (55 mg/dL) Atorvastatin 40 mg/d baseline TG: 1.60 mmol/L (142 mg/dL) Atorvastatin 60 mg/d baseline TC: 6.94 mmol/L (268 mg/dL) Atorvastatin 60 mg/d baseline LDL‐C: 4.88 mmol/L (189 mg/dL) Atorvastatin 60 mg/d baseline HDL‐C: 1.21 mmol/L (47 mg/dL) Atorvastatin 60 mg/d baseline TG: 1.85 mmol/L (164 mg/dL) Atorvastatin 80 mg/d baseline TC: 7.40 mmol/L (286 mg/dL) Atorvastatin 80 mg/d baseline LDL‐C: 5.08 mmol/L (196 mg/dL) Atorvastatin 80 mg/d baseline HDL‐C: 1.42 mmol/L (55 mg/dL) Atorvastatin 80 mg/d baseline TG: 2.02 mmol/L (179 mg/dL) |
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Interventions | Placebo
Atorvastatin 10 mg/d Atorvastatin 20 mg/d Atorvastatin 40 mg/d Atorvastatin 60 mg/d Atorvastatin 80 mg/d |
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Outcomes | Per cent change from baseline at 6 weeks of serum TC, LDL‐C, HDL‐C and TG | |
Notes | WDAEs were not reported | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | No information about sequence generation was provided to permit judgement of 'yes' or 'no' |
Allocation concealment (selection bias) | High risk | Open trial |
Blinding (performance bias and detection bias) All outcomes | High risk | Open trial |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Data on all participants were reported |
Selective reporting (reporting bias) | Low risk | All lipid parameters were measured |
Other bias | High risk | Parke‐Davis Pharmaceuticals funded the study; data may support bias for atorvastatin |