Methods |
Type of RCT: 1:2 parallel group, double‐blind RCT. Settings: outpatient care. Duration: 24 weeks Start and stop dates: 12/2013; 06/2017 |
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Participants |
Number of participants: 233 Number lost to follow‐up: NA Women: 103 (44%) Age(SD): 63 (10) History of CVD: NA FH participants: 29 (12%) Participants with primary hypercholesterolaemia (heFH or non‐FH) with high CV risk with muscle related statin intolerance, or moderate CV risk without muscle related statin intolerance. |
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Interventions |
Background therapy: ezetimibe, fenofibrate or diet alone. Randomized therapy: alirocumab versus placebo. Alirocumab dose: 24 weeks of 75 mg alirocumab every 2 weeks or 150 mg Alirocumab every 4 weeks. At 12 weeks participants could switch to 150 mg every 2 weeks. Resulting in a two week equivalent dose of 75‐150mg. |
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Outcomes | lipids, any adverse events, all‐cause mortality. | |
Notes |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Not reported. |
Allocation concealment (selection bias) | Unclear risk | Not reported |
Blinding of participants and personnel (performance bias) LDL‐C | Unclear risk | Described as double‐blind however no details are provided on who was blinded. However, taking account of the other Odyssey trials seems likely both patients and personal were blinded. |
Blinding of outcome assessment (detection bias) LDL‐C | Low risk | No details are provided. However, LDL‐C and other biomarkers are unlikely biased by any lack of blinded assessment. Furthermore, all other Odyssey trails implemented blinded assessment. |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | No details are provided on missing data. |
Selective reporting (reporting bias) | Unclear risk | The full paper has not yet been published. |
Other bias | High risk | Funded by Sanofi and Regeneron. |