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. 2017 Apr 28;2017(4):CD011748. doi: 10.1002/14651858.CD011748.pub2
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
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.
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.
Outcomes lipids, any adverse events, all‐cause mortality.
Notes
  • All results based on an abstract.

  • Results presented as Alirocumab versus placebo.

  • NCT0203879

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.