Methods |
Type of RCT: 5:2 parallel‐group, double‐blind dose‐ranging RCTs Settings: outpatient care Duration: 24 weeks Start and stop dates: 07/2012 and 05/2013 |
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Participants |
Number of participants: 354 Number lost to follow‐up: NA Women: 182 (51%) Age (SD), years: 59 (11) History of CVD: NA Participants with FH: NA Participants with hypercholesterolaemia on stable statin therapy with fasting LDL‐C of 80 mg/dL or more and triglycerides of 400 mg/dL or less |
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Interventions |
Background therapy: statin therapy Randomised therapy: bococizumab (RN316) vs placebo Bococizumab dose: Participants were offered 50 mg, 100 mg, 150 mg once every 2 weeks, or 200 mg, 300 mg every 4 weeks, resulting in a dosage range of 50 mg to 150 mg every 2 weeks Intervention was continued for 24 weeks with dose reduction at day 43 (14‐week regimen) or at day 57 (28‐week regimen) |
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Outcomes | Adverse events | |
Notes |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Randomisation by interactive voice‐response system |
Allocation concealment (selection bias) | Unclear risk | Unclear how the interactive voice system was implemented |
Blinding of participants and personnel (performance bias) LDL‐C | Unclear risk | Although paper and appendix describe the study as double‐blind, it is unclear how this was maintained and who was blinded. However, no LDL‐C measurement was available at/near any of the predefined time points, making this less important |
Blinding of outcome assessment (detection bias) LDL‐C | Low risk | Although paper and appendix describe the study as double‐blind, it is unclear how this was maintained and who was blinded. Any lack of blinding of participants and personnel seems unlikely to bias LDL‐C assessment, which was performed in independent laboratories. On the other hand, outcomes such as adverse events may be biased owing to detection bias |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Not reported; mixed‐effects models, including baseline measurement, were used for continuous outcomes |
Selective reporting (reporting bias) | Unclear risk | Study protocol was unavailable |
Other bias | High risk | Funded by Pfizer |