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. 2017 Apr 28;2017(4):CD011748. doi: 10.1002/14651858.CD011748.pub2
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
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
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)
Outcomes Adverse events
Notes
  • Lipid measurement available for 12 weeks of follow‐up

  • NCT01592240

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