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. 2018 Nov 19;2018(11):CD012502. doi: 10.1002/14651858.CD012502.pub2

Okada 2012.

Methods Design: RCT
Number of study centres: 13 centres in Japan
Setting: not reported
Patient recruitment: not reported
Duration of study (Follow‐up): 52 weeks
Clinical setting: coronary artery disease
Participants Enrolment (N): 200
Randomised (N): intervention: 100; control:100
Withdrawn (N): intervention:22 ; control:28
Lost to follow‐up (N): not reported
Completed the study (N): intervention: 78; control:72
Analysed (N): intervention: 78; control:72
Age (years) (mean ± SD): intervention: 65.7 ± 10.1; control: 65.9 ± 8.7
Sex (male, N, %): intervention: 57 (73.1%); control: 53 (73.6%)
Smoking history (N, %): intervention: 26(33.3%); control: 25 (34.7%)
BMI (kg/m², mean ± SD):): intervention: 25.1 ± 3.0; control: 25.3 ± 3.8
Diabetes (N, %): intervention: 41 (52.6%); control: 36 (50.0%)
Hypertension (N, %): intervention: 57 (73.1%) ; control: 57 (79.2%)
History of MI (N, %): intervention: 45 (57.7%) ; control: 42 (58.3%)
Statin pretreatment (N, %): intervention: 100%; control:100%
Inclusion criteria: Quote: "Patients with coronary artery disease whose LDL‐C levels were ≥70 mg/dL after treatment with atorvastatin 10 mg/day or rosuvastatin 2.5 mg/day".
Exclusion criteria: adverse reactions to the study drugs; triglyceride level > 500m g/dL; ALT level more than twice the upper limit of normal; secondary dyslipidaemia; drug‐induced dyslipidaemia; ACS, a history of PCI, coronary artery bypass grafting, or stroke within 3 months. Women who were pregnant, at risk for becoming pregnant, or who were nursing infants were also excluded.
Interventions Intervention: ezetimibe +atorvastatin 10 mg/day or rosuvastatin 2.5 mg/day
Comparison: atorvastatin 20 mg/day or rosuvastatin 5 mg/day
Details of any 'run‐in' period: not reported
Concomitant medications: not reported
Excluded medications: not reported
Outcomes Primary: Lipid levels, campesterol, lathosterol, plasma protein convertase subtilisin/kexin type 9 (PCSK9) concentrations.
Notes Funding: Financially supported by Merck Sharp & Dohme (MSD), Inc. and Bayer, Inc.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomly assigned, but no further details.
Allocation concealment (selection bias) Unclear risk Not reported
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Not reported
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not reported
Incomplete outcome data (attrition bias) 
 All outcomes High risk 50/200 withdrew from the study
Selective reporting (reporting bias) Unclear risk No protocol published, or trials registry record found.
Other bias Unclear risk Insufficient information to assess whether an important risk of bias exists
Financially supported by Merck Sharp & Dohme (MSD), Inc. and Bayer, Inc.