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 |
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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Enrolment (N): 200 Randomised (N): intervention: 100; control:100 Withdrawn (N): intervention:22 ; control:28 Lost to follow‐up (N): not reported Completed the study (N): intervention: 78; control:72 Analysed (N): intervention: 78;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. |
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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 |
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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. |