Bayer 1992.
Methods | No washout required because participants were not receiving any lipid‐lowering medications within 4 weeks of the trial; 6 months for probucol 1‐month, RCT |
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Participants | 36 men and women with primary hypercholesterolaemia aged 18‐75 years LDL‐C ≥ 130 mg/dL (3.36 mmol/L) and TG ≤ 350 mg/dL (4.02 mmol/L) Exclusion criteria: homozygous FH, CVD or cerebrovascular disease, TIA, uncontrolled hypertension, diabetes mellitus, clinically significant eye disease, malignancy, psychosis, chronic liver disease, prior exposure to cerivastatin nor HMG CoA reductase inhibitor hypersensitivity, drug or alcohol abuse, child bearing potential, patients who had taken another investigational drug within 30 d of trial, concurrent use of corticosteroids, erythromycin, oral anticoagulants, hypoglycaemic agents, digoxin, androgens, immunosuppressants or cimetidine and significant laboratory abnormalities Placebo baseline TC: 6.90 mmol/L (267 mg/dL) Placebo baseline LDL‐C: 4.84 mmol/L (187 mg/dL) Placebo baseline HDL‐C: 1.22 mmol/L (47 mg/dL) Placebo baseline TG: 1.89 mmol/L (167 mg/dL) Cerivastatin 0.3 mg/d baseline TC: 6.90 mmol/L (267 mg/dL) Cerivastatin 0.3 mg/d baseline LDL‐C: 4.68 mmol/L (181 mg/dL) Cerivastatin 0.3 mg/d baseline HDL‐C: 1.29 mmol/L (50 mg/dL) Cerivastatin 0.3 mg/d baseline TG: 1.99 mmol/L (176 mg/dL) |
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Interventions | Placebo evening dosing Cerivastatin 0.3 mg/d evening dosing |
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Outcomes | Percentage change from baseline at 4 weeks of blood TC, LDL‐C, HDL‐C, TG, and WDAEs | |
Source of funding | Bayer | |
Notes | SDs were imputed by the method of Furukawa 2006 | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Method of random sequence generation was not reported |
Allocation concealment (selection bias) | Unclear risk | Method of allocation concealment was not reported |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | Double‐blind: placebo and cerivastatin tablets were all identical in appearance |
Blinding of outcome assessment (detection bias) LDL‐C | Low risk | Lipid parameters were measured in a remote laboratory |
Blinding of outcome assessment (detection bias) WDAE | Unclear risk | Method of blinding for WDAEs was not reported |
Incomplete outcome data (attrition bias) Total cholesterol | Low risk | All participants were included in the efficacy analysis for the placebo group [(24‐23)/24]*100 = 4.2% participants were not included in the efficacy analysis for the cerivastatin 0.3 mg/d group |
Incomplete outcome data (attrition bias) LDL cholesterol | Low risk | All participants were included in the efficacy analysis for the placebo group [(24‐23)/24]*100 = 4.2% participants were not included in the efficacy analysis for the cerivastatin 0.3 mg/d group |
Incomplete outcome data (attrition bias) HDL cholesterol | Low risk | All participants were included in the efficacy analysis for the placebo group [(24‐23)/24]*100 = 4.2% participants were not included in the efficacy analysis for the cerivastatin 0.3 mg/d group |
Incomplete outcome data (attrition bias) Triglycerides | Low risk | All participants were included in the efficacy analysis for the placebo group [(24‐23)/24]*100 = 4.2% participants were not included in the efficacy analysis for the cerivastatin 0.3 mg/d group |
Selective reporting (reporting bias) | Low risk | LDL‐C outcome was reported |
Other bias | High risk | Bayer funded the trial, data may support bias for cerivastatin |