Bayer 1995.
Methods | 10‐week run‐in washout period 6‐week RCT |
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Participants | 55 men and women with heterozygous FH aged 21‐75 years LDL‐C > 5.0 mmol/L (193 mg/dL), TG ≤ 4.02 mmol/L (356 mg/dL), hypertensive patients on a stable dose of beta‐blockers or diuretics and patients on thyroid replacement therapy TSH was ≤ 7.5mu/L with T4 within normal range, postmenopausal women on HRT Exclusion criteria: homozygous FH, MI, stroke, PTCA or coronary bypass surgery within the previous 6 months, congestive heart failure grade 3 or 4, significant cardiac arrhythmias, uncontrolled diabetes mellitus, endocrine disease, significant renal disease, respiratory disease, hepatic dysfunction, significant eye disease, neuromuscular disease, infections that may interfere with the trial, cancer within 5 years, women of child bearing potential, drug or alcohol abuse, night shift workers, mental disorders, HIV positive, pancreatitis, use of immunosuppressants, corticosteroids, androgens, erythromycin, niacin, psyllium, fish oil and excess bran and therapy with any other investigational drug within 30 d prior to the screening visit Placebo baseline TC: 9.00 mmol/L (348 mg/dL) Placebo baseline LDL‐C: 7.24 mmol/L (280 mg/dL) Placebo baseline HDL‐C: 1.19 mmol/L (46 mg/dL) Placebo baseline TG: 1.24 mmol/L (110 mg/dL) Cerivastatin 0.2 mg/d baseline TC: 9.08 mmol/L (351 mg/dL) Cerivastatin 0.2 mg/d baseline LDL‐C: 7.27 mmol/L (281 mg/dL) Cerivastatin 0.2 mg/d baseline HDL‐C: 1.16 mmol/L (45 mg/dL) Cerivastatin 0.2 mg/d baseline TG: 1.39 mmol/L (123 mg/dL) Cerivastatin 0.3 mg/d baseline TC: 9.59 mmol/L (371 mg/dL) Cerivastatin 0.3 mg/d baseline LDL‐C: 7.63 mmol/L (295 mg/dL) Cerivastatin 0.3 mg/d baseline HDL‐C: 1.19 mmol/L (46 mg/dL) Cerivastatin 0.3 mg/d baseline TG: 1.68 mmol/L (149 mg/dL) |
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Interventions | Placebo evening dosing Cerivastatin 0.2 mg/d evening dosing Cerivastatin 0.3 mg/d evening dosing |
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Outcomes | Percentage change from baseline at 6 weeks of plasma 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 fashion lipid parameter measurements unlikely influenced by lack of sufficient blinding |
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 | Low risk | No participants withdrew due to adverse events |
Incomplete outcome data (attrition bias) Total cholesterol | Low risk | All participants were included in the efficacy analysis |
Incomplete outcome data (attrition bias) LDL cholesterol | Low risk | All participants were included in the efficacy analysis |
Incomplete outcome data (attrition bias) HDL cholesterol | Low risk | All participants were included in the efficacy analysis |
Incomplete outcome data (attrition bias) Triglycerides | Low risk | All participants were included in the efficacy analysis |
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 |