Bayer 1998.
Methods | 10‐week baseline washout period 6 months for probucol 24‐week RCT |
|
Participants | 908 men and women aged 18‐75 with documented primary hypercholesterolaemia Exclusion criteria: weight > 140% ideal body weight, homozygous FH, cancer except squamous or basal cell skin cancer or psychosis, women of childbearing potential, night shift workers, drug or alcohol abuse, MI, stroke, TIA, unstable angina, CABG and PTCA within 6 months of trial, uncontrolled hypertension within 3 months of trial, patients with hypertension who had a change in diuretic or beta blocker therapy within 3 months of trial, diabetes mellitus or other endocrine disorders, significant eye disease, active hepatic disease, GI disorders that could affect drug absorption, HMG CoA reductase inhibitor hypersensitivity, renal dysfunction, current use of corticosteroids, erythromycin, all macrolide antibiotics, rifampin, androgens, immunosuppressants, ketoconazole and itraconazole, treatment with cerivastatin within 6 months of trial and therapy with another investigational product within 30 d Placebo baseline TC: 7.10 mmol/L (275 mg/dL) Placebo baseline LDL‐C: 4.94 mmol/L (191 mg/dL) Placebo baseline HDL‐C: 1.25 mmol/L (48 mg/dL) Placebo baseline TG: 1.99 mmol/L (176 mg/dL) Cerivastatin 0.3 mg/d baseline TC: 7.15 mmol/L (276 mg/dL) Cerivastatin 0.3 mg/d baseline LDL‐C: 4.96 mmol/L (192 mg/dL) Cerivastatin 0.3 mg/d baseline HDL‐C: 1.26 mmol/L (49 mg/dL) Cerivastatin 0.3 mg/d baseline TG: 2.11 mmol/L (187 mg/dL) Cerivastatin 0.4 mg/d baseline TC: 7.05 mmol/L (273 mg/dL) Cerivastatin 0.4 mg/d baseline LDL‐C: 4.84 mmol/L (187 mg/dL) Cerivastatin 0.4 mg/d baseline HDL‐C: 1.27 mmol/L (49 mg/dL) Cerivastatin 0.4 mg/d baseline TG: 2.08 mmol/L (184 mg/dL) |
|
Interventions | Placebo Cerivastatin 0.3 mg/d Cerivastatin 0.4 mg/d |
|
Outcomes | Percentage change from baseline at 8 weeks of blood TC, LDL‐C, HDL‐C and TG | |
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 lipid parameter measurements unlikely influenced by lack of adequate 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 | High risk | No WDAE data for the 8‐week period |
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 |