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. 2020 Jan 25;2020(1):CD012501. doi: 10.1002/14651858.CD012501.pub2

Simons 2002.

Methods 4‐week dietary/washout period
4‐week RCT
Participants 152 men and women with primary hypercholesterolaemia aged ≥ 18 years
LDL‐C ≥ 97 mg/dL (2.5 mmol/L), TG ≤ 400 mg/dL (4.5 mmol/L)
Exclusion criteria: none reported
Placebo baseline TC: 7.66 mmol/L (296.2 mg/dL)
 Placebo baseline LDL‐C: 5.42 mmol/L (209.6 mg/dL)
 Placebo baseline HDL‐C: 1.36 mmol/L (52.6 mg/dL)
Placebo baseline TG: 1.97 mmol/L (174.5 mg/dL)
Cerivastatin 0.4 mg/d baseline TC: 7.50 mmol/L (290 mg/dL)
 Cerivastatin 0.4 mg/d baseline LDL‐C: 5.22 mmol/L (201.9 mg/dL)
 Cerivastatin 0.4 mg/d baseline HDL‐C: 1.39 mmol/L (53.7 mg/dL)
Cerivastatin 0.4 mg/d baseline TG: 1.97 mmol/L (174.5 mg/dL)
Interventions Placebo + regular margarine evening dosing
Placebo + sterol‐ester margarine evening dosing
Cerivastatin 0.4 mg/d + regular margarine evening dosing
Cerivastatin 0.4 mg/d + sterol‐ester margarine evening dosing
Outcomes Percentage change from baseline at 4 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
Cerivastatin and placebo 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 High risk WDAEs were not reported
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 was reported
Other bias Unclear risk Bayer and Unilever funded the trial