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. Author manuscript; available in PMC: 2021 Jul 21.
Published in final edited form as: N Engl J Med. 2020 Nov 13;384(3):216–228. doi: 10.1056/NEJMoa2028220

Table 4. Clinical Outcomes with Polypill plus Aspirin or Double Placebo.

Outcome Polypill plus Aspirin (N = 1429) Double Placebo (N = 1421) Hazard Ratio (95% CI)*
Primary outcome
Death from cardiovascular causes, myocardial infarction, stroke, heart failure, resuscitated cardiac arrest, or arterial revascularization — no. (%) 59 (4.1) 83 (5.8) 0.69 (0.50–0.97)
Secondary outcomes
Death from cardiovascular causes, myocardial infarction, or stroke — no. (%) 52 (3.6) 75 (5.3) 0.68 (0.47–0.96)
Death from cardiovascular causes, myocardial infarction, stroke, heart failure, resuscitated cardiac arrest, arterial revascularization, or angina with evidence of ischemia — no. (%) 61 (4.3) 86 (6.1) 0.69 (0.50–0.96)
Components of the primary and secondary outcomes
Death from cardiovascular causes — no. (%) 38 (2.7) 54 (3.8) 0.69 (0.46–1.05)
Myocardial infarction — no. (%) 10 (0.7) 14 (1.0) 0.69 (0.31–1.56)
Stroke — no. (%) 10 (0.7) 23 (1.6) 0.42 (0.20–0.89)
Heart failure — no. (%) 7 (0.5) 3 (0.2) 2.30 (0.60–8.90)
Resuscitated cardiac arrest — no. (%) 0 0
Arterial revascularization — no. (%) 5 (0.3) 12 (0.8) 0.40 (0.14–1.14)
Angina with evidence of ischemia — no. (%) 6 (0.4) 10 (0.7) 0.59 (0.22–1.63)
Other outcomes
Death from any cause — no. (%) 75 (5.2) 93 (6.5) 0.80 (0.59–1.08)
Cancer — no. (%) 19 (1.3) 24 (1.7) 0.78 (0.43–1.42)
Primary-outcome event or cancer — no. (%) 76 (5.3) 106 (7.5) 0.70 (0.52–0.94)
First and recurrent events of the primary outcome
      No. of participants with ≥1 event 59 83
      No. of participants with ≥2 events 5 10
      Total no. of events 64 93 0.68 (0.48–0.96)
*

The widths of the confidence intervals have not been adjusted for multiplicity, so the intervals should not be used to infer definitive treatment effects.

Death from cardiovascular causes included confirmed death from cardiovascular causes (in 24 participants in the polypill-plus-aspirin group and in 36 in the double-placebo group) and death from an unknown cause, which was categorized according to the protocol definition as presumed death from cardiovascular causes (in 14 and 18 participants, respectively).

The analysis was conducted with the use of a proportional-means model.