Skip to main content
. 2020 Jun 19;2020(6):CD012735. doi: 10.1002/14651858.CD012735.pub2

PREVAIL‐US 2016.

Study characteristics
Methods Study design: Historically controlled trial
Study grouping:
Method: 6‐week washout/dietary stabilisation; 12‐week before‐and‐after study
Participants Baseline Characteristics
4 mg
  • n: 164

  • Age (years): 58.8

  • Males (n): 81

  • Females (n): 83

  • BMI: 30.2

  • HDL cholesterol: 50 mg/dL (1.29 mmol/L)


Included criteria: Participants were aged 18 to 80 years with either primary hyperlipidaemia or mixed dyslipidaemia. After a 6‐week washout/dietary stabilisation, subjects had LDL‐C levels of 130 to 220 mg/dL and TG levels ≤ 400 mg/dL.
Excluded criteria: Familial hypercholesterolaemia, secondary causes of dyslipidaemia such as nephrotic syndrome, previous intolerance or allergy to statins, uncontrolled diabetes mellitus (defined as a glycosylated haemoglobin level > 8%), poorly controlled hypertension (blood pressure ≥ 160/100 mm Hg), or the presence of any unstable medical conditions
Baseline Group Characteristics: The majority of participants in both groups were white (89.0% and 86.0%, respectively). Approximately 70% of participants in both groups were diagnosed with primary hyperlipidaemia and the other 30% with mixed dyslipidaemia.
Interventions Intervention Characteristics
4 mg
Outcomes HDL cholesterol
  • Outcome type: Continuous

  • Unit of measure: Percentage change from baseline

  • Direction: Higher is better

Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Judgement Comment: Controlled before‐and‐after design
Allocation concealment (selection bias) High risk Judgement Comment: Controlled before‐and‐after design
Blinding of participants and personnel (performance bias)
All outcomes Low risk Judgement Comment: Lipid parameter measurements unlikely to be influenced by lack of blinding
Blinding of outcome assessment (detection bias)
All outcomes Low risk Judgement Comment: Lipid parameters were measured in a remote laboratory.
Selective reporting (reporting bias) High risk Judgement Comment: LDL‐cholesterol outcome was not reported.
Other bias High risk Judgement Comment: Dr. Sponseller is an employee of Kowa Pharmaceuticals America, Inc. Kowa Pharmaceuticals sell pitavastatin
Incomplete outcome data (attrition bias) Total cholesterol High risk No outcome reported
Incomplete outcome data (attrition bias) LDL cholesterol) High risk No outcome reported
Incomplete outcome data (attrition bias) HDL cholesterol Low risk [(164 ‐ 157)/164]*100 = 4.3% participants were not included in the efficacy analysis
Incomplete outcome data (attrition bias) Triglycerides High risk No outcome reported
Blinding of outcome assessment (detection bias)WDAEs High risk No comparison possible
Selective reporting (reporting bias) for WDAEs High risk No WDAE outcome reported