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 |
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Participants |
Baseline Characteristics 4 mg
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. |
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Interventions |
Intervention Characteristics 4 mg |
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Outcomes |
HDL cholesterol
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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 |