TABLE 2.
Percentage change from baseline at week 12 in lipid variables
LDL‐C | TC | Non‐HDL‐C | Apo B | TG | hsCRP | ||
---|---|---|---|---|---|---|---|
ASCVD/HeFH on statins pool | |||||||
Diabetes a | |||||||
BA | Baseline |
105.3 (30.3) (n = 642) |
183.4 (36.8) (n = 642) |
136.6 (35.4) (n = 642) |
95.5 (26.2) (n = 641) |
163.4 (85.4) (n = 642) |
1.9 (0.9, 4.3) (n = 642) |
% change |
−18.5 (0.8) (n = 614) |
−11.3 (0.6) (n = 616) |
−12.9 (0.7) (n = 616) |
−9.0 (0.8) (n = 605) |
12.4 (1.7) (n = 616) |
−25.4 (−50.0, 21.5) (n = 606) |
|
Placebo | Baseline |
105.5 (32.4) (n = 324) |
183.7 (39.7) (n = 324) |
136.7 (39.0) (n = 324) |
96.5 (29.3) (n = 322) |
161.2 (75.9) (n = 324) |
1.9 (0.9, 4.6) (n = 322) |
% change |
0.6 (1.3) (n = 317) |
0.1 (0.9) (n = 318) |
0.6 (1.2) (n = 318) |
3.4 (1.1) (n = 312) |
4.3 (1.8) (n = 318) |
−3.1 (−36.8, 57.6) (n = 313) |
|
Difference (95% CI) | −19.1 (−22.1, −16.1) b | −11.4 (−13.5, −9.4) b | −13.5 (−16.2, −10.8) b | −12.3 (−15.0, −9.7) b | 8.2 (3.3, 13.0) b | −18.9 (−27.1, −10.8) b | |
Prediabetes c | |||||||
BA | Baseline |
107.5 (31.9) (n = 1037) |
184.9 (38.3) (n = 1037) |
135.1 (37.1) (n = 1037) |
95.1 (26.9) (n = 1034) |
142.8 (67.4) (n = 1037) |
1.5 (0.8, 3.2) (n = 1036) |
% change |
−16.4 (0.7) (n = 994) |
−10.6 (0.5) (n = 996) |
−11.7 (0.6) (n = 995) |
−9.6 (0.6) (n = 980) |
10.1 (1.5) (n = 996) |
−20.4 (−49.1, 21.3) (n = 971) |
|
Placebo | Baseline |
108.6 (34.3) (n = 515) |
186.4 (40.7) (n = 515) |
135.9 (38.3) (n = 515) |
95.5 (27.6) (n = 512) |
140.3 (65.7) (n = 515) |
1.6 (0.8, 3.3) (n = 514) |
% change |
2.1 (1.0) (n = 504) |
1.4 (0.7) (n = 504) |
2.2 (0.9) (n = 504) |
3.3 (0.8) (n = 497) |
6.8 (1.5) (n = 504) |
−1.9 (−32.2, 48.0) (n = 496) |
|
Difference (95% CI) | −18.6 (−20.9, −16.2) b | −12.0 (−13.6, −10.3) b | −14.0 (−16.1, −11.8) b | −12.9 (−14.9, −10.9) b | 3.2 (−0.9, 7.4) | −17.7 (−24.0, −11.5) b | |
Normoglycaemia d | |||||||
BA | Baseline |
112.9 (36.7) (n = 331) |
191.2 (41.8) (n = 331) |
137.9 (41.0) (n = 331) |
95.7 (27.6) (n = 329) |
129.2 (65.3) (n = 331) |
1.2 (0.6, 2.3) (n = 329) |
% change |
−14.0 (1.0) (n = 314) |
−9.2 (0.7) (n = 314) |
−11.0 (0.9) (n = 314) |
−8.5 (0.9) (n = 309) |
5.0 (2.2) (n = 314) |
−15.9 (−46.4, 34.4) (n = 311) |
|
Placebo | Baseline |
107.6 (33.4) (n = 160) |
185.5 (40.0) (n = 160) |
132.5 (37.2) (n = 160) |
90.7 (26.6) (n = 159) |
127.3 (56.8) (n = 160) |
1.3 (0.7, 2.5) (n = 160) |
% change |
3.2 (1.8) (n = 157) |
1.1 (1.2) (n = 157) |
2.2 (1.6) (n = 157) |
4.7 (1.7) (n = 154) |
1.3 (2.1) (n = 157) |
4.2 (−32.5, 57.5) (n = 155) |
|
Difference (95% CI) | −17.2 (−21.3, −13.0) b | −10.3 (−13.0, −7.6) b | −13.2 (−16.9, −9.5) b | −13.2 (−16.9, −9.5) b | 3.8 (−2.2, 9.7) | −17.1 (−29.3, −5.0) e | |
Statin‐intolerant pool | |||||||
Diabetes a | |||||||
BA | Baseline |
137.0 (38.5) (n = 113) |
224.5 (46.9) (n = 113) |
175.3 (45.0) (n = 113) |
130.9 (31.1) (n = 112) |
198.4 (91.0) (n = 113) |
3.2 (1.6, 6.2) (n = 112) |
% change |
−21.1 (2.3) (n = 109) |
−13.4 (1.6) (n = 109) |
−15.3 (2.0) (n = 109) |
−11.8 (1.9) (n = 109) |
9.8 (3.8) (n = 109) |
−36.3 (−54.8, 5.6) (n = 109) |
|
Placebo | Baseline |
133.0 (31.5) (n = 56) |
215.6 (36.4) (n = 56) |
168.0 (36.7) (n = 56) |
129.2 (24.9) (n = 56) |
183.6 (86.3) (n = 56) |
4.0 (1.7, 6.7) (n = 55) |
% change |
−2.0 (1.8) (n = 52) |
−0.7 (1.3) (n = 52) |
0.0 (1.6) (n = 52) |
−0.2 (1.4) (n = 52) |
9.6 (4.9) (n = 52) |
−4.7 (−26.6, 19.5) (n = 51) |
|
Difference (95% CI) | −19.1 (−24.9, −13.3) b | −12.7 (−16.7, −8.6) b | −15.4 (−20.4, −10.3) b | −11.6 (−16.3, −6.9) b | 0.2 (−12.1, 12.5) | −27.5 (−41.0, −13.0) b | |
Prediabetes c | |||||||
BA | Baseline |
150.8 (39.2) (n = 223) |
238.9 (43.6) (n = 223) |
184.9 (43.1) (n = 223) |
136.5 (30.1) (n = 220) |
173.8 (79.3) (n = 223) |
2.4 (1.1, 4.4) (n = 220) |
% change |
−24.9 (1.5) (n = 214) |
−16.9 (1.0) (n = 215) |
−20.2 (1.2) (n = 214) |
−16.2 (1.1) (n = 209) |
5.3 (2.9) (n = 215) |
−22.3 (−52.3, 11.8) (n = 210) |
|
Placebo | Baseline |
149.7 (41.5) (n = 94) |
237.4 (46.6) (n = 94) |
183.2 (47.3) (n = 94) |
135.9 (33.5) (n = 90) |
175.7 (89.8) (n = 94) |
2.4 (1.1, 4.5) (n = 90) |
% change |
4.7 (2.1) (n = 91) |
2.8 (1.3) (n = 91) |
4.4 (1.8) (n = 91) |
4.3 (1.5) (n = 88) |
8.4 (3.7) (n = 91) |
0.2 (−35.2, 39.8) (n = 88) |
|
Difference (95% CI) | −29.6 (−34.5, −24.6) b | −19.7 (−22.8, −16.5) b | −24.6 (−28.9, −20.4) b | −20.5 (−24.3, −16.8) b | −3.1 (−12.4, 6.1) | −20.7 (−34.0, −8.0) e | |
Normoglycaemia d | |||||||
BA | Baseline |
145.1 (38.2) (n = 79) |
232.3 (43.1) (n = 79) |
172.5 (43.4) (n = 79) |
127.7 (31.3) (n = 79) |
138.1 (66.0) (n = 79) |
2.1 (1.0, 3.7) (n = 79) |
% change |
−25.2 (2.2) (n = 76) |
−16.4 (1.6) (n = 76) |
−21.1 (2.1) (n = 76) |
−18.3 (1.9) (n = 74) |
3.1 (3.9) (n = 76) |
−32.1 (−53.6, 25.8) (n = 74) |
|
Placebo | Baseline |
134.2 (33.6) (n = 49) |
219.0 (41.6) (n = 49) |
160.7 (40.3) (n = 49) |
120.8 (28.1) (n = 47) |
133.3 (65.4) (n = 49) |
1.4 (0.8, 3.5) (n = 47) |
% change |
−1.6 (2.1) (n = 46) |
−1.7 (1.7) (n = 46) |
−0.8 (2.2) (n = 46) |
0.7 (1.9) (n = 45) |
6.2 (5.8) (n = 46) |
10.0 (−19.0, 78.1) (n = 45) |
|
Difference (95% CI) | −23.6 (−29.7, −17.4) b | −14.7 (−19.4, −10.1) b | −20.4 (−26.5, −14.3) b | −19.0 (−24.4, −13.5) b | −3.1 (−17.1, 10.8) | −43.7 (−65.2, −22.8) b |
Note: Baseline values are reported as mean (SD) mg/dl, except for hsCRP, which is reported as median (Q1, Q3) mg/L. Percentage change from baseline values for LDL‐C, TC, non‐HDL‐C, Apo B, and TG are reported as LS mean (SE). LS mean, standard error, placebo‐adjusted change from baseline, 95% confidence intervals, and P values are based on ANCOVA with percentage change from baseline as the dependent variable, study and treatment as fixed factors, and baseline as a covariate. Only observed data are included in the analysis. P values for median (IQR) are based on Wilcoxon 2 sample test.
Abbreviations: Apo B, apolipoprotein B; ASCVD, atherosclerotic cardiovascular disease; BA, bempedoic acid; HeFH, heterozygous familial hypercholesterolaemia; hsCRP, high‐sensitivity C‐reactive protein; IQR, interquartile range; LS, least squares; SE, standard error; TC, total cholesterol; TG, triglycerides.
Patients with one or more of the following: history of type 1 or type 2 diabetes; receiving antihyperglycaemic medication before baseline; and/or HbA1c ≥ 6.5% at baseline, or at least one fasting plasma glucose value of ≥100 mg/dl, but not more than one value of ≥126 mg/dl between screening and randomization.
P < .001.
Patients with all of the following: no medical history of diabetes; not receiving antihyperglycaemic medication before baseline; and HbA1c of 5.7% to 6.4% (inclusive) at baseline, or at least one fasting glucose value of ≥100 mg/dl, but not more than one value of ≥126 mg/dl between screening and randomization.
Patients not fulfilling the criteria for diabetes or prediabetes.
P < .01.