PCSK9 inhibitors × cardiovascular events

TrialCirculation2016

Reductions in Atherogenic Lipids and Major Cardiovascular Events: A Pooled Analysis of 10 ODYSSEY Trials Comparing Alirocumab With Control.

Kausik K Ray et al.PubMed ↗Full text ↗Publisher ↗

  • Alirocumablooks good hereLower major heart events.Randomised, large.

What the trial testedrandomised · 4,974 people · 2016

Randomised vs control (placebo/ezetimibe)

Lowered major heart events

−24%−37% to −9%

alirocumab vs control (placebo/ezetimibe)

Bigger than 6 in 10 for cardiovascular events

As reported

HR 0.76, 95% CI 0.63–0.91 · the paper's word: MACE (coronary heart disease death, nonfatal myocardial infarction, ischemic stroke, or unstable angina requiring hospitalization)

Randomised vs control (placebo/ezetimibe)

Lowered major heart events

−29%−43% to −11%

alirocumab vs control (placebo/ezetimibe)

Bigger than 7 in 10 for cardiovascular events

As reported

HR 0.71, 95% CI 0.57–0.89 · the paper's word: MACE (coronary heart disease death, nonfatal myocardial infarction, ischemic stroke, or unstable angina requiring hospitalization)

Who was studied, and how

4,974people with dyslipidemia, in this paper

The trial randomly assignedassigned by chance

alirocumab
control (placebo/ezetimibe)

Lowered major heart events−24%

randomised

the abstract, start to end

to be 24% lower (adjusted hazard ratio, 0.76; 95% confidence interval,

with MACE rates (hazard ratio, 0.71; 95% confidence interval,

← favours treatmentfavours comparator →
could be chance
MACE (coronary heart disease death, nonfatal myocardial infarction, ischemic stroke, or unstable angina requiring hospitalization)alirocumab vs control (placebo/ezetimibe)
HR 0.760.63–0.91
MACE (coronary heart disease death, nonfatal myocardial infarction, ischemic stroke, or unstable angina requiring hospitalization)alirocumab vs control (placebo/ezetimibe)
HR 0.710.57–0.89
PCSK9 inhibitorsCardiovascular events
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49 papers cite it

2016
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this paperpooled ittrialcites it

10 trials

Full record →Abstract, authors, funding and every citing paper · PMID 27777279