Other lipid agents × lipids

TrialJAMA cardiology2017

Association of Fenofibrate Therapy With Long-term Cardiovascular Risk in Statin-Treated Patients With Type 2 Diabetes.

Marshall B Elam et al.PubMed ↗Full text ↗Publisher ↗

  • Fenofibratelooks good hereLower CVD.Weak evidence: one subgroup.

What the trial testedrandomised · 4,159 people · 2017

One subgroup

May have lowered CVD in study participants with dyslipidemia, defined as triglyceride levels greater than 204 mg/dL and high-density lipoprotein cholesterol levels less than 34 mg/dL

−27%−44% to −5%

fenofibrate vs placebo, in study participants with dyslipidemia, defined as triglyceride levels greater than 204 mg/dL and high-density lipoprotein cholesterol levels less than 34 mg/dL

Bigger than 6 in 10 on the map

As reported

HR 0.73, 95% CI 0.56–0.95

Who was studied, and how

10,251people in the Action to Control Cardiovascular Risk in Diabetes trial, from 1999
4,159of them with cardiovascular disease, in this paper

Among study participants with dyslipidemia, defined as triglyceride levels greater than 204 mg/dL and high-density lipoprotein cholesterol levels less than 34 mg/dL, the trial randomly assignedassigned by chance

fenofibrate
placebo

May have lowered CVD−27%

randomised · one subgroup

the abstract, start to end

levels less than 34 mg/dL (HR, 0.73; 95% CI, 0.56-0.95).

← favours treatmentfavours comparator →
could be chance
CVDfenofibrate vs placebo, in study participants with dyslipidemia, defined as triglyceride levels greater than 204 mg/dL and high-density lipoprotein cholesterol levels less than 34 mg/dL
HR 0.730.56–0.95
Other lipid agentsLipids

Other lipid agents × lipidshelps?mixed

unlikelylikely
0.500.50 without it
← favours treatmentfavours comparator →
more certainless certain
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80 papers cite itlatest 60 shown

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this paperpooled ittrialcites it

The trial

Full record →Abstract, authors, funding and every citing paper · PMID 28030716