Other lipid agents × cardiovascular events

SynthesisAmerican journal of cardiovascular drugs : drugs, devices, and other interventions2024

Benefits and Risks of Antihyperlipidemic Medication in Adults with Different Low-Density Lipoprotein Cholesterol Based on the Number Needed to Treat.

Hong-Fei Wang et al.PubMed ↗Publisher ↗

  • Ezetimibelooks bad hereHigher major heart events.Randomised, large.
  • PCSK9 inhibitorslooks bad hereHigher major heart events, higher injection-site reactions.Randomised, large.
  • Statinslooks bad hereHigher major heart events.Weak evidence: one subgroup.

What the trial testedrandomised · 237,870 people · 2024

Randomised vs Control (implied)

Raised major heart events

+18.0+11.0 to +41.0

Ezetimibe vs Control (implied)

As reported

NNT 18, 95% CI 11.0–41.0 · the paper's word: MACE

Randomised vs Control (implied)

Raised major heart events

+18.0+16.0 to +24.0

PCSK9 inhibitors vs Control (implied)

As reported

NNT 18, 95% CI 16.0–24.0 · the paper's word: MACE

Randomised vs Control (implied)

Raised injection-site reactions

+41.0+26.0 to +80.0

PCSK9 inhibitors vs Control (implied)

As reported

NNT 41, 95% CI 26.0–80.0

One subgroup

May have raised major heart events in individuals with baseline LDL-C values of 100 mg/dL or higher

+31.0+25.0 to +37.0

Statins vs Control (implied), in individuals with baseline LDL-C values of 100 mg/dL or higher

As reported

NNT 31, 95% CI 25.0–37.0 · the paper's word: MACE

Who was studied, and how

237,870people with cardiovascular disease, in this paper

Among individuals with baseline LDL-C values of 100 mg/dL or higher, the trial randomly assignedassigned by chance

Statins
Control (implied)

May have raised major heart events+31.0

randomised · one subgroup

The trial randomly assignedassigned by chance

Ezetimibe
Control (implied)

Raised major heart events+18.0

randomised

the abstract, start to end

needed to treat to benefit (NNTB) 31, 95% confidence interval (CI)

were effective in reducing MACE (NNTB 18, 95% CI 11-41, and NNTB 18, 95% CI 16-24).

[number needed to treat to harm (NNTH) 41, 95% CI 80-26].

← favours treatmentfavours comparator →
could be chance
MACEStatins vs Control (implied), in individuals with baseline LDL-C values of 100 mg/dL or higher
NNT 3125.0–37.0
MACEEzetimibe vs Control (implied)
NNT 1811.0–41.0
MACEPCSK9 inhibitors vs Control (implied)
NNT 1816.0–24.0
Injection-site reactionsPCSK9 inhibitors vs Control (implied)
NNT 4126.0–80.0
StatinsPCSK9 inhibitorsOther lipid agentsCardiovascular eventsAdverse events & safety

Other lipid agents × cardiovascular eventshelps?settled

unlikelylikely
0.80not counted

PCSK9 inhibitors × adverse events & safetyharms?mixed

unlikelylikely
0.00not counted

PCSK9 inhibitors × cardiovascular eventshelps?settled

unlikelylikely
1.00not counted
← favours treatmentfavours comparator →
more certainless certain
1 / 6

1 paper cites it

2024
2025
this papercites it
Full record →Abstract, authors, funding and every citing paper · PMID 38782884