Evidence map›Paper›PMID 38966502›Full record

ArticleJournal of community hospital internal medicine perspectives2024

The Latest Evidence on Bempedoic Acid: Meta-Analysis of Safety and Efficacy in High Cardiovascular Risk Patients With Hypercholesterolemia

Muhammad A Afzal, Noman Khalid, Muhammad Abdullah, Ata U Haiy, Mubariz A Hassan, Hania Sana, Sherif Elkattawy, Ahmad A Malik, Patrick Michael, Rahul Vasudev and 1 more

Abstract read
In one paragraph

Article in Journal of community hospital internal medicine perspectives, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Muhammad A AfzalDepartment of Internal Medicine, St Joseph's University Medical Center, Paterson, NJ, USA.
Noman KhalidDepartment of Internal Medicine, St Joseph's University Medical Center, Paterson, NJ, USA.
Muhammad AbdullahDepartment of Medicine, Shaikh Khalifa Bin Zayed Al Nahyan Medical and Dental College, Shaikh Zayed Medical Complex, Lahore, Pakistan.
Ata U HaiyDepartment of Medicine, King Edward Medical University, Mayo Hospital Lahore, Pakistan.
Mubariz A HassanDepartment of Internal Medicine, Howard University Hospital, Washington, DC, USA.
Hania SanaDepartment of Medicine, King Edward Medical University, Mayo Hospital Lahore, Pakistan.
Sherif ElkattawyDepartment of Cardiology, St Joseph's University Medical Center, Paterson, NJ, USA.
Ahmad A MalikDepartment of Family and Community Medicine, Faculty of Medicine in Rabigh, King Abdulaziz University, Jeddah, Saudi Arabia.
Patrick MichaelDepartment of Internal Medicine, St Joseph's University Medical Center, Paterson, NJ, USA.
Rahul VasudevDepartment of Structural Heart Disease, St Joseph's University Medical Center, Paterson, NJ, USA.
Fayez ShamoonDepartment of Cardiology, St Joseph's University Medical Center, Paterson, NJ, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Bempedoic Acid (BA) is a novel drug that has a potential to serve as an alternative to statins to decrease lipid levels and improve cardiovascular disease (CVD) outcomes, particularly for statin-intolerant individuals. However, insufficient statistical power has limited our understanding of the efficacy and safety of BA. This meta-analysis utilizes the latest data to improve our knowledge of BA's effects on lipids and CVD with increased statistical power. Methods: MEDLINE, Embase, Cochrane Central, Clinicaltrials.gov, abstracts of national and international conferences, and reference lists of studies were searched for relevant studies. Rayyan was used to screen the search results, and Revman 5.3 was used for the meta-analysis and sensitivity analysis. Results: Our final analysis included seven randomized control trials (RCTs) with 17,782 participants, 53.6 % in the BA group (n = 9535) and 46.4 % in the placebo group (n = 8247). BA significantly decreased major adverse cardiovascular events (MACE) (OR: 0.86; 95 % CI 0.78-0.95; p = 0.03), non-fatal myocardial infarction (OR 0.72; 95 % CI 0.61-0.85; p = 0.0001), and new onset/worsening diabetes (OR:0.55; 95 % CI 0.30-0.98, p = 0.04), while reducing low-density lipoprotein cholesterol (LDL-C) levels by 22.5 % (MD: -22.53 %; 95 % CI -25.54 to -19.52, p < 0.00001). Conclusion: The findings of this meta-analysis suggest that BA is a promising and effective alternative to statin therapy, particularly for statin-intolerant and high CVD-risk patients. However, further studies with diverse populations are needed to quantify the long-term efficacy and safety endpoints.

Indexed as

BAEfficacyHigh cardiovascular riskLDL-C levelsMeta-analysisSafety

Identifiers

PMID38966502
PMCPMC11221435

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.