Other lipid agents × cardiovascular events

Observational studyEuropean heart journal. Cardiovascular pharmacotherapy2025

Fenofibrate therapy and risk of heart failure outcomes in patients with Type 2 diabetes: a propensity-matched cohort study.

Ji Yoon Kim et al.PubMed ↗Full text ↗Publisher ↗

  • Statin plus fenofibratelooks good hereLower hospitalization for HF, fewer composite outcome of HHF or cardiovascular deaths.Weak evidence: one subgroup.

What the trial testedrandomised · 22 people · 2025

One subgroup

May have lowered hospitalization for HF in individuals with ≥80% adherence

−37%−57% to −8%

statin plus fenofibrate vs statin only, in individuals with ≥80% adherence

Bigger than 8 in 10 for cardiovascular events

As reported

HR 0.63, 95% CI 0.43–0.92

One subgroup

May have reduced composite outcome of HHF or cardiovascular deaths in individuals with ≥80% adherence

−32%−52% to −3%

statin plus fenofibrate vs statin only, in individuals with ≥80% adherence

Bigger than 7 in 10 for cardiovascular events

As reported

HR 0.68, 95% CI 0.48–0.97 · the paper's word: composite outcome of HHF or cardiovascular death

Not counted

Probably lowered hospitalization for HF

−20%−35% to −2%

statin plus fenofibrate vs statin only

Bigger than 4 in 10 for cardiovascular events

As reported

HR 0.80, 95% CI 0.65–0.98

Not counted

Probably reduced composite outcome of HHF or cardiovascular deaths

−21%−35% to −4%

statin plus fenofibrate vs statin only

Bigger than 5 in 10 for cardiovascular events

As reported

HR 0.79, 95% CI 0.65–0.96 · the paper's word: composite outcome of HHF or cardiovascular death

Who was studied, and how

22people with type 2 diabetes, in this paper

The trial randomly assignedassigned by chance

statin plus fenofibrate
statin only

Probably lowered hospitalization for HF−20%

Probably reduced composite outcome of HHF or cardiovascular deaths−21%

randomised

Among individuals with ≥80% adherence, the trial randomly assignedassigned by chance

statin plus fenofibrate
statin only

May have lowered hospitalization for HF−37%

May have reduced composite outcome of HHF or cardiovascular deaths−32%

randomised · one subgroup

the abstract, start to end

(adjusted hazard ratio [HR], 0.80; 95% confidence interval [CI],

of HHF or cardiovascular death was 0.79 (95% CI, 0.65-0.96).

consistent results (HHF: adjusted HR, 0.63; 95% CI, 0.43-0.92; composite outcome: adjusted HR, 0.68; 95% CI, 0.48-0.97).

← favours treatmentfavours comparator →
could be chance
Hospitalization for HF (HHF)statin plus fenofibrate vs statin only
HR 0.800.65–0.98
Composite outcome of HHF or cardiovascular deathstatin plus fenofibrate vs statin only
HR 0.790.65–0.96
Hospitalization for HF (HHF)statin plus fenofibrate vs statin only, in individuals with ≥80% adherence
HR 0.630.43–0.92
Composite outcome of HHF or cardiovascular deathstatin plus fenofibrate vs statin only, in individuals with ≥80% adherence
HR 0.680.48–0.97
StatinsOther lipid agentsCardiovascular events
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2 papers cite it

2025
2026
this paperpooled itcites it
Full record →Abstract, authors, funding and every citing paper · PMID 40685251