← PCSK9 inhibitors × lipids

TrialThe New England journal of medicine2015

Efficacy and safety of alirocumab in reducing lipids and cardiovascular events.

Jennifer G Robinson et al.PubMed ↗Publisher ↗

  • Alirocumablooks good hereLower major heart events.Randomised, large.
  • Alirocumab (150 mg)looks good hereLower percentage change from baseline in calculated LDL cholesterol level, no range given.No ranges given.

What the trial testedrandomised · 2,341 people · 2015

Randomised vs placebo

Lowered major heart events

−48%−69% to −10%

alirocumab vs placebo

Bigger than 9 in 10 for cardiovascular events

As reported

HR 0.52, 95% CI 0.31–0.90 · the paper's word: major adverse cardiovascular events (death from coronary heart disease, nonfatal myocardial infarction, fatal or nonfatal ischemic stroke, or unstable angina requiring hospitalization)

No range given

Reported lower percentage change from baseline in calculated LDL cholesterol level, no range given

−62.0percentage points

alirocumab (150 mg) vs placebo

As reported

difference −62 percentage points, no interval · the paper's word: mean percentage change from baseline in calculated LDL cholesterol level

Who was studied, and how

2,341people with cardiovascular disease, in this paper

The trial randomly assignedassigned by chance

alirocumab (150 mg)
placebo

Reported lower percentage change from baseline in calculated LDL cholesterol level, no range given−62.0

randomised

The trial randomly assignedassigned by chance

alirocumab
placebo

Lowered major heart events−48%

randomised

the abstract, start to end

… in calculated LDL cholesterol level was -62 percentage points (P<0.001); …

… placebo (1.7% vs. 3.3%; hazard ratio, 0.52; 95% confidence interval, 0.31 …

← favours treatmentfavours comparator →
could be chance
No interval given · direction only, strength unknown
Mean percentage change from baseline in calculated LDL cholesterol levelalirocumab (150 mg) vs placebo
−62
Major adverse cardiovascular events (death from coronary heart disease, nonfatal myocardial infarction, fatal or nonfatal ischemic stroke, or unstable angina requiring hospitalization)alirocumab vs placebo
HR 0.520.31–0.90
PCSK9 inhibitorsLipidsCardiovascular events

PCSK9 inhibitors × lipidshelps?settled

unlikelylikely
0.930.93 without it

PCSK9 inhibitors × cardiovascular eventshelps?settled

unlikelylikely
1.001.00 without it
← favours treatmentfavours comparator →
this papermore certainless certain
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Full record →Abstract, authors, funding and every citing paper · PMID 25773378