Trial reportLipids in health and disease2015

Combination therapy analysis of ezetimibe and statins in Chinese patients with acute coronary syndrome and type 2 diabetes.

Lulu Li, Minli Zhang, Fuxiang Su, Yang Li, Yali Shen, Jie Shen, Daqing Zhang

Open access · goldFull text readClinical Trial
In one paragraph

Trial report in Lipids in health and disease, 2015. The graph read 1 number from its abstract, feeding 1 cell of the map, but none could be read as for or against, so it casts no vote. Cited by 4 papers, 3 of them syntheses that pooled it.

1number the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 3 pooled it
2.1field-weighted citation impact, top 13% of its field
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.

Read, but not usablea number the graph found but could not read as for or against

Lipidscomparator not stated · ascvd, dyslipidemiafeeds one cell of the map
decrease -47.0P = 0.000
In addition to the lipid-lowering effects, we also observed that serum hs-CRP levels were obviously decreased in the combination group by 47% (P = 0.000) and statins group by 42% (P = 0.001) at day 30th, compared with the baseline levels.

clause the extractor read what became the number

2 · Its place on the map

Where it lands on the map

Rows are treatments, columns are outcomes. The coloured squares are the cells this paper feeds, coloured by the vote it casts there. Click one to jump to what this paper adds to it.

supports the treatmentfavours the comparatorno clear differenceread, but no usable result
3 · What it changes

What it adds to each cell

For every cell the paper feeds: the belief in the claim with and without this paper, and this paper's estimate drawn against every other readable study in the cell. The ringed dot is this paper.

Statins×lipids

No readable resultOpen on the map →What to test next →

38 readable studies in this cell: 27 favour the treatment, 5 find no difference, 6 favour the comparator.

Belief with this paper
0.50contested · 21 families support, 7 contradict · against placebo
Without itNot a counted family in this claim, so removing it changes nothing.
← favours the treatmentfavours the comparator →
0 · no effect
NCT002899002,340 enrolled · 2006
Δ -13.2-16.8 to -9.60
reduced -66.0-73.0 to -58.0
NCT02546323543 enrolled · 2015
Δ -35.5-40.2 to -30.7
NCT01678820299 enrolled · 2012
Δ 0.50-4.80 to 5.80
NCT01218204287 enrolled · 2010
Δ 5.47-15.7 to 26.7
NCT0093525931 enrolled · 2009
Δ -51.7
reductions -33.6-38.8 to -28.4

This paper's own estimate is on a different scale from the rest of the cell, so it is not drawn here.

4 · 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.

5 · Its place in the literature

Who cites it

4 citing papers in PubMed, 3 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
6 · The record

Corrections and comments

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

7 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Lulu LiDepartment of Cardiology, Shengjing Hospital of China Medical University, Shenyang, China. charitelilulu@gmail.com.
Minli ZhangDepartment of Cardiology, Shengjing Hospital of China Medical University, Shenyang, China. zhangminli081208@163.com.
Fuxiang SuDepartment of Cardiology, Shengjing Hospital of China Medical University, Shenyang, China. jacsue@163.com.
Yang LiDepartment of Cardiology, Shengjing Hospital of China Medical University, Shenyang, China. liyang_mslm@163.com.
Yali ShenDepartment of Cardiology, Shengjing Hospital of China Medical University, Shenyang, China. shenyali_cmu@163.com.
Jie ShenDepartment of Cardiology, Shengjing Hospital of China Medical University, Shenyang, China. shenjudith@163.com.
Daqing ZhangDepartment of Cardiology, Shengjing Hospital of China Medical University, Shenyang, China. zhangdaqing@vip.163.com.
China Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

8 · The paper itself

Abstract

The marked sentences are the ones the graph read a number from.

backgroundDyslipidemia management situation in Chinese patients with high risk and very high risk has been demonstrated very low, despite the wide use of statins. The effects and safety of the combined treatment of ezetimibe (EZ) and statins in Chinese patients with acute coronary syndrome (ACS) and type 2 diabetes mellitus (T2DM) remain unknown.

methodsChinese Patients with ACS and T2DM were divided into the statins group (n=40) and the combination group of EZ and statins (n=44). In order to evaluate the clinical effects on lipids-lowering, systemic inflammation response and clinical safety, the follow-up of all patients was carried out at day 7th and 30th after treatment.

resultsThe level of low-density lipoprotein cholesterol (LDL-C) in combination group and statins group was 1.87±0.42 and 2.18±0.58 mmol/L at day 7th, 1.51±0.29 and 1.94±0.49 mmol/L at day 30th, respectively. The control rates of LDL-C level in the combination group and the statins group were 77% and 45% at day 30(th), respectively. There was no significant improvement on high-density lipoprotein cholesterol (HDL-C) level during follow-up. The triglyceride (TG) levels were significantly reduced in both groups, while no obvious difference was observed between two groups. No significant difference on serum high-sensitivity C-reactive protein (hs-CRP) level between two groups was observed. Moreover, we did not observe any significant correlation between serum lipids levels and serum hs-CRP level during follow-up. The liver dysfunction and muscle related side effects (MRSE), creatine kinase (CK) and myopathy were not observed in both groups.

conclusionOur study demonstrated that it is feasible to initiate combination therapy during acute phase for Chinese patients with ACS and T2DM, which can bring more significant effect on LDL-C-lowering and improve the control rate of LDL-C level with good safety.

Indexed as

Acute Coronary SyndromeAnticholesteremic AgentsAtorvastatinChinaCholesterol, HDLCholesterol, LDLC-Reactive ProteinDiabetes Mellitus, Type 2Drug Therapy, CombinationEzetimibeFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedPravastatinAnticholesteremic AgentsAtorvastatinCholesterol, HDLCholesterol, LDLC-Reactive ProteinEzetimibeHydroxymethylglutaryl-CoA Reductase InhibitorsPravastatinRosuvastatin CalciumSimvastatin

Identifiers

PMID25879728
PMCPMC4342190
OpenAlexW2163455636

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LicenceCC BY
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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 OpenQuestion graph.