Evidence map›Paper›PMID 29187694›Full record

Trial reportJournal of atherosclerosis and thrombosis2018

Efficacy and Safety of Pitavastatin in Children and Adolescents with Familial Hypercholesterolemia in Japan and Europe.

Mariko Harada-Shiba, John J P Kastelein, G Kees Hovingh, Kausik K Ray, Akira Ohtake, Osamu Arisaka, Takao Ohta, Tomoo Okada, Hideki Suganami, Albert Wiegman

Open access · diamondAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of atherosclerosis and thrombosis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 6% 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.

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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pitavastatin for lowering lipids.The Cochrane database of systematic reviews · 2020 · on this map
    Pooled it
  2. Statins for children with familial hypercholesterolemia.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Review
  4. Review
  5. Review
  6. Review
  7. Article
  8. Dyslipidemia and cardiovascular health in childhood nephrotic syndrome.Pediatric nephrology (Berlin, Germany) · 2020 · on this map
    Review
  9. Review
  10. Review
  11. 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

10 authors at 7 institutions in 3 countries.

Mariko Harada-ShibaDepartment of Molecular Innovation in Lipidology, National Cerebral and Cardiovascular Center Research Institute.
John J P KasteleinDepartment of Vascular Medicine, Academic Medical Center, University of Amsterdam.
G Kees HovinghDepartment of Vascular Medicine, Academic Medical Center, University of Amsterdam.
Kausik K RayDepartment of Primary Care and Public Health, School of Public Health, Imperial College London.
Akira OhtakeDepartment of Pediatrics, Faculty of Medicine, Saitama Medical University.
Osamu ArisakaDepartment of Pediatrics, Dokkyo Medical University School of Medicine.
Takao OhtaDepartment of Child Health and Welfare (Pediatrics), Faculty of Medicine, University of the Ryukyu.
Tomoo OkadaDepartment of Pediatrics and Child Health, Nihon University School of Medicine.
Hideki SuganamiClinical Data Science Department, Kowa Company, Ltd.
Albert WiegmanDepartment of Pediatrics, Academic Medical Center, University of Amsterdam.
Academic Medical Center · NLDokkyo Medical University · JPImperial College London · GBNational Cerebral and Cardiovascular Center · JPNihon University · JPSaitama Medical University · JPUniversity of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimChildren with Familial Hypercholesterolemia (FH) are widely prescribed statins, and it has been suggested that the effects of statins differ among ethnicities. We compared the efficacy and safety of pitavastatin in children and adolescents with FH in clinical trials conducted in Japan and Europe.

methodsLow-density lipoprotein cholesterol (LDL-C) reductions, adjusted for confounding factors, and safety were compared between the studies in Japan and Europe. In the Japanese study, 14 males with heterozygous FH, aged 11.8±1.6 years, were randomized to 52-week double-blind treatment with 1 or 2 mg/day pitavastatin. In the European study, 106 children and adolescents with high risk hyperlipidemia (103 heterozygous FH), aged 10.6±2.9 years, were randomized to 12-week double-blind treatment with 1, 2 or 4 mg/day pitavastatin or placebo; 84 of these patients and 29 new patients participated in a 52-week open-label extension study.

resultsAge, body weight and baseline LDL-C were identified as factors influencing LDL-C reduction. There were no significant differences in the adjusted mean percentage reduction in LDL-C in Japanese and European children by pitavastatin (24.5% and 23.6%, respectively at 1 mg/day and 33.5% and 30.8%, respectively at 2 mg/day). Pitavastatin was well tolerated without any difference in the frequency or nature of adverse events between the treatment groups, or between the studies.

conclusionThere were no significant differences between the efficacy or safety of pitavastatin in Japanese and European children and adolescents with FH, suggesting no relevant ethnic differences in the safety or efficacy of pitavastatin.

Indexed as

AdolescentBiomarkersChildDouble-Blind MethodEuropeFemaleFollow-Up StudiesHumansHydroxymethylglutaryl-CoA Reductase InhibitorsHyperlipoproteinemia Type IIJapanMalePrognosisQuinolinesSafetyBiomarkersHydroxymethylglutaryl-CoA Reductase InhibitorspitavastatinQuinolinesChildrenEthnic differenceFamilial hypercholesterolemiaLow-density lipoprotein cholesterolPitavastatin

Identifiers

PMID29187694
PMCPMC5945555
OpenAlexW2768720246

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

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.