Evidence map›Paper›PMID 30821053›Full record

Trial reportDiabetes, obesity & metabolism2019

Randomised study of evolocumab in patients with type 2 diabetes and dyslipidaemia on background statin: Primary results of the BERSON clinical trial.

Alberto J Lorenzatti, Freddy G Eliaschewitz, Yundai Chen, Juming Lu, Alexis Baass, Maria Laura Monsalvo, Nan Wang, Andrew W Hamer, Junbo Ge

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Diabetes, obesity & metabolism, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT02662569. Cited by 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 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.

NCT02662569 phase3completed

A Double-blind, Randomized, Placebo-controlled, Multicenter Study to Evaluate Safety and Efficacy of Evolocumab (AMG 145) in Combination With Statin Therapy in Diabetic Subjects With Hyperlipidemia or Mixed Dyslipidemia (BERSON)

Ran2016Enrolled986Registered outcomes23Posted comparisons46ConditionsDiabetes, Hyperlipidemia, Mixed DyslipidemiaArmsAtorvastatin, Evolocumab, Placebo
Open the trial in the graph
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 36 citations in OpenAlex.

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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

9 authors at 7 institutions in 6 countries.

Alberto J LorenzattiClinical Research and Cardiology, Instituto Medico DAMIC / Fundación Rusculleda, Córdoba, Argentina.ORCID 0000-0003-4180-2010
Freddy G EliaschewitzCPCLIN - Centro de Pesquisas Clínicas, Rua Goias, São Paulo, Brazil.
Yundai ChenDepartment of Cardiology, Chinese People's Liberation Army General Hospital, Beijing, China.
Juming LuDepartment of Endocrinology, Chinese People's Liberation Army General Hospital, Beijing, China.
Alexis BaassDepartment of Medicine, Royal Victoria Hospital, Montreal, Québec, Canada.
Maria Laura MonsalvoClinical Development, Amgen Inc., Thousand Oaks, California, USA.
Nan WangClinical Development, Amgen Inc., Thousand Oaks, California, USA.
Andrew W HamerClinical Development, Amgen Inc., Thousand Oaks, California, USA.
Junbo GeDepartment of Cardiology, Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, Shanghai, China.
Amgen (United States) · USCentro Paulista de Investigação Clinica · BRChinese General Hospital College of Nursing and Liberal Arts · PHChinese People's Liberation Army · CNInstituto Médico DAMIC · ARRoyal Victoria Hospital · CASun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the lipid-lowering efficacy and safety of evolocumab combined with background atorvastatin in patients with type 2 diabetes mellitus (T2DM) and hyperlipidaemia or mixed dyslipidaemia. MATERIALS AND

methodsBERSON was a double-blind, 12-week, phase 3 study (NCT02662569) conducted in 10 countries. Patients ≥18 to ≤80 years with type T2DM received atorvastatin 20 mg/d and were randomised 2:2:1:1 to evolocumab 140 mg every 2 weeks (Q2W) or 420 mg monthly (QM) or placebo Q2W or QM. Co-primary endpoints were the percentage change in low-density lipoprotein cholesterol (LDL-C) from baseline to week 12 and from baseline to the mean of weeks 10 and 12. Additional endpoints included atherogenic lipids, glycaemic measures, and adverse events (AEs).

resultsOverall, 981 patients were randomised and received ≥1 dose of study drug. Evolocumab significantly reduced LDL-C versus placebo at week 12 (Q2W, -71.8%; QM, -74.9%) and at the mean of weeks 10 and 12 (Q2W, -70.3%; QM, -70.0%; adjusted P < 0.0001 for all) when administered with atorvastatin. Non-high-density lipoprotein cholesterol, apolipoprotein B100, total cholesterol, lipoprotein (a), triglycerides, high-density lipoprotein cholesterol, and very low-density lipoprotein cholesterol improved significantly with evolocumab versus placebo. The overall incidence of AEs was similar between evolocumab and placebo-treated patients, and there were no clinically meaningful differences in changes over time in glycaemic variables (fasting serum glucose and HbA1c) between the two groups.

conclusionsIn patients with T2DM and hyperlipidaemia or mixed dyslipidaemia on statin, evolocumab significantly reduced LDL-C and other atherogenic lipids, was well tolerated, and had no notable impact on glycaemic measures.

Indexed as

DyslipidemiasAdultAgedAged, 80 and overAntibodies, Monoclonal, HumanizedAnticholesteremic AgentsBlood GlucoseCholesterolDiabetes Mellitus, Type 2FemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedAntibodies, Monoclonal, HumanizedAnticholesteremic AgentsBlood GlucoseCholesterolevolocumabHydroxymethylglutaryl-CoA Reductase Inhibitorsdyslipidaemiaevolocumabhyperlipidaemiaphase 3type 2 diabetes

Identifiers

PMID30821053
PMCPMC6594020
OpenAlexW2918318471

What OpenQuestion holds

Texttitle and abstract
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.