Evidence map›Paper›PMID 32904162›Full record

ArticleCurrent therapeutic research, clinical and experimental2020

Efficacy and Tolerability of a Fixed-Dose Combination of Rosuvastatin and Ezetimibe Compared with a Fixed-Dose Combination of Simvastatin and Ezetimibe in Brazilian Patients with Primary Hypercholesterolemia or Mixed Dyslipidemia: A Multicenter, Randomized Trial.

Antonio Carlos Amedeo Vattimo, Francisco Antonio Helfestein Fonseca, Douglas Costa Morais, Larissa Fontes Generoso, Renata Herrera, Cristiane Moraes Barbosa, Maria Cristina de Oliveira Izar, Rita Antonelli Cardoso, Stevin Zung

Registry-linked trialAbstract read
In one paragraph

Article in Current therapeutic research, clinical and experimental, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT01420549. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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.

NCT01420549 phase3completed

Phase III, Multicenter, Randomized, Open-label, Comparative Study to Evaluate Efficacy and Safety of Rosuvastatin + Ezetimibe Versus Simvastatin + Ezetimibe in High Risk Patients With Primary Hypercholesterolemia or Mixed Dyslipidemia

Ran2013Enrolled129Registered outcomes1Posted comparisons1ConditionsDyslipidemia, HypercholesterolemiaArmsRosuvastatin 10 mg + Ezetimibe 10 mg and Rosuvastatin 20 mg + Ezetimibe 10 mg, according to clinical evaluation., Simvastatin 20 mg + Ezetimibe 10 mg and Simvastatin 40 mg + Ezetimibe 10 mg, according to clinical evaluation.
Open the trial in the graph
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Is it Time for Single-Pill Combinations in Dyslipidemia?American journal of cardiovascular drugs : drugs, devices, and other interventions · 2022
    Review
  3. Article
  4. Article
  5. 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

9 authors.

Antonio Carlos Amedeo VattimoDepartamento Médico Científico, Núcleo de Inovação, Aché Laboratórios Farmacêuticos SA, Guarulhos, São Paulo, Brasil.
Francisco Antonio Helfestein FonsecaDepartamento de Cardiologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil.
Douglas Costa MoraisDepartamento Médico Científico, Núcleo de Inovação, Aché Laboratórios Farmacêuticos SA, Guarulhos, São Paulo, Brasil.
Larissa Fontes GenerosoDepartamento Médico Científico, Núcleo de Inovação, Aché Laboratórios Farmacêuticos SA, Guarulhos, São Paulo, Brasil.
Renata HerreraDepartamento Médico Científico, Núcleo de Inovação, Aché Laboratórios Farmacêuticos SA, Guarulhos, São Paulo, Brasil.
Cristiane Moraes BarbosaDepartamento Médico Científico, Núcleo de Inovação, Aché Laboratórios Farmacêuticos SA, Guarulhos, São Paulo, Brasil.
Maria Cristina de Oliveira IzarDepartamento de Cardiologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil.
Rita Antonelli CardosoStats Estatística em Ciências e Negócios, São Paulo, SP, Brasil.
Stevin ZungDepartamento Médico Científico, Núcleo de Inovação, Aché Laboratórios Farmacêuticos SA, Guarulhos, São Paulo, Brasil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe addition of ezetimibe to statin therapy has been reported to result in increased efficacy for reduction of LDL-C levels and achievement of lipid targets, compared with monotherapy.

objectiveThis study was designed to demonstrate the noninferiority of therapy with fixed-dose rosuvastatin plus ezetimibe formulations versus fixed dose simvastatin and ezetimibe formulations for reduction of LDL-C levels in Brazilian patients with hypercholesterolemia or mixed dyslipidemia.

methodsPhase III, multicenter, randomized, parallel, open-label, noninferiority study that included male and female participants (aged 21-80 years) with hypercholesterolemia or mixed dyslipidemia. After a 1-week screening period with washout of lipid-lowering medications when needed, patients were treated with simvastatin 20 mg/d for 5 weeks. Participants with LDL-C levels ≥100 mg/dL after the initial treatment were submitted to a 1-week washout period, and then randomized 1:1 to receive either combined rosuvastatin 10 mg + ezetimibe 10 mg (R/E) or simvastatin 20 mg + ezetimibe 10 mg (S/E) for 4 weeks and, if they still did not achieve the stipulated target, doses were readjusted to rosuvastatin 20 mg + ezetimibe 10 mg or simvastatin 40 mg + ezetimibe 10 mg, respectively, for 4 weeks.

resultsOne hundred twenty-nine participants were enrolled, including 66 in R/E and 63 in S/E. At the end of simvastatin 20 mg treatment period, mean LDL-C values were 124.79 mg/dL and 121.27 mg/dL for participants randomized to R/E and S/E arms, respectively. After 4 weeks of R/E 10 mg + 10 mg or S/E 20 mg + 10 mg combined treatments, adjusted mean LDL-C values were 74.21 mg/dL and 85.58 mg/dL, respectively (

conclusionsRosuvastatin and ezetimibe fixed dose combination in both 10 mg/10 mg and 20 mg/10 mg doses, respectively, provided significantly lower levels of LDL-C compared with simvastatin and ezetimibe in doses of 20 mg/10 mg and 40 mg/10 mg, respectively. The fixed-dose combinations were both effective and well tolerated in this Brazilian study population. ClinicalTrials.gov identifier: NCT01420549. (

Indexed as

HypercholesterolemiaRosuvastatin plus ezetimibeSingle-pill combinationSinvastatin plus ezetimibe

Identifiers

PMID32904162
PMCPMC7451794

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.