Evidence map›Paper›PMID 37032475›Full record

ArticleJournal of stroke2023

Moderate-Intensity Rosuvastatin Plus Ezetimibe Versus High-Intensity Rosuvastatin for Target Low-Density Lipoprotein Cholesterol Goal Achievement in Patients With Recent Ischemic Stroke: A Randomized Controlled Trial.

Keun-Sik Hong, Oh Young Bang, Jong-Ho Park, Jin-Man Jung, Sang-Hun Lee, Tae-Jin Song, Hyo Suk Nam, Hee-Kwon Park, Keun-Hwa Jung, Sung Hyuk Heo and 8 more

2 registry-linked trialsOpen access · diamondAbstract read
In one paragraph

Article in Journal of stroke, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.9field-weighted citation impact, top 10% 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.

NCT03993236 phase4completednot on this map

Moderate-intensity Rosuvastatin Plus Ezetimibe Versus High-intensity Rosuvastatin for Target LDL-C Goal Achievement in Patients With Recent Ischemic Stroke: a Randomized Clinical Trial

TypeinterventionalSponsorKeun-Sik HongRan2019 to 2021Enrolled584ConditionsStroke, IschemicArmsExperimental: Rosuvastatin/Ezetimibe 10, Active Comparator: Rosuvastatin 20mg
NCT06083961 phase4not yet recruitingnot on this map

The Effect of Early Administration of PCSK9 Inhibitor, Alirocumab to Acute Ischemic Stroke Patients Associated With Atherosclerosis on the Stroke Prognosis and Lipid Profile, a Single Center Study, Registry Based, Pragmatic, Prospective Trial

TypeinterventionalSponsorSun U. KwonRan2023 to 2026Enrolled200ConditionsStroke, Acute Ischemic, PCSK9 InhibitorArmsAlirocumab
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 9 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

18 authors at 11 institutions in 1 country.

Keun-Sik HongDepartment of Neurology, Ilsan Paik Hospital, Inje University, Goyang, Korea.
Oh Young BangDepartment of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Jong-Ho ParkDepartment of Neurology, Myongji Hospital, Hanyang University College of Medicine, Goyang, Korea.
Jin-Man JungDepartment of Neurology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.
Sang-Hun LeeDepartment of Neurology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.
Tae-Jin SongDepartment of Neurology, Seoul Hospital, Ewha Women's University College of Medicine, Seoul, Korea.
Hyo Suk NamDepartment of Neurology, Yonsei University College of Medicine, Seoul, Korea.
Hee-Kwon ParkDepartment of Neurology, Inha University Hospital, Incheon, Korea.
Keun-Hwa JungDepartment of Neurology, Seoul National University College of Medicine, Seoul, Korea.
Sung Hyuk HeoDepartment of Neurology, Kyung Hee University Medical Center, Seoul, Korea.
Jaseong KooDepartment of Neurology, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
Kyung-Ho YuDepartment of Neurology, Hallym University Sacred Heart Hospital, Anyang, Korea.
Kwang-Yeol ParkDepartment of Neurology, Chung-Ang University Hospital, Seoul, Korea.
Chi Kyung KimDepartment of Neurology, Korea University Guro Hospital, Seoul, Korea.
Hong-Kyun ParkDepartment of Neurology, Ilsan Paik Hospital, Inje University, Goyang, Korea.
Jiyoon LeeDepartment of Biostatistics, Korea University College of Medicine, Seoul, Korea.
Juneyoung LeeDepartment of Biostatistics, Korea University College of Medicine, Seoul, Korea.
Woo-Keun SeoDepartment of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Korea University · KRInje University Ilsan Paik Hospital · KRSamsung Medical Center · KRChung-Ang University Hospital · KRHallym University Sacred Heart Hospital · KRKorea University Medical Center · KRKyung Hee University Medical Center · KRMyongji Hospital · KRSeoul National University · KRThe Catholic University of Korea Seoul St. Mary's Hospital · KRYonsei University · KR

Funding

Hanmi Pharm. Co., Ltd
6 · The paper itself

Abstract

background and purposeModerate-intensity statin plus ezetimibe versus high-intensity statin alone may provide a greater low-density lipoprotein cholesterol (LDL-C) reduction in patients with recent ischemic stroke.

methodsThis randomized, open-label, controlled trial assigned patients with recent ischemic stroke <90 days to rosuvastatin/ezetimibe 10/10 mg once daily (ROS10/EZT10) or to rosuvastatin 20 mg once daily (ROS20). The primary endpoint was LDL-C reduction ≥50% from baseline at 90 days. Key secondary endpoints were LDL-C <70 mg/dL and multiple lipid goal achievement, and composite of major vascular events.

resultsOf 584 randomized, 530 were included in the modified intention-to-treat analysis. The baseline LDL-C level was 130.2±34.7 mg/dL in the ROS10/EZT10 group and 131.0±33.9 mg/dL in the ROS20 group. The primary endpoint was achieved in 198 patients (72.5%) in the ROS10/EZT10 group and 148 (57.6%) in the ROS20 group (odds ratio [95% confidence interval], 1.944 [1.352-2.795]; P= 0.0003). LDL-C level <70 mg/dL was achieved in 80.2% and 65.4% in the ROS10/EZT10 and ROS20 groups (P=0.0001). Multiple lipid goal achievement rate was 71.1% and 53.7% in the ROS10/EZT10 and ROS20 groups (P<0.0001). Major vascular events occurred in 1 patient in the ROS10/EZT10 group and 9 in the ROS20 group (P=0.0091). The adverse event rates did not differ between the two groups.

conclusionModerate-intensity rosuvastatin plus ezetimibe was superior to high-intensity rosuvastatin alone for intensive LDL-C reduction in patients with recent ischemic stroke. With the combination therapy, more than 70% of patients achieved LDL-C reduction ≥50% and 80% had an LDL-C <70 mg/dL at 90 days.

Indexed as

EzetimibeLDL cholesterolRosuvastatinStrokeTarget goal

Identifiers

PMID37032475
PMCPMC10250871
OpenAlexW4362735730

What OpenQuestion holds

Textmetadata
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.