Abstract |
We assessed pooled safety and lipid-regulating efficacy data from four similarly designed trials of ezetimibe coadministered with statins in 2382 patients with primary hypercholesterolemia. Patients were randomised to one of the following double-blind treatments for 12 weeks: placebo; ezetimibe 10 mg; statin; or statin + ezetimibe. Statin doses tested were 10, 20, 40 mg/day ( atorvastatin, simvastatin, pravastatin or lovastatin) or 80 mg/day ( atorvastatin, simvastatin). Treatment with ezetimibe + statin led to significantly greater reductions in low-density lipoprotein cholesterol ( LDL-C), total cholesterol, triglycerides, non- high-density lipoprotein cholesterol (non-HDL-C), apolipoprotein B and increases in HDL-C, compared to statin alone. At each statin dose, treatment with ezetimibe + statin led to a greater LDL-C reduction compared to the next highest statin monotherapy dose. Ezetimibe + statin had a safety profile similar to statin monotherapy. Coadministration of ezetimibe + statin offers a well-tolerated, highly efficacious new treatment strategy for patients with hypercholesterolemia.
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Authors | M H Davidson, C M Ballantyne, B Kerzner, L Melani, P T Sager, L Lipka, J Strony, R Suresh, E Veltri, Ezetimibe Study Group |
Journal | International journal of clinical practice
(Int J Clin Pract)
Vol. 58
Issue 8
Pg. 746-55
(Aug 2004)
ISSN: 1368-5031 [Print] India |
PMID | 15372846
(Publication Type: Clinical Trial, Clinical Trial, Phase I, Clinical Trial, Phase II, Journal Article, Multicenter Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Chemical References |
- Anticholesteremic Agents
- Azetidines
- Hydroxymethylglutaryl-CoA Reductase Inhibitors
- Ezetimibe
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Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Anticholesteremic Agents
(administration & dosage, adverse effects)
- Azetidines
(administration & dosage, adverse effects)
- Double-Blind Method
- Drug Therapy, Combination
- Ezetimibe
- Female
- Humans
- Hydroxymethylglutaryl-CoA Reductase Inhibitors
(administration & dosage, adverse effects)
- Hypercholesterolemia
(drug therapy)
- Male
- Middle Aged
- Treatment Outcome
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