Prevention & lipids

Cardiovascular events in patients treated with bempedoic acid vs. placebo: systematic review and meta-analysis

Eur Heart J Cardiovasc PharmacotherPublished Systematic review and meta-analysis of randomised trials

Pooled resultResult — go to the resultOdds ratio 0.84 95% CI 0.76–0.96

Authors' conclusion

Bempedoic acid reduced non-fatal MI in patients with hyperlipidaemia, whereas it had no significant effect on stroke and all-cause mortality.

Study context

Population
Patients with hyperlipidaemia with an indication for lipid-lowering therapy
Participants
18,200 patients10 trials
Comparison
Bempedoic acid vs placebo
  • Bempedoic acidn = 9,765
  • Placebon = 8,435reference
Outcome
Three-point MACE:
  • CV death
  • Non-fatal MI
  • Non-fatal stroke
Methodological detailsrandom-effects model
  • Random-effects model

Pooled result

As reported in the abstract

Odds ratio

0.84

95% CI 0.76–0.96

P < 0.001

Bempedoic acidvs Placebo
OR 0.84 (95% CI 0.76–0.96); P < 0.001

Further pooled results

OutcomeOR (95% CI)P value
StrokeI2 = 0%0.86 (0.69–1.08)P = 0.20
All-cause mortalityI2 = 18%1.19 (0.73–1.93)P = 0.49

Non-fatal myocardial infarction (MI)

MACE reduction driven by a lower rate of non-fatal MI

Original publication

Cardiovascular events in patients treated with bempedoic acid vs. placebo: systematic review and meta-analysis. Eur Heart J Cardiovasc Pharmacother. Published 18 July 2023. doi:10.1093/ehjcvp/pvad052

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