Prevention & lipids

Fixed-dose combination therapy for the prevention of atherosclerotic cardiovascular disease

Nat MedPublished Systematic review and meta-analysis of randomised trials

An erratum to this article was published (Nat Med, Aug 2024 ↗)

Study context

Population
Primary and secondary prevention of atherosclerotic cardiovascular disease (ASCVD); randomised trials 2016–2022
Participants
27,317 participants26 trials
Comparison
Fixed-dose combination (FDC) therapy vs control
Outcome
All-cause mortality, fatal and nonfatal ASCVD events, adverse events, SBP, LDL-C and adherence
Methodological detailsfixed-effect meta-analysis
  • Fixed-effect meta-analysis

Pooled result

As reported in the abstract

FDCRelative risk (95% CI)
All-cause mortality: 5.6%vs 6.3%; I2 = 0%; 4 trials, 16,278 participants
0.89(0.78–1.00)
Fatal and nonfatal ASCVD events: 6.1%vs 8.4%; I2 = 0%; 5 trials, 15,503 participants
0.71(0.63–0.79)

Further pooled results

MACE, exclusively secondary prevention population (1 trial)

FDC reduced risk of MACE
24%

Safety

Higher rates of adverse events with FDC in primary and mixed secondary prevention populations

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Fixed-dose combination therapy for the prevention of atherosclerotic cardiovascular disease. Nat Med. Published 26 March 2024. doi:10.1038/s41591-024-02896-w

Composed by AI from the published abstract and checked against it. How Briefs are made →

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