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IMPROVE-IT
Improved Reduction of Outcomes: Vytorin Efficacy International Trial
Ongoing trial
Author(s)
Cannon CP, Giugliano RP, Blazing MA, Harrington RA, Peterson JL, McCrary Sisk C, Strony J, Musliner TA, McCabe CH, Veltri E, Braunwald E, Califf RM
Title(s)
Rationale and design of IMPROVE-IT (IMProved Reduction of Outcomes: Vytorin Efficacy International Trial): Comparison of ezetimbe/simvastatin versus simvastatin monotherapy on cardiovascular outcomes in patients with acute coronary syndromes
Reference(s)
Am Heart J 2008;156:826–32
Disease
Acute coronary syndromes
Purpose
To examine whether the combination of ezetimibe plus simvastatin can increase clinical benefit on cardiovascular outcomes compared to simvastatin monotherapy in patients stabilised after acute coronary syndromes
Study design
Randomised, double-blind, controlled
Follow-up
Aim 2.5 years
Patients
Aim 18,000 patients, recently hospitalised for ST-segment elevation MI, non-ST-segment elevation MI or unstable angina pectoris and stabilised for at least 24 h, with LDL cholesterol 50–125 mg/dl for those not receiving lipid-lowering therapy and 50–100 mg/dl for those receiving chronic statin therapy
Treatment regimen
Simvastatin, 40 mg/day titrated to 80 mg/day if LDL cholesterol > 79 mg/dl, alone or in combination with ezetimibe, 10 mg/day
Results
Not yet available
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