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October 5, 2011Current Medical Research and OpinionOpen Access

Fenofibrate/pravastatin 160/40 mg combination therapy significantly reduced non-HDL cholesterol by 16.3% at 64 weeks compared to baseline on pravastatin monotherapy (p<0.0001).

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Why the study?

Does fenofibrate/pravastatin combination therapy improve lipid profiles and maintain safety in high-risk patients with mixed hyperlipidemia not controlled by pravastatin monotherapy?

Population

248 high-risk patients with mixed hyperlipidemia not controlled by pravastatin 40 mg monotherapy.

Comparison

Fenofibrate/pravastatin 160/40 mg fixed-dose… vs Pravastatin 40 mg monotherapy.

Design

RCT, randomized, double-blind phase followed by open-label phase

Follow-up

64 weeks

Key result

Fenofibrate/pravastatin 160/40 mg combination therapy significantly reduced non-HDL cholesterol by 16.3% at 64 weeks compared to baseline on pravastatin monotherapy (p<0.0001).

Authors

MFMichel FarnierJDJean DucobuLBLeszek Bryniarski

Discussion

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Overview

Supports adding fenofibrate to pravastatin in uncontrolled mixed hyperlipidemia; extends RCT evidence for long-term lipid and safety benefits.

Study Design

Type

RCT (n=248)

Blinding

Double-blind

Randomization

randomized

Structured PICO

Does fenofibrate/pravastatin combination therapy improve lipid profiles and maintain safety in high-risk patients with mixed hyperlipidemia not controlled by pravastatin monotherapy?

P
Population
248 high-risk patients with mixed hyperlipidemia not controlled by pravastatin 40 mg monotherapy, followed for up to 64 weeks.
I
Intervention
Fenofibrate/pravastatin 160/40 mg fixed-dose combination therapy (12 weeks double-blind, followed by 52-week open-label safety phase).
C
Comparator
Pravastatin 40 mg monotherapy (during the initial 12-week double-blind phase).
O
Outcome
Long-term safety and efficacy (changes in lipid profile including non-HDL, LDL-C, TG, apolipoprotein B, HDL-C, and apolipoprotein A1 at week 64).surrogate

Main Result

p-value: p=< 0.0001

Long-term co-administration of fenofibrate and pravastatin is well tolerated and improves the overall lipid profile in high-risk patients with mixed hyperlipidemia inadequately controlled by pravastatin monotherapy.

Limitations

  • The study was not powered to assess clinical events.
  • study was not powered to assess clinical events

Cite This Study

Farnier et al. (2011) conducted an RCT in mixed hyperlipidemia not controlled by pravastatin monotherapy (n=248). fenofibrate/pravastatin combination therapy vs. pravastatin 40 mg monotherapy was evaluated on non-HDL cholesterol reduction at week 64 compared to baseline (p=< 0.0001). Fenofibrate/pravastatin 160/40 mg combination therapy significantly reduced non-HDL cholesterol by 16.3% at 64 weeks compared to baseline on pravastatin monotherapy (p<0.0001).

synapsesocial.com/papers/6a315d3effcfe3e97ced022dhttps://doi.org/10.1185/03007995.2011.626398
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A European, Observational, 3‐Year Cohort Comparative Study on the Safety of the Fixed Dose Combination Pravastatin 40 mg/Fenofibrate 160 mg vs. Statin Alone in Real Clinical Practice: The <scp>POSE</scp> Study2024 · 4 citations
  2. 2Real-World Long-Term Safety of Statin–Fibrate Combination Therapy in Older Patients (≥75 Years): A European Cohort Analysis2026
  3. 3Long-term Treatment With Pravastatin Alone and in Combination With Gemfibrozil in Familial Type IIB Hyperlipoproteinemia or Combined Hyperlipidemia1997 · 15 citations
  4. 4Atorvastatin and Micronized Fenofibrate Alone and in Combination in Type 2 Diabetes With Combined Hyperlipidemia2002 · 260 citations
  5. 5Pravastatin once daily in hypercholesterolaemia: a U.K. study1993 · 2 citations