Lipid-lowering efficacy of atorvastatin
- PMID: 25760954
- PMCID: PMC6464917
- DOI: 10.1002/14651858.CD008226.pub3
Lipid-lowering efficacy of atorvastatin
Abstract
Background: This represents the first update of this review, which was published in 2012. Atorvastatin is one of the most widely prescribed drugs and the most widely prescribed statin in the world. It is therefore important to know the dose-related magnitude of effect of atorvastatin on blood lipids.
Objectives: Primary objective To quantify the effects of various doses of atorvastatin on serum total cholesterol, low-density lipoprotein (LDL)-cholesterol, high-density lipoprotein (HDL)-cholesterol and triglycerides in individuals with and without evidence of cardiovascular disease. The primary focus of this review was determination of the mean per cent change from baseline of LDL-cholesterol. Secondary objectives • To quantify the variability of effects of various doses of atorvastatin.• To quantify withdrawals due to adverse effects (WDAEs) in placebo-controlled randomised controlled trials (RCTs).
Search methods: We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (Issue 11, 2013), MEDLINE (1966 to December Week 2 2013), EMBASE (1980 to December Week 2 2013), Web of Science (1899 to December Week 2 2013) and BIOSIS Previews (1969 to December Week 2 2013). We applied no language restrictions.
Selection criteria: Randomised controlled and uncontrolled before-and-after trials evaluating the dose response of different fixed doses of atorvastatin on blood lipids over a duration of three to 12 weeks.
Data collection and analysis: Two review authors independently assessed eligibility criteria for studies to be included and extracted data. We collected information on withdrawals due to adverse effects from placebo-controlled trials.
Main results: In this update, we found an additional 42 trials and added them to the original 254 studies. The update consists of 296 trials that evaluated dose-related efficacy of atorvastatin in 38,817 participants. Included are 242 before-and-after trials and 54 placebo-controlled RCTs. Log dose-response data from both trial designs revealed linear dose-related effects on blood total cholesterol, LDL-cholesterol, HDL-cholesterol and triglycerides. The Summary of findings table 1 documents the effect of atorvastatin on LDL-cholesterol over the dose range of 10 to 80 mg/d, which is the range for which this systematic review acquired the greatest quantity of data. Over this range, blood LDL-cholesterol is decreased by 37.1% to 51.7% (Summary of findings table 1). The slope of dose-related effects on cholesterol and LDL-cholesterol was similar for atorvastatin and rosuvastatin, but rosuvastatin is about three-fold more potent. Subgroup analyses suggested that the atorvastatin effect was greater in females than in males and was greater in non-familial than in familial hypercholesterolaemia. Risk of bias for the outcome of withdrawals due to adverse effects (WDAEs) was high, but the mostly unclear risk of bias was judged unlikely to affect lipid measurements. Withdrawals due to adverse effects were not statistically significantly different between atorvastatin and placebo groups in these short-term trials (risk ratio 0.98, 95% confidence interval 0.68 to 1.40).
Authors' conclusions: This update resulted in no change to the main conclusions of the review but significantly increases the strength of the evidence. Studies show that atorvastatin decreases blood total cholesterol and LDL-cholesterol in a linear dose-related manner over the commonly prescribed dose range. New findings include that atorvastatin is more than three-fold less potent than rosuvastatin, and that the cholesterol-lowering effects of atorvastatin are greater in females than in males and greater in non-familial than in familial hypercholesterolaemia. This review update does not provide a good estimate of the incidence of harms associated with atorvastatin because included trials were of short duration and adverse effects were not reported in 37% of placebo-controlled trials.
Conflict of interest statement
None.
Figures
Update of
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Lipid lowering efficacy of atorvastatin.Cochrane Database Syst Rev. 2012 Dec 12;12:CD008226. doi: 10.1002/14651858.CD008226.pub2. Cochrane Database Syst Rev. 2012. Update in: Cochrane Database Syst Rev. 2015 Mar 12;(3):CD008226. doi: 10.1002/14651858.CD008226.pub3. PMID: 23235655 Updated.
References
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Cerda 2010 {published data only}
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- Cerda A, Genvigir FDV, Arazi SS, Hirata MH, Dorea EL, Bernik MMS, et al. Influence of SCARB1 polymorphisms on serum lipids of hypercholesterolemic individuals treated with atorvastatin. Clinica Chimica Acta; International Journal of Clinical Chemistry 2010;411(9‐10):631‐7. [MEDLINE: ] - PubMed
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CEZAR 2009 {published data only}
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- Ostad Mir A, Eggeling S, Tschentscher P, Schwedhelm E, Boger R, Wenzel P, et al. Flow‐mediated dilation in patients with coronary artery disease is enhanced by high dose atorvastatin compared to combined low dose atorvastatin and ezetimibe: results of the CEZAR study. Atherosclerosis 2009;205(1):227‐32. [MEDLINE: ] - PubMed
CHALLENGE 2002 {published data only}
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- Karalis DG, Ross AM, Vacari RM, Zarren H, Kafonek S, Tambone L. Comparing the efficacy of atorvastatin vs simvastatin in hypercholesterolemic patients with and without CHD. Atherosclerosis Supplement 2001;2(2):95. [CENTRAL: CN‐00446012]
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- Karalis DG, Ross AM, Vacari RM, Zarren H, Scott R. Comparison of efficacy and safety of atorvastatin and simvastatin in patients with dyslipidemia with and without coronary heart disease. American Journal of Cardiology 2002;89(6):667‐71. [MEDLINE: ] - PubMed
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Chan 2002 {published data only}
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- Chan DC, Nguyen MN, Watts GF, Ooi EM, Barrett PHR. Effects of atorvastatin and n‐3 fatty acid supplementation on VLDL apolipoprotein C‐III kinetics in men with abdominal obesity. The American Journal of Clinical Nutrition. United States: Metabolic Research Centre School of MedicinePharmacology Royal Perth Hospital University of Western Australia Perth Western Australia., 2010; Vol. 91, issue 4:900‐6. [MEDLINE: ] - PubMed
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- Chan DC, Watts GF, Barrett PH, Beilin LJ, Redgrave TG, Mori TA. Regulatory effects of HMG CoA reductase inhibitor and fish oils on apolipoprotein B‐100 kinetics in insulin‐resistant obese male subjects with dyslipidemia. Diabetes 2002;51(8):2377‐86. [MEDLINE: ] - PubMed
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- Chan DC, Watts GF, Barrett PH, Mori TA, Beilin LJ, Redgrave TG. Mechanism of action of a 3‐hydroxy‐3‐methylglutaryl coenzyme a reductase inhibitor on apolipoprotein B‐100 kinetics in visceral obesity. Journal of Clinical Endocrinology & Metabolism 2002;87(5):2283‐9. [MEDLINE: ] - PubMed
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Chan 2008 {published data only}
Chen 2013 {published data only}
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- Chen F, Maccubbin D, Yan L, Sirah W, Chen E, Sisk CM, et al. Lipid‐altering efficacy and safety profile of co‐administered extended release niacin/laropiprant and simvastatin versus atorvastatin in patients with mixed hyperlipidemia. International Journal of Cardiology 2013;167(1):225‐31. [EMBASE: 2013353165] - PubMed
CHESS 2003 {published data only}
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- Ballantyne CM, Blazing MA, Hunninghake DB, Davidson MH, Yuan Z, DeLucca P, et al. Effect on high‐density lipoprotein cholesterol of maximum dose simvastatin and atorvastatin in patients with hypercholesterolemia: results of the Comparative HDL Efficacy and Safety Study (CHESS). American Heart Journal 2003;146(5):862‐9. [MEDLINE: ] - PubMed
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- Ballantyne CM, Hustad CM, Yuan Z, DeLucca P, Palmisano J. Efficacy and safety of simvastatin versus atorvastatin: results of the Comparative HDL‐C Efficacy and Safety Study (Chess). Atherosclerosis Supplement 2002;3(2):72. [CENTRAL: CN‐00444318]
CHEST 2003 {published data only}
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- Ansell BJ, Watson KE, Weiss RE, Fonarow GC. hsCRP and HDL effects of statins trial (CHEST): rapid effect of statin therapy on C‐reactive protein and high‐density lipoprotein levels A clinical investigation. Heart Disease 2003;5(1):2‐7. [MEDLINE: ] - PubMed
CHIBA 2008 {published data only}
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- Yokote K, Bujo H, Hanaoka H, Shinomiya M, Mikami K, Miyashita Y, et al. Multicenter collaborative randomized parallel group comparative study of pitavastatin and atorvastatin in Japanese hypercholesterolemic patients. Collaborative study on hypercholesterolemia drug intervention and their benefits for atherosclerosis prevention (CHIBA study). Atherosclerosis 2008;201(2):345‐52. [EMBASE: 2008556198] - PubMed
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Cho 2011 {published data only}
Chu 2006a {published data only}
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- Chu CS, Lee KT, Lee MY, Su HM, Voon WC, Sheu SH, et al. Effects of rosiglitazone alone and in combination with atorvastatin on nontraditional markers of cardiovascular disease in patients with type 2 diabetes mellitus. American Journal of Cardiology 2006;97(5):646‐50. [MEDLINE: ] - PubMed
Chu 2006b {published data only}
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- Chu CS, Kou HS, Lee CJ, Lee KT, Chen SH, Voon WC, et al. Effect of atorvastatin withdrawal on circulating coenzyme Q10 concentration in patients with hypercholesterolemia. Biofactors 2006;28(3‐4):177‐84. [MEDLINE: ] - PubMed
Chu 2006c {published data only}
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Chu 2007 {published data only}
Claeys 2004 {published data only}
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- Claeys MJ, Cosyns B, Hoffer E, Carlier M, Missault L, Cools F, et al. Short‐term effect of atorvastatin on ischaemic threshold in hypercholesterolaemic patients with stable ischaemic heart disease. Acta Cardiologica 2004;59(3):269‐74. [MEDLINE: ] - PubMed
COMETS 2005 {published data only}
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- Schuster H. Does rosuvastatin improve lipid levels in patients with the metabolic syndrome more effectively than atorvastatin?. Nature Clinical Practice Cardiovascular Medicine 2006;3(2):74‐5. [EMBASE: 2006071305] - PubMed
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CORALL 2005 {published data only}
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- Simsek S, Schalkwijk CG, Wolffenbuttel BH. Effects of rosuvastatin and atorvastatin on glycaemic control in Type 2 diabetes‐‐‐the CORALL study: associated included citation for the CORALL 2005 trial. Diabetic Medicine 2012;29(5):628‐31. [MEDLINE: ] - PubMed
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Crouse III 1999 {published data only}
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- Crouse III Jr, Frohlich J, Ose L, Mercuri M, Tobert JA. Effects of high doses of simvastatin and atorvastatin on high‐density lipoprotein cholesterol and apolipoprotein A‐1. American Journal of Cardiology 1999;83(10):1476‐7. [MEDLINE: ] - PubMed
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Cubeddu 2006 {published data only}
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- Cubeddu LX, Cubeddu RJ, Heimowitz T, Restrepo B, Lamas GA, Weinberg GB. Comparative lipid‐lowering effects of policosanol and atorvastatin: a randomized, parallel, double‐blind, placebo‐controlled trial. American Heart Journal 2006;152(5):982.e1‐5. [MEDLINE: ] - PubMed
CURVES 1998 {published data only}
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- Jones P, Kafonek S, Laurora I, Hunninghake D. Comparative dose efficacy study of atorvastatin versus simvastatin, pravastatin, lovastatin and fluvastatin in patients with hypercholesterolemia (the CURVES study). American Journal of Cardiology 1998;81(5):582‐7. [MEDLINE: ] - PubMed
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DALI 2001 {published data only}
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- Diabetes Atorvastin Lipid Intervention (DALI) Study Group. The effect of aggressive versus standard lipid lowering by atorvastatin on diabetic dyslipidemia: the DALI study: a double‐blind, randomized, placebo‐controlled trial in patients with type 2 diabetes and diabetic dyslipidemia. Diabetes Care 2001;24(8):1335‐41. [MEDLINE: ] - PubMed
Davidson 2002 {published data only}
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- AstraZeneca. A 12 week, randomized, double‐blind, placebo‐controlled, multicenter trial to evaluate the efficacy and safety of ZD4522 5 mg and 10 mg and atorvastatin 10 mg in the treatment of subjects with hypercholesterolemia (4522IL/0024). Department of Health and Human Services Food and Drug Administration Center for Drug Evaluation and Research Office of Biostatistics 1999‐2000:12‐7. [NDA 21‐366]
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- Blasetto JW, Stein EA, Brown WV, Chitra R, Raza A. Efficacy of rosuvastatin compared with other statins at selected starting doses in hypercholesterolemic patients and in special population groups. American Journal of Cardiology 2003;91 Suppl 5A:3C‐10C. [MEDLINE: ] - PubMed
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- Davidson M, Ma P, Stein EA, Gotto AM Jr, Raza A, Chitra R, et al. Comparison of effects on low‐density lipoprotein cholesterol and high‐density lipoprotein cholesterol with rosuvastatin versus atorvastatin in patients with type IIa or IIb hypercholesterolemia. American Journal of Cardiology 2002;89(3):268‐75. [MEDLINE: ] - PubMed
Della‐Morte 2011 {published data only}
Demir 2001 {published data only}
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- Demir M, Acarturk E, Sasmaz I, Cayli M, Kilinc Y. Effects of atorvastatin on lipid profile and coagulation parameters. Current Therapeutic Research Clinical and Experimental 2001;62(10):691‐8. [493FT]
Despres 2002 {published data only}
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- Delaval D, Despres JP, Salomon H. Micronized fenofibrate compared to atorvastatin in low HDL‐cholesterol patients (<40 mg/dl). Atherosclerosis Supplements 2001;2(2):48‐9. [CENTRAL: CN‐00445059]
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Diepeveen 2005 {published data only}
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- Diepeveen SH, Verhoeven GW, Palen J, Dikkeschei LD, Tits LJ, Kolsters G, et al. Effects of atorvastatin and vitamin E on lipoproteins and oxidative stress in dialysis patients: a randomised‐controlled trial. Journal of Internal Medicine 2005;257(5):438‐45. [MEDLINE: ] - PubMed
DISCOVERY 2005 {unpublished data only}
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- AstraZeneca. An open‐label, randomised, multi‐centre, phase IIIb/IV, parallel group study to compare the efficacy and safety of rosuvastatin and atorvastatin in subjects with type IIa and IIb hypercholesterolaemia (DISCOVERY). Protocol No. D3560L00009 2005.
DISCOVERY ALPHA 2006 {published data only}
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- Binbrek AS, Elis A, Al‐Zaibag M, Eha J, Keber I, Cuevas AM, et al. Rosuvastatin versus atorvastatin in achieving lipid goals in patients at high risk for cardiovascular disease in clinical practice: a randomized, open‐label, parallel‐group, multicenter study (DISCOVERY alpha study). Current Therapeutic Research Clinical and Experimental 2006;67(1):21‐43. [IDS Number: 024LM] - PMC - PubMed
Dobreanu 2007 {published data only}
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- Dobreanu M, Dobreanu D, Fodor A, Bacarea A, Dobreanu M, Dobreanu D, et al. Integrin expression on monocytes and lymphocytes in unstable angina short term effects of atorvastatin. Romanian Journal of Internal Medicine 2007;45(2):193‐9. [MEDLINE: ] - PubMed
Dogra 2007 {published data only}
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- Dogra G, Irish A, Chan D, Watts G, Dogra G, Irish A, et al. A randomized trial of the effect of statin and fibrate therapy on arterial function in CKD. American Journal of Kidney Diseases 2007;49(6):776‐85. [MEDLINE: ] - PubMed
ECLIPSE 2008 {published data only}
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- AstraZeneca. A 24‐Week, Randomised, Open‐Label, Parallel‐Group, Multicentre Study Which Compares the Efficacy and Safety of Rosuvastatin 10, 20 and 40 mg With Atorvastatin 10, 20, 40 and 80 mg When Force‐Titrated in the Treatment of Patients With Primary Hypercholesterolemia and Either a History of Coronary Heart Disease (CHD) or Clinical Evidence of Atherosclerosis or a CHD Risk Equivalent (10‐Year Risk Score >20%) ECLIPSE ‐ An Evaluation to Compare Lipid‐Lowering Effects of Rosuvastatin and Atorvastatin In Force‐Titrated Patients: a Prospective Study of Efficacy and Tolerability. Protocol No. D3569C00002 2005.
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Economides 2004 {published data only}
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- Economides PA, Caselli A, Tiani E, Khaodhiar L, Horton ES, Veves A. The effects of atorvastatin on endothelial function in diabetic patients and subjects at risk for type 2 diabetes. Journal of Clinical Endocrinology & Metabolism 2004;89(2):740‐7. [MEDLINE: ] - PubMed
Farnier 2000 {published data only}
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Ferreira 2007 {published data only}
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- Ferreira GA, Navarro TP, Telles RW, Andrade LE, Sato EI. Atorvastatin therapy improves endothelial‐dependent vasodilation in patients with systemic lupus erythematosus: an 8 week controlled trial. Rheumatology 2007;46(10):1560‐5. [MEDLINE: ] - PubMed
Franiak‐Pietryga 2009 {published data only}
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Fu 2013 {published data only}
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- Fu Q, Li YP, Gao Y, Yang SH, Lu PQ, Jia M, et al. Lack of association between SLCO1B1 polymorphism and the lipid‐lowering effects of atorvastatin and simvastatin in Chinese individuals. European Journal of Clinical Pharmacology 2013;69(6):1269‐74. - PubMed
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Geiss 2001 {published data only}
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- Geiss HC, Otto C, Schwandte P, Parhofer KG. Effect of atorvastatin on low‐density lipoprotein subtypes in patients with different forms of hyperlipoproteinemia and control subjects. Metabolism Clinical & Experimental 2001;50(8):983‐8. [MEDLINE: ] - PubMed
Gokkaya 2008 {published data only}
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- Gokkaya SC, Ozden C, Levent OO, Hakan KH, Guzel O, Memis A, et al. Effect of correcting serum cholesterol levels on erectile function in patients with vasculogenic erectile dysfunction. Scandinavian Journal of Urology & Nephrology 2008;42(5):437‐40. [MEDLINE: ] - PubMed
Goldberg 2009 {published data only}
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Goudevenos 2000 {published data only}
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- Goudevenos JA, Bairaktari ET, Chatzidimou KG, Milionis HJ, Mikhailidis DP, Elisaf MS. The effect of atorvastatin on serum lipids lipoprotein (a) and plasma fibrinogen levels in primary dyslipidaemia ‐ a pilot study involving serial sampling. Current Medical Research and Opinion 2000;16(4):269‐75. [MEDLINE: ] - PubMed
Grossman 2000 {unpublished data only}
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- Grossman SS. The effect of atorvastatin on blood glucose levels in type 2 diabetic patients. DAI‐B 61/07 2000:p. 3531. [ProQuest document ID: 727719711]
Guerin 2000 {published data only}
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- Guerin M, Lassel TS, Goff W, Farnier M, Chapman MJ. Action of atorvastatin in combined hyperlipidemia: preferential reduction of cholesteryl ester transfer from HDL to VLDL1 particles. Arteriosclerosis, Thrombosis & Vascular Biology 2000;20(1):189‐97. [MEDLINE: ] - PubMed
Guerin 2002 {published data only}
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- Guerin M, Egger P, Goff W, Soudant C, Dupuis R, Chapman MJ. Atorvastatin reduces postprandial accumulation and cholesteryl ester transfer protein‐mediated remodeling of triglyceride‐rich lipoprotein subspecies in type IIB hyperlipidemia. Journal of Clinical Endocrinology and Metabolism 2002;87(11):4991‐5000. [MEDLINE: ] - PubMed
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Guerin 2008 {published data only}
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- Guerin M, Goff W, Duchene E, Julia Z, Nguyen T, Thuren T. Inhibition of CETP by torcetrapib attenuates the atherogenicity of postprandial TG‐rich lipoproteins in type IIB hyperlipidemia. Arteriosclerosis, Thrombosis & Vascular Biology 2008;28(1):148‐54. [MEDLINE: ] - PubMed
Gumprecht 2011 {published data only}
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- Gumprecht J, Gosho M, Budinski D, Hounslow N. Comparative long‐term efficacy and tolerability of pitavastatin 4 mg and atorvastatin 20‐40 mg in patients with type 2 diabetes mellitus and combined (mixed) dyslipidaemia. Diabetes, Obesity and Metabolism 2011;13(11):1047‐55. [EMBASE: 2011546830] - PubMed
Guo 2013 {published data only}
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- Guo YL, Liu J, Xu RX, Zhu CG, Wu NQ, Jiang LX, et al. Short‐term impact of low‐dose atorvastatin on serum proprotein convertase subtilisin/kexin type 9. Clinical Drug Investigation 2013;33(12):877‐83. [EMBASE: 2013791565] - PubMed
Han 2008 {published data only}
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- Han H, Xue J, Zhang J‐Y, Xu F‐H, Wang Y‐H. Efficacy and safety of rosuvastatin and atorvastatin in aged patients with hypercholesterolemia. Chinese Journal of New Drugs and Clinical Remedies 2008;27(2):120‐3. [PREV200800281522]
Harangi 2009 {published data only}
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- Harangi M, Mirdamadi HZ, Seres I, Sztanek F, Molnar M, Kassai A, et al. Atorvastatin effect on the distribution of high‐density lipoprotein subfractions and human paraoxonase activity. Translational Research: The Journal of Laboratory & Clinical Medicine 2009;153(4):190‐8. [MEDLINE: ] - PubMed
HD‐ROWS 2012 {published data only}
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HeFH 2003 {published data only}
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- Stein E, Strutt KL, Miller E, Southworth H. Rosuvastatin (20, 40 and 80 mg) reduces LDL‐C, raises HDL‐C and achieves treatment goals more effectively than atorvastatin (20, 40 and 80 mg) in patients with heterozygous familial hypercholesterolaemia [abstract]. Atherosclerosis Supplements 2001;2(2):90‐1. [CENTRAL: CN‐00447845]
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Her 2010 {published data only}
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- Her AY, Kim JY, Kang SM, Choi D, Jang Y, Chung N, et al. Effects of atorvastatin 20 mg, rosuvastatin 10 mg, and atorvastatin/ezetimibe 5 mg/5 mg on lipoproteins and glucose metabolism. Journal of Cardiovascular Pharmacology and Therapeutics 2010;15(2):167‐74. [MEDLINE: ] - PubMed
Hernandez 2011 {published data only}
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- Hernandez C, Francisco G, Ciudin A, Chacon P, Montoro B, Llaverias G, et al. Effect of atorvastatin on lipoprotein (a) and interleukin‐10: a randomized placebo‐controlled trial. Diabetes & Metabolism 2011;37(2):124‐30. [MEDLINE: ] - PubMed
Herregods 2008 {published data only}
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Hogue 2008a {published data only}
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Hogue 2008b {published data only}
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- Hogue JC, Lamarche B, Tremblay AJ, Bergeron J, Gagne C, Couture P, et al. Differential effect of atorvastatin and fenofibrate on plasma oxidized low‐density lipoprotein, inflammation markers, and cell adhesion molecules in patients with type 2 diabetes mellitus. Metabolism: Clinical & Experimental 2008;57(3):380‐6. [MEDLINE: ] - PubMed
Hoogerbrugge 1998 {published data only}
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Hoogerbrugge 1999 {published data only}
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Huang 2012 {published data only}
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- Huang ZQ, Wu YT, Wang R, Huang W, Chen L. Effects of pitavastatin and atorvastatin on blood lipids and blood glucose in elderly type 2 diabetic patients. Zhongguo Xinyao yu Linchuang Zazhi 2012;31(10):614‐7. [BIOSIS:PREV201300107728]
Hufnagel 2000 {published data only}
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Hunninghake 1998 {published data only}
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Hunninghake 2001a {published data only}
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Hunninghake 2001b {published data only}
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Hunninghake 2003 {published data only}
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Hwang 2004 {published data only}
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Ikewaki 2009 {published data only}
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- Issa MH, Cerda A, Genvigir FD, Cavalli SA, Bertolami MC, Faludi AA, et al. Atorvastatin and hormone therapy effects on APOE mRNA expression in hypercholesterolemic postmenopausal women. Journal of Steroid Biochemistry & Molecular Biology 2012;128(3‐5):139‐44. [MEDLINE: ] - PubMed
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Jin 2012 {published data only}
Joukhadar 2001 {published data only}
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Kadikoylu 2003 {published data only}
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Kim 2010 {published data only}
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Kim 2013 {published data only}
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- Kim SH, Seo MK, Yoon MH, Choi DH, Hong TJ, Kim HS. Assessment of the efficacy and tolerability of 2 formulations of atorvastatin in Korean adults with hypercholesterolemia: a multicenter, prospective, open‐label, randomized trial. Clinical Therapeutics 2013;35(1):77‐86. [EMBASE: 2013044605] - PubMed
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Koh 2010 {published data only}
Kom 2007 {published data only}
Kosmidou 2008 {published data only}
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LCP‐AtorFen 2009 {published data only}
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- Davidson MH, Rooney MW, Drucker J, Eugene Griffin H, Oosman S, Beckert M. Efficacy and tolerability of atorvastatin/fenofibrate fixed‐dose combination tablet compared with atorvastatin and fenofibrate monotherapies in patients with dyslipidemia: a 12‐week, multicenter, double‐blind, randomized, parallel‐group study. Clinical Therapeutics 2009;31(12):2824‐38. [EMBASE: 2010047966] - PubMed
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Lee 2007 {published data only}
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- Lee SH, Chung N, Kwan J, Kim DI, Kim WH, Kim CJ, et al. Comparison of the efficacy and tolerability of pitavastatin and atorvastatin: an 8‐week, multicenter, randomized, open‐label, dose‐titration study in Korean patients with hypercholesterolemia. Clinical Therapeutics 2007;29(11):2365‐73. [MEDLINE: ] - PubMed
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Lee 2012 {published data only}
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- Lee SH, Park S, Kang SM, Jang Y, Chung N, Choi D. Effect of atorvastatin monotherapy and low‐dose atorvastatin/ezetimibe combination on fasting and postprandial triglycerides in combined hyperlipidemia. Journal of Cardiovascular Pharmacology & Therapeutics 2012;17(1):65‐71. [MEDLINE: ] - PubMed
Lee 2013 {published data only}
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- Lee JH, Kang HJ, Kim HS, Sohn DW, Oh BH, Park YB. Effects of ezetimibe/simvastatin 10/20 mg vs. atorvastatin 20 mg on apolipoprotein B/apolipoprotein A1 in Korean patients with type 2 diabetes mellitus: results of a randomized controlled trial. American Journal of Cardiovascular Drugs 2013;13(5):343‐51. [EMBASE: 2013633599] - PubMed
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Li 2010 {published data only}
Lins 2004 {published data only}
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Loughrey 2013 {published data only}
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Ma 2000 {published data only}
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- Ma P, Hegele R, Yale JF, Schwartz B. CAVEAT: a randomised, double‐blind, parallel group evaluation of cerivastatin 0.4 mg and 0.8 mg compared to atorvastatin 10 mg and 20 mg once daily in patients with combined (type IIb) dyslipidaemia. British Journal of Cardiology 2000;7(12):780‐6. [EMBASE: 2001009668]
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Mabuchi 2005 {published data only}
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SOLAR 2007 {published data only}
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Suleiman 2012 {published data only}
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- Suleiman M, Koestler C, Lerman A, Lopez‐Jimenez F, Herges R, Hodge D, et al. Atorvastatin for prevention of atrial fibrillation recurrence following pulmonary vein isolation: a double‐blind, placebo‐controlled, randomized trial. Heart Rhythm 2012;9(2):172‐8. [MEDLINE: ] - PubMed
SUPREME 2009 {published data only}
-
- Insull W Jr, Basile JN, Vo AN, Jiang P, Thakkar R, Padley RJ. Efficacy and safety of combination therapy with niacin extended‐release and simvastatin versus atorvastatin in patients with dyslipidemia: the SUPREME Study. Journal of Clinical Lipidology 2009;3(2):109‐18. [EMBASE: 2009130987] - PubMed
Szapary 2004 {published data only}
-
- Szapary L, Horvath B, Marton Z, Alexy T, Kesmarky G, Habon T, et al. Short‐term effect of low‐dose atorvastatin on haemorheological parameters, platelet aggregation and endothelial function in patients with cerebrovascular disease and hyperlipidaemia. CNS Drugs 2004;18(3):165‐72. [MEDLINE: ] - PubMed
Tagle 2000 {published data only}
-
- Tagle M, Salazar A, Gomez L, Alava Y, Bajana W. Clinical observation of the efficacy and safety of atorvastatin in the therapy of patients with hypercholesterolemia [Observacion clinica de la eficacia y seguridad de la administracion de atrovastatina en el tratamiento de pacientes con hipercolesterolemia]. Endocrinologia y Nutricion 2000;47(6):156‐60. [EMBASE: 2000318241]
Takebayashi 2005 {published data only}
-
- Takebayashi K, Matsumoto S, Wakabayashi S, Inukai Y, Matsutomo R, Aso Y, et al. The effect of low‐dose atorvastatin on circulating monocyte chemoattractant protein‐1 in patients with type 2 diabetes complicated by hyperlipidemia. Metabolism: Clinical & Experimental 2005;54(9):1225‐9. [MEDLINE: ] - PubMed
Tan 2002 {published data only}
-
- Tan KC, Chow WS, Tam SC, Ai VH, Lam CH, Lam KS. Atorvastatin lowers C‐reactive protein and improves endothelium‐dependent vasodilation in type 2 diabetes mellitus. Journal of Clinical Endocrinology & Metabolism 2002;87(2):563‐8. [MEDLINE: ] - PubMed
Tanaka 2001 {published data only}
-
- Tanaka A, Yamada N, Saito Y, Kawakami M, Ohashi Y, Akanuma Y. A double‐blind trial on the effects of atorvastatin on glycemic control in Japanese diabetic patients with hypercholesterolemia. Clinica Chimica Acta 2001;312(1‐2):41‐7. [MEDLINE: ] - PubMed
TARGET TANGIBLE 1999 {published data only}
-
- Maerz W, Wollschlaeger H, Klein G, Neiss A, Wehling M. Safety of low‐density lipoprotein cholesterol reduction with atorvastatin versus simvastatin in a coronary heart disease population (the TARGET TANGIBLE trial). American Journal of Cardiology 1999;84(1):7‐13. [MEDLINE: ] - PubMed
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- Maerz W, Wollschlager H, Klein G, Neiss A, Wehling M. Comparison of the safety of atorvastatin and simvastatin in patients with coronary heart disease ‐ the target tangible trial. Atherosclerosis 1999;144(1):29. [CENTRAL: CN‐00446640] - PubMed
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- Marz W, Wollschlager H, Klein G, Neiss A, Wehling M. Efficacy and safety of atorvastatin versus simvastatin in type II diabetes patients with coronary heart disease. Diabetologia 1999;42(Supplement 1):A19. [IDS Number: 225CC]
-
- Marz W, Wollschlager H, Klein G, Neiss A, Wehling M. Safety of low‐density lipoprotein cholesterol reduction with atorvastatin versus simvastatin in a coronary heart disease population (the TARGET TANGIBLE Trial). Perfusion 1999;12(10):427‐36. [IDS Number: 252QE] - PubMed
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- Ruof J, Klein G, Marz W, Wollschlager H, Neiss A, Wehling M. Lipid‐lowering medication for secondary prevention of coronary heart disease in a German outpatient population: the gap between treatment guidelines and real life treatment patterns. Preventive Medicine 2002;35(1):48‐53. [MEDLINE: ] - PubMed
Tateishi 2011 {published data only}
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- Tateishi J. Efficacy of three potent statins in patients with hypercholesterolemia who were newly prescribed statins. Therapeutic Research 2011;32(12):1653‐61. [EMBASE: 2012051834]
Tekin 2004 {published data only}
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- Tekin A, Tekin G, Guzelsoy D, Kaya A, Gurel CV, Yigit Z, et al. Effects of atorvastatin (10 mg) on hemostatic and inflammatory parameters in hyperlipidemic patients with angiographically proven coronary artery disease. American Journal of Cardiology 2004;94(2):206‐9. [MEDLINE: ] - PubMed
Tekten 2004 {published data only}
-
- Tekten T, Ceyhan C, Ercan E, Onbasili AO, Turkoglu C. The effect of atorvastatin on platelet function in patients with coronary artery disease. Acta Cardiologica 2004;59(3):311‐5. [MEDLINE: ] - PubMed
Tomas 2004 {published data only}
-
- Tomas JP, Moya JL, Campuzano R, Barrios V, Megias A, Ruiz S, et al. Noninvasive assessment of the effect of atorvastatin on coronary microvasculature and endothelial function in patients with dyslipidemia. Revista Espanola de Cardiologia 2004;57(10):909‐15. [MEDLINE: ] - PubMed
Tousoulis 2005 {published data only}
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- Tousoulis D, Antoniades C, Vassiliadou C, Toutouza M, Pitsavos C, Tentolouris C, et al. Effects of combined administration of low dose atorvastatin and vitamin E on inflammatory markers and endothelial function in patients with heart failure. European Journal of Heart Failure 2005;7(7):1126‐32. [MEDLINE: ] - PubMed
Tousoulis 2006 {published data only}
-
- Tousoulis D, Bosinakou E, Kotsopoulou M, Antoniades C, Katsi V, Stefanadis C. Effects of early administration of atorvastatin treatment on thrombotic process in normocholesterolemic patients with unstable angina. International Journal of Cardiology 2006;106(3):333‐7. [MEDLINE: ] - PubMed
Tousoulis 2011 {published data only}
-
- Tousoulis D, Koniari K, Antoniades C, Papageorgiou N, Miliou A, Noutsou M, et al. Combined effects of atorvastatin and metformin on glucose‐induced variations of inflammatory process in patients with diabetes mellitus. International Journal of Cardiology 2011;149(1):46‐9. [MEDLINE: ] - PubMed
Tsunoda 2011 {published data only}
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- Tsunoda S. Efficacy and safety of rosuvastatin 2.5 mg and atorvastatin 10 mg in patients with hypercholesterolemia. Therapeutic Research 2011;32(11):1507‐12. [EMBASE: 2011711049]
Undas 2006a {published data only}
-
- Undas A, Brummel‐Ziedins KE, Potaczek DP, Stobierska‐Dzierzek B, Bryniarski L, Szczeklik A, et al. Atorvastatin and quinapril inhibit blood coagulation in patients with coronary artery disease following 28 days of therapy. Journal of Thrombosis & Haemostasis 2006;4(11):2397‐404. [MEDLINE: ] - PubMed
Uydu 2012 {published data only}
-
- Uydu H A, Yildirmis S, Orem C, Calapoglu M, Alver A, Kural B, et al. The effects of atorvastatin therapy on rheological characteristics of erythrocyte membrane, serum lipid profile and oxidative status in patients with dyslipidemia. Journal of Membrane Biology 2012;245(11):697‐705. [MEDLINE: ] - PubMed
Vansant 2001 {published data only}
-
- Vansant G, Mertens A, Muls E. The effect of atorvastatin on postprandial lipidaemia in overweight or obese women homozygous for apo E3. Acta Cardiologica 2001;56(3):149‐54. [MEDLINE: ] - PubMed
VISION 2013 {published data only}
-
- Yoshida H, Shoda T, Yanai H, Ikewaki K, Kurata H, Ito K, et al. Effects of pitavastatin and atorvastatin on lipoprotein oxidation biomarkers in patients with dyslipidemia. Atherosclerosis 2013;226(1):161‐4. [MEDLINE: ] - PubMed
VYTAL 2006 {published data only}
-
- Goldberg RB, Guyton JR, Mazzone T, Weinstock RS, Polis A, Edwards P, et al. Ezetimibe/simvastatin vs atorvastatin in patients with type 2 diabetes mellitus and hypercholesterolemia: the VYTAL study. Mayo Clinic Proceedings 2006;81(12):1579‐88. [MEDLINE: ] - PubMed
-
- Goldberg RB, Guyton JR, Mazzone T, Weinstock RS, Polis AB, Tipping D, et al. Relationships between metabolic syndrome and other baseline factors and the efficacy of ezetimibe/simvastatin and atorvastatin in patients with type 2 diabetes and hypercholesterolemia. Diabetes Care 2010; Vol. 33, issue 5:1021‐4. [MEDLINE: ] - PMC - PubMed
-
- Guyton JR, Goldberg RB, Mazzone T, Weinstock RS, Polis A, Rosenberg E, et al. Lipoprotein and apolipoprotein ratios in the VYTAL trial of ezetimibe/simvastatin compared with atorvastatin in type 2 diabetes. Journal of Clinical Lipidology 2008;2(1):19‐24. [EMBASE: 2008082220] - PubMed
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- Merck, Co Inc. Ezetimibe/Simvastatin (Vytorin) versus Atorvastatin in Type 2 Diabetes Patients with Hypercholesterolemia: the VYTAL Study. Merck Protocol Number: 077 2005.
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- Tomassini JE, Mazzone T, Goldberg RB, Guyton JR, Weinstock RS, Polis A, et al. Effect of ezetimibe/simvastatin compared with atorvastatin on lipoprotein subclasses in patients with type 2 diabetes and hypercholesterolaemia. Diabetes, Obesity & Metabolism 2009; Vol. 11, issue 9:855‐64. [MEDLINE: ] - PubMed
VYTELD 2010 {published data only}
-
- Foody JM, Brown WV, Zieve F, Adewale AJ, Flaim D, Lowe RS, et al. Safety and efficacy of ezetimibe/simvastatin combination versus atorvastatin alone in adults >=65 years of age with hypercholesterolemia and with or at moderately high/high risk for coronary heart disease (the VYTELD study). American Journal of Cardiology 2010;106(9):1255‐63. [MEDLINE: ] - PubMed
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- Yip A, Hegele RA. Lipid modification in the elderly using the combination of a statin and a cholesterol absorption inhibitor: associated included citation for the VYTELD 2010 trial. Expert Opinion on Pharmacotherapy 2011;12(4):675‐8. [MEDLINE: ] - PubMed
VYVA 2005 {published data only}
-
- Abate N, Catapano AL, Ballantyne CM, Davidson MH, Polis A, Smugar SS, et al. Effect of ezetimibe/simvastatin versus atorvastatin or rosuvastatin on modifying lipid profiles in patients with diabetes, metabolic syndrome, or neither: results of two subgroup analyses. Journal of Clinical Lipidology 2008;2(2):91‐105. [EMBASE: 2008124668] - PubMed
-
- Ballantyne CM, Abate N, King TR, Yuan Z, Palmisano J, Tershakovec A. Ezetimibe/Simvastatin versus atorvastatin for attainment of apolipoprotein B and C‐reactive protein goals: a VYVA substudy. Journal of the American College of Cardiology 2006;47 Suppl A(4):335A. [IDS Number: 015CV]
-
- Ballantyne CM, Abate N, Yuan Z. Dose‐comparison study of the combination of ezetimibe and simvastatin (Vytorin) versus atorvastatin in patients with hypercholesterolemia: the Vytorin Versus Atorvastatin (VYVA) study. American Heart Journal 2005;149(5):882. [IDS Number: 932NN] - PubMed
-
- Ballantyne CM, Abate N, Yuan Z, King TR, Palmisano J. Dose‐comparison study of the combination of ezetimibe and simvastatin (Vytorin) versus atorvastatin in patients with hypercholesterolemia: the Vytorin Versus Atorvastatin (VYVA) study. American Heart Journal 2005;149(3):464‐73. [MEDLINE: ] - PubMed
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- Ballantyne CM, Abate N, Yuan Z, King TR, Palmisano J. Prevention and rehabilitation ‐ dose‐comparison study of the combination of ezetimibe and simvastatin (Vytorin) versus atorvastatin in patients with hypercholesterolemia: the Vytorin Versus Atorvastatin (VYVA) study. American Heart Journal 2005;149(3):464‐73. [DOI: 10.1016/j.ahj.2004.11.023; IDS Number: 917RV] - DOI - PubMed
Wang 2001 {published data only}
-
- Wang KY, Ting CT. A randomized, double‐blind, placebo‐controlled, 8‐week study to evaluate the efficacy and safety of once daily atorvastatin (10 mg) in patients with elevated LDL‐cholesterol. Japanese Heart Journal 2001;42(6):725‐38. [MEDLINE: ] - PubMed
Wang 2012 {published data only}
-
- Wang GH, Zhang X, Cao J, Li HT, Yin D, Zhou CJ. Lipid‐lowering efficacy and safety of rosuvastatin calcium in treatment of patients with chronic kidney disease. Guangdong Yixue 2012;33(1):125‐7. [CENTRAL: CN‐00858145 NEW]
WATCH 2001 {published data only}
-
- McPherson R, Angus C, Murray P, Genest J Jr. Efficacy of atorvastatin in achieving national cholesterol education program low‐density lipoprotein targets in women with severe dyslipidemia and cardiovascular disease or risk factors for cardiovascular disease: the Women's Atorvastatin Trial on Cholesterol (WATCH). American Heart Journal 2001;141(6):949‐56. [MEDLINE: ] - PubMed
Wei 2001 {unpublished data only}
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- Wei L. Clinical features and risk of coronary heart disease in familial hypercholesterolaemia and studies on hypolipidaemic drug treatment in Hong Kong Chinese. DAI‐B 62/01 2001:p. 151. [ProQuest document ID: 728458161]
Welder 2010 {published data only}
Wierzbicki 1998 {published data only}
-
- Wierzbicki AS, Lumb PJ, Semra YK, Crook MA. High‐dose atorvastatin therapy in severe heterozygous familial hypercholesterolaemia. Quarterly Journal of Medicine 1998;91(4):291‐4. [MEDLINE: ] - PubMed
Willrich 2008 {published data only}
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- Genvigir FD, Soares SA, Hirata MH, Willrich MA, Arazi SS, Rebecchi IM, et al. Effects of ABCA1 SNPs, including the C‐105T novel variant, on serum lipids of Brazilian individuals. Clinica Chimica Acta 2008;389(1‐2):79‐86. [MEDLINE: ] - PubMed
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- Rebecchi IM, Rodrigues AC, Arazi SS, Genvigir FD, Willrich MA, Hirata MH, et al. ABCB1 and ABCC1 expression in peripheral mononuclear cells is influenced by gene polymorphisms and atorvastatin treatment. Biochemical Pharmacology 2009;77(1):66‐75. [MEDLINE: ] - PubMed
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- Rodrigues AC, Perin PMS, Purim SG, Silbiger VN, Genvigir FDV, Willrich MAV, et al. Pharmacogenetics of OATP transporters reveals that SLCO1B1 c.388a>G variant is determinant of increased atorvastatin response. International Journal of Molecular Sciences 2011;12(9):5815‐27. [EMBASE: 2011537606] - PMC - PubMed
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- Willrich MA, Hirata MH, Genvigir FD, Arazi SS, Rebecchi IM, Rodrigues AC, et al. CYP3A53A allele is associated with reduced lowering‐lipid response to atorvastatin in individuals with hypercholesterolemia. Clinica Chimica Acta 2008;398(1‐2):15‐20. [MEDLINE: ] - PubMed
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- Willrich MA, Rodrigues AC, Cerda A, Genvigir FD, Arazi SS, Dorea EL, et al. Effects of atorvastatin on CYP3A4 and CYP3A5 mRNA expression in mononuclear cells and CYP3A activity in hypercholesterolemic patients: associated included citation for the Willrich 2008 trial. Clinica Chimica Acta 2013;421:157‐63. [MEDLINE: ] - PubMed
Wu 2002 {published data only}
-
- Wu CC, Sy R, Tanphaichitr V, Hin ATT, Suyono S, Lee YT. Comparing the efficacy and safety of atorvastatin and simvastatin in Asians with elevated low‐density lipoprotein‐cholesterol ‐ a multinational, multicenter, double‐blind study. Journal of the Formosa Medical Association 2002;101(7):478‐87. [MEDLINE: ] - PubMed
Wu 2005 {published data only}
-
- Wu SC, Shiang JC, Lin SL, Wu TL, Huang WC, Chiou KR, et al. Efficacy and safety of statins in hypercholesterolemia with emphasis on lipoproteins. Heart & Vessels 2005;20(5):217‐23. [MEDLINE: ] - PubMed
Yoshitomi 2005 {published data only}
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- Yoshitomi Y, Ishii T, Kaneki M, Tsujibayashi T, Sakurai S, Nagakura C, et al. Relationship between insulin resistance and effect of atorvastatin in non‐diabetic subjects. Journal of Atherosclerosis & Thrombosis 2005;12(1):9‐13. [MEDLINE: ] - PubMed
ZAPE 2003 {unpublished data only}
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- Munoz MT, Alonso M, Oyarzabal M, Mainou C, Fabiani F, Sol JM, et al. Safety and efficacy of atorvastatin vs colestipol in children and adolescents with familial hypercholesterolemia. Circulation 2003;108 Suppl 4:IV‐689. [PREV200400052747]
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- Pfizer Inc. A 1 Year, Open‐Label, Randomized Parallel Group Multicenter Study for the Comparison of Atorvastatin vs. Colestipol on the Treatment of Children and Adolescents with Familial Hypercholesterolemia (FH) and Hypercholesterolemia. Protocol 981‐336 2003.
Zhu 2000 {published data only}
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- Zhu Q. Effects of atorvastatin treatment on the oxidatively modified low‐density lipoprotein in hyperlipidemic patients. MAI 38/01 2000:p116. [ProQuest document ID: 732074361] - PubMed
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- Zhu Q, McMaster J, Mymin D, Dembinski T, Hatch G, Choy PC, et al. Effects of atorvastatin treatment on the oxidatively modified low density lipoprotein in hyperlipidemic patients. Molecular and Cellular Biochemistry 2000;207(1):9‐17. [MEDLINE: ] - PubMed
References to studies excluded from this review
ACTFAST 2 2004 {published data only}
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- Farsang C. Athyros V. Gaw A. ACTFAST‐2 Investigators and Steering Committee Members. A multicentre, open study to assess the effect of individualizing starting doses of atorvastatin according to baseline LDL‐C levels on achieving cholesterol targets: the Achieve Cholesterol Targets Fast with Atorvastatin Stratified Titration (ACTFAST‐2) study. Current Medical Research & Opinion 2007;23(8):1945‐56. [MEDLINE: ] - PubMed
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- Pfizer Inc. Achieve Cholesterol Targets Fast with Atorvastatin Stratified Titration: a Multicenter, Twelve‐week Treatment, Single‐step Titration, Open‐label Study Assessing the Percentage of Dyslipidemic High‐risk Patients Achieving Low Density Lipoprotein Cholesterol (LDL‐C) Target with Atorvastatin Starting Doses of 10 mg, 20 mg, 40 mg, and 80 mg. Protocol No. A2581095 2004.
ADSL 2003 {unpublished data only}
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- Pfizer. The atorvastatin efficacy and safety study in diabetic patients to determine starting dose for effectively reducing lipids (the ADSL study). Protocol No. A2581080 2003.
Ahmed 2008 {published data only}
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- Ahmed S, Ullah E, Ahmed M, Abbas R, Khan MA, Iqbal J. Efficacy of combination of ezetimibe and simvastatin versus atorvastatin in reducing low density lipoprotein‐cholesterol in male patients of hypercholesterolemia, at Bahawalpur. Medical Forum Monthly. Medical Forum (Monthly) (Gujjar Singh, Lahore 5460, Pakistan), 2008; Vol. 19, issue 5:3‐9.
Alrasadi K 2008 {published data only}
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- Alrasadi K, Awan Z, Alwaili K, Ruel I, Hafiane A, Krimbou L, et al. Comparison of treatment of severe high‐density lipoprotein cholesterol deficiency in men with daily atorvastatin (20 mg) versus fenofibrate (200 mg) versus extended‐release niacin (2 g). American Journal of Cardiology 2008;102(10):1341‐7. [MEDLINE: ] - PubMed
Alvarez 1999 {published data only}
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- Alvarez ML, Errasti P, Gomez G, Lavilla FJ, Ballester B, Garcia I, et al. Effect of atorvastatin of the treatment of hypercholesterolemia after renal transplantation. Transplantation Proceedings 1999;31(6):2328‐9. [MEDLINE: ] - PubMed
Arad 2005 {published data only}
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- Arad Y, Newstein D, Roth M, Guerci AD. Rationale and design of the St. Francis Heart Study: a randomized clinical trial of atorvastatin plus antioxidants in asymptomatic persons with elevated coronary calcification. Controlled Clinical Trials 2001;22(5):553‐72. [MEDLINE: ] - PubMed
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- Arad Y, Spadaro LA, Roth M, Newstein D, Guerci AD. Treatment of asymptomatic adults with elevated coronary calcium scores with atorvastatin, vitamin C, and vitamin E: the St. Francis Heart Study randomized clinical trial. Journal of the American College of Cardiology 2005;46(1):166‐72. [MEDLINE: ] - PubMed
Argent 2003 {published data only}
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- Argent E, Kainer G, Aitken M, Rosenberg AR, Mackie FE. Atorvastatin treatment for hyperlipidemia in pediatric renal transplant recipients. Pediatric Transplantation 2003;7(1):38‐42. [MEDLINE: ] - PubMed
ASG 2008 {published data only}
AstraZeneca 3 {unpublished data only}
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- AstraZeneca. A Multicenter, Randomized, Double‐blind, Parallel‐group, Dose Titration (10 mg and 20 mg) Study to Compare the Efficacy and Safety of Rosuvastatin versus Atorvastatin in Patients with Primary Hypercholesterolemia. Protocol No. 4522SP/0001 2004.
AstraZeneca 4 {unpublished data only}
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- AstraZeneca. A 6‐week, Randomised, Open‐label, Parallel Group, Multi‐centre Study to Compare the Efficacy of Rosuvastatin 10mg with Atorvastatin 10mg in the Treatment of Non‐diabetic Metabolic Syndrome Subjects with Raised LDL‐C. Protocol No. D3560L00053 2007.
ATGOAL 2005 {published data only}
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- McKenney JM, Davidson MH, Saponaro J, Thompson PD, Bays HE. Use of a treatment algorithm to achieve NCEP ATP III goals with atorvastatin. Journal of Cardiovascular Pharmacology 2005;46(5):594‐9. [MEDLINE: ] - PubMed
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- Pfizer Inc. A Multicenter, Eight‐Week Treatment, Single Step Titration, Open‐Label Study Assessing the Percentage of Dyslipidemic Patients Achieving Low Density Lipoprotein Cholesterol (LDL‐C) Target with Atorvastatin Starting Doses of 10 mg, 20 mg, 40 mg, and 80 mg (AT GOAL). Protocol No. A2581068 2002. - PubMed
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- Pfizer Inc. A Multicenter, Eight‐Week Treatment, Single Step Titration, Open‐Label Study Assessing the Percentage of Dyslipidemic Subjects Achieving Low Density Lipoprotein Cholesterol Target With Atorvastatin Starting Doses of 10 mg, 20 mg, 40 mg, and 80 mg (Latin American Atorvastatin ATGOAL Study). Protocol No. A2581104 2005.
Athyros 2008 {published data only}
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- Athyros VG, Tziomalos K, Kakafika AI, Koumaras H, Karagiannis A, Mikhailidis DP, et al. Effectiveness of ezetimibe alone or in combination with twice a week atorvastatin (10 mg) for statin intolerant high‐risk patients. American Journal of Cardiology 2008;101(4):483‐5. - PubMed
Atorvastatin 2008 {published data only}
Banyai 2001 {published data only}
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- Banyai S, Banyai M, Falger J, Jansen M, Alt E, Derfler K, et al. Atorvastatin improves blood rheology in patients with familial hypercholesterolemia (FH) on long‐term LDL apheresis treatment. Atherosclerosis 2001;159(2):513‐9. [MEDLINE: ] - PubMed
Boh 2011 {published data only}
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- Boh M, Opolski G, Poredos P, Ceska R, Jezovnik M. Therapeutic equivalence of the generic and the reference atorvastatin in patients with increased coronary risk. International Angiology 2011;30(4):366‐74. [CENTRAL: CN‐00798821] - PubMed
Bolewski 2008 {published data only}
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- Bolewski A, Lipiecki J, Plewa R, Burchardt P, Siminiak T. The effect of atorvastatin treatment on lipid profile and adhesion molecule levels in hypercholesterolemic patients: relation to low‐density lipoprotein receptor gene polymorphism. Cardiology 2008;111(2):140‐6. [MEDLINE: ] - PubMed
Bonet 2002 {published data only}
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- Bonet LA, Martinez‐Dolz L, Vives A, Soriano JR, Saez AO, Gisbert FD, et al. Lipid‐lowering effect of atorvastatin in heart transplantation. Transplantation Proceedings 2002;34(1):179‐81. [MEDLINE: ] - PubMed
Brown 2004 {published data only}
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- Brown SL, Raal FJ, Panz VR, Stevens BA, Veller MG. High‐dose atorvastatin therapy is required for significant improvement of endothelial function in heterozygous familial hypercholesterolaemic patients. Cardiovascular Journal of Southern Africa 2004;15(2):70‐5. [MEDLINE: ] - PubMed
CAPABLE {unpublished data only}
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- Ferdinand KC, Flack JM, Saunders E, Victor R, Watson K, Kursun A, et al. Amlodipine/atorvastatin single‐pill therapy for blood pressure and lipid goals in African Americans: influence of the metabolic syndrome and type 2 diabetes mellitus. Journal of Clinical Hypertension 2009; Vol. 11, issue 10:585‐93. - PMC - PubMed
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- Flack JM, Victor R, Watson K, Ferdinand KC, Saunders E, Tarasenko L, et al. Improved attainment of blood pressure and cholesterol goals using single‐pill amlodipine/atorvastatin in African Americans: the CAPABLE trial. Mayo Clinic Proceedings 2008;83(1):35‐45. [MEDLINE: ] - PubMed
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- Pfizer Inc. Clinical Utility of CADUET in Simultaneously Achieving Blood Pressure and Lipid Endpoints in a Specific Patient Population (CAPABLE). Protocol No. A3841025 2005.
Carnevale 2010 {published data only}
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- Carnevale R, Pignatelli P, Santo S, Bartimoccia S, Sanguigni V, Napoleone L, et al. Atorvastatin inhibits oxidative stress via adiponectin‐mediated NADPH oxidase down‐regulation in hypercholesterolemic patients. Atherosclerosis 2010;213(1):225‐34. - PubMed
COMPELL 2007 {published data only}
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- McKenney JM, Jones PH, Bays HE, Knopp RH, Kashyap ML, Ruoff GE, et al. Comparative effects on lipid levels of combination therapy with a statin and extended‐release niacin or ezetimibe versus a statin alone (the COMPELL study). Atherosclerosis 2007;192(2):432‐7. [MEDLINE: ] - PubMed
Conard 2008 {published data only}
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- Conard SE, Bays HE, Leiter LA, Bird SR, Rubino J, Lowe RS, et al. Efficacy and safety of ezetimibe added on to atorvastatin (20 mg) versus up‐titration of atorvastatin (to 40 mg) in hypercholesterolemic patients at moderately high risk for coronary heart disease. The American Journal of Cardiology 2008; Vol. 102, issue 11:1489‐94. - PubMed
Costa 2003 {published data only}
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- Costa A, Casamitjana R, Casals E, Alvarez L, Morales J, Masramon X, et al. Effects of atorvastatin on glucose homeostasis, postprandial triglyceride response and C‐reactive protein in subjects with impaired fasting glucose. Diabetic Medicine 2003;20(9):743‐5. [MEDLINE: ] - PubMed
Davis 2000 {published data only}
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- Davis M, Atwal AS, Nair DR, Jagroop IA, Seifalian AM, Mikhailidis DP, et al. The effect of short‐term lipid lowering with atorvastatin on carotid artery media thickness in patients with peripheral vascular disease: a pilot study. Current Medical Research and Opinion 2000;16(3):198‐204. [MEDLINE: ] - PubMed
Di Renzo 2008 {published data only}
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- Renzo L, Noce A, Angelis S, Miani N, Daniele N, Tozzo C, et al. Anti‐inflammatory effects of combined treatment with acetyl salicylic acid and atorvastatin in haemodialysis patients affected by Normal Weight Obese syndrome. Pharmacological Research 2008;57(2):93‐9. [MEDLINE: ] - PubMed
DISCOVERY PENTA 2005 {published data only}
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- Fonseca FA, Ruiz A, Cardona‐Munoz EG, Silva JM, Fuenmayor N, Marotti M. The DISCOVERY PENTA study: a DIrect Statin COmparison of LDL‐C Value ‐ an Evaluation of Rosuvastatin therapY compared with atorvastatin. Current Medical Research & Opinion 2005;21(8):1307‐15. [MEDLINE: ] - PubMed
Dogra 2002 {published data only}
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- Dogra GK, Watts GF, Herrmann S, Thomas MA, Irish AB. Statin therapy improves brachial artery endothelial function in nephrotic syndrome. Kidney International 2002;62(2):550‐7. [MEDLINE: ] - PubMed
Dujovne 2000 {published data only}
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- Dujovne CA, Harris WS, Altman R, Overhiser RW, Black DM. Effect of atorvastatin on hemorheologic‐hemostatic parameters and serum fibrinogen levels in hyperlipidemic patients. American Journal of Cardiology 2000;85(3):350‐3. [MEDLINE: ] - PubMed
Faludi 2004 {published data only}
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- Faludi AA, Aldrighi JM, Bertolami MC, Saleh MH, Silva RA, Nakamura Y, et al. Progesterone abolishes estrogen and/or atorvastatin endothelium dependent vasodilatory effects. Atherosclerosis 2004;177(1):89‐96. [MEDLINE: ] - PubMed
Farsang 2007 {published data only}
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- Farsang C, Athyros V, Gaw A, Investigators and Steering Committee Members. A multicentre, open study to assess the effect of individualizing starting doses of atorvastatin according to baseline LDL‐C levels on achieving cholesterol targets: the Achieve Cholesterol Targets Fast with Atorvastatin Stratified Titration (ACTFAST‐2) study. Current Medical Research & Opinion 2007;23(8):1945‐56. [MEDLINE: ] - PubMed
Ferrer‐Garcia 2008 {published data only}
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