From: CVOT Summit Report 2023: new cardiovascular, kidney, and metabolic outcomes
CLEAR Outcomes | ||
---|---|---|
Class & Cardiovascular (CV) outcomes | HR (95% CI) | p-value‡ |
Primary efficacy endpoint | Â | Â |
Composite of 4P-MACE: CV death, nonfatal MI, nonfatal stroke, or coronary revascularization | 0.87 (0.79 to 0.96) | 0.004 |
Key secondary efficacy endpoints | Â | Â |
Composite of 3P-MACE: CV death, nonfatal stroke, or nonfatal MI | 0.85 (0.76 to 0.96) | 0.006 |
Fatal or nonfatal MI | 0.77 (0.66 to 0.91) | 0.002 |
Coronary revascularization | 0.81 (0.72 to 0.92) | 0.001 |
Fatal or nonfatal stroke | 0.85 (0.67 to 1.07) | 0.16 |
CV death | 1.04 (0.88 to 1.24) | Â |
Death from any cause | 1.03 (0.90 to 1.18) | Â |
Adverse events of special interest | Event rate (%) active vs. placebo group | Â |
Any adverse event that started or worsened after the first dose of a trial agent | 86.3 vs. 85.0 | Â |
Any muscle disorder adverse event | 15.0 vs. 15.4 | Â |
Myalgia | 5.6 vs. 6.8 | Â |
New onset diabetes in patients without diabetes at baseline | 16.1 vs. 17.1 | Â |
Worsening hyperglycemia | 22.7 vs. 23.1 | Â |
Hypoglycemia | 4.3 vs. 3.8 | Â |
Metabolic acidosis | 0.2 vs. 0.2 | Â |
Elevated hepatic-enzyme level | 4.5 vs. 3.0 | Â |
Renal impairment | 11.5 vs. 8.6 | Â |
Hyperuricemia | 10.9 vs. 5.6 | Â |
Gout | 3.1 vs. 2.1 | Â |
Cholelithiasis | 2.2 vs. 1.2 | Â |