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A multicenter, double-blind, randomized study to establish the clinical benefit and safety of ezetimibe/simvastatin tablet (vytorin) vs simvastatin.

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Presentation on theme: "A multicenter, double-blind, randomized study to establish the clinical benefit and safety of ezetimibe/simvastatin tablet (vytorin) vs simvastatin."— Presentation transcript:

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3 A multicenter, double-blind, randomized study to establish the clinical benefit and safety of ezetimibe/simvastatin tablet (vytorin) vs simvastatin monotherapy in high-risk subjects presenting with acute coronary syndrome

4 IMPROVE-IT: Enrollment and Study Period

5 IMPROVE-IT: Study Goals

6 PROVE-IT Trial

7 National Cholesterol Education Program Adult Treatment Panel III Guidelines

8 LDL Hypothesis: Is Lowering LDL Enough, or Does the Agent Matter?

9 ENHANCE: Ezetimibe/Simvastatin in Familial Hypercholesterolemia

10 Challenges Faced During IMPROVE-IT

11 Determinants of Atherosclerosis

12 CTT Meta-Analysis of 26 Trials: More Intensive Lowering of LDL-C

13 IMPROVE-IT: Lower LDL-C Level With Ezetimibe/Simvastatin Combination

14 IMPROVE-IT: Ezetimibe/Simvastatin Reduces Risk of Cardiovascular Events

15 Selection of End Points in Statin Trials

16 IMPROVE-IT: Subgroup Analysis 7-year Event Rates

17 No Increased Risk of Cancer With Ezetimibe

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19 SHARP: Ezetimibe/Simvastatin Reduces Risk of Atherosclerotic Events in CKD

20 Statin Intolerance

21 IMPROVE-IT: Safety Data

22 Ezetimibe Target: NPC1L1-A Sterol Transporter

23 Genetic Targets in LDL-C Lowering: PCSK9

24 Early LDL-C Level Predicts Cardiovascular Disease

25 Genetic Targets in LDL-C Lowering APOB

26 Recommendations: Match Intensity of Therapy to Absolute Risk

27 JPPP: Low-Dose Aspirin in Elderly Japanese Patients With CV Risk Factors

28 Longer-Term Dual Antiplatelet Therapy Reduces Risk of MACCE

29 TNT Trial: Intensive Statin Therapy Reduces Risk of Cardiovascular Events

30 Primary Prevention

31 CCTA Does Not Reduce Cardiovascular Risk in High-Risk Patients With DM

32 Abbreviations

33 Abbreviations (cont)

34 References

35 References (cont)

36 References (cont)

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