Evolocumab vs ezetimibe and statins
- PCSK9 monoclonal antibodies for the primary and secondary prevention of cardiovascular disease 2020 · Cochrane Headline outcomes onlyno estimate extracted2 studies · 3899 participantsGRADE not reported
Alirocumab leads to lower all‐cause mortality compared with placebo (high certainty).
Alirocumab leads to lower myocardial infarction compared with placebo (high certainty).
Alirocumab leads to lower any stroke compared with placebo (high certainty).
Evolocumab leads to lower CVD compared with placebo (high certainty).
Evolocumab showed no clear difference in all‐cause mortality compared with placebo (high certainty).
Evolocumab leads to lower myocardial infarction compared with placebo (high certainty).
Evolocumab leads to lower any stroke compared with placebo (high certainty).
Alirocumab showed no clear difference in CVD compared with ezetimibe and statins (low certainty).
Antibody (T cell) probably leads to lower failure of reversal of acute rejection compared with steroid (stratified by antibody type) (moderate certainty).
It is very uncertain whether antibody (T cell) + steroid changes graft loss censored for death compared with steroid alone (very low certainty).
Antibody (T cell) + steroid showed no clear difference in death compared with steroid alone (low certainty).
Muromonab‐CD3 (T cell) showed no clear difference in failure of acute rejection reversal compared with other antibody (stratified by comparator) (moderate certainty).
Muromonab‐CD3 (T cell) showed no clear difference in recurrent rejection compared with other antibody (stratified by comparator) (moderate certainty).
Muromonab‐CD3 (T cell) may leads to higher treatment adverse events: fever, chills, malaise after drug… compared with other antibody (stratified by comparator) (low certainty).
Muromonab‐CD3 (T cell) may leads to higher treatment adverse events: neurological side effects compared with other antibody (stratified by comparator) (low certainty).
Rituximab (B cell) + steroid showed no clear difference in failure of reversal of acute rejection compared with steroid alone (moderate certainty).
Rituximab (B cell) + steroid showed no clear difference in graft loss or death with a functioning graft compared with steroid alone (moderate certainty).
Rituximab (B cell) + steroid probably leads to higher treatment adverse events: UTI/pyelonephritis compared with steroid alone (moderate certainty).