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Table 3 Adverse event rates at 12-week follow-up following different dosages of evolocumab treatments

From: Safety and efficacy of anti-PCSK9 antibodies: a meta-analysis of 25 randomized, controlled trials

Safety endpoints

420 mg Q4W (12 Week)

140 mg Q2W (12 Week)

420 mg Q4W versus 140 mg Q2W (12 Week)

 

Pooled event rate (95 % CI)

Event/Total

Pooled event rate (95 % CI)

Event/Total

RR (95 % CI)

P value

TEAE (Any)

52.1 (42.9, 61.3)

565/1228

52.0 (43.1, 60.9)

496/1095

1.01 (0.92, 1.10)

0.873

TEAE (Serious)

1.4 (0.8, 1.9)

23/1228

2.5 (1.6, 3.3)

30/1095

0.69 (0.39, 1.23)

0.214

Leading to discontinuation

1.4 (0.6, 2.2)

26/1228

1.8 (0.8, 2.9)

26/1095

0.94 (0.54, 1.64)

0.835

Death

NA

0/1228

NA

1/1095

NA

NA

CK >5 ULN

0.5 (0.1, 0.9)

8/1183

0.1 (0, 0.3)

2/1050

1.58 (0.44, 5.75)

0.484

ALT or AST >3 ULN

0.4 (0.2, 0.7)

5/1183

0.5 (0.1, 0.8)

5/1050

0.70 (0.20, 2.44)

0.573

Adjudicated cardiovascular events

1.1 (0.2, 2.0)

3/288

1.5 (0.3, 2.6)

6/285

0.56 (0.17, 1.92)

0.36

Musculoskeletal and connective-tissue disorders

3.9 (1.0, 6.9)

21/421

8.0 (3.4, 12.5)

30/386

0.63 (0.29, 1.34)

0.227

Back pain

3.6 (1.0, 6.3)

20/830

2.4 (1.4, 3.5)

20/788

1.09 (0.42, 2.87)

0.86

Arthralgia

1.8 (0.9, 2.7)

13/687

1.5 (0.6, 2.3)

10/678

1.27 (0.56, 2.87)

0.568

Muscle spasms

2.0 (0.5, 3.5)

18/823

1.4 (0.4, 2.5)

15/780

1.10 (0.56, 2.20)

0.776

Myalgia

1.3 (0, 2.7)

11/414

2.3 (0.4, 4.2)

12/378

0.91 (0.40, 2.06)

0.82

Headache

3.1 (1.7, 4.4)

40/1142

2.7 (1.3, 4.2)

26/1043

1.40 (0.84, 2.33)

0.202

Injection-site reactions

2.0 (0.9, 3.1)

18/577

2.4 (0.8, 4.0)

19/540

0.94 (0.50, 1.78)

0.853

Gastrointestinal disorders

4.9 (2.3, 7.5)

35/580

5.4 (2.5, 8.2)

28/488

1.13 (0.68, 1.87)

0.637

Nasopharyngitis

4.9 (2.5, 7.4)

36/613

4.1 (1.7, 6.6)

24/488

1.10 (0.63, 1.89)

0.744

Influenza

1.2 (0.1, 2.4)

9/350

2.5 (0.4, 5.4)

8/225

0.19 (0.03, 1.10)

0.064

Upper respiratory tract infection

4.6 (2.2, 6.9)

14/247

4.8 (1.2, 8.4)

6/123

1.30 (0.46, 3.70)

0.621

  1. ALT, alanine aminotransferase; AST, aspartate aminotransferase; CI, confidence interval; CK, creatine kinase; NA, not applicable; RR, relative risk; TEAE, treatment emergent adverse event; ULN, upper limit of normal