Factors associated with findings of published trials of drug–drug comparisons: Why some statins appear more efficacious than others
2007

Factors Influencing Statin Drug Comparisons

Sample size: 192 publication Evidence: high

Author Information

Author(s): Lisa Bero, Fieke Oostvogel, Peter Bacchetti, Kirby Lee

Primary Institution: University of California, San Francisco

Hypothesis

The results and conclusions of trials are more likely to favor the statin made by the sponsor of the study.

Conclusion

Trials comparing statins are more likely to report results favoring the sponsor's product compared to the comparator drug.

Supporting Evidence

  • 50% of the RCTs were funded by industry.
  • 98% of studies used only surrogate outcome measures.
  • Trials with adequate blinding were less likely to report results favoring the test drug.

Takeaway

This study found that when comparing statin drugs, the ones funded by the companies that make them often look better than those funded by others.

Methodology

Cross-sectional study analyzing 192 published RCTs comparing statin drugs.

Potential Biases

Funding source may influence outcomes and conclusions.

Limitations

Potential underestimation of industry-sponsored studies due to lack of disclosure.

Statistical Information

P-Value

p < 0.001

Confidence Interval

95% CI 4.37–92.98

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1371/journal.pmed.0040184

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