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Message: Re: DECLARE TIMI-58 w/ prior MI as BETonMACE proxy?

Uncle Google tells us EXAMINE trial

Table 39Cardiovascular and Efficacy Outcomes

End Point ALO
(N = 2,701)
PL
(N = 2,679)
Hazard Ratio for ALO
(95% CI)
Primary and Secondary End Points
  n (%) n (%)  
Primary MACE compositea 305 (11.3) 316 (11.8) 0.96 (≤ 1.16)b
Cardiovascular death 89 (3.3) 111 (4.1) 0.79 (0.60, 1.04)
Non-fatal MI 187 (6.9) 173 (6.5) 1.08 (0.88, 1.33)
Non-fatal stroke 29 (1.1) 32 (1.2) 0.91 (0.55, 1.50)
Secondary MACE compositec 344 (12.7) 359 (13.4) 0.95 (≤ 1.14)b
Exploratory End Points
A1C (%) Baseline, mean (SD) 8.0 (1.1) 8.0 (1.1) NA
Last visit, mean (SD) 7.7 (1.5)
(n = 2,648)
8.1 (1.6)
(n = 2,621)
NA
Change from baseline, LSM (SE) −0.3 (0.03) 0.03 (0.03) NA
Change from baseline, LSMD (95% CI) versus PL −0.4d (−0.4 to −0.3) NA NA
FPG (mmol/L) Baseline, mean (SD) 8.8 (3.2)
(n = 2,680)
8.8 (3.1)
(n = 2,655)
NA
Last visit, mean (SD) 8.9 (3.7) 9.3 (3.5) NA
Change from baseline, LSM (SE) 0.1 (0.1) 0.5 (0.1) NA
Change from baseline, LSMD (95% CI) versus PL −0.3d (−0.5 to −0.1) NA NA

A1C = glycated hemoglobin; ALO = alogliptin; CI = confidence interval; FPG = fasting plasma glucose; LSM = least squares mean; LSMD = least squares mean difference; MACE = major adverse cardiac event; MI = myocardial infarction; NA = not applicable; SD = standard deviation; SE = standard error.

a

Composite of death from cardiovascular causes, non-fatal MI, or non-fatal stroke.

b

The parenthetical value is the upper boundary of the one-sided repeated CI, at an alpha level of 0.01.

c

Composite of death from cardiovascular causes, non-fatal MI, non-fatal stroke, or urgent revascularization due to unstable angina within 24 hours of hospital admission.

d

P < 0.001.

Source: EXAMINE Clinical Study Report.41

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