Ezetimibe for the treatment of hypercholesterolaemia: a systematic review and economic evaluation

Ara R, Tumur I, Pandor A, Duenas A, Williams R, Wilkinson A, et al
Record ID 32008100026
English
Authors' objectives:

To review the evidence for the clinical and cost-effectiveness of ezetimibe (in its licensed indication) as combination therapy or monotherapy for the treatment of primary (heterozygous familial and non-familial) hypercholesterolaemia in the UK.

Authors' recommendations: The short-term RCT clinical evidence demonstrated that ezetimibe was effective in reducing LDL-c when administered as monotherapy or in combination with a statin. However, when used as a monotherapy, the ability of ezetimibe to lower LDL-c is less effective than that of statins. Given the lack of detailed effectiveness data, there is a great deal of uncertainty in the cost-effectiveness of ezetimibe. The results suggest that depending on the comparator, ezetimibe could be a cost-effective treatment for individuals with high baseline LDL-c values, for patients with diabetes and for individuals with HeFH. Further research is urgently required to allow more precise estimates of cost-effectiveness to be calculated.
Authors' methods: Systematic review and economic evaluation
Details
Project Status: Completed
URL for project: http://www.hta.ac.uk/1529
Year Published: 2008
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: England, United Kingdom
MeSH Terms
  • Anticholesteremic Agents
  • Hypercholesterolemia
Contact
Organisation Name: NIHR Health Technology Assessment programme
Contact Address: NIHR Journals Library, National Institute for Health and Care Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK
Contact Name: journals.library@nihr.ac.uk
Contact Email: journals.library@nihr.ac.uk
Copyright: 2009 Queen's Printer and Controller of HMSO
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