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CRESTOR® (rosuvastatin calcium)



 

Lowering LDL-C: Switching Therapy Comparative Data

In this section, you can review LDL cholesterol reduction results and LDL cholesterol goal attainment results from comparative clinical trials in which CRESTOR® (rosuvastatin calcium) was used as an adjunct to diet in patients who switched statin therapy. You can also download the MERCURY II publication.

LDL Cholesterol Reductions vs Other Statins

  • LDL-C reductions in patients at high risk of CHD, switching to CRESTOR vs remaining on atorvastatin1 Adapted from the MERCURY II Trial
  • LDL-C reductions in patients at high risk of CHD, switching to CRESTOR vs remaining on simvastatin1 Adapted from the MERCURY II Trial
  • LDL-C reductions after switching to CRESTOR 10 mg from simvastatin 20 mg in patients at high risk of CHD1 Adapted from the MERCURY II Trial

LDL Cholesterol Goal Attainment vs Other Statins

  • Goal attainment (LDL-C <100 mg/dL) in high-risk patients switching to CRESTOR vs remaining on atorvastatin1 Adapted from the MERCURY II Trial
  • Goal attainment (LDL-C <100 mg/dL) in high-risk patients switching to CRESTOR vs remaining on simvastatin1 Adapted from the MERCURY II Trial

LDL Cholesterol Reductions, Additional Results vs Other Statins

  • Percentage change from baseline LDL-C at 16 weeks in patients switching to CRESTOR vs remaining on atorvastatin2 Adapted from the MERCURY I Trial
  • Percentage change from baseline LDL-C at 16 weeks in patients switching to CRESTOR vs remaining on simvastatin or pravastatin2 Adapted from the MERCURY I Trial
TRIAL: MERCURY II

LDL-C reductions in patients at high risk of CHD, switching to CRESTOR vs remaining on atorvastatin1

LDL Cholesterol reductions in patients switching to CRESTOR from atorvastatin

*P<.001 atorvastatin 10 mg switched to CRESTOR 10 mg vs atorvastatin 10 mg; atorvastatin 20 mg switched to CRESTOR 20 mg vs atorvastatin 20 mg

Mean baseline LDL-C: 167 mg/dL to 169 mg/dL (all arms of trial).

Arm 1 (Weeks 1–16):
CRESTOR 20 mg n=362

Arm 2 (Week 16):
CRESTOR 10 mg n=189
atorvastatin 10 mg n=180

Arm 3 (Week 16):
CRESTOR 20 mg n=184
atorvastatin 20 mg n=182

Enlarge Chart
Download Publication
Show/Hide Description

MERCURY II was a 16-week, randomized, open-label, 2-period, parallel-group, multicenter study. Following a 6-week dietary lead-in period, patients at high risk of CHD were randomized to 1 of 5 arms: CRESTOR 20 mg, atorvastatin 10 mg, atorvastatin 20 mg, simvastatin 20 mg, or simvastatin 40 mg once daily (period 1: 8 weeks). Patients then remained on these treatments or were switched as follows: half from atorvastatin 10 mg and simvastatin 20 mg to CRESTOR 10 mg once daily; half from atorvastatin 20 mg and simvastatin 40 mg to CRESTOR 20 mg once daily (period 2: 8 weeks). Patients had either been treated with CRESTOR, atorvastatin, or simvastatin for 16 weeks or with CRESTOR for 8 weeks following 8 weeks of comparator treatment. The primary end point was percentage of patients achieving NCEP ATP III LDL-C goal at week 16.1

TRIAL: MERCURY II

LDL-C reductions in patients at high risk of CHD, switching to CRESTOR vs remaining on simvastatin1

LDL Cholesterol reductions in patients switching to CRESTOR from simvastatin

*P<.001 simvastatin 20 mg switched to CRESTOR 10 mg vs simvastatin 20 mg; simvastatin 40 mg switched to CRESTOR 20 mg vs simvastatin 40 mg.

Mean baseline LDL-C: 167 mg/dL to 169 mg/dL (all arms of trial).

Arm 1 (Weeks 1–16):
CRESTOR 20 mg n=362

Arm 4 (Week 16):
CRESTOR 10 mg n=179
simvastatin 20 mg n=185

Arm 5 (Week 16):
CRESTOR 20 mg n=183
simvastatin 40 mg n=183

Enlarge Chart
Download Publication
Show/Hide Description

MERCURY II was a 16-week, randomized, open-label, 2-period, parallel-group, multicenter study. Following a 6-week dietary lead-in period, patients at high risk of CHD were randomized to 1 of 5 arms: CRESTOR 20 mg, atorvastatin 10 mg, atorvastatin 20 mg, simvastatin 20 mg, or simvastatin 40 mg once daily (period 1: 8 weeks). Patients then remained on these treatments or were switched as follows: half from atorvastatin 10 mg and simvastatin 20 mg to CRESTOR 10 mg once daily; half from atorvastatin 20 mg and simvastatin 40 mg to CRESTOR 20 mg once daily (period 2: 8 weeks). Patients had either been treated with CRESTOR, atorvastatin, or simvastatin for 16 weeks or with CRESTOR for 8 weeks following 8 weeks of comparator treatment. The primary end point was percentage of patients achieving NCEP ATP III LDL-C goal at week 16.1

TRIAL: MERCURY II

LDL-C reductions after switching to CRESTOR 10 mg from simvastatin 20 mg in patients at high risk of CHD1

LDL Cholesterol reductions in patients switching to CRESTOR 10 mg from simvastatin 20 mg

*P<.001 CRESTOR 10 mg vs simvastatin 20 mg.

Mean baseline LDL-C: 169 mg/dL (all arms of trial).

Week 8:
simvastatin 20 mg n=387

Week 16:
CRESTOR 10 mg n=179
simvastatin 20 mg n=185

Enlarge Chart
Download Publication
Show/Hide Description

MERCURY II was a 16-week, randomized, open-label, 2-period, parallel-group, multicenter study. Following a 6-week dietary lead-in period, patients at high risk of CHD were randomized to 1 of 5 arms: CRESTOR 20 mg, atorvastatin 10 mg, atorvastatin 20 mg, simvastatin 20 mg, or simvastatin 40 mg once daily (period 1: 8 weeks). Patients then remained on these treatments or were switched as follows: half from atorvastatin 10 mg and simvastatin 20 mg to CRESTOR 10 mg once daily; half from atorvastatin 20 mg and simvastatin 40 mg to CRESTOR 20 mg once daily (period 2: 8 weeks). Patients had either been treated with CRESTOR, atorvastatin, or simvastatin for 16 weeks or with CRESTOR for 8 weeks following 8 weeks of comparator treatment. The primary end point was percentage of patients achieving NCEP ATP III LDL-C goal at week 16.1

TRIAL: MERCURY II

Goal attainment (LDL-C <100 mg/dL) in high-risk patients switching to CRESTOR vs remaining on atorvastatin1

LDL Cholesterol goal attainment in patients switching to CRESTOR from atorvastatin

*P<.001 atorvastatin 10 mg switched to CRESTOR 10 mg vs atorvastatin 10 mg; atorvastatin 20 mg switched to CRESTOR 20 mg vs atorvastatin 20 mg.

Mean baseline LDL-C: 167 mg/dL (all arms of trial).

Arm 1 (Weeks 1–16):
CRESTOR 20 mg n=362

Arm 2 (Week 16):
CRESTOR 10 mg n=189
atorvastatin 10 mg n=180

Arm 3 (Week 16):
CRESTOR 20 mg n=184
atorvastatin 20 mg n=182

Enlarge Chart
Download Publication
Show/Hide Description

MERCURY II was a 16-week, randomized, open-label, 2-period, parallel-group, multicenter study. Following a 6-week dietary lead-in period, patients at high risk of CHD were randomized to 1 of 5 arms: CRESTOR 20 mg, atorvastatin 10 mg, atorvastatin 20 mg, simvastatin 20 mg, or simvastatin 40 mg once daily (period 1: 8 weeks). Patients then remained on these treatments or were switched as follows: half from atorvastatin 10 mg and simvastatin 20 mg to CRESTOR 10 mg once daily; half from atorvastatin 20 mg and simvastatin 40 mg to CRESTOR 20 mg once daily (period 2: 8 weeks). Patients had either been treated with CRESTOR, atorvastatin, or simvastatin for 16 weeks or with CRESTOR for 8 weeks following 8 weeks of comparator treatment. The primary end point was percentage of patients achieving NCEP ATP III LDL-C goal at week 16.1

TRIAL: MERCURY II

Goal attainment (LDL-C <100 mg/dL) in high-risk patients switching to CRESTOR vs remaining on simvastatin1

LDL Cholesterol goal attainment in patients switching to CRESTOR from simvastatin

*P<.001 simvastatin 20 mg switched to CRESTOR 10 mg vs simvastatin 20 mg; simvastatin 40 mg switched to CRESTOR 20 mg vs simvastatin 40 mg.

Mean baseline LDL-C: 167 mg/dL (all arms of trial).

Arm 1 (Weeks 1–16):
CRESTOR 20 mg n=362

Arm 4 (Week 16):
CRESTOR 10 mg n=179
simvastatin 20 mg n=185

Arm 5 (Week 16):
CRESTOR 20 mg n=183
simvastatin 40 mg n=183

Enlarge Chart
Download Publication
Show/Hide Description

MERCURY II was a 16-week, randomized, open-label, 2-period, parallel-group, multicenter study. Following a 6-week dietary lead-in period, patients at high risk of CHD were randomized to 1 of 5 arms: CRESTOR 20 mg, atorvastatin 10 mg, atorvastatin 20 mg, simvastatin 20 mg, or simvastatin 40 mg once daily (period 1: 8 weeks). Patients then remained on these treatments or were switched as follows: half from atorvastatin 10 mg and simvastatin 20 mg to CRESTOR 10 mg once daily; half from atorvastatin 20 mg and simvastatin 40 mg to CRESTOR 20 mg once daily (period 2: 8 weeks). Patients had either been treated with CRESTOR, atorvastatin, or simvastatin for 16 weeks or with CRESTOR for 8 weeks following 8 weeks of comparator treatment. The primary end point was percentage of patients achieving NCEP ATP III LDL-C goal at week 16.1

TRIAL: MERCURY I

Percentage change from baseline LDL-C at 16 weeks in patients switching to CRESTOR vs remaining on atorvastatin2

LDL Cholesterol 16 week change after switching to CRESTOR from atorvastatin
Enlarge Chart
Show/Hide Description

MERCURY I was a 16-week, randomized, open-label, 5-arm, 2-period, multicenter, parallel-group study in patients with hyperlipidemia or mixed dyslipidemia. Patients had a history of CHD or established atherosclerotic disease, type 2 diabetes, or a CHD risk >20% over 10 years. Following a 6-week dietary lead-in period, patients were randomized to 1 of 5 treatment arms: CRESTOR 10 mg, atorvastatin 10 mg, atorvastatin 20 mg, simvastatin 20 mg, or pravastatin 40 mg once daily (period 1: 8 weeks). Patients then remained on these treatments or were switched as follows: half from atorvastatin 10 mg, simvastatin 20 mg, and pravastatin 40 mg to CRESTOR 10 mg once daily; one third of each from atorvastatin 20 mg to CRESTOR 10 mg and 20 mg once daily (period 2: 8 weeks). Primary end point was percentage of patients reaching Joint European Societies’ LDL-C goal <116 mg/dL at week 16.2

TRIAL: MERCURY I

Percentage change from baseline LDL-C at 16 weeks in patients switching to CRESTOR vs remaining on simvastatin or pravastatin2

LDL Cholesterol 16 week change after switching to CRESTOR from simvastatin
Enlarge Chart
Show/Hide Description

MERCURY I was a 16-week, randomized, open-label, 5-arm, 2-period, multicenter, parallel-group study in patients with hyperlipidemia or mixed dyslipidemia. Patients had a history of CHD or established atherosclerotic disease, type 2 diabetes, or a CHD risk >20% over 10 years. Following a 6-week dietary lead-in period, patients were randomized to 1 of 5 treatment arms: CRESTOR 10 mg, atorvastatin 10 mg, atorvastatin 20 mg, simvastatin 20 mg, or pravastatin 40 mg once daily (period 1: 8 weeks). Patients then remained on these treatments or were switched as follows: half from atorvastatin 10 mg, simvastatin 20 mg, and pravastatin 40 mg to CRESTOR 10 mg once daily; one third of each from atorvastatin 20 mg to CRESTOR 10 mg and 20 mg once daily (period 2: 8 weeks). Primary end point was percentage of patients reaching Joint European Societies’ LDL-C goal <116 mg/dL at week 16.2