Kim Hack-Lyoung, Joh Hyun Sung, Kim Sang-Hyun, Kim Myung-A
Division of Cardiology, Department of Internal Medicine, Boramae Medical Center, Seoul National University College of Medicine, 5 Boramae-ro, Dongjak-gu, Seoul 07061, Republic of Korea.
J Clin Med. 2025 Aug 4;14(15):5480. doi: 10.3390/jcm14155480.
Fixed-dose combinations of rosuvastatin and ezetimibe are increasingly used in clinical practice, but real-world data on their effectiveness and safety in large populations remain limited. This prospective, single-group, open-label, non-interventional observational study was conducted in the Republic of Korea to evaluate the effectiveness and safety of Rovazet (a fixed-dose combination of rosuvastatin and ezetimibe). Patients were prospectively enrolled from 235 institutions (50 general hospitals and 185 private clinics) as part of routine clinical practice over a five-year period. Lipid profiles and medication compliance questionnaire results were collected at baseline, 12 weeks, and 24 weeks of treatment. A total of 5527 patients with dyslipidemia, the majority were men (53.0%), and the mean age was 60.4 years. Rovazet significantly reduced low-density lipoprotein cholesterol (LDL-C) by 23.5% at 12 weeks (from 117.47 ± 50.65 mg/dL to 81.14 ± 38.20 mg/dL; < 0.0001) and by 27.4% at 24 weeks (from 117.47 ± 50.65 mg/dL to 74.52 ± 33.36 mg/dL; < 0.0001). Total cholesterol was significantly reduced by 17.7% at 12 weeks and by 19.8% at 24 weeks. Rovazet treatment reduced triglycerides by 4.1% at 12 weeks and by 7.2% at 24 weeks. High-density lipoprotein cholesterol increased by 4.5% at 12 weeks and by 7.9% at 24 weeks following Rovazet treatment. These changes in lipid profiles were consistent, regardless of cardiovascular risk profiles. By 24 weeks of treatment with Rovazet, 91.8% of patients had reached their target LDL-C goals. Adverse drug reactions were reported in 2.81% of patients, most of which were minor, indicating that Rovazet was well tolerated. Rovazet was effective in improving lipid profiles and well tolerated in Korean adults with dyslipidemia.
瑞舒伐他汀和依折麦布的固定剂量复方制剂在临床实践中的应用越来越广泛,但关于其在大量人群中的有效性和安全性的真实世界数据仍然有限。这项前瞻性、单组、开放标签、非干预性观察性研究在韩国开展,旨在评估Rovazet(瑞舒伐他汀和依折麦布的固定剂量复方制剂)的有效性和安全性。在五年期间,作为常规临床实践的一部分,从235家机构(50家综合医院和185家私人诊所)前瞻性纳入患者。在治疗的基线、12周和24周收集血脂谱和用药依从性问卷结果。共有5527例血脂异常患者,其中大多数为男性(53.0%),平均年龄为60.4岁。Rovazet在12周时使低密度脂蛋白胆固醇(LDL-C)显著降低23.5%(从117.47±50.65mg/dL降至81.14±38.20mg/dL;<0.0001),在24周时降低27.4%(从117.47±50.65mg/dL降至74.52±33.36mg/dL;<0.0001)。总胆固醇在12周时显著降低17.7%,在24周时降低19.8%。Rovazet治疗在12周时使甘油三酯降低4.1%,在24周时降低7.2%。瑞舒伐他汀治疗后,高密度脂蛋白胆固醇在12周时升高4.5%,在24周时升高7.9%。无论心血管风险状况如何,这些血脂谱变化都是一致的。到Rovazet治疗24周时,91.8%的患者达到了其LDL-C目标值。2.81%的患者报告了药物不良反应,其中大多数为轻微不良反应,这表明Rovazet耐受性良好。Rovazet对改善韩国血脂异常成年人的血脂谱有效且耐受性良好。