Table 1

Baseline characteristics of the patients on statin therapy at randomization

VariableLDL-C ≥ 100 mg/dLLDL-C < 100 mg/dL
 Total
(N = 5304)
CSL112 6 g
(N = 2655)
Placebo
(N = 2649)
Total
(N = 10 427)
CSL112 6 g
(N = 5198)
Placebo
(N = 5229)
P-valuea
Age, years, median (IQR)65 (57, 71)65 (57, 71)65 (57, 71)67 (61, 74)68 (61, 74)67 (60, 74)
Age ≥65 years, n (%)2835 (53.5)1410 (53.1)1425 (53.8)6615 (63.4)3324 (63.9)3291 (62.9)<.0001
Male sex, n (%)3670 (69.2)1846 (69.5)1824 (68.9)7975 (76.5)4002 (77.0)3973 (76.0)<.0001
Race, n (%)<.0001
 White4487 (84.6)2254 (84.9)2233 (84.3)8833 (84.7)4425 (85.1)4408 (84.3)
 Asian498 (9.4)239 (9.0)259 (9.8)882 (8.5)437 (8.4)445 (8.5)
 Black/African American122 (2.3)60 (2.3)62 (2.3)178 (1.7)90 (1.7)88 (1.7)
 Other/multiracial181 (3.4)95 (3.6)86 (3.2)481 (4.6)221 (4.3)260 (5.0)
 Missing16 (.3)7 (.3)9 (.3)53 (.5)25 (.5)28 (.5)
Ethnicity, n (%)<.0001
 Hispanic/Latino822 (15.5)432 (16.3)390 (14.7)1891 (18.1)911 (17.5)980 (18.7)
 Non-Hispanic/Latino4416 (83.3)2191 (82.5)2225 (84.0)8393 (80.5)4216 (81.1)4177 (79.9)
 Not reported64 (1.2)31 (1.2)33 (1.2)141 (1.4)71 (1.4)70 (1.3)
 Missing2 (.0)1 (.0)1 (.0)2 (.0)0 (.0)2 (.0)
Geographic region, n (%)<.0001
 Central and Eastern Europe2422 (45.7)1199 (45.2)1223 (46.2)3209 (30.8)1622 (31.2)1587 (30.3)
 Western Europe1123 (21.2)571 (21.5)552 (20.8)2957 (28.4)1464 (28.2)1493 (28.6)
 Latin America763 (14.4)407 (15.3)356 (13.4)1727 (16.6)840 (16.2)887 (17.0)
 Asia Pacific546 (10.3)263 (9.9)283 (10.7)1061 (10.2)543 (10.4)518 (9.9)
 North America450 (8.5)215 (8.1)235 (8.9)1473 (14.1)729 (14.0)744 (14.2)
BMI (kg/m2), median (IQR)28.1 (25.5, 31.5)28.1 (25.5, 31.3)28.1 (25.4, 31.6)28.3 (25.4, 31.6)28.3 (25.4, 31.6)28.3 (25.5, 31.7)
Current smoking, n (%)1596 (30.1)781 (29.4)815 (30.8)2471 (23.7)1230 (23.7)1241 (23.7)<.0001
Medical history, n (%)
 Diabetes mellitus3506 (66.1)1769 (66.6)1737 (65.6)7170 (68.8)3595 (69.2)3575 (68.4).0007
 Peripheral artery disease649 (12.2)328 (12.4)321 (12.1)1342 (12.9)653 (12.6)689 (13.2).2579
 Prior MI1491 (28.1)754 (28.4)737 (27.8)4190 (40.2)2066 (39.7)2124 (40.6)<.0001
 Prior PCI1361 (25.7)692 (26.1)669 (25.3)4529 (43.4)2244 (43.2)2285 (43.7)<.0001
 Heart failure524 (9.9)258 (9.7)266 (10.0)1072 (10.3)515 (9.9)557 (10.7).4302
 Ischemic stroke245 (4.6)130 (4.9)115 (4.3)584 (5.6)282 (5.4)302 (5.8).0092
 Hypertension4014 (75.7)2017 (76.0)1997 (75.4)8450 (81.0)4219 (81.2)4231 (80.9)<.0001
 Hypercholesterolemia2735 (51.6)1392 (52.4)1343 (50.7)7215 (69.2)3593 (69.1)3622 (69.3)<.0001
Index MI type, n (%)<.0001
 STEMI3093 (58.3)1554 (58.5)1539 (58.1)4935 (47.3)2468 (47.5)2467 (47.2)
 NSTEMI2211 (41.7)1101 (41.5)1110 (41.9)5492 (52.7)2730 (52.5)2762 (52.8)
Coronary angiography for the index MI, n (%)5197 (98.0)2600 (97.9)2597 (98.0)10 112 (97.0)5045 (97.1)5067 (96.9).0002
PCI for the index MI, n (%)4826 (91.0)2416 (91.0)2410 (91.0)9027 (86.6)4519 (86.9)4508 (86.2)<.0001
Medications at randomization, n (%)
 Aspirin5056 (95.3)2541 (95.7)2515 (94.9)9830 (94.3)4909 (94.4)4921 (94.1).0058
 P2Y12 inhibitor5061 (95.4)2540 (95.7)2521 (95.2)9848 (94.4)4921 (94.7)4927 (94.2).0096
 High-intensity statinb4423 (83.4)2228 (83.9)2195 (82.9)8402 (80.6)4184 (80.5)4218 (80.7)<.0001
 Non-statin lipid-lowering drugs476 (9.0)239 (9.0)237 (8.9)1250 (12.0)623 (12.0)627 (12.0)<.0001
Medications prior to the index MI, n (%)
 Statin1675 (31.6)848 (31.9)827 (31.2)6074 (58.3)3019 (58.1)3055 (58.4)<.0001
 High-intensity statinb604 (11.4)309 (11.6)295 (11.1)2456 (23.6)1218 (23.4)1238 (23.7)<.0001
 Non-statin lipid-lowering drugs188 (3.5)103 (3.9)85 (3.2)834 (8.0)404 (7.8)430 (8.2)<.0001
Lipid panel as baseline, median (IQR)
 Total cholesterol (mg/dL)201.9 (184.8, 225.4)202.2 (185.2, 225.4)201.5 (184.1, 225.1)141.1 (122.2, 157.8)141.1 (122.6, 157.8)140.8 (122.2, 157.8)<.0001
 LDL cholesterol (mg/dL)123.0 (110.6, 143.5)123.0 (111.0, 143.9)123.0 (110.2, 142.7)69.2 (53.4, 83.1)68.8 (53.0, 82.8)69.2 (54.1, 83.9)<.0001
 HDL cholesterol (mg/dL)41.0 (34.8, 48.0)40.6 (34.8, 47.6)41.0 (34.8, 48.3)39.1 (32.9, 46.4)39.1 (32.9, 46.4)39.1 (33.3, 46.0)<.0001
 Triglycerides (mg/dL)165.6 (128.4, 215.2)166.5 (130.2, 216.1)164.7 (126.7, 215.2)142.6 (109.8, 191.3)144.4 (109.8, 194.0)142.6 (109.8, 188.7)<.0001
Lipid panel at end of active treatment period, median (IQR)
 Total cholesterol (mg/dL)145.0 (123.7, 172.5)151.2 (129.9, 178.7)140.0 (119.9, 165.5)124.9 (107.1, 146.6)129.9 (111.4, 151.6)120.7 (104.0, 141.1)<.0001
 LDL cholesterol (mg/dL)70.4 (54.1, 90.9)73.1 (56.5, 93.2)68.1 (52.6, 88.2)52.2 (39.4, 66.9)53.8 (40.6, 68.1)51.0 (38.3, 66.1)<.0001
 HDL cholesterol (mg/dL)42.2 (36.0, 50.3)44.5 (37.5, 53.8)39.8 (34.8, 47.2)41.0 (34.8, 49.9)43.3 (36.0, 53.4)39.8 (34.0, 47.2)<.0001
 Triglycerides (mg/dL)139.9 (106.3, 187.8)144.4 (109.8, 192.2)136.4 (102.7, 183.3)132.9 (99.2, 182.5)136.4 (102.7, 188.7)128.4 (97.4, 175.4)<.0001
Renal function, n (%)<.0001
 Normal (eGFR ≥90 mL/min/1.73 m2)1468 (27.7)748 (28.2)720 (27.2)2464 (23.6)1214 (23.4)1250 (23.9)
 Mild impairment (eGFR ≥60-<90 mL/min/1.73 m2)2670 (50.3)1358 (51.1)1312 (49.5)5329 (51.1)2684 (51.6)2645 (50.6)
 Moderate impairment (eGFR ≥30-<60 mL/min/1.73 m2)1130 (21.3)531 (20.0)599 (22.6)2560 (24.6)1256 (24.2)1304 (24.9)
 Severe impairment (eGFR <30 mL/min/1.73 m2)29 (.5)15 (.6)14 (.5)62 (.6)39 (.8)23 (.4)
 Missing7 (.1)3 (.1)4 (.2)12 (.1)5 (.1)7 (.1)
VariableLDL-C ≥ 100 mg/dLLDL-C < 100 mg/dL
 Total
(N = 5304)
CSL112 6 g
(N = 2655)
Placebo
(N = 2649)
Total
(N = 10 427)
CSL112 6 g
(N = 5198)
Placebo
(N = 5229)
P-valuea
Age, years, median (IQR)65 (57, 71)65 (57, 71)65 (57, 71)67 (61, 74)68 (61, 74)67 (60, 74)
Age ≥65 years, n (%)2835 (53.5)1410 (53.1)1425 (53.8)6615 (63.4)3324 (63.9)3291 (62.9)<.0001
Male sex, n (%)3670 (69.2)1846 (69.5)1824 (68.9)7975 (76.5)4002 (77.0)3973 (76.0)<.0001
Race, n (%)<.0001
 White4487 (84.6)2254 (84.9)2233 (84.3)8833 (84.7)4425 (85.1)4408 (84.3)
 Asian498 (9.4)239 (9.0)259 (9.8)882 (8.5)437 (8.4)445 (8.5)
 Black/African American122 (2.3)60 (2.3)62 (2.3)178 (1.7)90 (1.7)88 (1.7)
 Other/multiracial181 (3.4)95 (3.6)86 (3.2)481 (4.6)221 (4.3)260 (5.0)
 Missing16 (.3)7 (.3)9 (.3)53 (.5)25 (.5)28 (.5)
Ethnicity, n (%)<.0001
 Hispanic/Latino822 (15.5)432 (16.3)390 (14.7)1891 (18.1)911 (17.5)980 (18.7)
 Non-Hispanic/Latino4416 (83.3)2191 (82.5)2225 (84.0)8393 (80.5)4216 (81.1)4177 (79.9)
 Not reported64 (1.2)31 (1.2)33 (1.2)141 (1.4)71 (1.4)70 (1.3)
 Missing2 (.0)1 (.0)1 (.0)2 (.0)0 (.0)2 (.0)
Geographic region, n (%)<.0001
 Central and Eastern Europe2422 (45.7)1199 (45.2)1223 (46.2)3209 (30.8)1622 (31.2)1587 (30.3)
 Western Europe1123 (21.2)571 (21.5)552 (20.8)2957 (28.4)1464 (28.2)1493 (28.6)
 Latin America763 (14.4)407 (15.3)356 (13.4)1727 (16.6)840 (16.2)887 (17.0)
 Asia Pacific546 (10.3)263 (9.9)283 (10.7)1061 (10.2)543 (10.4)518 (9.9)
 North America450 (8.5)215 (8.1)235 (8.9)1473 (14.1)729 (14.0)744 (14.2)
BMI (kg/m2), median (IQR)28.1 (25.5, 31.5)28.1 (25.5, 31.3)28.1 (25.4, 31.6)28.3 (25.4, 31.6)28.3 (25.4, 31.6)28.3 (25.5, 31.7)
Current smoking, n (%)1596 (30.1)781 (29.4)815 (30.8)2471 (23.7)1230 (23.7)1241 (23.7)<.0001
Medical history, n (%)
 Diabetes mellitus3506 (66.1)1769 (66.6)1737 (65.6)7170 (68.8)3595 (69.2)3575 (68.4).0007
 Peripheral artery disease649 (12.2)328 (12.4)321 (12.1)1342 (12.9)653 (12.6)689 (13.2).2579
 Prior MI1491 (28.1)754 (28.4)737 (27.8)4190 (40.2)2066 (39.7)2124 (40.6)<.0001
 Prior PCI1361 (25.7)692 (26.1)669 (25.3)4529 (43.4)2244 (43.2)2285 (43.7)<.0001
 Heart failure524 (9.9)258 (9.7)266 (10.0)1072 (10.3)515 (9.9)557 (10.7).4302
 Ischemic stroke245 (4.6)130 (4.9)115 (4.3)584 (5.6)282 (5.4)302 (5.8).0092
 Hypertension4014 (75.7)2017 (76.0)1997 (75.4)8450 (81.0)4219 (81.2)4231 (80.9)<.0001
 Hypercholesterolemia2735 (51.6)1392 (52.4)1343 (50.7)7215 (69.2)3593 (69.1)3622 (69.3)<.0001
Index MI type, n (%)<.0001
 STEMI3093 (58.3)1554 (58.5)1539 (58.1)4935 (47.3)2468 (47.5)2467 (47.2)
 NSTEMI2211 (41.7)1101 (41.5)1110 (41.9)5492 (52.7)2730 (52.5)2762 (52.8)
Coronary angiography for the index MI, n (%)5197 (98.0)2600 (97.9)2597 (98.0)10 112 (97.0)5045 (97.1)5067 (96.9).0002
PCI for the index MI, n (%)4826 (91.0)2416 (91.0)2410 (91.0)9027 (86.6)4519 (86.9)4508 (86.2)<.0001
Medications at randomization, n (%)
 Aspirin5056 (95.3)2541 (95.7)2515 (94.9)9830 (94.3)4909 (94.4)4921 (94.1).0058
 P2Y12 inhibitor5061 (95.4)2540 (95.7)2521 (95.2)9848 (94.4)4921 (94.7)4927 (94.2).0096
 High-intensity statinb4423 (83.4)2228 (83.9)2195 (82.9)8402 (80.6)4184 (80.5)4218 (80.7)<.0001
 Non-statin lipid-lowering drugs476 (9.0)239 (9.0)237 (8.9)1250 (12.0)623 (12.0)627 (12.0)<.0001
Medications prior to the index MI, n (%)
 Statin1675 (31.6)848 (31.9)827 (31.2)6074 (58.3)3019 (58.1)3055 (58.4)<.0001
 High-intensity statinb604 (11.4)309 (11.6)295 (11.1)2456 (23.6)1218 (23.4)1238 (23.7)<.0001
 Non-statin lipid-lowering drugs188 (3.5)103 (3.9)85 (3.2)834 (8.0)404 (7.8)430 (8.2)<.0001
Lipid panel as baseline, median (IQR)
 Total cholesterol (mg/dL)201.9 (184.8, 225.4)202.2 (185.2, 225.4)201.5 (184.1, 225.1)141.1 (122.2, 157.8)141.1 (122.6, 157.8)140.8 (122.2, 157.8)<.0001
 LDL cholesterol (mg/dL)123.0 (110.6, 143.5)123.0 (111.0, 143.9)123.0 (110.2, 142.7)69.2 (53.4, 83.1)68.8 (53.0, 82.8)69.2 (54.1, 83.9)<.0001
 HDL cholesterol (mg/dL)41.0 (34.8, 48.0)40.6 (34.8, 47.6)41.0 (34.8, 48.3)39.1 (32.9, 46.4)39.1 (32.9, 46.4)39.1 (33.3, 46.0)<.0001
 Triglycerides (mg/dL)165.6 (128.4, 215.2)166.5 (130.2, 216.1)164.7 (126.7, 215.2)142.6 (109.8, 191.3)144.4 (109.8, 194.0)142.6 (109.8, 188.7)<.0001
Lipid panel at end of active treatment period, median (IQR)
 Total cholesterol (mg/dL)145.0 (123.7, 172.5)151.2 (129.9, 178.7)140.0 (119.9, 165.5)124.9 (107.1, 146.6)129.9 (111.4, 151.6)120.7 (104.0, 141.1)<.0001
 LDL cholesterol (mg/dL)70.4 (54.1, 90.9)73.1 (56.5, 93.2)68.1 (52.6, 88.2)52.2 (39.4, 66.9)53.8 (40.6, 68.1)51.0 (38.3, 66.1)<.0001
 HDL cholesterol (mg/dL)42.2 (36.0, 50.3)44.5 (37.5, 53.8)39.8 (34.8, 47.2)41.0 (34.8, 49.9)43.3 (36.0, 53.4)39.8 (34.0, 47.2)<.0001
 Triglycerides (mg/dL)139.9 (106.3, 187.8)144.4 (109.8, 192.2)136.4 (102.7, 183.3)132.9 (99.2, 182.5)136.4 (102.7, 188.7)128.4 (97.4, 175.4)<.0001
Renal function, n (%)<.0001
 Normal (eGFR ≥90 mL/min/1.73 m2)1468 (27.7)748 (28.2)720 (27.2)2464 (23.6)1214 (23.4)1250 (23.9)
 Mild impairment (eGFR ≥60-<90 mL/min/1.73 m2)2670 (50.3)1358 (51.1)1312 (49.5)5329 (51.1)2684 (51.6)2645 (50.6)
 Moderate impairment (eGFR ≥30-<60 mL/min/1.73 m2)1130 (21.3)531 (20.0)599 (22.6)2560 (24.6)1256 (24.2)1304 (24.9)
 Severe impairment (eGFR <30 mL/min/1.73 m2)29 (.5)15 (.6)14 (.5)62 (.6)39 (.8)23 (.4)
 Missing7 (.1)3 (.1)4 (.2)12 (.1)5 (.1)7 (.1)

Note: To convert the values for HDL cholesterol and LDL cholesterol to millimoles per liter, multiply by .02586. To convert the values for triglycerides to millimoles per liter, multiply by .01129.

Abbreviations: BMI, body mass index; eGFR, estimated glomerular filtration rate; IQR, interquartile range; HDL, high-density lipoprotein; LDL-C, low-density lipoprotein cholesterol; MI, myocardial infarction; NSTEMI, non-ST-segment elevation myocardial infarction; PCI, percutaneous coronary intervention; SD, standard deviation; STEMI, ST-segment elevation myocardial infarction.

aThe P-value is the Wilcoxon rank sum nonparametric for continuous χ2 tests for categorical in the comparison between total columns for LDL-C < 100 mg/dL compared with LDL-C ≥ 100 mg/dL.

bHigh-intensity statin therapy was derived based on reported use of atorvastatin ≥40 mg daily or rosuvastatin ≥20 mg daily.

Table 1

Baseline characteristics of the patients on statin therapy at randomization

VariableLDL-C ≥ 100 mg/dLLDL-C < 100 mg/dL
 Total
(N = 5304)
CSL112 6 g
(N = 2655)
Placebo
(N = 2649)
Total
(N = 10 427)
CSL112 6 g
(N = 5198)
Placebo
(N = 5229)
P-valuea
Age, years, median (IQR)65 (57, 71)65 (57, 71)65 (57, 71)67 (61, 74)68 (61, 74)67 (60, 74)
Age ≥65 years, n (%)2835 (53.5)1410 (53.1)1425 (53.8)6615 (63.4)3324 (63.9)3291 (62.9)<.0001
Male sex, n (%)3670 (69.2)1846 (69.5)1824 (68.9)7975 (76.5)4002 (77.0)3973 (76.0)<.0001
Race, n (%)<.0001
 White4487 (84.6)2254 (84.9)2233 (84.3)8833 (84.7)4425 (85.1)4408 (84.3)
 Asian498 (9.4)239 (9.0)259 (9.8)882 (8.5)437 (8.4)445 (8.5)
 Black/African American122 (2.3)60 (2.3)62 (2.3)178 (1.7)90 (1.7)88 (1.7)
 Other/multiracial181 (3.4)95 (3.6)86 (3.2)481 (4.6)221 (4.3)260 (5.0)
 Missing16 (.3)7 (.3)9 (.3)53 (.5)25 (.5)28 (.5)
Ethnicity, n (%)<.0001
 Hispanic/Latino822 (15.5)432 (16.3)390 (14.7)1891 (18.1)911 (17.5)980 (18.7)
 Non-Hispanic/Latino4416 (83.3)2191 (82.5)2225 (84.0)8393 (80.5)4216 (81.1)4177 (79.9)
 Not reported64 (1.2)31 (1.2)33 (1.2)141 (1.4)71 (1.4)70 (1.3)
 Missing2 (.0)1 (.0)1 (.0)2 (.0)0 (.0)2 (.0)
Geographic region, n (%)<.0001
 Central and Eastern Europe2422 (45.7)1199 (45.2)1223 (46.2)3209 (30.8)1622 (31.2)1587 (30.3)
 Western Europe1123 (21.2)571 (21.5)552 (20.8)2957 (28.4)1464 (28.2)1493 (28.6)
 Latin America763 (14.4)407 (15.3)356 (13.4)1727 (16.6)840 (16.2)887 (17.0)
 Asia Pacific546 (10.3)263 (9.9)283 (10.7)1061 (10.2)543 (10.4)518 (9.9)
 North America450 (8.5)215 (8.1)235 (8.9)1473 (14.1)729 (14.0)744 (14.2)
BMI (kg/m2), median (IQR)28.1 (25.5, 31.5)28.1 (25.5, 31.3)28.1 (25.4, 31.6)28.3 (25.4, 31.6)28.3 (25.4, 31.6)28.3 (25.5, 31.7)
Current smoking, n (%)1596 (30.1)781 (29.4)815 (30.8)2471 (23.7)1230 (23.7)1241 (23.7)<.0001
Medical history, n (%)
 Diabetes mellitus3506 (66.1)1769 (66.6)1737 (65.6)7170 (68.8)3595 (69.2)3575 (68.4).0007
 Peripheral artery disease649 (12.2)328 (12.4)321 (12.1)1342 (12.9)653 (12.6)689 (13.2).2579
 Prior MI1491 (28.1)754 (28.4)737 (27.8)4190 (40.2)2066 (39.7)2124 (40.6)<.0001
 Prior PCI1361 (25.7)692 (26.1)669 (25.3)4529 (43.4)2244 (43.2)2285 (43.7)<.0001
 Heart failure524 (9.9)258 (9.7)266 (10.0)1072 (10.3)515 (9.9)557 (10.7).4302
 Ischemic stroke245 (4.6)130 (4.9)115 (4.3)584 (5.6)282 (5.4)302 (5.8).0092
 Hypertension4014 (75.7)2017 (76.0)1997 (75.4)8450 (81.0)4219 (81.2)4231 (80.9)<.0001
 Hypercholesterolemia2735 (51.6)1392 (52.4)1343 (50.7)7215 (69.2)3593 (69.1)3622 (69.3)<.0001
Index MI type, n (%)<.0001
 STEMI3093 (58.3)1554 (58.5)1539 (58.1)4935 (47.3)2468 (47.5)2467 (47.2)
 NSTEMI2211 (41.7)1101 (41.5)1110 (41.9)5492 (52.7)2730 (52.5)2762 (52.8)
Coronary angiography for the index MI, n (%)5197 (98.0)2600 (97.9)2597 (98.0)10 112 (97.0)5045 (97.1)5067 (96.9).0002
PCI for the index MI, n (%)4826 (91.0)2416 (91.0)2410 (91.0)9027 (86.6)4519 (86.9)4508 (86.2)<.0001
Medications at randomization, n (%)
 Aspirin5056 (95.3)2541 (95.7)2515 (94.9)9830 (94.3)4909 (94.4)4921 (94.1).0058
 P2Y12 inhibitor5061 (95.4)2540 (95.7)2521 (95.2)9848 (94.4)4921 (94.7)4927 (94.2).0096
 High-intensity statinb4423 (83.4)2228 (83.9)2195 (82.9)8402 (80.6)4184 (80.5)4218 (80.7)<.0001
 Non-statin lipid-lowering drugs476 (9.0)239 (9.0)237 (8.9)1250 (12.0)623 (12.0)627 (12.0)<.0001
Medications prior to the index MI, n (%)
 Statin1675 (31.6)848 (31.9)827 (31.2)6074 (58.3)3019 (58.1)3055 (58.4)<.0001
 High-intensity statinb604 (11.4)309 (11.6)295 (11.1)2456 (23.6)1218 (23.4)1238 (23.7)<.0001
 Non-statin lipid-lowering drugs188 (3.5)103 (3.9)85 (3.2)834 (8.0)404 (7.8)430 (8.2)<.0001
Lipid panel as baseline, median (IQR)
 Total cholesterol (mg/dL)201.9 (184.8, 225.4)202.2 (185.2, 225.4)201.5 (184.1, 225.1)141.1 (122.2, 157.8)141.1 (122.6, 157.8)140.8 (122.2, 157.8)<.0001
 LDL cholesterol (mg/dL)123.0 (110.6, 143.5)123.0 (111.0, 143.9)123.0 (110.2, 142.7)69.2 (53.4, 83.1)68.8 (53.0, 82.8)69.2 (54.1, 83.9)<.0001
 HDL cholesterol (mg/dL)41.0 (34.8, 48.0)40.6 (34.8, 47.6)41.0 (34.8, 48.3)39.1 (32.9, 46.4)39.1 (32.9, 46.4)39.1 (33.3, 46.0)<.0001
 Triglycerides (mg/dL)165.6 (128.4, 215.2)166.5 (130.2, 216.1)164.7 (126.7, 215.2)142.6 (109.8, 191.3)144.4 (109.8, 194.0)142.6 (109.8, 188.7)<.0001
Lipid panel at end of active treatment period, median (IQR)
 Total cholesterol (mg/dL)145.0 (123.7, 172.5)151.2 (129.9, 178.7)140.0 (119.9, 165.5)124.9 (107.1, 146.6)129.9 (111.4, 151.6)120.7 (104.0, 141.1)<.0001
 LDL cholesterol (mg/dL)70.4 (54.1, 90.9)73.1 (56.5, 93.2)68.1 (52.6, 88.2)52.2 (39.4, 66.9)53.8 (40.6, 68.1)51.0 (38.3, 66.1)<.0001
 HDL cholesterol (mg/dL)42.2 (36.0, 50.3)44.5 (37.5, 53.8)39.8 (34.8, 47.2)41.0 (34.8, 49.9)43.3 (36.0, 53.4)39.8 (34.0, 47.2)<.0001
 Triglycerides (mg/dL)139.9 (106.3, 187.8)144.4 (109.8, 192.2)136.4 (102.7, 183.3)132.9 (99.2, 182.5)136.4 (102.7, 188.7)128.4 (97.4, 175.4)<.0001
Renal function, n (%)<.0001
 Normal (eGFR ≥90 mL/min/1.73 m2)1468 (27.7)748 (28.2)720 (27.2)2464 (23.6)1214 (23.4)1250 (23.9)
 Mild impairment (eGFR ≥60-<90 mL/min/1.73 m2)2670 (50.3)1358 (51.1)1312 (49.5)5329 (51.1)2684 (51.6)2645 (50.6)
 Moderate impairment (eGFR ≥30-<60 mL/min/1.73 m2)1130 (21.3)531 (20.0)599 (22.6)2560 (24.6)1256 (24.2)1304 (24.9)
 Severe impairment (eGFR <30 mL/min/1.73 m2)29 (.5)15 (.6)14 (.5)62 (.6)39 (.8)23 (.4)
 Missing7 (.1)3 (.1)4 (.2)12 (.1)5 (.1)7 (.1)
VariableLDL-C ≥ 100 mg/dLLDL-C < 100 mg/dL
 Total
(N = 5304)
CSL112 6 g
(N = 2655)
Placebo
(N = 2649)
Total
(N = 10 427)
CSL112 6 g
(N = 5198)
Placebo
(N = 5229)
P-valuea
Age, years, median (IQR)65 (57, 71)65 (57, 71)65 (57, 71)67 (61, 74)68 (61, 74)67 (60, 74)
Age ≥65 years, n (%)2835 (53.5)1410 (53.1)1425 (53.8)6615 (63.4)3324 (63.9)3291 (62.9)<.0001
Male sex, n (%)3670 (69.2)1846 (69.5)1824 (68.9)7975 (76.5)4002 (77.0)3973 (76.0)<.0001
Race, n (%)<.0001
 White4487 (84.6)2254 (84.9)2233 (84.3)8833 (84.7)4425 (85.1)4408 (84.3)
 Asian498 (9.4)239 (9.0)259 (9.8)882 (8.5)437 (8.4)445 (8.5)
 Black/African American122 (2.3)60 (2.3)62 (2.3)178 (1.7)90 (1.7)88 (1.7)
 Other/multiracial181 (3.4)95 (3.6)86 (3.2)481 (4.6)221 (4.3)260 (5.0)
 Missing16 (.3)7 (.3)9 (.3)53 (.5)25 (.5)28 (.5)
Ethnicity, n (%)<.0001
 Hispanic/Latino822 (15.5)432 (16.3)390 (14.7)1891 (18.1)911 (17.5)980 (18.7)
 Non-Hispanic/Latino4416 (83.3)2191 (82.5)2225 (84.0)8393 (80.5)4216 (81.1)4177 (79.9)
 Not reported64 (1.2)31 (1.2)33 (1.2)141 (1.4)71 (1.4)70 (1.3)
 Missing2 (.0)1 (.0)1 (.0)2 (.0)0 (.0)2 (.0)
Geographic region, n (%)<.0001
 Central and Eastern Europe2422 (45.7)1199 (45.2)1223 (46.2)3209 (30.8)1622 (31.2)1587 (30.3)
 Western Europe1123 (21.2)571 (21.5)552 (20.8)2957 (28.4)1464 (28.2)1493 (28.6)
 Latin America763 (14.4)407 (15.3)356 (13.4)1727 (16.6)840 (16.2)887 (17.0)
 Asia Pacific546 (10.3)263 (9.9)283 (10.7)1061 (10.2)543 (10.4)518 (9.9)
 North America450 (8.5)215 (8.1)235 (8.9)1473 (14.1)729 (14.0)744 (14.2)
BMI (kg/m2), median (IQR)28.1 (25.5, 31.5)28.1 (25.5, 31.3)28.1 (25.4, 31.6)28.3 (25.4, 31.6)28.3 (25.4, 31.6)28.3 (25.5, 31.7)
Current smoking, n (%)1596 (30.1)781 (29.4)815 (30.8)2471 (23.7)1230 (23.7)1241 (23.7)<.0001
Medical history, n (%)
 Diabetes mellitus3506 (66.1)1769 (66.6)1737 (65.6)7170 (68.8)3595 (69.2)3575 (68.4).0007
 Peripheral artery disease649 (12.2)328 (12.4)321 (12.1)1342 (12.9)653 (12.6)689 (13.2).2579
 Prior MI1491 (28.1)754 (28.4)737 (27.8)4190 (40.2)2066 (39.7)2124 (40.6)<.0001
 Prior PCI1361 (25.7)692 (26.1)669 (25.3)4529 (43.4)2244 (43.2)2285 (43.7)<.0001
 Heart failure524 (9.9)258 (9.7)266 (10.0)1072 (10.3)515 (9.9)557 (10.7).4302
 Ischemic stroke245 (4.6)130 (4.9)115 (4.3)584 (5.6)282 (5.4)302 (5.8).0092
 Hypertension4014 (75.7)2017 (76.0)1997 (75.4)8450 (81.0)4219 (81.2)4231 (80.9)<.0001
 Hypercholesterolemia2735 (51.6)1392 (52.4)1343 (50.7)7215 (69.2)3593 (69.1)3622 (69.3)<.0001
Index MI type, n (%)<.0001
 STEMI3093 (58.3)1554 (58.5)1539 (58.1)4935 (47.3)2468 (47.5)2467 (47.2)
 NSTEMI2211 (41.7)1101 (41.5)1110 (41.9)5492 (52.7)2730 (52.5)2762 (52.8)
Coronary angiography for the index MI, n (%)5197 (98.0)2600 (97.9)2597 (98.0)10 112 (97.0)5045 (97.1)5067 (96.9).0002
PCI for the index MI, n (%)4826 (91.0)2416 (91.0)2410 (91.0)9027 (86.6)4519 (86.9)4508 (86.2)<.0001
Medications at randomization, n (%)
 Aspirin5056 (95.3)2541 (95.7)2515 (94.9)9830 (94.3)4909 (94.4)4921 (94.1).0058
 P2Y12 inhibitor5061 (95.4)2540 (95.7)2521 (95.2)9848 (94.4)4921 (94.7)4927 (94.2).0096
 High-intensity statinb4423 (83.4)2228 (83.9)2195 (82.9)8402 (80.6)4184 (80.5)4218 (80.7)<.0001
 Non-statin lipid-lowering drugs476 (9.0)239 (9.0)237 (8.9)1250 (12.0)623 (12.0)627 (12.0)<.0001
Medications prior to the index MI, n (%)
 Statin1675 (31.6)848 (31.9)827 (31.2)6074 (58.3)3019 (58.1)3055 (58.4)<.0001
 High-intensity statinb604 (11.4)309 (11.6)295 (11.1)2456 (23.6)1218 (23.4)1238 (23.7)<.0001
 Non-statin lipid-lowering drugs188 (3.5)103 (3.9)85 (3.2)834 (8.0)404 (7.8)430 (8.2)<.0001
Lipid panel as baseline, median (IQR)
 Total cholesterol (mg/dL)201.9 (184.8, 225.4)202.2 (185.2, 225.4)201.5 (184.1, 225.1)141.1 (122.2, 157.8)141.1 (122.6, 157.8)140.8 (122.2, 157.8)<.0001
 LDL cholesterol (mg/dL)123.0 (110.6, 143.5)123.0 (111.0, 143.9)123.0 (110.2, 142.7)69.2 (53.4, 83.1)68.8 (53.0, 82.8)69.2 (54.1, 83.9)<.0001
 HDL cholesterol (mg/dL)41.0 (34.8, 48.0)40.6 (34.8, 47.6)41.0 (34.8, 48.3)39.1 (32.9, 46.4)39.1 (32.9, 46.4)39.1 (33.3, 46.0)<.0001
 Triglycerides (mg/dL)165.6 (128.4, 215.2)166.5 (130.2, 216.1)164.7 (126.7, 215.2)142.6 (109.8, 191.3)144.4 (109.8, 194.0)142.6 (109.8, 188.7)<.0001
Lipid panel at end of active treatment period, median (IQR)
 Total cholesterol (mg/dL)145.0 (123.7, 172.5)151.2 (129.9, 178.7)140.0 (119.9, 165.5)124.9 (107.1, 146.6)129.9 (111.4, 151.6)120.7 (104.0, 141.1)<.0001
 LDL cholesterol (mg/dL)70.4 (54.1, 90.9)73.1 (56.5, 93.2)68.1 (52.6, 88.2)52.2 (39.4, 66.9)53.8 (40.6, 68.1)51.0 (38.3, 66.1)<.0001
 HDL cholesterol (mg/dL)42.2 (36.0, 50.3)44.5 (37.5, 53.8)39.8 (34.8, 47.2)41.0 (34.8, 49.9)43.3 (36.0, 53.4)39.8 (34.0, 47.2)<.0001
 Triglycerides (mg/dL)139.9 (106.3, 187.8)144.4 (109.8, 192.2)136.4 (102.7, 183.3)132.9 (99.2, 182.5)136.4 (102.7, 188.7)128.4 (97.4, 175.4)<.0001
Renal function, n (%)<.0001
 Normal (eGFR ≥90 mL/min/1.73 m2)1468 (27.7)748 (28.2)720 (27.2)2464 (23.6)1214 (23.4)1250 (23.9)
 Mild impairment (eGFR ≥60-<90 mL/min/1.73 m2)2670 (50.3)1358 (51.1)1312 (49.5)5329 (51.1)2684 (51.6)2645 (50.6)
 Moderate impairment (eGFR ≥30-<60 mL/min/1.73 m2)1130 (21.3)531 (20.0)599 (22.6)2560 (24.6)1256 (24.2)1304 (24.9)
 Severe impairment (eGFR <30 mL/min/1.73 m2)29 (.5)15 (.6)14 (.5)62 (.6)39 (.8)23 (.4)
 Missing7 (.1)3 (.1)4 (.2)12 (.1)5 (.1)7 (.1)

Note: To convert the values for HDL cholesterol and LDL cholesterol to millimoles per liter, multiply by .02586. To convert the values for triglycerides to millimoles per liter, multiply by .01129.

Abbreviations: BMI, body mass index; eGFR, estimated glomerular filtration rate; IQR, interquartile range; HDL, high-density lipoprotein; LDL-C, low-density lipoprotein cholesterol; MI, myocardial infarction; NSTEMI, non-ST-segment elevation myocardial infarction; PCI, percutaneous coronary intervention; SD, standard deviation; STEMI, ST-segment elevation myocardial infarction.

aThe P-value is the Wilcoxon rank sum nonparametric for continuous χ2 tests for categorical in the comparison between total columns for LDL-C < 100 mg/dL compared with LDL-C ≥ 100 mg/dL.

bHigh-intensity statin therapy was derived based on reported use of atorvastatin ≥40 mg daily or rosuvastatin ≥20 mg daily.

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