| 
 
		
		Related trials
		 
				 PHS II vitamin C, 2008 - vitamin C  vs placebo 
				 POPADAD (antioxydant), 2008 - combination  vs placebo 
				 ARISE, 2008 - succinobucol   vs placebo 
				 PHS II vitamin E, 2008 - vitamin E  vs placebo 
				 WACS beta-caroten, 2007 - beta carotene  vs placebo 
				 WACS vitamin E, 2007 - vitamin E  vs placebo 
				 WACS vitamin C, 2007 - vitamin C  vs placebo 
				 WHS vitamin E, 2005 - vitamin E  vs placebo 
				 SUVIMAX, 2005 - combination  vs placebo 
				 PHS II beta carotene, 2003 - combination  vs placebo 
				 Tepel, 2003 - acetylcysteine  vs placebo 
				 WAVE (Waters), 2002 - combination  vs placebo 
				 HPS antioxidant, 2002 - combination  vs placebo 
				 HATS, 2001 - combination  vs placebo 
				 PPP, 2001 - vitamin E  vs control 
				 AREDS, 2001 - vitamin E  vs placebo 
				 HOPE, 2000 - vitamin E  vs placebo 
				 ASAP, 2000 - vitamin E  vs placebo 
				 WHS beta carotene, 1999 - beta carotene  vs placebo 
				 GISSI, 1999 - vitamin E  vs control 
				 NSCP (Green) beta carotene, 1999 - beta carotene  vs placebo 
				 MVP, 1997 - combination  vs placebo 
				 PHS beta carotene, 1996 - beta carotene  vs placebo 
				 CARET beta carotene, 1996 - beta carotene  vs placebo 
				 CHAOS, 1996 - vitamin E  vs placebo 
 
 
		See also:
		All cardiovascular prevention clinical trials
				
			
		
			
			All clinical trials of antioxydants 
			
		
		
			
			All clinical trials of succinobucol |  | Treatments
	
		| Studied treatment | succinobucol 300 mg once daily 
 |  
		| Control treatment | placebo 
 |  Patients
		
			| Patients | patients with recent (14-365 days) acute coronary syndromes already managed with conventional treatments |  
			| Inclusion criteria | men and women (not of childbearing potential);18 years or older and have diabetes; or 60 years or older, or be 55 years or older and at least one of the following risk factors: low HDL cholesterol ( |  
			| Exclusion criteria | recent coronary revascularisation (percutaneous coronary intervention |  Method and design
	
		| Randomized effectives | 3078 / 3066 (studied vs. control) |  
			| Design | Parallel groups |  
			| Blinding | double blind |  
			| Follow-up duration | 24 mo (range 12-36 mo) |  
			| Number of centre | 261 |  
			| Geographic area | Canada, US, UK, South Africa |  
			| Hypothesis | Superiority |  
			| Primary endpoint | CV death, MI, Stroke, UA, revasc |  
 
 Results
	
		
	
	
		
			Endpoint
		
	
	
		
		Studied treat.n/N
			
	
	
		
		Control treat.
 n/N
		
	
	
		
			Graph
		
	
	
		
			RR [95% CI]
 
				cardiovascular events
				530 / 3078 529 / 3066
 1,00 [0,89;1,11]
 
				new-onset atrial fibrillation 
				107 / 2818 55 / 2787
 classic
					
					
					
				
			
				
				
			
			
		
			
				
					1,92 [1,40;2,65]
 
				cardiovascular death, MI, stroke
				207 / 3078 252 / 3066
 0,82 [0,69;0,98]
 
				new-onset diabetes 
				30 / 1923 82 / 1950
 0,37 [0,25;0,56]
				
			
	
	
		
		
		
		
		
			
				0
			
		
		
		
		
		
				2
		
		
		
		
		
			1.0
 
		
		
				
					| Relative risks |  
			| Endpoint | Events (%) | Relative Risk | 95% CI | Endpoint definition in the trial
 | Ref |  
			| Studied treat. | Control treat. |  
						| cardiovascular death, MI, stroke | 207 / 3078 (6,7%) | 252 / 3066 (8,2%) | 0,82 | [0,69;0,98] | CV death, MI, stroke, cardiac arrest |  |  
						| new-onset diabetes | 30 / 1923 (1,6%) | 82 / 1950 (4,2%) | 0,37 | [0,25;0,56] |  |  |  
						| cardiovascular events | 530 / 3078 (17,2%) | 529 / 3066 (17,3%) | 1,00 | [0,89;1,11] | primary endpoint |  |  
						| new-onset atrial fibrillation | 107 / 2818 (3,8%) | 55 / 2787 (2,0%) | 1,92 | [1,40;2,65] |  |  |  
			| The primary endpoint (if exists) appears in blod characters |  
			| Reference(s) used for data extraction: |  
			
			| Endpoint | studied treat. | control treat. | mean diff |  
	
	
				
					| Absolute risk reduction |  
		| Endpoint | Events rate | Absolute risk reduction (ARR)
 |  
		| Studied treat. | Control treat. |  
				| cardiovascular death, MI, stroke | 6,73% | 8,22% | -14,9‰ |  
				| new-onset diabetes | 1,56% | 4,21% | -26,5‰ |  
				| cardiovascular events | 17,22% | 17,25% | -0,3‰ |  
				| new-onset atrial fibrillation | 3,80% | 1,97% | 1,8% |  Meta-analysis of all similar trials: 
				
					antioxydants in cardiovascular prevention for all type of patients
				
			 
 
 
		 Reference(s)
			
				
			    Tardif JC, McMurray JJ, Klug E, Small R, Schumi J, Choi J, Cooper J, Scott R, Lewis EF, L'Allier PL, Pfeffer MA. 
			    Effects of succinobucol (AGI-1067) after an acute coronary syndrome: a randomised, double-blind, placebo-controlled trial..
			    Lancet 2008;371:1761-8
			    
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