The “EFFECTS Trial”

A Multicenter, Randomized, Double-Blind Placebo Controlled Study of the Effect of Ezetimibe plus Simvastatin Compared to Simvastatin Alone on Flow Mediated Brachial Artery Vasoactivity in Subjects with Primary Hypercholesterolemia.


High cholesterol is a common condition that leads to strokes and heart attacks. People who have high cholesterol are usually treated with a low cholesterol diet, regular exercise, and one or more medicines that lower cholesterol. Some of these cholesterol medicines are also able to improve the way blood vessels in the body work, making them even more helpful in preventing heart attacks and strokes.

This study, called the Effects trial, looks at the way two cholesterol medicines, simvastatin and ezetimibe, affect the way blood vessels in the body work. Simvastatin and ezetimibe are prescription medicines that are used in people with high cholesterol when diet and exercise can’t lower their cholesterol levels enough. Medicines that can make the blood vessels work better and lower cholesterol at the same time are more likely to be helpful than medicines that only lower cholesterol alone.

The Effects trial is being done at 25 centers around the world, with 320 people in the study. People who join this study will have high cholesterol that needs to be treated with medicines. They will take either simvastatin, simvastatin with ezetimibe, ezetimibe by itself, or a placebo (sugar) pill every day for 12 weeks. Everyone receives several blood tests as well as an ultrasound, or sound wave, test of an artery in the arm at the beginning and end of the study. Afterwards, we will look to see if people who were given the cholesterol medicines did better than those who didn’t. We will also see if those people who got both medicines together did better than those who only got one.

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