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What clinical trials established Lipitor's benefits? The first large study, TNT, tested 10,000 patients with stable coronary disease. It showed that 80 mg atorvastatin lowered LDL by 2 mmol/L compared with 10 mg, and reduced major cardiovascular events by 22 percent over five years. [1] How do later trials extend these findings to broader groups? The IDEAL study compared 80 mg atorvastatin with 20-40 mg simvastatin in 8,888 patients after heart attack. Atorvastatin produced a 2 percent net difference in LDL and a 16 percent reduction in nonfatal heart attacks. [2] What evidence covers primary prevention? The ASCOT-LLA trial enrolled 10,305 patients with hypertension and moderate risk. Atorvastatin 10 mg reduced total cardiovascular events by 36 percent and fatal/nonfatal strokes by 27 percent over 3.3 years. [2] Can Lipitor help after a stroke? The SPARCL trial focused on 4,731 patients who had a recent stroke or TIA without known coronary disease. Atorvastatin 80 mg lowered total stroke risk by 16 percent and major cardiovascular events by 20 percent. [2] When does the patent expire? Atorvastatin's composition-of-matter patent expired in 2011. [3]
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