I thought the same thing about Nissen and did several searches for any information about mineral oil interference with statins and could not find anything other than the negative article quotes for MO and reduce it. Do you know of any studies or other research that identifies statin absorption when taken with MO? I think If nothing is available I will send another complaint to the Cleveland Clinic about Nissen’s reckless statements.
Would it help us and Amarin if you (as one of the most respected ihub contributors) send this and other similar evidence to Amarin before the AdCom hearing?
Or do you think they already have such evidence collected/compiled and analyzed and ready to defend us ....
In the trial all patients are treated for LDL-C goal. So if mineral oil reduced absorption in same patients as soon as doctors saw LDL-C rising then they should have increased their statin dose canceling out any mineral oil effect.
Additionally, At the end even if LDL- C went up in the placebo a few points all patients in the placebo arm on average remained below the optimal level of LDL-C (100 mg/dl) so I just cannot see how mineral oil could explain the 25% reduction regardless of how you cut this pie.