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News from ODYSSEY OUTCOMES: Lipoprotein(a) lowering is an independent contributor to total cardiovascular event reduction with alirocumab

News from ODYSSEY OUTCOMES: Lipoprotein(a) lowering is an independent contributor to total cardiovascular event reduction with alirocumab

Lipoprotein(a) lowering contributed to total cardiovascular event reduction in acute coronary syndrome (ACS) patients independent of the effects of alirocumab on LDL cholesterol, according to this analysis of ODYSSEY OUTCOMES. The ODYSSEY OUTCOMES trial previously reported that lowering lipoprotein(a) [Lp(a)] with alirocumab reduced the risk…

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LDL lipidomics: are bioactive lipids biomarkers for cardiometabolic risk?

LDL lipidomics: are bioactive lipids biomarkers for cardiometabolic risk?

This report addressed two key questions. Can the bioactive lipid cargo differentiate LDL subclasses, and thus potential atherogenicity?  And if so, what is the effect of statin therapy? The human plasma lipidome is composed of many molecular lipid species, showing diverse physicochemical and biological properties….

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Evolocumab with statin/ezetimibe combination may be cost-effective in MI patients: Swedish analysis

Evolocumab with statin/ezetimibe combination may be cost-effective in MI patients: Swedish analysis

An analysis from the Swedish perspective concludes that treatment with the PCSK9 inhibitor evolocumab on top of statin and ezetimibe may be cost-effective in MI patients. While the PCSK9 inhibitors are undoubtedly highly efficacious in lowering LDL cholesterol and reduce cardiovascular events in high and…

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New FOURIER analysis supports aggressive LDL lowering in patients with a recent MI

New FOURIER analysis supports aggressive LDL lowering in patients with a recent MI

In this latest FOURIER analysis, add-on evolocumab treatment in patients with a recent myocardial infarction (MI) produced 3-fold greater absolute reduction in cardiovascular risk.  These findings confirm 2018 US guideline recommendations for adding a PCSK9 inhibitor in very high-risk patients with elevated LDL cholesterol (≥70…

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VESALIUS-CV: New outcomes study with evolocumab

VESALIUS-CV: New outcomes study with evolocumab

Amgen has announced a new cardiovascular outcomes study in patients at high risk of cardiovascular events who are already receiving lipid lowering treatment but have not had a previous myocardial infarction (MI) or stroke. VESALIUS-CV is a multinational, double-blind, randomised, placebo-controlled, parallel-group clinical outcomes study…

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Familial hypercholesterolaemia in China – registry urgently needed

Familial hypercholesterolaemia in China – registry urgently needed

The size of the population in China implies a major burden of familial hypercholesterolaemia (FH, inherited high cholesterol). Yet, like the majority of countries world-wide, FH is underdiagnosed and undertreated. China may pose specific issues that contribute to this. Cholesterol levels have been lower in…

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OSLER 5-year data in Japanese: evolocumab continues to impress

OSLER 5-year data in Japanese: evolocumab continues to impress

Treatment with evolocumab, in addition to standard of care including statin therapy, was well tolerated and led to sustained reduction in LDL cholesterol in Japanese subjects enrolled in the long-term OSLER studies (Open-Label Study of Long-Term Evaluation Against LDL-C). The OSLER studies were designed to…

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Who is receiving PCSK9 inhibitors in the real world?

Who is receiving PCSK9 inhibitors in the real world?

PCSK9 inhibitors have been endorsed for use in patients at high and very risk of cardiovascular events (1,2). In the real-world, however, which type of patients are more commonly prescribed a PCSK9 inhibitor? Findings based on data from three Danish registries indicate that the majority…

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Cost remains the issue for use of PCSK9 inhibitors

Cost remains the issue for use of PCSK9 inhibitors

PCSK9 inhibitors are highly efficacious LDL cholesterol lowering treatments that have been endorsed by guidelines and experts for use in very high-risk patients (1-3). The key groups identified by these groups have been patients with clinical atherosclerotic cardiovascular disease (ASCVD), familial hypercholesterolaemia (FH, inherited high…

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Alirocumab: EU Regulatory update

Alirocumab: EU Regulatory update

The European Union (EU) has now approved alirocumab, a PCSK9 (proprotein convertase subtilisin/kexin type 9) monoclonal antibody, to reduce the risk of cardiovascular events in patients with established cardiovascular disease.1 The approval is based on data from the ODYSSEY OUTCOMES trial, which not only showed…

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Two more analyses show efficacy of alirocumab in diabetes

Two more analyses show efficacy of alirocumab in diabetes

Two recent analyses add to the body of evidence supporting the efficacy and tolerability of the PCSK9 inhibitor alirocumab in patients with type 2 diabetes mellitus (T2DM), including those with mixed dyslipidaemia. The first report (1) was a pooled analysis of 5 placebo-controlled Phase 3…

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