PCSK9 inhibitors and their role in high-risk patients in reducing LDL cholesterol levels: evolocumab

被引:4
作者
Dahagam, Chanukya [1 ]
Goud, Aditya [1 ]
Abdelqader, Abdelhai [1 ]
Hendrani, Aditya [2 ]
Feinstein, Matthew J. [3 ]
Qamar, Arman [4 ]
Joshi, Parag H. [5 ]
Swiger, Kristopher J. [6 ]
Byrne, Kathleen [7 ]
Quispe, Renato [8 ]
Jones, Steven R. [8 ]
Blumenthal, Roger S. [8 ]
Martin, Seth S. [8 ]
机构
[1] MedStar Franklin Sq Med Ctr, Dept Med, Baltimore, MD USA
[2] MedStar Good Samaritan Union Mem Hosp, Dept Med, Baltimore, MD USA
[3] Northwestern Univ, Dept Prevent Med, Feinberg Sch Med, Chicago, IL 60611 USA
[4] Brigham & Womens Hosp, Div Cardiovasc, 75 Francis St, Boston, MA 02115 USA
[5] Univ Texas Southwestern Med Ctr Dallas, Div Cardiovasc, Dallas, TX 75390 USA
[6] Vanderbilt Univ, Div Cardiovasc, Med Ctr, Nashville, TN USA
[7] Johns Hopkins Univ Hosp, Pediat Cardiol, Baltimore, MD 21287 USA
[8] Johns Hopkins Univ, Sch Med, Johns Hopkins Ciccarone Ctr Prevent Heart Dis, Div Cardiol,Dept Med, 600 North Wolfe St,Carnegie 591, Baltimore, MD 21287 USA
关键词
alirocumab; evolocumab; LDL; monoclonal antibodies; PCSK9; inhibitors; statin intolerance;
D O I
10.2217/fca.15.89
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Patients with familial hypercholesterolemia or statin intolerance are especially challenging to manage since LDL cholesterol levels often remain considerably elevated despite clinicians' best efforts. With statins regarded as first-line pharmacologic therapy by the current American College of Cardiology/American Heart Association guidelines to reduce LDL cholesterol and cardiovascular risk, there is now a critical need to determine when other agents will play a role beyond maximally tolerated statin therapy and lifestyle changes. In this review, we take a closer look at evolocumab (Repatha (R)), one of the new injectable human monoclonal antibodies to PCSK9 and its efficacy and safety properties from the results of various trials.
引用
收藏
页码:139 / 148
页数:10
相关论文
共 59 条
[1]   Mutations in PCSK9 cause autosomal dominant hypercholesterolemia [J].
Abifadel, M ;
Varret, M ;
Rabès, JP ;
Allard, D ;
Ouguerram, K ;
Devillers, M ;
Cruaud, C ;
Benjannet, S ;
Wickham, L ;
Erlich, D ;
Derré, A ;
Villéger, L ;
Farnier, M ;
Beucler, I ;
Bruckert, E ;
Chambaz, J ;
Chanu, B ;
Lecerf, JM ;
Luc, G ;
Moulin, P ;
Weissenbach, J ;
Prat, A ;
Krempf, M ;
Junien, C ;
Seidah, NG ;
Boileau, C .
NATURE GENETICS, 2003, 34 (02) :154-156
[2]  
[Anonymous], 2015, REP EV PRESCR INF
[3]   Efficacy and safety of cholesterol-lowering treatment: prospective meta-analysis of data from 90,056 participants in 14 randomised trials of statins [J].
Baigent, C ;
Keech, A ;
Kearney, PM ;
Blackwell, L ;
Buck, G ;
Pollicino, C ;
Kirby, A ;
Sourjina, T ;
Peto, R ;
Collins, R ;
Simes, J .
LANCET, 2005, 366 (9493) :1267-1278
[4]   Statin intolerance - an attempt at a unified definition. Position paper from an International Lipid Expert Panel [J].
Banach, Maciej ;
Rizzo, Manfredi ;
Toth, Peter P. ;
Farnier, Michel ;
Davidson, Michael H. ;
Al-Rasadi, Khalid ;
Aronow, Wilbert S. ;
Athyros, Vasilis ;
Djuric, Dragan M. ;
Ezhov, Marat V. ;
Greenfield, Robert S. ;
Hovingh, G. Kees ;
Kostner, Karam ;
Serban, Corina ;
Lighezan, Daniel ;
Fras, Zlatko ;
Moriarty, Patrick M. ;
Muntner, Paul ;
Goudev, Assen ;
Ceska, Richard ;
Nicholls, Stephen J. ;
Broncel, Marlena ;
Nikolic, Dragana ;
Pella, Daniel ;
Puri, Raman ;
Rysz, Jacek ;
Wong, Nathan D. ;
Bajnok, Laszlo ;
Jones, Steven R. ;
Ray, Kausik K. ;
Mikhailidis, Dimitri P. .
ARCHIVES OF MEDICAL SCIENCE, 2015, 11 (01) :1-23
[5]  
Baris G, 2015, SWISS MED WEEKLY, V145
[6]   A 52-Week Placebo-Controlled Trial of Evolocumab in Hyperlipidemia [J].
Blom, Dirk J. ;
Hala, Tomas ;
Bolognese, Michael ;
Lillestol, Michael J. ;
Toth, Phillip D. ;
Burgess, Lesley ;
Ceska, Richard ;
Roth, Eli ;
Koren, Michael J. ;
Ballantyne, Christie M. ;
Monsalvo, Maria Laura ;
Tsirtsonis, Kate ;
Kim, Jae B. ;
Scott, Rob ;
Wasserman, Scott M. ;
Stein, Evan A. .
NEW ENGLAND JOURNAL OF MEDICINE, 2014, 370 (19) :1809-1819
[7]   Ezetimibe Added to Statin Therapy after Acute Coronary Syndromes [J].
Cannon, Christopher P. ;
Blazing, Michael A. ;
Giugliano, Robert P. ;
McCagg, Amy ;
White, Jennifer A. ;
Theroux, Pierre ;
Darius, Harald ;
Lewis, Basil S. ;
Ophuis, Ton Oude ;
Jukema, J. Wouter ;
De Ferrari, Gaetano M. ;
Ruzyllo, Witold ;
De Lucca, Paul ;
Im, KyungAh ;
Bohula, Erin A. ;
Reist, Craig ;
Wiviott, Stephen D. ;
Tershakovec, Andrew M. ;
Musliner, Thomas A. ;
Braunwald, Eugene ;
Califf, Robert M. .
NEW ENGLAND JOURNAL OF MEDICINE, 2015, 372 (25) :2387-2397
[8]   A proprotein convertase subtilisin/kexin type 9 neutralizing antibody reduces serum cholesterol in mice and nonhuman primates [J].
Chan, Joyce C. Y. ;
Piper, Derek E. ;
Cao, Qiong ;
Liu, Dongming ;
King, Chadwick ;
Wang, Wei ;
Tang, Jie ;
Liu, Qiang ;
Higbee, Jared ;
Xia, Zhen ;
Di, Yongmei ;
Shetterly, Susan ;
Arimura, Ziva ;
Salomonis, Heather ;
Romanow, William G. ;
Thibault, Stephen T. ;
Zhang, Richard ;
Cao, Ping ;
Yang, Xiao-Ping ;
Yu, Timothy ;
Lu, Mei ;
Retter, Marc W. ;
Kwon, Gayle ;
Henne, Kirk ;
Pan, Oscar ;
Tsai, Mei-Mei ;
Fuchslocher, Bryna ;
Yang, Evelyn ;
Zhou, Lei ;
Lee, Ki Jeong ;
Daris, Mark ;
Sheng, Jackie ;
Wang, Yan ;
Shen, Wenyan D. ;
Yeh, Wen-Chen ;
Emery, Maurice ;
Walker, Nigel P. C. ;
Shan, Bei ;
Schwarz, Margrit ;
Jackson, Simon M. .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 2009, 106 (24) :9820-9825
[9]   Design and Rationale of the GAUSS-2 Study Trial: A Double-Blind, Ezetimibe-Controlled Phase 3 Study of the Efficacy and Tolerability of Evolocumab ( AMG145) in Subjects With Hypercholesterolemia Who Are Intolerant of Statin Therapy [J].
Cho, Leslie ;
Rocco, Michael ;
Colquhoun, David ;
Sullivan, David ;
Rosenson, Robert S. ;
Dent, Ricardo ;
Xue, Allen ;
Scott, Rob ;
Wasserman, Scott M. ;
Stroes, Erik .
CLINICAL CARDIOLOGY, 2014, 37 (03) :131-139
[10]   Profile of evolocumab and its potential in the treatment of hyperlipidemia [J].
Cicero, Arrigo F. G. ;
Colletti, Alessandro ;
Borghi, Claudio .
DRUG DESIGN DEVELOPMENT AND THERAPY, 2015, 9 :3073-3082