Treatment of Homozygous Familial Hypercholesterolemia With Evinacumab

被引:7
作者
Jeraj, Natasha [1 ]
Huang, Shih-Han S. [1 ]
Kennedy, Brooke A. [2 ]
Hegele, Robert A. [1 ,2 ,3 ]
机构
[1] Western Univ, Schulich Sch Med & Dent, Dept Med, London, ON, Canada
[2] Western Univ, Robarts Res Inst, Schulich Sch Med & Dent, London, ON, Canada
[3] Western Univ, Schulich Sch Med & Dent, Dept Biochem, London, ON, Canada
基金
加拿大健康研究院;
关键词
D O I
10.1016/j.cjco.2021.11.009
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Patients with homozygous familial hypercholesterolemia (HoFH) have extremely elevated levels of low-density lipoprotein cholesterol (LDL-C), with premature atherosclerosis and aortic valve disease. Available drug treatments are inadequate, and even with serial apheresis, HoFH patients rarely achieve acceptable LDL-C levels. Evinacumab is a monoclonal antibody against angiopoietin-like protein 3 that lowers LDL-C via a novel receptor-independent mechanism. We describe an Ontario patient with HoFH who for 17 months has been treated with monthly infusions of evinacumab added to pre-existing statin, ezetimibe, and evolocumab therapy. Evinacumab in this HoFH patient was associated with markedly improved LDL-C levels and decreased frequency of apheresis.
引用
收藏
页码:347 / 349
页数:3
相关论文
共 5 条
[1]   Society Position Statement Canadian Cardiovascular Society Position Statement on Familial Hypercholesterolemia: Update 2018 [J].
Brunham, Liam R. ;
Ruel, Isabelle ;
Aljenedil, Sumayah ;
Riviere, Jean-Baptiste ;
Baass, Alexis ;
Tu, Jack V. ;
Mancini, G. B. John ;
Raggi, Paolo ;
Gupta, Milan ;
Couture, Patrick ;
Pearson, Glen J. ;
Bergeron, Jean ;
Francis, Gordon A. ;
McCrindle, Brian W. ;
Morrison, Katherine ;
St-Pierre, Julie ;
Henderson, Melanie ;
Hegele, Robert A. ;
Genest, Jacques ;
Goguen, Jeannette ;
Gaudet, Daniel ;
Pare, Guillaume ;
Romney, Jacques ;
Ransom, Thomas ;
Bernard, Sophie ;
Katz, Pamela ;
Joy, Tisha R. ;
Bewick, David ;
Brophy, James .
CANADIAN JOURNAL OF CARDIOLOGY, 2018, 34 (12) :1553-1563
[2]   Homozygous familial hypercholesterolaemia: new insights and guidance for clinicians to improve detection and clinical management. A position paper from the Consensus Panel on Familial Hypercholesterolaemia of the European Atherosclerosis Society [J].
Cuchel, Marina ;
Bruckert, Eric ;
Ginsberg, Henry N. ;
Raal, Frederick J. ;
Santos, Raul D. ;
Hegele, Robert A. ;
Kuivenhoven, Jan Albert ;
Nordestgaard, Borge G. ;
Descamps, Olivier S. ;
Steinhagen-Thiessen, Elisabeth ;
Tybjrg-Hansen, Anne ;
Watts, Gerald F. ;
Averna, Maurizio ;
Boileau, Catherine ;
Boren, Jan ;
Catapano, Alberico L. ;
Defesche, Joep C. ;
Hovingh, G. Kees ;
Humphries, Steve E. ;
Kovanen, Petri T. ;
Masana, Luis ;
Pajukanta, Paivi ;
Parhofer, Klaus G. ;
Ray, Kausik K. ;
Stalenhoef, Anton F. H. ;
Stroes, Erik ;
Taskinen, Marja-Riitta ;
Wiegman, Albert ;
Wiklund, Olov ;
Chapman, M. John .
EUROPEAN HEART JOURNAL, 2014, 35 (32) :2146-U100
[3]   Inhibition of angiopoietin-like 3 for the management of severe hypercholesterolemia [J].
Mohamed, Farzahna ;
Botha, Theunis C. ;
Raal, Frederick J. .
CURRENT OPINION IN LIPIDOLOGY, 2021, 32 (04) :213-218
[4]   Evinacumab for Homozygous Familial Hypercholesterolemia [J].
Raal, Frederick J. ;
Rosenson, Robert S. ;
Reeskamp, Laurens F. ;
Hovingh, G. Kees ;
Kastelein, John J. P. ;
Rubba, Paolo ;
Ali, Shazia ;
Banerjee, Poulabi ;
Chan, Kuo-Chen ;
Gipe, Daniel A. ;
Khilla, Nagwa ;
Pordy, Robert ;
Weinreich, David M. ;
Yancopoulos, George D. ;
Zhang, Yi ;
Gaudet, Daniel .
NEW ENGLAND JOURNAL OF MEDICINE, 2020, 383 (08) :711-720
[5]   Long-term treatment with evolocumab added to conventional drug therapy, with or without apheresis, in patients with homozygous familial hypercholesterolaemia: an interim subset analysis of the open-label TAUSSIG study [J].
Raal, Frederick J. ;
Hovingh, G. Kees ;
Blom, Dirk ;
Santos, Raul D. ;
Harada-Shiba, Mariko ;
Bruckert, Eric ;
Couture, Patrick ;
Soran, Handrean ;
Watts, Gerald F. ;
Kurtz, Christopher ;
Honarpour, Narimon ;
Tang, Lihua ;
Kasichayanula, Sree ;
Wasserman, Scott M. ;
Stein, Evan A. .
LANCET DIABETES & ENDOCRINOLOGY, 2017, 5 (04) :280-290