Inclisiran and cardiovascular events: a comprehensive review of efficacy, safety, and future perspectives

医学 以兹提米比 不利影响 安全概况 前蛋白转化酶 加药 可欣 PCSK9 药理学 内科学 重症监护医学 他汀类 低密度脂蛋白受体 胆固醇 生物信息学 脂蛋白 生物
作者
Ahmed A. Mohamed,Kausik K. Ray
出处
期刊:Current Opinion in Cardiology [Lippincott Williams & Wilkins]
卷期号:38 (6): 527-532 被引量:1
标识
DOI:10.1097/hco.0000000000001074
摘要

This review aims to offer an up-to-date evaluation of Inclisiran's (a small interfering RNA treatment) ability to decrease low-density lipoprotein cholesterol (LDL-C), as well as its safety and potential effects on decreasing cardiovascular risk.Inclisiran significantly lowers LDL-C levels, as shown by phase III studies, by inhibiting hepatic synthesis of proprotein convertase subtilisin kexin 9 (PCSK-9), a protein implicated in the degradation of LDL receptors. Inclisiran has the benefit of subcutaneous injection twice a year, which may reduce patient nonadherence when compared with other LDL-C reducing therapies such as statins and ezetimibe, which require daily dosing. When added on top of statins, a greater proportion of patients achieved recommended cholesterol goals. It has also demonstrated a good safety profile with few adverse effects.Inclisiran is a promising treatment for lowering LDL-C levels in people at high risk of atherosclerotic cardiovascular disease. It is a practical and well tolerated option for those who struggle to stick to medication regimes because of its twice-yearly dosage schedule and a good safety profile. Although it has been demonstrated to be effective in decreasing LDL-C, further research is needed to determine its impact on reducing cardiovascular events. Nonetheless, Inclisiran is a significant advancement in lipid-lowering medication and could improve patient outcomes.

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