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Effect of APOC3 Inhibition with Olezarsen on Coronary Atherosclerosis: Essence-TIMI 73b Imaging Study - PubMed

8 hours ago
  • #APOC3 Inhibition
  • #Triglyceride Lowering
  • #Coronary Atherosclerosis
  • Olezarsen, an antisense oligonucleotide targeting apolipoprotein C-III, reduces triglycerides by ~60% and remnant cholesterol by ~70% in moderate hypertriglyceridemia.
  • The study investigated olezarsen's effect on coronary plaque in adults with moderate hypertriglyceridemia using coronary computed tomography angiography (CCTA).
  • At 12 months, olezarsen did not significantly change non-calcified plaque volume compared to placebo (placebo-adjusted difference 2.98%; p=0.36).
  • No significant differences were observed in low-attenuation, calcified, or total plaque volumes after treatment.
  • Olezarsen had a neutral effect on LDL cholesterol but reduced apolipoprotein B by ~16% over placebo at 6 months.