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Comparative effectiveness and safety of inclisiran versus evolocumab and alirocumab: a 180-day real-world study - PubMed

3 days ago
  • #PCSK9 inhibitors
  • #lipid-lowering therapy
  • #real-world evidence
  • All three PCSK9 inhibitors (inclisiran, evolocumab, alirocumab) significantly lowered LDL-C at 180 days with no major differences between groups.
  • Inclisiran showed a non-significant numerical advantage in apolipoprotein B (apoB) reduction compared to the monoclonal antibodies.
  • Treatment persistence was highest with inclisiran (69.7%), followed by evolocumab (56.1%) and alirocumab (50.0%).
  • All therapies were well-tolerated with no new safety signals reported in this real-world study.
  • Inclisiran's twice-yearly dosing may offer clinical value through better adherence and a trend toward enhanced apoB suppression.