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A 52-Week Placebo-Controlled Trial of Evolocumab in Hyperlipidemia
A 52-Week Placebo-Controlled Trial of Evolocumab in Hyperlipidemia
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A 52-Week Placebo-Controlled Trial of Evolocumab in Hyperlipidemia
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A 52-Week Placebo-Controlled Trial of Evolocumab in Hyperlipidemia
A 52-Week Placebo-Controlled Trial of Evolocumab in Hyperlipidemia

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A 52-Week Placebo-Controlled Trial of Evolocumab in Hyperlipidemia
A 52-Week Placebo-Controlled Trial of Evolocumab in Hyperlipidemia
Journal Article

A 52-Week Placebo-Controlled Trial of Evolocumab in Hyperlipidemia

2014
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Overview
Patients with hyperlipidemia were assigned to receive the PCSK9 antibody evolocumab or placebo on a background of lipid-lowering therapy. At 52 weeks, the least-squares mean reduction in LDL cholesterol from baseline for evolocumab versus placebo was 57%. Proprotein convertase subtilisin/kexin type 9 (PCSK9), a serine protease that is produced predominantly in the liver, is secreted into the plasma and plays a major role in regulating levels of low-density lipoprotein (LDL) cholesterol by binding to hepatic LDL receptors and promoting their degradation. 1 , 2 In short-term (8-to-12-week), placebo-controlled, phase 2 trials, PCSK9 inhibitors have been shown to significantly reduce LDL cholesterol levels. 3 – 9 Four of these trials involved the use of evolocumab (AMG 145), a fully human monoclonal PCSK9 antibody, and assessed different doses and regimens in diverse patient populations with varying lipid phenotypes, cardiovascular disease risks, and baseline . . .