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Letters UK deal over inclisiran

Do PCSK9 inhibitors do anything more than reduce LDL cholesterol?

BMJ 2020; 368 doi: https://doi.org/10.1136/bmj.m1159 (Published 24 March 2020) Cite this as: BMJ 2020;368:m1159
  1. Andrew N Bamji, retired consultant rheumatologist
  1. Rye TN31 7ES, UK
  1. bamji{at}btinternet.com

Byrne and colleagues point out the lack of reliable evidence on cardiovascular risk with inclisiran, and the omens are not good.1

Inclisiran undoubtedly has a marked lowering effect on low density lipoprotein (LDL) cholesterol, which was first reported in 2017. But does a 30-50% reduction in LDL cholesterol translate to a 30-50% reduction in cardiovascular risk? Almost certainly not.

The inclisiran results include an “exploratory cardiovascular endpoint” (a secondary …

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