Emerging Non-statin Treatment Options for Lowering Low-Density Lipoprotein Cholesterol

Low-density lipoprotein cholesterol (LDL-C) is a modifiable risk factor for the development of atherosclerotic cardiovascular disease. Statins have been the gold standard for managing cholesterol levels and reducing the risks associated with atherosclerotic cardiovascular disease; however, many pati...

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Autores principales: Chandni Bardolia, Nishita Shah Amin, Jacques Turgeon
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Lenguaje:EN
Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/66534c214f3c452c9cb96c64a988deac
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spelling oai:doaj.org-article:66534c214f3c452c9cb96c64a988deac2021-11-17T05:31:59ZEmerging Non-statin Treatment Options for Lowering Low-Density Lipoprotein Cholesterol2297-055X10.3389/fcvm.2021.789931https://doaj.org/article/66534c214f3c452c9cb96c64a988deac2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fcvm.2021.789931/fullhttps://doaj.org/toc/2297-055XLow-density lipoprotein cholesterol (LDL-C) is a modifiable risk factor for the development of atherosclerotic cardiovascular disease. Statins have been the gold standard for managing cholesterol levels and reducing the risks associated with atherosclerotic cardiovascular disease; however, many patients do not achieve their cholesterol goals or are unable to tolerate this drug class due to adverse drug events. Recent studies of non-statin cholesterol lowering drugs (i.e., ezetimibe, PCSK9 inhibitors) have demonstrated cardiovascular benefits; and new drugs [i.e., bempedoic acid (BDA), inclisiran] have produced promising results in pre-clinical and clinical outcome trials. This narrative review aims to discuss the place in therapy of ezetimibe, PCSK9 inhibitors, BDA, and inclisiran and describe their relative pharmacokinetic (PK) profiles, efficacy and safety as monotherapy and combination therapy, and cardiovascular benefit(s) when used for hypercholesterolemia.Chandni BardoliaNishita Shah AminJacques TurgeonJacques TurgeonFrontiers Media S.A.articleezetimibePCSK9 inhibitorsalirocumabevolocumabbempedoic acidinclisiranDiseases of the circulatory (Cardiovascular) systemRC666-701ENFrontiers in Cardiovascular Medicine, Vol 8 (2021)
institution DOAJ
collection DOAJ
language EN
topic ezetimibe
PCSK9 inhibitors
alirocumab
evolocumab
bempedoic acid
inclisiran
Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle ezetimibe
PCSK9 inhibitors
alirocumab
evolocumab
bempedoic acid
inclisiran
Diseases of the circulatory (Cardiovascular) system
RC666-701
Chandni Bardolia
Nishita Shah Amin
Jacques Turgeon
Jacques Turgeon
Emerging Non-statin Treatment Options for Lowering Low-Density Lipoprotein Cholesterol
description Low-density lipoprotein cholesterol (LDL-C) is a modifiable risk factor for the development of atherosclerotic cardiovascular disease. Statins have been the gold standard for managing cholesterol levels and reducing the risks associated with atherosclerotic cardiovascular disease; however, many patients do not achieve their cholesterol goals or are unable to tolerate this drug class due to adverse drug events. Recent studies of non-statin cholesterol lowering drugs (i.e., ezetimibe, PCSK9 inhibitors) have demonstrated cardiovascular benefits; and new drugs [i.e., bempedoic acid (BDA), inclisiran] have produced promising results in pre-clinical and clinical outcome trials. This narrative review aims to discuss the place in therapy of ezetimibe, PCSK9 inhibitors, BDA, and inclisiran and describe their relative pharmacokinetic (PK) profiles, efficacy and safety as monotherapy and combination therapy, and cardiovascular benefit(s) when used for hypercholesterolemia.
format article
author Chandni Bardolia
Nishita Shah Amin
Jacques Turgeon
Jacques Turgeon
author_facet Chandni Bardolia
Nishita Shah Amin
Jacques Turgeon
Jacques Turgeon
author_sort Chandni Bardolia
title Emerging Non-statin Treatment Options for Lowering Low-Density Lipoprotein Cholesterol
title_short Emerging Non-statin Treatment Options for Lowering Low-Density Lipoprotein Cholesterol
title_full Emerging Non-statin Treatment Options for Lowering Low-Density Lipoprotein Cholesterol
title_fullStr Emerging Non-statin Treatment Options for Lowering Low-Density Lipoprotein Cholesterol
title_full_unstemmed Emerging Non-statin Treatment Options for Lowering Low-Density Lipoprotein Cholesterol
title_sort emerging non-statin treatment options for lowering low-density lipoprotein cholesterol
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/66534c214f3c452c9cb96c64a988deac
work_keys_str_mv AT chandnibardolia emergingnonstatintreatmentoptionsforloweringlowdensitylipoproteincholesterol
AT nishitashahamin emergingnonstatintreatmentoptionsforloweringlowdensitylipoproteincholesterol
AT jacquesturgeon emergingnonstatintreatmentoptionsforloweringlowdensitylipoproteincholesterol
AT jacquesturgeon emergingnonstatintreatmentoptionsforloweringlowdensitylipoproteincholesterol
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