ACC 2024: Anticipating Advancements in Lipid Management

Erin D. Michos, MD, MHS

Disclosures

April 01, 2024

Erin D. Michos, MD, MHS, previews the American College of Cardiology 2024 Scientific Sessions, where four late-breaking clinical trials in the lipid field will be presented. The first trial, LIBerate-CVD, focuses on lerodalcibep (LIB003), a novel PCSK9 inhibitor, aiming to assess its efficacy in patients with established or high-risk cardiovascular disease (CVD). Lerodalcibep has shown promising results in reducing LDL and lipoprotein (a) levels. The second trial, BRIDGE-TIMI 73a, investigates olezarsen, a third-generation ApoC-III inhibitor, for patients with hypertriglyceridemia and high cardiovascular risk.

The SHASTA-2 trial assesses plozasiran, a small interfering RNA targeting ApoC-III, in patients with severe hypertriglyceridemia, showing preliminary reductions in triglycerides and non-HDL. Lastly, the AEGIS-II trial evaluates CSL112, a potential HDL-raising therapy that unfortunately did not meet its primary efficacy for reducing major adverse cardiovascular events (MACE) at 90 days, potentially marking the end of HDL-targeted therapeutics. These trials represent significant advancements and challenges in lipid management, addressing various aspects of cardiovascular risk reduction.

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