Treatment of heterozygous familial hypercholesterolemia: what does the future hold?

Georgios Polychronopoulos1, Konstantinos Tziomalos1

  • 1First Propedeutic Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, AHEPA Hospital , Thessaloniki, Greece.

Insights

New lipid-lowering agents inclisiran and bempedoic acid show promise for managing heterozygous familial hypercholesterolemia (heFH). Further research is needed to confirm their impact on cardiovascular health and cost-effectiveness.

Area of Science:

  • Cardiovascular Medicine
  • Metabolic Disorders
  • Pharmacology

Background:

  • Heterozygous familial hypercholesterolemia (heFH) is a prevalent genetic condition increasing cardiovascular risk.
  • Current lipid-lowering therapies often fail to achieve target low-density lipoprotein cholesterol (LDL-C) levels in a significant number of heFH patients.

Purpose of the Study:

  • To review the safety and efficacy of novel LDL-C lowering agents, inclisiran and bempedoic acid.
  • To discuss their potential role in managing patients with heterozygous familial hypercholesterolemia (heFH).

Main Methods:

  • Comprehensive literature search of the PubMed database up to August 2020.
  • Review and synthesis of data on the efficacy and safety of inclisiran and bempedoic acid.

Main Results:

  • Inclisiran demonstrates a prolonged lipid-lowering effect, potentially improving treatment adherence in heFH.
  • Bempedoic acid offers additional LDL-C reduction in patients on high-intensity statins, with oral administration as a potential advantage.

Conclusions:

  • Inclisiran and bempedoic acid represent potential advancements in heFH management.
  • Further evaluation of their impact on cardiovascular morbidity and cost-effectiveness is crucial before widespread clinical adoption.
Abstract

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