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Bempedoic acid: new evidence and recommendations on use
Kristina Paponja1, Ivan Pećin1,2, Željko Reiner1,3
1University Hospital Center Zagreb, Department of Internal Medicine, Division of Metabolic Diseases.
Insights
Bempedoic acid offers a new way to lower LDL cholesterol for patients who cannot reach goals with existing therapies. This ATP Citrate Lyase inhibitor is effective and well-tolerated, providing another option for cardiovascular disease prevention.
Area of Science:
- Cardiology
- Pharmacology
Background:
- Cardiovascular diseases (CVDs) are a leading global cause of death.
- Lowering LDL cholesterol (LDL-C) is crucial for preventing cardiovascular events.
- Current therapies may not achieve target LDL-C levels in many patients.
Approach:
- Bempedoic acid, a novel ATP Citrate Lyase (ACL) inhibitor, targets hepatic cholesterol biosynthesis.
- Phase 3 studies support its use in specific patient groups.
- Approved for statin-intolerant patients or as add-on therapy for familial hypercholesterolemia/ASCVD.
Key Points:
- Bempedoic acid provides additional LDL-C reduction in targeted patient populations.
- It is efficient, well-tolerated, affordable, and available.
- Ongoing research is defining its role in comprehensive lipid management.
Conclusions:
- Bempedoic acid represents a valuable therapeutic option for managing dyslipidemia.
- Its efficacy and tolerability profile support its use in achieving LDL-C goals.
- Further research will clarify its optimal place in lipid-lowering strategies.
Purposes Of Review:
Cardiovascular diseases (CVDs) are the leading cause of mortality and morbidity worldwide. Recognizing the importance of dyslipidemia treatment in the prevention of cardiovascular events has become a part of standard clinical practice. Desired values of LDL cholesterol (LDL-C) have become lower and lower in the last few decades, as evidenced by the most recent guidelines. Therefore, efforts to lower LDL cholesterol concentrations with conventional therapies and combinations of lipid-lowering therapy may not be successful in a high proportion of patients.
Recent Findings:
Bempedoic acid is a novel agent, first in-class ATP Citrate Lyase (ACL) inhibitor, which targets biosynthesis of the cholesterol in the liver. Considering the results of phase 3 studies, it has been approved for sole use for dyslipidemia treatment for patients who are statin-intolerant or in combination with statin-ezetimibe for those suffering from familial hypercholesterolemia or ASCVD and unable to reach targeted LDL-C values.
Summary:
Bempedoic acid has proven beneficial for further reduction of LDL cholesterol for targeted groups of patients. It is not only efficient but also a well tolerated, affordable, and available agent whose place in lipid-lowering management is yet to be fully understood with new data collected from ongoing clinical research. In this review we suggest the place of bempedoic acid in lipid-lowering management.
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