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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.
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.
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