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PCSK9i and Vascepa. (Twitter) - Oct 2, 2020
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Review, Journal: Update to Evidence-Based Secondary Prevention Strategies After Acute Coronary Syndrome. (Pubmed Central) - Oct 2, 2020 In addition, a recent trial of icosapent ethyl, a highly purified ethyl ester of eicosapentaenoic acid, addresses residual risk in patients with elevated triglycerides already treated with statins. The use of both sodium-glucose co-transporter 2 inhibitors and glucagon-like peptide-1 receptor agonists in patients with type 2 diabetes reduces cardiovascular events independently of glucose lowering.
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Vascepa (Twitter) - Oct 1, 2020
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High-dose icosapent ethyl is another worthwhile add-on treatment, especially in statin-treated patients with diabetes in whom triglyceride levels remain elevated...Several existing and newer drug treatments reduce ASCVD risk through LDL cholesterol and/or triglyceride reduction in patients with diabetes. Novel approaches using antisense oligonucleotides and monoclonal antibodies may provide potential future therapies for diabetic dyslipidemia.
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Journal: Omega-3 fatty acid therapy for cardiovascular disease: justified or not? (Pubmed Central) - Sep 26, 2020 The insights gained in this study may be useful for quick approach against COVID-19 in the future. At present, the best available evidence for a role of omega-3 fatty acids in ASCVD risk reduction is for 4 g/day of IPE, as an adjunct to statin therapy, for patients with ASCVD or diabetes mellitus and elevated triglycerides.
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Clinical, Journal: 2019 clinical trials in lipid lowering. (Pubmed Central) - Sep 26, 2020 As therapies for ASCVD prevention continue to emerge, clinicians will need to identify the appropriate treatment for individuals based on their estimated risk and risk-enhancing factors. When statin therapy is either not sufficient or patients do not tolerate adequate statin therapy, relying on newer therapies, such as PCSK9-inhibitors, inclisiran, bempedoic acid and icosapent ethyl, will be critical to maximize risk factor profiles to reduce adverse outcomes.
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Journal, HEOR: The cost-effectiveness of omega-3 polyunsaturated fatty acids - The Australian healthcare perspective. (Pubmed Central) - Sep 21, 2020 Patients with established CVD in whom level of triglycerides is high would benefit from the treatment using icosapent ethyl, however, it is not a cost-effective from an Australian healthcare system perspective. The government may consider subsidising this medication given the clinical need but at a discounted acquisition cost.
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Review, Journal: Catch of the Day: Icosapent Ethyl for Reducing Cardiovascular Risk. (Pubmed Central) - Sep 18, 2020 Based on the REDUCE-IT trial, the FDA granted IPE an indication for ASCVD risk reduction, making it the first O3FA product to receive such an indication. IPE is a cost-effective approach to reducing residual cardiovascular risk in statin-treated, high risk patients.
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Review, Journal: Targeting Hypertriglyceridemia to Mitigate Cardiovascular Risk: A Review. (Pubmed Central) - Sep 18, 2020 The REDUCE-IT trial demonstrated that addition of purified prescription eicosapentaenoic acid (icosapent ethyl) 4 g/day in high-risk patients with triglyceride levels 135-499 mg/dL and optimized statin treatment significantly reduced cardiovascular events versus placebo (hazard ratio 0.75; 95% confidence interval 0.68-0.83; P<0.001). Benefit was seen regardless of baseline and on-treatment triglyceride levels, suggesting that other effects of eicosapentaenoic acid besides triglyceride reduction may have played a role.
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