2NDY PREVENTION CVD ALLERGIC TO PCSK9I Flashcards

1
Q

What is the target LDL-cholesterol level for patients?

A

<55 mg/dL or <1.42 mmol/L

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2
Q

What is the mechanism of action of Bempedoic Acid?

A

Inhibits adenosine triphosphate citrate lyase, upstream of statins in cholesterol biosynthesis

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3
Q

How many patients participated in the CLEAR Harmony Trial?

A

2230 patients

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4
Q

What was the treatment comparison in the CLEAR Harmony Trial?

A

Bempedoic acid (180 mg daily) vs. placebo

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5
Q

What was the baseline LDL-cholesterol level for participants in the CLEAR Harmony Trial?

A

> 70 mg/dL (>1.81 mmol/L)

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6
Q

What was the duration of the CLEAR Harmony Trial?

A

52 weeks

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7
Q

What were the safety endpoints in the CLEAR Harmony Trial?

A

Similar adverse events (78.5% vs. 78.7%) and serious adverse events between bempedoic acid and placebo

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8
Q

What was the LDL-cholesterol reduction achieved by Bempedoic Acid in the CLEAR Harmony Trial?

A

19.2 mg/dL (0.50 mmol/L), -16.5% from baseline

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9
Q

What was the LDL-cholesterol reduction with placebo in the CLEAR Harmony Trial?

A

-18.1% vs. placebo (P < 0.01)

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10
Q

Which group had a greater LDL-cholesterol reduction in the CLEAR Harmony Trial?

A

Patients on low- to moderate-intensity statins (-20.0%) vs. high-intensity statins (-17.5%)

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11
Q

How many patients were involved in the CLEAR Wisdom Trial?

A

779 patients

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12
Q

What was the baseline LDL-cholesterol level for participants in the CLEAR Wisdom Trial?

A

≥100 mg/dL (≥2.59 mmol/L)

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13
Q

What was the duration of the CLEAR Wisdom Trial?

A

52 weeks

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14
Q

What was the LDL-cholesterol reduction with Bempedoic Acid in the CLEAR Wisdom Trial?

A

-15.1%

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15
Q

What was the LDL-cholesterol reduction with placebo in the CLEAR Wisdom Trial?

A

-2.4%

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16
Q

What percentage of patients on bempedoic acid experienced elevated uric acid?

A

Higher percentage compared to placebo

17
Q

What is advisable to measure before starting treatment with Bempedoic Acid?

A

Serum uric acid and manage active gout

18
Q

IG PT ALLERGIC TO PCSK9I GIVE

A

Bempedoic Acid