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Repatha Cuts First Heart Attacks 36% in Primary-Prevention Trial

The AHA-presented results bolster the FDA's August expansion of eligibility for high-risk adults.

Overview

  • In a randomized study of more than 12,000 high-risk adults without prior heart attack or stroke, adding evolocumab to standard care reduced major cardiovascular events by 25%.
  • Researchers reported a 36% reduction in first heart attacks in the primary-prevention cohort at the American Heart Association meeting in New Orleans.
  • Amgen said the findings make Repatha the first PCSK9 inhibitor to demonstrate prevention of an initial cardiovascular event.
  • Participants had a median age of 66 years, 43% were women, and 93% were white U.S. patients.
  • Merck's oral PCSK9 candidate drew attention with early reports of up to 60% LDL reduction and a possible 20% first-year drop in heart attack risk for high-risk patients, though it remains in development.