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Pelacarsen lowers Lp(a) but does not reduce cardiovascular events in trial

Health · First reported 7 Nov, 14:50 · Updated 15:13

Image: Wikimedia Commons · Fikkar Bonggi · CC BY-SA 4.0

A large trial found that pelacarsen substantially lowered lipoprotein(a), or Lp(a), but did not reduce heart attacks, strokes, cardiovascular deaths or related procedures among participants. Researchers say the result leaves questions about Lp(a)-lowering treatment unresolved, while other drugs remain under study.

  • Pelacarsen reduced Lp(a) by about 78% compared with placebo, but the trial found no measurable reduction in cardiovascular events.
  • The trial studied more than 8,300 adults with elevated Lp(a) who had a history of heart disease or another cardiovascular problem.
  • Experts offered possible explanations for the result, including treatment beginning too late, participants’ other risk factors being well controlled, or the possibility that other Lp(a)-lowering drugs could have different effects.
Summary written by Lux AI from 2 articles

Key facts

Drug
Pelacarsen, an experimental injection developed by Novartis.
Trial
Horizon; NBC News reports 8,322 participants and NPR reports 8,350.
Lp(a) change
About 78% lower with pelacarsen than with placebo.
Cardiovascular outcomes
The trial did not show a reduction in cardiovascular events.
Other treatments
Other Lp(a)-lowering drugs are in clinical trials; NBC News also reports oral muvalaplin research and early-stage CRISPR development.

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