Cholesterol Center Reports Findings in Cholesterol (Eligibility for alirocumab or evolocumab treatment in 1090 hypercholesterolemic patients referred…

Hematology Week

Cholesterol Center Reports Findings in Cholesterol (Eligibility for alirocumab or evolocumab treatment in 1090 hypercholesterolemic patients referred to a regional cholesterol treatment center with LDL cholesterol ≥70 mg/dL despite ...)

By a News Reporter-Staff News Editor at Hematology Week -- New research on Cholesterol is the subject of a report. According to news reporting originating in Cincinnati, Ohio, by NewsRx journalists, research stated, "Proprotein convertase subtilisin/kexin type 9 inhibitors, Praluent (alirocumab [ALI]) and Repatha (evolocumab [EVO]) have been approved as adjuncts to the standard-of-care maximal-tolerated dose (MTD) of low-density lipoprotein cholesterol (LDLC)-lowering therapy (LLT), statin therapy, in heterozygous (HeFH) (ALI or EVO) or homozygous (EVO) familial hypercholesterolemia, or clinical atherosclerotic cardiovascular disease (CVD) where LDLC lowering is insufficient (both). Since LDLC lowering has been revolutionized by ALI and EVO, specialty pharmaceutical pricing models will be applied to a mass market."

The news reporters obtained a quote from the research from Cholesterol Center, "We applied US Food and Drug Administration (FDA) and insurance eligibility criteria for ALI and EVO to 1090 hypercholesterolemic patients serially referred over 3 years who then received greater than or equal to2 months maximal-tolerated dose of standard-of-care LDL cholesterol-lowering therapy (MTDLLT) with follow-up LDLC greater than or equal to70 mg/dL. MTDLLT did not include ALI or EVO, which had not been commercially approved before completion of this study. Of the 1090 patients, 140 (13%) had HeFH by clinical diagnostic criteria and/or CVD with LDLC >100 mg/dL despite greater than or equal to2 months on MTDLLT, meeting FDA insurance criteria for ALI or EVO therapy. Another 51 (5%) patients were statin intolerant, without HeFH or CVD. If 13% of patients with HeFH-CVD and LDLC >100 mg/dL despite MTDLLT are eligible for ALI or EVO, then specialty pharmaceutical pricing models (~$14,300/year) might be used in an estimated 10 million HeFH-CVD patients."

According to the news reporters, the research concluded: "Whether the health care savings arising from the anticipated reduction of CVD events by ALI or EVO justify their costs in populations with HeFH-CVD and LDLC >100 mg/dL despite MTDLLT remains to be determined."

For more information on this research see: Eligibility for alirocumab or evolocumab treatment in 1090 hypercholesterolemic patients referred to a regional cholesterol treatment center with LDL cholesterol ≥70 mg/dL despite maximal-tolerated LDL-cholesterol-lowering therapy. Vascular Health and Risk Management, 2017;13():247-253 (see also Cholesterol).

Our news correspondents report that additional information may be obtained by contacting V. Jetty, Dept. of Internal Medicine, Cholesterol Center, Jewish Hospital of Cincinnati, Cincinnati, OH, United States. Additional authors for this research include C.J. Glueck, K. Lee, N. Goldenberg, M. Prince, A. Kumar, M. Goldenberg, I. Anand and P. Wang.

Keywords for this news article include: Ohio, Therapy, Cincinnati, Cholesterol, United States, North and Central America.