Clinical evaluation of bempedoic acid for the treatment of hyperlipidaemia

Nutr Metab Cardiovasc Dis. 2022 Jan;32(1):17-20. doi: 10.1016/j.numecd.2021.09.023. Epub 2021 Oct 7.

Abstract

Bempedoic acid (BA) is a novel first-in-class oral lipid-lowering therapy. BA has been approved by the European Medicinal Agency and Food and Drug Administration and has been commercialised throughout Europe since the end of 2020 as an add-on therapy in patients at high/very-high cardiovascular risk that are not at LDL-C goals with current lipid-lowering treatments. Recently, Italian lipid management experts gathered to discuss several open questions on BA characteristics and BArelated practical clinical issues. The panel permitted collection of its opinions in a ten Q&A format.

Aim: The aim of this viewpoint is to discuss and answer several open questions on BA characteristics and BA-related practical clinical issues.

Data synthesis: The data includes main phase III studies, subanalysis and meta-analysis on BA.

Conclusions: The panel permitted collection of its opinions in a ten Q&A format.

Keywords: ATP citrate lyase; Bempedoic acid; LDL-cholesterol; Lipid-lowering treatment; Novel LDL-C treatment.

MeSH terms

  • Cholesterol, LDL
  • Dicarboxylic Acids* / therapeutic use
  • Fatty Acids* / therapeutic use
  • Humans
  • Hyperlipidemias* / diagnosis
  • Hyperlipidemias* / drug therapy
  • Hypolipidemic Agents / therapeutic use

Substances

  • Cholesterol, LDL
  • Dicarboxylic Acids
  • Fatty Acids
  • Hypolipidemic Agents
  • 8-hydroxy-2,2,14,14-tetramethylpentadecanedioic acid