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Inclisiran lowers LDL-C and PCSK9 irrespective of diabetes status: The ORION-1 randomized clinical trial

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Title: Inclisiran lowers LDL-C and PCSK9 irrespective of diabetes status: The ORION-1 randomized clinical trial
Authors: Leiter, LA
Teoh, H
Kallend, D
Wright, RS
Landmesser, U
Wijngaard, PLJ
Kastelein, JJP
Ray, KK
Item Type: Journal Article
Abstract: OBJECTIVE To evaluate the efficacy and safety of inclisiran by diabetes status. RESEARCH DESIGN AND METHODS ORION-1 (ClinicalTrials.gov, NCT02597127) randomized 501 subjects with atherosclerotic cardiovascular disease (ASCVD) or ASCVD risk equivalents and high LDL cholesterol (LDL-C), despite maximally tolerated LDL-C–lowering therapies, to one or two doses of placebo or inclisiran. Levels of lipids and proprotein convertase subtilisin/kexin type 9 (PCSK9) at baseline and day 180 were compared. RESULTS Inclisiran was associated with marked declines in LDL-C (median −28% to −52%, P < 0.0001 and −28% to −55%, P < 0.005 for all doses in the without- and with-diabetes groups, respectively) and PCSK9. The inclisiran-treated groups also had lower apolipoprotein B, non-HDL cholesterol, and lipoprotein(a) but higher HDL cholesterol. Inclisiran had an adverse profile similar to that of placebo, and adverse events were proportionally balanced in the baseline with- and without-diabetes groups. CONCLUSIONS PCSK9-targeted siRNA-driven strategies may provide a novel therapeutic option for managing dyslipidemia in the presence and absence of diabetes.
Issue Date: 1-Jan-2019
Date of Acceptance: 21-Oct-2018
URI: http://hdl.handle.net/10044/1/65640
DOI: https://dx.doi.org/10.2337/dc18-1491
ISSN: 0149-5992
Publisher: American Diabetes Association
Start Page: 173
End Page: 176
Journal / Book Title: Diabetes Care
Volume: 42
Issue: 1
Copyright Statement: © 2018 by the American Diabetes Association. http://www.diabetesjournals.org/content/license Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. More information is available at http://www.diabetesjournals.org/content/license.
Keywords: Science & Technology
Life Sciences & Biomedicine
Endocrinology & Metabolism
AMERICAN-COLLEGE
REDUCING LIPIDS
EFFICACY
SAFETY
RISK
DYSLIPIDEMIA
EVOLOCUMAB
MANAGEMENT
DISEASE
11 Medical And Health Sciences
Publication Status: Published
Online Publication Date: 2018-12-20
Appears in Collections:School of Public Health