For how we live.
The first large outcomes trial of a drug that sharply lowers lipoprotein(a) was negative. New extended analyses of Lp(a)HORIZON confirm pelacarsen did not reduce heart attacks, strokes or cardiovascular death.
In the phase 2 KRAKEN trial, muvalaplin lowered lipoprotein(a) by 47.6% to 85.8% over 12 weeks on an intact-particle assay. Eli Lilly funded it, and the trial was not built to measure heart attacks or strokes.
Obicetrapib cut Lp(a) by 37% in high-risk patients, a pooled analysis finds, alongside a similar drop in LDL. It reaches a lipid the costly new injectables target, if far less deeply.
In 408,039 UK Biobank participants, carrying loss-of-function variants in both LPA and PCSK9 was tied to markedly lower coronary disease risk than either alone — a genetic case for combination therapy.
A first-in-human trial of Kylo-11 reports 97% reduction at 48 weeks after a single dose. A lepodisiran analysis reports near-total clearance of the oxidised phospholipids Lp(a) carries.