Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Evolocumab vs LDL Apheresis Evaluated

Atherosclerosis; 2017 Oct; Kawashiri, et al

In patients with heterozygous familial hypercholesterolemia (HeFH) withdrawing from regular apheresis, treatment with evolocumab significantly reduced low-density lipoprotein cholesterol (LDL-C) when compared with LDL apheresis, a recent study found. 11 patients with HeFH undergoing biweekly LDL apheresis were switched to a biweekly subcutaneous injection of 140 mg of evolocumab. The primary endpoints were percent changes in mean LDL-C and apolipoprotein B (apoB) serum levels. Researchers found:

  • Evolocumab significantly reduced LDL-C by 62.5% compared with LDL apheresis.
  • apoB and serum lipoprotein (a) levels were also significantly reduced.
  • No adverse effects were observed other than a mild reduction in vitamin E serum levels.
  • Biweekly evolocumab injection therapy is less expensive and less time-consuming compared to biweekly LDL apheresis.
Citation:

Kawashiri M, Nohara A, Higashikata T, et al. Impact of evolocumab treatment on low-density lipoprotein cholesterol levels in heterozygous familial hypercholesterolemic patients withdrawing from regular apheresis. Atherosclerosis. 2017;265:225-230. doi:10.1016/j.atherosclerosis.2017.09.011.

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