Pulmonary vascular disease & thromboembolismSecondary analysis

Bempedoic Acid and Venous Thromboembolism Risk Among Statin-Intolerant Patients

JAMA CardiolPublished

  • Secondary analysis of the CLEAR Outcomes randomised trial
  • double-blind
  • placebo-controlled
  • 1250 centres in 32 countries

Authors' conclusion

Treatment with bempedoic acid among participants with statin intolerance at high risk for or with established cardiovascular disease was associated with a reduced risk of VTE.

Study context

Population
Statin-intolerant adults aged 18 to 85 years at high risk for or with established atherosclerotic CVDmedian follow-up 40.6 months
Participants
13,970 adults
Comparison
Bempedoic acid vs placebo
  • Bempedoic acidn = 6,992
  • Placebon = 6,978reference
Primary endpoint
Time to first venous thromboembolism (VTE) (DVT or PE)

Primary result

VTE

Hazard ratio

0.58

95% CI 0.39–0.86

P = 0.006

Events by treatment group

Bempedoic acid

39

events

Placebo

67

events

Bempedoic acid vs Placebo
HR 0.58 (95% CI 0.39–0.86); P = 0.006

As reported in the abstract

Further findings

DVT

Consistent with primary result: HR 0.56 (95% CI 0.31-0.996)
P = 0.045

PE

Consistent with primary result: HR 0.61 (95% CI 0.37-0.996)
P = 0.046

Original publication

Bempedoic Acid and Venous Thromboembolism Risk Among Statin-Intolerant Patients. JAMA Cardiol. Published 1 July 2026. doi:10.1001/jamacardio.2026.1208

Summarised from the published abstract; every number is checked against it