Pulmonary vascular disease & thromboembolism

Bempedoic Acid and Venous Thromboembolism Risk Among Statin-Intolerant Patients: A Post Hoc Analysis of the CLEAR Outcomes Randomized Clinical Trial

JAMA CardiolPublished Secondary analysis of the CLEAR Outcomes randomised trial

Primary result · VTEResult — go to the resultHazard ratio 0.58 95% CI 0.39–0.86

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)
Methodological detailsdouble-blind, placebo-controlled, 1250 centres in 32 countries
  • Double-blind
  • Placebo-controlled
  • 1250 centres in 32 countries

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 acidvs 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: A Post Hoc Analysis of the CLEAR Outcomes Randomized Clinical Trial. JAMA Cardiol. Published 1 July 2026. doi:10.1001/jamacardio.2026.1208

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