Prevention & lipids

Obicetrapib in patients with heterozygous familial hypercholesterolemia: the BROOKLYN randomized clinical trial

Nat MedPublished Randomised controlled trial

Primary result · Change in LDL-CResult — go to the resultPlacebo-adjusted change −36.3 % 95% CI −42.2% to −30.4%

Authors' conclusion

These findings suggest that obicetrapib is an effective therapy for additional lipid lowering in patients with heterozygous familial hypercholesterolemia.

Study context

Population
Heterozygous familial hypercholesterolemia with LDL-C ≥70 mg dl-1 on maximally tolerated lipid-lowering therapy190 women · 164 men
Participants
354 participants
Comparison
Obicetrapib 10 mg daily vs placebo
Primary endpoint
Change in LDL-C from baseline
Follow-up
Day 84
Methodological detailsplacebo-controlled, 2:1 randomisation
  • Placebo-controlled
  • 2:1 randomisation

Primary result

Change in LDL-C

Placebo-adjusted change

−36.3 %

95% CI −42.2% to −30.4%

P < 0.0001

Obicetrapib vs Placebo
placebo-adjusted change −36.3 % (95% CI −42.2% to −30.4%); P < 0.0001

As reported in the abstract

Secondary outcomes

Apolipoprotein B, non-HDL cholesterol, lipoprotein(a), HDL-C · day 84

Placebo-adjusted change in apolipoprotein B
−24.4%
Placebo-adjusted change in non-HDL cholesterol
−34.5%
Placebo-adjusted change in lipoprotein(a)
−45.9%
Placebo-adjusted change in HDL-C
+138.7%

Original publication

Obicetrapib in patients with heterozygous familial hypercholesterolemia: the BROOKLYN randomized clinical trial. Nat Med. Published 27 February 2026. doi:10.1038/s41591-025-04179-4

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

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