Effects of PCSK9 Inhibition With Alirocumab on Lipoprotein Metabolism in Healthy Humans

CirculationPublished Mechanistic study

Authors' conclusion

Alirocumab decreased LDL-C and LDL-apoB by increasing IDL- and LDL-apoB FCRs and decreasing LDL-apoB PR.

Study context

Population
Healthy humanscompleted
Participants
18 participants
Comparison
Alirocumab vs placebo
Outcome
FCRs and PRs of apolipoprotein B100 (apoB) and apo(a)
Follow-up
End of each period
Methodological detailsplacebo-controlled, 2-period
  • Placebo-controlled
  • 2-period

Main finding

As reported in the abstract

Ultracentrifugally isolated LDL-C reduction
55.1%
Low-density lipoprotein (LDL)-apoB reduction
56.3%
Plasma Lp(a) reduction
18.7%
LDL-apoB FCR increase
80.4%
LDL-apoB PR reduction
23.9%
Intermediate-density lipoprotein (IDL)-apoB FCR increase
46.1%
Conversion of IDL to LDL decrease
27.2%
Apo(a) FCR tended to increase
24.6%

Further findings

Postprandial plasma TG and apoB48 (n = 10)

No effect of alirocumab

Original publication

Effects of PCSK9 Inhibition With Alirocumab on Lipoprotein Metabolism in Healthy Humans. Circulation. Published 16 December 2016. doi:10.1161/circulationaha.116.025253

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

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