Prevention & lipidsRandomised controlled trial

Inclisiran for the Treatment of Heterozygous Familial Hypercholesterolemia

N Engl J MedPublished

  • Randomised controlled trial
  • phase 3
  • double-blind

Authors' conclusion

Among adults with heterozygous familial hypercholesterolemia, those who received inclisiran had significantly lower levels of LDL cholesterol than those who received placebo, with an infrequent dosing regimen and an acceptable safety profile.

Study context

Population
Adults with heterozygous familial hypercholesterolemia
Participants
482 adults
Comparison
Inclisiran vs placebo
Primary endpoint
Percent change from baseline in LDL-C on day 510; time-adjusted percent change from baseline in LDL-C between day 90 and day 540
Follow-up
Day 510; days 90–540

Primary result

As reported in the abstract

Inclisiran

−39.7

percent change at day 510 · 95% CI −43.7–-35.7 · %

Placebo

8.2

percent change at day 510 · 95% CI 4.3–12.2 · %

Inclisiran vs PlaceboBetween-group difference, percentage points (95% CI)P value
day 510
−47.9(−53.5 to −42.3)
P < 0.001
time-averaged, days 90–540
−44.3(−48.5 to −40.1)
P < 0.001

Further findings

LDL-C by familial hypercholesterolemia genotype

Robust LDL-C reductions in all genotypes

Safety

Adverse events and serious adverse events

Similar in the two groups

Original publication

Inclisiran for the Treatment of Heterozygous Familial Hypercholesterolemia. N Engl J Med. Published 18 March 2020. doi:10.1056/nejmoa1913805

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