Prevention & lipidsRandomised controlled trial

Lipoprotein(a) Reduction in Persons with Cardiovascular Disease

N Engl J MedPublished

  • Randomised controlled trial
  • double-blind
  • placebo-controlled
  • dose-ranging

Authors' conclusion

APO(a)-LRx reduced lipoprotein(a) levels in a dose-dependent manner in patients who had elevated lipoprotein(a) levels and established cardiovascular disease.

Study context

Population
Patients with established CVD and screening lipoprotein(a) ≥60 mg/dL (150 nmol/L)
Participants
286 patients
Comparison
APO-LRx at several doses vs placebo
Primary endpoint
Percent change in lipoprotein(a) from baseline
Follow-up
Month 6 of exposure (week 25 monthly dosing; week 27 more frequent dosing)

Primary result

As reported in the abstract

Percent change in lipoprotein(a) · month 6

Safety

Platelet counts, liver and renal measures, influenza-like symptoms

No significant differences between any APO(a)-LRx dose and placebo

Adverse events

Most common AEs were injection-site reactions

Original publication

Lipoprotein(a) Reduction in Persons with Cardiovascular Disease. N Engl J Med. Published 1 January 2020. doi:10.1056/nejmoa1905239

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