Prevention & lipids

Obicetrapib and lipoprotein(a) levels in patients at high cardiovascular risk: a pooled analysis of trials

Eur Heart JPublished Pooled analysis of randomised trials

Authors' conclusion

Obicetrapib lowered LDL-C, apoB and Lp(a). The absolute reduction in Lp(a) with obicetrapib was similar in patients with mildly elevated Lp(a) levels, who are unlikely to qualify for administration of RNA-targeted Lp(a) lowering agents.

Study context

Population
Patients with heterozygous familial hypercholesterolemia (HeFH) or atherosclerotic cardiovascular disease (ASCVD) at high CV risk
Participants
2,356 patients
Comparison
Obicetrapib 10 mg daily vs placebo
Outcome
Change in Lp(a) levels
Follow-up
12 weeks
Methodological detailsplacebo-controlled
  • Placebo-controlled

Pooled result

As reported in the abstract

Lp(a), placebo-adjusted reduction

Placebo-adjusted reduction

37.3 %

Obicetrapib

Placebo-adjusted reduction

14.9 nmol/L

Obicetrapib

Further pooled results

OutcomeEstimate
LDL-C, placebo-adjusted reductionObicetrapib vs Placeboplacebo-adjusted reduction 37.0 %
LDL-C, placebo-adjusted reductionObicetrapib vs Placeboplacebo-adjusted reduction 35 mg/dL
apoB, placebo-adjusted reductionObicetrapib vs Placeboplacebo-adjusted reduction 21.3 %
apoB, placebo-adjusted reductionObicetrapib vs Placeboplacebo-adjusted reduction 20 mg/dL
Lp(a), baseline Lp(a) ≥50-<150 nmol/L (subgroup)Obicetrapib vs Placeboplacebo-adjusted reduction 43.3 %
Lp(a), baseline Lp(a) ≥50-<150 nmol/L (subgroup)Obicetrapib vs Placeboplacebo-adjusted reduction 36.3 nmol/L

Lp(a), baseline Lp(a) ≥150 nmol/L vs ≥50-<150 nmol/L (subgroups)

Lower percentage reduction with baseline ≥150 nmol/L; absolute reduction similar in both
−32.3 vs −36.3 nmol/L

Original publication

Obicetrapib and lipoprotein(a) levels in patients at high cardiovascular risk: a pooled analysis of trials. Eur Heart J. Published 25 May 2026. doi:10.1093/eurheartj/ehag399

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.