Prevention & lipidsTrial design

Rationale, design, and baseline characteristicss of the effect of PCSK9 inhibition on cardiovascular risk in treated HIV infection: EPIC-HIV randomized clinical trial

Am Heart JPublished

  • randomized, placebo-controlled, and double-blinded clinical trial
  • 2:1 randomization
  • rationale, design, and baseline characteristics report

Study context

Population
Adults at least 40 years old with treated and virally suppressed HIV and at least one cardiovascular risk factor (primary prevention) or a prior cardiovascular event (secondary prevention)participants randomized
Participants
One hundred eighteen adults
Planned comparison
alirocumab vs matching placebo
Primary endpoint
Change in arterial inflammation assessed using the target-to-background ratio of the most diseased arterial segment on positron emission tomography/computed tomography
Follow-up
Baseline to 1 year

No results yet. This paper sets out the design of a trial; its results are to come.

Baseline

Baseline characteristics

Mean age
59.5 years
Female
6%

Original publication

Rationale, design, and baseline characteristicss of the effect of PCSK9 inhibition on cardiovascular risk in treated HIV infection: EPIC-HIV randomized clinical trial. Am Heart J. Published 28 February 2026. doi:10.1016/j.ahj.2026.107400

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