Prevention & lipids

Reductions in remnant cholesterol and VLDL cholesterol through inhibition of ANGPTL3 protein synthesis: an analysis from the TRANSLATE-TIMI 70 trial

Eur J Prev CardiolPublished Secondary analysis of the TRANSLATE-TIMI 70 randomised trial

Authors' conclusion

Inhibition of ANGPTL3 protein synthesis significantly lowered remnant cholesterol and VLDL-C in patients with hypertriglyceridaemia. The magnitude of reduction was associated with the degree of ANGPTL3 inhibition.

Study context

Population
Adults with non-HDL-C ≥ 100 mg/dL and triglycerides 150–500 mg/dL
Participants
286 adults
Comparison
Vupanorsen vs placebo
Primary endpoint
% change in remnant cholesterol (total cholesterol minus directly measured LDL-C minus HDL-C) and VLDL-C (directly measured)
Follow-up
24 weeks
Methodological detailsdouble-blind, placebo-controlled
  • Double-blind
  • Placebo-controlled

Primary result

As reported in the abstract

Reduction in remnant cholesterol

42-59%

P < 0.001

median achieved level 18 mg/dL at highest dose

Reduction in very low-density lipoprotein cholesterol (VLDL-C)

52-67%

P < 0.001

median achieved level 2.5 mg/dL at highest dose

Further findings

Dose-response with degree of ANGPTL3 inhibition

Remnant cholesterol decrease at 90% ANGPTL3 reduction
61%
VLDL-C decrease at 90% ANGPTL3 reduction
81%

Original publication

Reductions in remnant cholesterol and VLDL cholesterol through inhibition of ANGPTL3 protein synthesis: an analysis from the TRANSLATE-TIMI 70 trial. Eur J Prev Cardiol. Published 14 March 2024. doi:10.1093/eurjpc/zwae090

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

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