Negative regulator of Lipoprotein Lipase
evinacumab – Regeneron (REGN)
Evidence:
loss-of-function variants in ANGPTL3 with lipid levels and with coronary artery disease in 13,102 case patients and 40,430 controls from the DiscovEHR study
significantly lower serum levels of triglycerides, HDL cholesterol, and LDL cholesterol than participants without these variants.
Prevalence: 0.33% in CAD and 0.45% in controls
(adjusted odds ratio, 0.59; 95% confidence interval, 0.41 to 0.85; P=0.004)
Pharmacotherapy
evinacumab – tesdted in mice
decrease in atherosclerotic lesions
human trial – fasting triglyceride levels of up to 76% and LDL cholesterol levels of up to 23%.
