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PCSK 9 inhibitors

PCSK-9 inhibitors are relatively new monoclonal antibody


agents and have demonstrated improvement in LDL-C by up
to 60%, and this effect is thought to be independent of
additional therapy already initiated. Their use is currently
recommended in secondary prevention, as they can be
difficult to access and their high cost prohibitive for most
patients/health systems.
The JUPITER trial was one of the first to demonstrate an
inflammatory component to atherosclerosis, and the
FOURIER and ODYSSEY trials have since demonstrated a
reduction in cardiovascular events with the addition of PCSK-
9 inhibitors.

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