Evidence map›Paper›PMID 27478094›Full record

SynthesisBritish journal of clinical pharmacology2016

Systematic review of published Phase 3 data on anti-PCSK9 monoclonal antibodies in patients with hypercholesterolaemia.

Ioanna Gouni-Berthold, Olivier S Descamps, Uwe Fraass, Elizabeth Hartfield, Kim Allcott, Ricardo Dent, Winfried März

Registry-linked trialOpen access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in British journal of clinical pharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03634293 (PCSK9 Inhibitor), which is not on this map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
7.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03634293 phase2 / phase3unknown statusnot on this mapstarted 2019, after this paper: background citation

PCSK9 Inhibitor: a New Tool to Fight Septic Shock

TypeinterventionalSponsorWolfson Medical CenterRan2019 to 2021Enrolled712ConditionsSepsis, Septic ShockArmsAlirocumab Injectable Product, Saline Solution
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Is a PCSK9 Inhibitor Right for Your Patient? A Review of Treatment Data for Individualized Therapy.International journal of environmental research and public health · 2022
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Review
  8. Review
  9. The Multifaceted Biology of PCSK9.Endocrine reviews · 2022
    Review
  10. Rethinking the ethical principles of genomic medicine services.European journal of human genetics : EJHG · 2020
    Article
  11. Article
  12. Alirocumab as add-on therapy to statins: current evidence and clinical potential.Therapeutic advances in cardiovascular disease · 2018
    Review
  13. Review
  14. Article
  15. Article
  16. Global & regional health technology assessment
    Article
  17. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 5 countries.

Ioanna Gouni-BertholdCenter for Endocrinology, Diabetes and Preventive Medicine (ZEDP), University of Cologne, Cologne, Germany.
Olivier S DescampsDepartment of Internal Medicine, Centres Hospitaliers Jolimont, Haine Saint-Paul, Belgium.
Uwe FraassAmgen GmbH, Munich, Germany.
Elizabeth HartfieldOxford PharmaGenesis Ltd, Oxford, UK.
Kim AllcottOxford PharmaGenesis Ltd, Oxford, UK.ORCID 0000-0001-6556-2002
Ricardo DentAmgen (Europe) GmbH, Zug, Switzerland.
Winfried MärzClinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University Graz, Graz, Austria.
Oxford Instruments (United Kingdom) · GBAmgen (Germany) · DEAmgen (Switzerland) · CHHôpital de Jolimont · BEMedical University of Graz · ATUniversity of Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTwo anti-proprotein convertase subtilisin/kexin type 9 (PCSK9) monoclonal antibodies, alirocumab and evolocumab, have been approved for the treatment of hypercholesterolaemia in certain patients. We reviewed data from Phase 3 studies to evaluate the efficacy and safety of these antibodies.

methodsWe systematically reviewed Phase 3 English-language studies in patients with hypercholesterolaemia, published between 1 January 2005 and 20 October 2015. Congress proceedings from 16 November 2012 to 16 November 2015 were also reviewed.

resultsWe identified 12 studies of alirocumab and nine of evolocumab, including over 10 000 patients overall. Most studies enrolled patients with hypercholesterolaemia and used anti-PCSK9 antibodies with statins. The ODYSSEY FH I, FH II and HIGH FH alirocumab studies and the RUTHERFORD-2 evolocumab study exclusively recruited patients with heterozygous familial hypercholesterolaemia. Two evolocumab studies focused mainly on homozygous familial hypercholesterolaemia (HoFH): TESLA Part B and TAUSSIG (a TESLA sub-study); only those data for HoFH are reported here. All comparator studies demonstrated a reduction in LDL cholesterol (LDL-C) with the anti-PCSK9 antibodies. No head-to-head studies were conducted between alirocumab and evolocumab. Up to 87% of patients receiving alirocumab and up to 98% receiving evolocumab reached LDL-C goals. Both antibodies were effective and well tolerated across a broad population of patients and in specific subgroups, such as those with type 2 diabetes.

conclusionsUsing anti-PCSK9 antibodies as add-on therapy to other lipid-lowering treatments or as monotherapy for patients unable to tolerate statins may help patients with high cardiovascular risk to achieve their LDL-C goals.

Indexed as

Clinical Trials, Phase III as TopicPCSK9 InhibitorsAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedCholesterol, LDLHumansHyperlipoproteinemia Type IIProprotein Convertase 9alirocumabAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedCholesterol, LDLevolocumabPCSK9 InhibitorsPCSK9 protein, humanProprotein Convertase 9alirocumabevolocumabhypercholesterolemiaLDL cholesterollipoproteinsPCSK9

Identifiers

PMID27478094
PMCPMC5099564
OpenAlexW2476685234

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.