Evidence mapPaperPMID 36383291Full record

ReviewCurrent atherosclerosis reports2022

PCSK9 Inhibition and Risk of Diabetes: Should We Worry?

Stefano Carugo, Cesare R Sirtori, Alberto Corsini, Lale Tokgozoglu, Massimiliano Ruscica

Open access · hybridFull text readReview
In one paragraph

Review in Current atherosclerosis reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
8.7field-weighted citation impact, top 1% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. Review
  6. Review
  7. Article
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  11. Article
  12. Review
  13. Review
  14. Low LDL-C: Is It all Good News?Current atherosclerosis reports · 2024
    Review
  15. Article
  16. Article
  17. PCSK9 Inhibitors: The Evolving Future.Health science reports · 2024
    Article
  18. Article
  19. Review
  20. 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

5 authors at 2 institutions in 2 countries.

Stefano CarugoDepartment of Clinical Sciences and Community Health, Università Degli Studi Di Milano, Milan, Italy.
Cesare R SirtoriDepartment of Pharmacological and Biomolecular Sciences, Università Degli Studi Di Milano, Milan, Italy.
Alberto CorsiniDepartment of Pharmacological and Biomolecular Sciences, Università Degli Studi Di Milano, Milan, Italy.
Lale TokgozogluHacettepe University, Ankara, Turkey.
Massimiliano RuscicaDepartment of Pharmacological and Biomolecular Sciences, Università Degli Studi Di Milano, Milan, Italy. massimiliano.ruscica@unimi.it.ORCID 0000-0002-0195-7061
University of Milan · ITHacettepe University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewSince the clinical benefit of proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors occurs in a setting of reducing low-density lipoprotein-cholesterol (LDL-C) to unprecedentedly low levels, it becomes of interest to investigate possible adverse effects pertaining to the risk of new-onset diabetes (NOD). RECENT

findingsWhile safety results reported in either meta-analyses or cardiovascular outcome trials FOURIER (with evolocumab) and ODYSSEY (with alirocumab) did not rise the incidence of NOD, Mendelian randomization analyses were almost concordant in showing an increased risk of NOD. This evidence was in line with post-marketing safety reports highlighting that evolocumab and alirocumab were primarily related to mild hyperglycaemia rather than diabetes, with most of the hyperglycaemic events occurring during the first 6 months of treatment. Considering the different nature of genetic studies and of randomized controlled trials, with careful monitoring of patients, particularly in the earlier phases of treatment, and the identification of those more susceptible to develop NOD, treatment with PCSK9 inhibitors should be of minimal concern.

Indexed as

Anticholesteremic AgentsCardiovascular DiseasesDiabetes MellitusAntibodies, MonoclonalHumansPCSK9 InhibitorsProprotein Convertase 9Antibodies, MonoclonalAnticholesteremic AgentsPCSK9 InhibitorsPCSK9 protein, humanProprotein Convertase 9AlirocumabEvolocumabNew-onset diabetesPCSK9β-cells

Identifiers

PMID36383291
PMCPMC9750910
OpenAlexW4309163008

What Socratic holds

Textfull text, public
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.