Evidence mapPaperPMID 40084594Full record

SynthesisEndocrinology, diabetes & metabolism2025

Safety and Efficacy of Inclisiran in Hyperlipidemia: An Updated Meta-Analysis of Randomised Controlled Trials.

Jawad Basit, Mushood Ahmed, Priyansha Singh, Areeba Ahsan, Eeshal Zulfiqar, Javed Iqbal, Maurish Fatima, Prakash Upreti, Mohammad Hamza, M Chadi Alraies

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in Endocrinology, diabetes & metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. 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

10 authors.

Jawad BasitDepartment of Medicine, Rawalpindi Medical University, Rawalpindi, Pakistan.
Mushood AhmedDepartment of Medicine, Rawalpindi Medical University, Rawalpindi, Pakistan.ORCID 0000-0001-9872-8224
Priyansha SinghSmt. Nathiba Hargovandas Lakhmichand Municipal Medical College, Ahmedabad, India.ORCID 0000-0002-3864-427X
Areeba AhsanDepartment of Medicine, Foundation University Medical College, Islamabad, Pakistan.
Eeshal ZulfiqarDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Javed IqbalNursing Department Hamad Medical Corporation Doha, Doha, Qatar.ORCID 0000-0003-2627-685X
Maurish FatimaDepartment of Medicine, King Edward Medical University, Lahore, Pakistan.
Prakash UpretiSands Constellation Heart Institute, Rochester Regional Health, Rochester, New York, USA.
Mohammad HamzaDepartment of Hospital Medicine, Guthrie Cortland Medical Center, Cortland, New York, USA.ORCID 0000-0002-6237-0221
M Chadi AlraiesCardiovascular Institute, Wayne State University/Detroit Medical Center, Detroit, Michigan, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInclisiran, a small interfering RNA (siRNA), reduces the levels of low-density lipoproteins (LDL) in the body by preventing the hepatic synthesis of proprotein convertase subtilisin/kexin type 9 (PCSK9). However, there is limited pooled data regarding the efficacy and safety of inclisiran in patients with hypercholesterolemia.

methodsPubMed/MEDLINE, Embase and the Cochrane Library were searched by investigators from inception till July 2024 to identify randomised controlled trials (RCTs) that investigated inclisiran in patients with hypercholesterolemia. Weighted mean differences (MDs) for continuous outcomes and risk ratios (RRs) for the dichotomous outcomes were pooled. The analysis was conducted using the random effects model, and a p-value of < 0.05 was considered statistically significant.

resultsA total of 8 RCTs reporting data for 5016 patients were included in the pooled analysis. Our pooled analysis demonstrated that inclisiran was associated with a significant decline in the % of LDL-C levels (MD = -50.42, 95% CI: -56.15 to -44.70), % of PCSK9 levels (MD = -78.57, 95% CI: -81.64 to -75.50), % of total cholesterol levels in the body (MD = -31.22, 95% CI: -33.08.15 to -29.37), and apo B levels (MD = -41.47, 95% CI: -44.83 to -38.11) when compared with the control group. The risk of all-cause death, cardiovascular death, major adverse cardiovascular events, myocardial infarction, stroke, and serious adverse events remained comparable (p > 0.05) across the two groups.

conclusionInclisiran reduces LDL-C, PCSK9, cholesterol and apo-B levels in the body without increasing the risk of serious adverse events.

Indexed as

HyperlipidemiasRNA, Small InterferingCholesterol, LDLHumansProprotein Convertase 9Randomized Controlled Trials as TopicTreatment OutcomeALN-PCSCholesterol, LDLPCSK9 protein, humanProprotein Convertase 9RNA, Small InterferinghyperlipidemiaInclisiranmeta‐analysis

Identifiers

PMID40084594
PMCPMC11907238

What Socratic holds

Texttitle and abstract
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.