PCSK9 inhibitors × cardiovascular events

TrialDiabetes care2025

Cardiovascular Outcomes and Efficacy of the PCSK9 Inhibitor Evolocumab in Individuals With Type 1 Diabetes: Insights From the FOURIER Trial.

Yu Mi Kang et al.PubMed ↗Full text ↗Publisher ↗

  • Evolocumabno clear effectNo clear effect on cardiovascular death, myocardial infarction, stroke, hospitalization for unstable angina, or coronary revascularization.Nothing cleared the noise.

What the trial testedas reported · 27,564 people · 2025

Range includes no effect

No clear effect on cardiovascular death, myocardial infarction, stroke, hospitalization for unstable angina, or coronary revascularization

−34%−68% to +38%

evolocumab vs placebo, in T1DM

Bigger than 8 in 10 for cardiovascular events

As reported

HR 0.66, 95% CI 0.32–1.38

+1 more in the walkthrough ↓

Who was studied, and how

27,564people with cardiovascular disease, in this paper

Among T1DM, the trial randomly assignedassigned by chance

evolocumab
placebo

No clear effect on cardiovascular death, myocardial infarction, stroke, hospitalization for unstable angina, or coronary revascularization−34%

randomised

the abstract, start to end

CI 0.79-0.96), 0.84 (0.75-0.93), and 0.66 (0.32-1.38) in the no diabetes, T2DM, and T1DM groups, and absolute risk reduction was 1.3%, 2.5%, and 7.3%, respectively.

← favours treatmentfavours comparator →
could be chance
No interval given · direction only, strength unknown
Cardiovascular death, myocardial infarction, stroke, hospitalization for unstable angina, or coronary revascularizationevolocumab vs placebo, in T1DM
HR 0.660.32–1.38
Cardiovascular death, myocardial infarction, stroke, hospitalization for unstable angina, or coronary revascularizationevolocumab vs placebo, in T1DM
−7.30
PCSK9 inhibitorsCardiovascular events

PCSK9 inhibitors × cardiovascular eventshelps?settled

unlikelylikely
1.001.00 without it
← favours treatmentfavours comparator →
this papermore certainless certain
1 / 7

5 papers cite it

2025
2026
this paperpooled itcites it
Full record →Abstract, authors, funding and every citing paper · PMID 40544474