Evidence mapPaperPMID 40564178Full record

ReviewBiomedicines2025

Reshaping Dyslipidaemia Treatment with Bempedoic Acid-A Narrative Review.

Dominik Strikic, Zvonimir Begic, Ivana Radman, Fran Zlopasa, Jana Mateljic, Ivica Zec, Marina Titlic, Ana Marija Sliskovic, Ivan Pecin, Zeljko Reiner and 1 more

Abstract readReview
In one paragraph

Review in Biomedicines, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
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

11 authors.

Dominik StrikicDivision of Clinical Pharmacology, University Hospital Centre Zagreb, 10 000 Zagreb, Croatia.ORCID 0000-0003-3977-9712
Zvonimir BegicDivision of Plastic and Reconstructive Surgery, University Hospital Centre Zagreb, 10 000 Zagreb, Croatia.ORCID 0009-0002-4062-294X
Ivana RadmanDepartment of Ophthalmology, Sestre Milosrdnice University Hospital Centre, 10 000 Zagreb, Croatia.
Fran ZlopasaSchool of Medicine, University of Zagreb, 10 000 Zagreb, Croatia.ORCID 0000-0002-0705-2220
Jana MateljicSchool of Medicine, University of Zagreb, 10 000 Zagreb, Croatia.
Ivica ZecSchool of Medicine, University of Zagreb, 10 000 Zagreb, Croatia.ORCID 0000-0003-1130-5769
Marina TitlicSchool of Medicine, University of Split, 21 000 Split, Croatia.
Ana Marija SliskovicDepartment of Cardiology, University Hospital Centre Zagreb, 10 000 Zagreb, Croatia.ORCID 0000-0001-6622-7572
Ivan PecinDepartment of Internal Medicine, School of Medicine, University of Zagreb, 10 000 Zagreb, Croatia.
Zeljko ReinerDepartment of Cardiology and Congenital Diseases of Adults, Polish Mother's Memorial Hospital Research Institute, 93-338 Lodz, Poland.
Iveta MercepDepartment of Internal Medicine, School of Medicine, University of Zagreb, 10 000 Zagreb, Croatia.ORCID 0000-0003-2824-9222

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dyslipidaemia is one of the main causes of atherosclerotic cardiovascular disease (ASCVD) worldwide. Although statins remain the cornerstone of lipid-lowering therapy, many patients do not achieve optimal target levels of low-density lipoprotein cholesterol (LDL-C) due to intolerance or inadequate response. Bempedoic acid, an oral ATP citrate lyase inhibitor, provides a liver-specific mechanism that lowers LDL-C levels while minimising muscle-related side effects. Recent clinical trials, including the CLEAR Outcomes Study, have shown that bempedoic acid was able to reduce LDL-C by approximately 29 mg/dL and major adverse cardiovascular events (MACEs) by 13% in patients intolerant to statins. Combination therapy with ezetimibe further enhances this effect. However, adverse effects such as increased uric acid and gout have been reported, requiring careful patient selection and continuous monitoring. This review provides a comparative synthesis of the latest evidence on bempedoic acid, including its pharmacological profile, its efficacy in different patient groups, and its place within current treatment strategies for dyslipidaemia. It also identifies research gaps and directions for future studies.

Indexed as

bempedoic acidcardiovascular riskdyslipidaemialipid-lowering therapystatin intolerance

Identifiers

PMID40564178
PMCPMC12191183

What Socratic holds

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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.