Evidence mapPaperPMID 40884609Full record

ReviewAmerican journal of cardiovascular drugs : drugs, devices, and other interventions2026

Advances in Non-statin Lipid Therapies: A Narrative Review of Evolving Strategies for Cardiovascular Risk Reduction.

Kayode Ogunniyi, Chukwuemeka Christian Aghasili, Olumide Akinmoju, Victor Olamiposi Olaiya, Oluwamisimi Abib, Adetayo Y Odueke, Hakeem Adegboyega Popoola, Victor Onyenokwe, David Onaolapo, Abdul-Azeez Muhammed Usman and 4 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in American journal of cardiovascular drugs : drugs, devices, and other interventions, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Advances in Beyond Statin Lipid Therapies for ASCVD Risk Reduction.Journal of atherosclerosis and thrombosis · 2026
    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

14 authors.

Kayode OgunniyiRichmond University Medical Center/Mount Sinai, Staten Island, NY, USA.ORCID http://orcid.org/0009-0002-4004-9290
Chukwuemeka Christian AghasiliGeisinger Health System, Wilkes Barre, PA, 18711, USA. caghasili1@geisinger.edu.ORCID http://orcid.org/0000-0003-3096-8824
Olumide AkinmojuMontefiore St. Luke's Cornwall Hospital, Newburgh, NY, USA.ORCID http://orcid.org/0000-0003-4317-4919
Victor Olamiposi OlaiyaDepartment of Internal Medicine, Izhvesk State Medical Academy, Izhvesk, Russia.ORCID http://orcid.org/0009-0000-0746-8552
Oluwamisimi AbibPiedmont Athens Regional Medical Center, Athens, GA, USA.ORCID http://orcid.org/0009-0004-5940-842X
Adetayo Y OduekeUniversity of Arkansas for Medical Sciences, Northwest Regional Campus, Fayetteville, AR, USA.ORCID http://orcid.org/0000-0003-3217-2651
Hakeem Adegboyega PopoolaHenry Ford Jackson Hospital, Jackson, Michigan, USA.ORCID http://orcid.org/0009-0001-6108-9497
Victor OnyenokweRoyal Infirmary Edinburgh Hospital, Edinburgh, UK.ORCID http://orcid.org/0000-0001-5661-9898
David OnaolapoFirst Cardiology Consultants Hospital, Ikoyi, Lagos, Nigeria.ORCID http://orcid.org/0009-0008-1306-5475
Abdul-Azeez Muhammed UsmanRoyal Stoke University Hospital, Stoke-on-Trent, UK.ORCID http://orcid.org/0000-0002-2078-264X
Adam FriedmanSUNY Downstate University, Brooklyn, NY, USA.
Toluwalase AwoyemiDepartment of Internal Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Jay NfonoyimRichmond University Medical Center/Mount Sinai, Staten Island, NY, USA.
Francesco RotatoriRichmond University Medical Center/Mount Sinai, Staten Island, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the well-established benefits of statin therapy in reducing atherosclerotic cardiovascular disease (ASCVD) risk, many patients fail to achieve recommended low-density lipoprotein cholesterol (LDL-C) targets or experience statin intolerance, necessitating alternative approaches. This review examines advances in non-statin lipid-lowering therapies, focusing on proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors (monoclonal antibodies and inclisiran), bempedoic acid, and other non-statin lipid medications. We evaluate their mechanisms of action, clinical efficacy, and safety profiles on the basis of landmark trials. A conceptual framework for personalized lipid management is proposed, addressing residual cardiovascular risk, statin intolerance, and complex patient profiles. Clinical decision pathways are presented for high-risk patients, statin-intolerant individuals, and those with adherence challenges. We explore emerging therapies targeting novel pathways, including lipoprotein(a), apolipoprotein C-III inhibitors, angiopoietin-like protein 3 (ANGPTL3) inhibitors, cholesteryl ester transfer protein (CETP) inhibitors, and gene-editing technologies. Implementation barriers, including cost considerations, insurance challenges, and global access disparities, are discussed alongside solutions.

Indexed as

Cardiovascular DiseasesHypolipidemic AgentsCholesterol, LDLDicarboxylic AcidsFatty AcidsHeart Disease Risk FactorsHumansHydroxymethylglutaryl-CoA Reductase InhibitorsPCSK9 Inhibitors8-hydroxy-2,2,14,14-tetramethylpentadecanedioic acidCholesterol, LDLDicarboxylic AcidsFatty AcidsHydroxymethylglutaryl-CoA Reductase InhibitorsHypolipidemic AgentsPCSK9 Inhibitors

Identifiers

PMID40884609

What Socratic holds

Texttitle and abstract
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.