Evidence map›Paper›PMID 41879443›Full record

ReviewCardiovascular & hematological disorders drug targets2026

Lowering of Lipoprotein(a) with Olpasiran.

Chelsea Tweneboah, Gurleen Kaur

Abstract readReview
PubMed Publisher
In one paragraph

Review in Cardiovascular & hematological disorders drug targets, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Effective Lowering of Lipoprotein (a) - A New Frontier in Cardiovascular Risk Reduction.Cardiovascular & hematological disorders drug targets · 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

2 authors.

Chelsea TweneboahDepartment of Medicine, Stony Brook University Hospital, Stony Brook, NY, United States of America.
Gurleen KaurDivision of Cardiology, Brigham and Women's Hospital, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Elevated lipoprotein(a) [Lp(a)] is associated with an increased risk of aortic stenosis and Atherosclerotic Cardiovascular Disease (ASCVD), including myocardial infarction. Therefore, Lp(a) has emerged as a potential target for reducing residual cardiovascular risk. Conventional lipid-lowering interventions, including lifestyle modifications such as diet and exercise and statin therapies, have not been shown to effectively reduce Lp(a) levels. Ezetimibe, which inhibits cholesterol absorption and can reduce LDL-C, does not significantly affect Lp(a) levels, even when used in combination with statins. PCSK9 inhibitors have been found to reduce Lp(a) levels but to a lesser extent than their effect on LDL-C, and the clinical significance of the 15- 20% reduction in Lp(a) they offer is not entirely clear. Emerging therapies to lower Lp(a) focus on inhibiting apo(a) synthesis. One such agent is Olpasiran, a small interfering RNA (siRNA) that degrades apo(a) mRNA, preventing subsequent production of the protein. Its efficacy was studied in the OCEAN(a)-DOSE trial that included patients with established ASCVD and Lp(a) > 150 nmol/L and demonstrated greater than 95% reduction in Lp(a). A phase 3 outcomes trial is currently underway. In this review article, we delve further into lowering of Lp(a) with Olpasiran by detailing its pharmacological properties, its efficacy based on data from clinical trials, and ongoing research. The study also contextualizes it within the broader therapeutic landscape alongside other agents targeting Lp(a), such as Pelacarsen and Lepodisiran.

Indexed as

Lipoprotein(a)RNA, Small InterferingAnimalsAtherosclerosisDicarboxylic AcidsFatty AcidsHumans8-hydroxy-2,2,14,14-tetramethylpentadecanedioic acidDicarboxylic AcidsFatty AcidsLipoprotein(a)olpasiranRNA, Small InterferingAtherosclerotic cardiovascular diseaseLDL-Clipoprotein(a)OCEAN(a)-DOSEPCSK9small interfering RNA

Identifiers

What Socratic holds

Textmetadata
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.