Evidence map›Paper›PMID 42189272›Full record

SynthesisEuropean journal of clinical pharmacology2026

Efficacy and safety of Ongericimab in patients with hypercholesterolemia: a systematic review and meta-analysis.

Ahmed L Youseif, Ahmed F Younis, Ziad W Elmezayen, Mohamed Eldahrawy, Noha Hammad, Belal Mohamed Hamed, Amr Reda Saleh, Alaa Ashraf Mohamed, Omar Abdulrahman Saad, Aya M Ramadan and 1 more

Abstract readMeta-AnalysisSystematic Review
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In one paragraph

Synthesis in European journal of clinical pharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Ahmed L YouseifFaculty of Medicine, Al-Azhar University, Damietta, Egypt. [email protected].
Ahmed F YounisFaculty of Medicine, Al-Azhar University, Damietta, Egypt.
Ziad W ElmezayenFaculty of Medicine, Kafr Elsheikh University, Kafr Elsheikh, Egypt.
Mohamed EldahrawyFaculty of Medicine, Mansoura University, Mansoura, Egypt.
Noha HammadFaculty of Medicine, Port-Said University, Port-Said, Egypt.
Belal Mohamed HamedFaculty of Medicine, Al-Azhar University, Cairo, Egypt.
Amr Reda SalehFaculty of Medicine, Kafr Elsheikh University, Kafr Elsheikh, Egypt.
Alaa Ashraf MohamedFaculty of Medicine, Al-Azhar University, Damietta, Egypt.
Omar Abdulrahman SaadFaculty of Medicine, Al-Azhar University, Cairo, Egypt.
Aya M RamadanFaculty of Medicine, Menoufia University, Menoufia, Egypt.
Abdelaziz A AwadFaculty of Medicine, Al-Azhar University, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypercholesterolemia represents abnormally elevated cholesterol levels and constitutes a major modifiable risk factor for cardiovascular diseases (CVDs). Low-density lipoprotein cholesterol (LDL-C) reduction remains the primary therapeutic target. However, many high-risk patients fail to achieve recommended LDL-C targets with conventional lipid-lowering therapies. Ongericimab is a new humanized recombinant monoclonal antibody targeting proprotein convertase subtilisin/kexin type 9 (PCSK9). We aimed to evaluate the efficacy and safety of Ongericimab compared to placebo in patients with hypercholesterolemia.

methodsFollowing PRISMA guidelines, we searched PubMed, Scopus, Cochrane Library, Web of Science and Google Scholar through February 2025 for randomized controlled trials (RCTs) comparing Ongericimab versus placebo. Outcomes were pooled as mean difference (MD) or odds ratio (OR) with 95% confidence intervals (CIs) using random-effects models.

resultsFive RCTs comprising 1421 patients were included. Ongericimab significantly reduced LDL-C across all dosing regimens: 150 mg every 2 weeks (MD -69.48%, 95% CI: -73.02 to -65.94), 300 mg every 4 weeks (MD -61.82%, 95% CI: -66.66 to -56.98), and 450 mg every 4 weeks (MD -73.11%, 95% CI: -89.56 to -56.65); all p < 0.00001. Significant reductions were also observed in lipoprotein(a) (MD range: -44.81% to -50.06%), apolipoprotein B, non-HDL cholesterol, triglycerides, and total cholesterol, along with significant increases in HDL cholesterol and apolipoprotein A1. Adverse event rates were comparable between groups, with a pooled reduction OR of 0.85 (95% CI: 0.73-0.99) for overall treatment-emergent adverse events, favoring Ongericimab.

conclusionThis meta-analysis demonstrates that Ongericimab is effective and safe for improving lipid parameters in patients with hypercholesterolemia and dyslipidemia. These findings support Ongericimab as a valuable therapeutic option for patients requiring additional LDL-C reduction beyond conventional therapy. Further long-term studies are recommended to confirm cardiovascular outcomes.

Indexed as

Antibodies, Monoclonal, HumanizedAnticholesteremic AgentsHypercholesterolemiaPCSK9 InhibitorsCholesterol, LDLHumansProprotein Convertase 9Randomized Controlled Trials as TopicAntibodies, Monoclonal, HumanizedAnticholesteremic AgentsCholesterol, LDLPCSK9 InhibitorsPCSK9 protein, humanProprotein Convertase 9

Identifiers

PMID42189272

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.