Vnitr Lek 2022, 68(7):458-460 | DOI: 10.36290/vnl.2022.096
New technology in the hypolipidemic drugs development. Inclisiran (LEQVIO)
- Centrum preventivní kardiologie LF UK v Plzni, 2. interní klinika FN Plzeň
The development of lipid modifying drugs was expanding during the past 30 years. Statins stay to be the first choice drugs in dyslipidemia treatment. Inhibitors of proprotein convertase subtilisin- kexin type 9 (PCSK9) enzyme in combination with statin and/or ezetimibe represent very effective therapy and better atherosclerotic cardiovascular disease (ASCVD) prevention. Antisense therapy based on oligonucleotides belongs to the new technology drugs. This therapy inhibits translation of some proteins important for the production of atherogenic lipid particles. Inclisiran is a small interfering RNA that suppresses translation of PCSK9 in the liver cells. It is applied subcutaneously twice a year and it represents a big chance for the improvement of ASCVD treatment and prevention.
Keywords: statins, antisense therapy, inclisiran, RNA interference, dyslipidemia therapy.
Accepted: October 17, 2022; Published: October 31, 2022 Show citation
References
- Yamamoto T, Wada F, Harada‑Shiba M. Development of Antisense Drugs for Dyslipidemia. J Atheroscler Thromb. 2016;23(9):1011-1025.
Go to original source...
Go to PubMed...
- Ricotta DN, Frishman W. Mipomersen. A Safe and Effective Antisense Therapy Adjunct to Statins in Patients with Hypercholesterolemia. Cardiol Rev. 2012;20(2):90-95.
Go to original source...
Go to PubMed...
- Warden BA, Duell PB. Volanesorsen for treatment of patients with familial chylomicronemia syndrome. Drugs Today (Barc). 2018;54(12):721-735.
Go to original source...
Go to PubMed...
- Henney NC, Banach M et al. RNA silencing in the management of dyslipidemias. Current Atherosclerosis Reports 2021;23:69.
Go to original source...
Go to PubMed...
- Raal FJ, Kallend D, Ray KK. [ORION-9 Investigators]. Inclisiran for the Treatment of Heterozygous Familial Hypercholesterolemia. N Engl J Med. 2020; 382(16):1520-1530.
Go to original source...
Go to PubMed...
- Ray KK, Wright RS, Kallend D. [ORION-10 and ORION-11 Investigators]. Two Phase 3 Trials of Inclisiran in Patients with Elevated LDL Cholesterol. N Engl J Med. 2020;382(16):1507-1519.
Go to original source...
Go to PubMed...