Bliss Chang, Luke J Laffin, Ashish Sarraju, Steven E Nissen
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引用次数: 0
摘要
综述的目的:透视第三代胆固醇酯转移蛋白 (CETP) 抑制剂 Obicetrapib 的研发现状和未来可能发挥的作用。在获得积极的II期临床试验数据并启动治疗血脂异常和动脉粥样硬化性心血管疾病(ASCVD)的III期试验后,奥比塞替匹最近受到了关注:ROSE和ROSE2试验是一项II期研究,考察了奥比曲匹对已接受高强度他汀类药物治疗的患者的降脂效果。Obicetrapib 能显著降低主要的血脂异常生物标志物,包括低密度脂蛋白胆固醇 (LDL-C)、载脂蛋白 B (Apo B) 和非高密度脂蛋白胆固醇 (non-HDL-C),同时提高高密度脂蛋白胆固醇 (HDL-C)。目前正在进行四项 III 期临床试验,包括一项心血管预后试验。obicetrapib 的初步数据显示其对血脂异常有良好的影响,理论上可减少 ASCVD 临床事件。初步研究的短期安全性数据未显示出明显的安全性信号。
Purpose of review: To provide perspective on the current development status, and potential future role, of obicetrapib, a third-generation cholesterylester transfer protein (CETP) inhibitor. Obicetrapib has received recent attention following positive Phase II clinical trial data and initiation of Phase III trials for the treatment of dyslipidemia and atherosclerotic cardiovascular disease (ASCVD).
Recent findings: The ROSE and ROSE2 trials are Phase II studies that examined the lipid lowering effects of obicetrapib in patients on pre-existing high-intensity statin therapy. Obicetrapib significantly reduced key dyslipidemia biomarkers including low density lipoprotein cholesterol (LDL-C), Apolipoprotein B (Apo B), and non-high-density lipoprotein cholesterol (non-HDL-C) while increasing high-density lipoprotein cholesterol (HDL-C). Four phase III clinical trials, including a cardiovascular outcomes trial, are ongoing. Preliminary data for obicetrapib shows favorable effects on dyslipidemia, which could theoretically lead to a decrease in ASCVD clinical events. Short-term safety data in preliminary studies shows no significant safety signals.
期刊介绍:
The aim of this journal is to systematically provide expert views on current basic science and clinical advances in the field of atherosclerosis and highlight the most important developments likely to transform the field of cardiovascular prevention, diagnosis, and treatment.
We accomplish this aim by appointing major authorities to serve as Section Editors who select leading experts from around the world to provide definitive reviews on key topics and papers published in the past year. We also provide supplementary reviews and commentaries from well-known figures in the field. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.