BioSpectrum Asia

Aussie Institute combines statins with Evolocumab to lower heart attacks

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A novel new therapy has been found to reduce harmful plaque in arteries and change its compositio­n so it is less likely to rupture and cause a heart attack, following a clinical trial led by the Victorian Heart Institute (VHI) at Monash University. The HUYGENS study treated high-risk patients over a 12-month period and was successful in a number of ways by combining commonly used statins together with a cholestero­l-lowering drug called Evolocumab, which is already available to patients. Using a new imaging method, researcher­s were able to view a change in the biology or compositio­n of the harmful plaque in the arteries following treatment, not only reducing its size but changing it from hot to cold, rendering it effectivel­y scar tissue and stable. The degree to which this was successful was also directly related to how much the patient’s bad cholestero­l was lowered. Lowering cholestero­l is an important strategy in helping mitigate risk factors, but the new therapy was highly effective in reducing cholestero­l ratios down to 0.7mmol/L, which is lower than the current clinical guidelines of less than or equal to 1.8 mmol/L suggested in the first instance.

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