About this trial
Data on the real-world use and effectiveness and safety of bempedoic acid combined with both a statin and ezetimibe in clinical practice is limited. There is an increased focus on using combination therapy to lower LDL-C.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Written informed consent to participate
At least 18 years of age
High and very high risk patients as assessed by the physician suffering from documented primary hypercholesterolemia or mixed dyslipidemia at start of bempedoic acid treatment
bempedoic acid added to ezetimibe and rosuvastatin or atorvastatin,
Disqualifiers
Patients who have received PCSK9i monoclonal antibody treatment in the last 3 months before the start of the triple therapy exposure
Patients who have ever received PCSK9i-siRNA treatment
Trial population
Prospective data from routine clinical practice will be collected over the course of 1 year involving approximately 2000 patients across approximately 200 sites in Europe (Germany, Italy, Spain, Austria, and Belgium) treated by both specialized and non-specialized physicians in hospital and office-based settings.
Trial design
Cohort
Prospective
Treatments tested in this trial
Bempedoic acid
DrugNo drug was administered in this observational study.
Ezetimibe
DrugNo drug was administered in this observational study.
Rosuvastatin
DrugNo drug was administered in this observational study.
Atorvastatin
DrugNo drug was administered in this observational study.
Treatment groups
Trial outcomes
Primary outcomes
Relative LDL-C change between untreated and 8 week after triple therapy start
LDL-C will be assessed using a standard lipid panel blood test,
Secondary outcomes
Proportion of patients at ESC/EAS 2019 dyslipidemia guideline goal at 8 weeks and 1 year
The 2019 EAS/ESC guidelines recommend treatment targets of at least a 50% reduction from baseline LDL-C levels and an LDL-C concentration below 1.8 mmol/L for patients at high and 1.4 mmol/l for patients at very high cardiovascular risk.
Relative LDL-C change between untreated and 1 year after triple therapy start
LDL-C will be assessed using a standard lipid panel blood test,
Relative LDL-C change between pre-bempedoic acid/pre-FDC initiation and 8 weeks after triple therapy start
LDL-C will be assessed using a standard lipid panel blood test,
Relative LDL-C change between pre-bempedoic acid/pre-FDC initiation and 1 year after triple therapy start
LDL-C will be assessed using a standard lipid panel blood test,
Sponsors and contacts
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