312
Views
4
CrossRef citations to date
0
Altmetric
Review

Evinacumab for treatment of familial hypercholesterolemia

ORCID Icon &
Pages 739-751 | Received 04 Jun 2021, Accepted 11 Jul 2021, Published online: 22 Jul 2021

References

  • Gidding SS, Champagne MA, de Ferranti SD, et al. The agenda for familial hypercholesterolemia: a scientific statement from the American heart association. Circulation. 2015 Dec 1;132(22):2167–2192.
  • Beheshti SO, Madsen CM, Varbo A, et al. Worldwide prevalence of familial hypercholesterolemia: meta-analyses of 11 million subjects. J Am Coll Cardiol. 2020 May 26;75(20):2553–2566.
  • Santos RD, Gidding SS, Hegele RA, et al. Defining severe familial hypercholesterolaemia and the implications for clinical management: a consensus statement from the international atherosclerosis society severe familial hypercholesterolemia panel. Lancet Diabetes Endocrinol. 2016 Oct;4(10):850–861.
  • McGowan MP, Hosseini Dehkordi SH, Moriarty PM, et al. Diagnosis and treatment of heterozygous familial hypercholesterolemia. J Am Heart Assoc. 2019 Dec 17;8(24):e013225.
  • Reiner Ž. Treatment of children with homozygous familial hypercholesterolaemia. Eur J Prev Cardiol. 2018 Jul;25(10):1095–1097.
  • Reiner Ž, Sahebkar A. Treatment of children with heterozygous familial hypercholesterolemia. Int J Cardiol. 2020 Apr;1(304):177–178.
  • Goldberg AC, Hopkins PN, Toth PP, et al. Familial hypercholesterolemia: screening, diagnosis and management of pediatric and adult patients: clinical guidance from the national lipid association expert panel on familial hypercholesterolemia. J Clin Lipidol. 2011 Jun;5(3 Suppl):S1–8.
  • Nordestgaard BG, Chapman MJ, Humphries SE, et al. Familial hypercholesterolaemia is underdiagnosed and undertreated in the general population: guidance for clinicians to prevent coronary heart disease: consensus statement of the European atherosclerosis society. Eur Heart J. 2013 Dec;34(45):3478–90a.
  • Hovingh GK, Goldberg AC, Moriarty PM. Managing the challenging homozygous familial hypercholesterolemia patient: academic insights and practical approaches for a severe dyslipidemia, a national lipid association masters summit. J Clin Lipidol. 2017 May-Jun;11(3):602–616.
  • Goldstein JL, Brown MS. The LDL receptor. Arterioscler Thromb Vasc Biol. 2009 Apr;29(4):431–438.
  • Berberich AJ, Hegele RA. The complex molecular genetics of familial hypercholesterolaemia. Nat Rev Cardiol. 2019 Jan;16(1):9–20.
  • Garg A, Fazio S, Duell PB, et al. Molecular characterization of familial hypercholesterolemia in a North American Cohort. J Endocr Soc. 2020 Jan 1;4(1):bvz015.
  • Duell PB, Gidding SS, Andersen RL, et al. Longitudinal low density lipoprotein cholesterol goal achievement and cardiovascular outcomes among adult patients with familial hypercholesterolemia: the CASCADE FH registry. Atherosclerosis. 2019 Oct;289:85–93.
  • Vallejo-Vaz AJ, De Marco M, Stevens CAT, et al. Overview of the current status of familial hypercholesterolaemia care in over 60 countries - The EAS familial hypercholesterolaemia studies collaboration (FHSC). Atherosclerosis. 2018 Oct;277:234–255.
  • Williams RR, Hunt SC, Schumacher MC, et al. Diagnosing heterozygous familial hypercholesterolemia using new practical criteria validated by molecular genetics. Am J Cardiol. 1993 Jul 15;72(2):171–176.
  • Risk of fatal coronary heart disease in familial hypercholesterolaemia. Scientific steering committee on behalf of the Simon broome register group. BMJ (Clin Res Ed). 1991 Oct 12;303(6807):893–896.
  • World Health Organization. Familial hypercholesterolaemia (FH): report of a second WHO consultation; 1998. [cited 2021 Apr 29]. Available from: http://apps.who.int/iris/bitstream/handle/10665/66346/WHO_HGN_FH_CONS_99.2.pdf;jsessionid=961D48D3A63F73082AAC3EB38D01E871?sequence=1
  • Sturm AC, Knowles JW, Gidding SS, et al. Clinical genetic testing for familial hypercholesterolemia: JACC scientific expert panel. J Am Coll Cardiol. 2018 Aug 7;72(6):662–680.
  • Brown EE, Sturm AC, Cuchel M, et al. Genetic testing in dyslipidemia: a scientific statement from the National Lipid Association. J Clin Lipidol. 2020 Jul-Aug;14(4):398–413.
  • Wiegman A, Hutten BA, de Groot E, et al. Efficacy and safety of statin therapy in children with familial hypercholesterolemia: a randomized controlled trial. Jama. 2004 Jul 21;292(3):331–337.
  • Kusters DM, Wiegman A, Kastelein JJ, et al. Carotid intima-media thickness in children with familial hypercholesterolemia. Circ Res. 2014 Jan 17;114(2):307–310.
  • Kusters DM, Avis HJ, de Groot E, et al. Ten-year follow-up after initiation of statin therapy in children with familial hypercholesterolemia. Jama. 2014 Sep 10;312(10):1055–1057.
  • Vuorio A, Kuoppala J, Kovanen PT, et al. Statins for children with familial hypercholesterolemia. Cochrane Database Syst Rev. 2017 7;7;Jul(7):Cd006401.
  • Braamskamp M, Langslet G, McCrindle BW, et al. Effect of rosuvastatin on carotid intima-media thickness in children with heterozygous familial hypercholesterolemia: the CHARON study (hypercholesterolemia in children and adolescents taking rosuvastatin open label). Circulation. 2017 Jul 25;136(4):359–366.
  • Luirink IK, Wiegman A, Kusters DM, et al. 20-year follow-up of statins in children with familial hypercholesterolemia. N Engl J Med. 2019 Oct 17;381(16):1547–1556.
  • Mach F, Baigent C, Catapano AL, et al. 2019 ESC/EAS guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk. Eur Heart J. 2020 Jan 1;41(1):111–188.
  • Cuchel M, Bruckert E, Ginsberg HN, et al. Homozygous familial hypercholesterolaemia: new insights and guidance for clinicians to improve detection and clinical management. A position paper from the consensus panel on familial hypercholesterolaemia of the European atherosclerosis society. Eur Heart J. 2014 Aug 21;35(32):2146–2157.
  • Jacobson TA, Ito MK, Maki KC, et al. National lipid association recommendations for patient-centered management of dyslipidemia: part 1--full report. J Clin Lipidol. 2015 Mar-Apr;9(2):129–169.
  • Grundy SM, Stone NJ, Bailey AL, et al. AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA guideline on the management of blood cholesterol: a report of the American college of cardiology/American Heart association task force on clinical practice guidelines. J Am Coll Cardiol. 2019;73(24):e285-e350.
  • Handelsman Y, Jellinger PS, Guerin CK, et al. Consensus statement by the American association of clinical endocrinologists and American college of endocrinology on the management of dyslipidemia and prevention of cardiovascular disease algorithm - 2020 executive summary. Endocr Pract. 2020 Oct;26(10):1196–1224.
  • Rallidis LS, Liberopoulos EN, Vlachopoulos C, et al. Very high-risk familial hypercholesterolaemia patients in real life: the remaining gap in achieving the current LDL-C targets despite the use of PCSK9 inhibitors. Atherosclerosis. 2020 Sep;309:67–69.
  • Wong ND, Young D, Zhao Y, et al. Prevalence of the American college of cardiology/American heart association statin eligibility groups, statin use, and low-density lipoprotein cholesterol control in US adults using the National Health and nutrition examination survey 2011-2012. J Clin Lipidol. 2016 Sep-Oct;10(5):1109–1118.
  • Rached F, Santos RD. Beyond statins and PCSK9 inhibitors: updates in management of familial and refractory hypercholesterolemias. Curr Cardiol Rep. 2021 Jun 3;23(7):83.
  • Ray KK, Landmesser U, Leiter LA, et al. Inclisiran in patients at high cardiovascular risk with elevated LDL cholesterol. N Engl J Med. 2017 Apr 13;376(15):1430–1440.
  • Raal FJ, Kallend D, Ray KK, et al. Inclisiran for the treatment of heterozygous familial hypercholesterolemia. N Engl J Med. 2020 Apr 16;382(16):1520–1530.
  • Ray KK, Wright RS, Kallend D, et al. Two phase 3 trials of inclisiran in patients with elevated LDL cholesterol. N Engl J Med. 2020 Apr 16;382(16):1507–1519.
  • Hovingh GK, Lepor NE, Kallend D, et al. Inclisiran durably lowers low-density lipoprotein cholesterol and proprotein convertase subtilisin/kexin type 9 expression in homozygous familial hypercholesterolemia: the ORION-2 pilot study. Circulation. 2020 Jun 2;141(22):1829–1831.
  • Santos RD, Stein EA, Hovingh GK, et al. Long-term evolocumab in patients with familial hypercholesterolemia. J Am Coll Cardiol. 2020 Feb 18;75(6):565–574.
  • Morelli MB, Chavez C, Santulli G. Angiopoietin-like proteins as therapeutic targets for cardiovascular disease: focus on lipid disorders. Expert Opin Ther Targets. 2020 Jan;24(1):79–88.
  • Ruscica M, Zimetti F, Adorni MP, et al. Pharmacological aspects of ANGPTL3 and ANGPTL4 inhibitors: new therapeutic approaches for the treatment of atherogenic dyslipidemia. Pharmacol Res. 2020 Mar;153:104653.
  • Ling P, Zheng X, Luo S, et al. Targeting angiopoietin-like 3 in atherosclerosis: from bench to bedside. Diabetes Obes Metab. 2021 May 28. DOI:10.1111/dom.14450. .
  • Warden BA, Duell PB. Evinacumab: anti-ANGPTL3 (angiopoietin-like protein 3) monoclonal antibody Treatment of homozygous familial hypercholesterolemia Treatment of dyslipidemia and cardiovascular disease. Drugs Future. 2020;45(9):619–631.
  • Stitziel NO, Khera AV, Wang X, et al. ANGPTL3 deficiency and protection against coronary artery disease. J Am Coll Cardiol. 2017 Apr 25;69(16):2054–2063.
  • Minicocci I, Montali A, Robciuc MR, et al. Mutations in the ANGPTL3 gene and familial combined hypolipidemia: a clinical and biochemical characterization. J Clin Endocrinol Metab. 2012 Jul;97(7):E1266–75.
  • Dewey FE, Gusarova V, Dunbar RL, et al. Genetic and Pharmacologic Inactivation of ANGPTL3 and cardiovascular disease. N Engl J Med. 2017 Jul 20;377(3):211–221.
  • Ando Y, Shimizugawa T, Takeshita S, et al. A decreased expression of angiopoietin-like 3 is protective against atherosclerosis in apoE-deficient mice. J Lipid Res. 2003 Jun;44(6):1216–1223.
  • Graham MJ, Lee RG, Brandt TA, et al. Cardiovascular and metabolic effects of ANGPTL3 antisense oligonucleotides. N Engl J Med. 2017 Jul 20;377(3):222–232.
  • U.S.food and drug administration center for drug evaluation and research – summary review. Evkeeza (evinacumab-dgnb). cited 2021 May 5. Available from: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2021/761181Orig1s000SumR.pdf
  • Takiguchi S, Ayaori M, Yakushiji E, et al. Hepatic overexpression of endothelial lipase lowers high-density lipoprotein but maintains reverse cholesterol transport in mice: role of scavenger receptor class B Type I/ATP-binding cassette transporter A1-dependent pathways. Arterioscler Thromb Vasc Biol. 2018 Jul;38(7):1454–1467.
  • Gusarova V, Alexa CA, Wang Y, et al. ANGPTL3 blockade with a human monoclonal antibody reduces plasma lipids in dyslipidemic mice and monkeys. J Lipid Res. 2015 Jul;56(7):1308–1317.
  • Wang Y, Gusarova V, Banfi S, et al. Inactivation of ANGPTL3 reduces hepatic VLDL-triglyceride secretion. J Lipid Res. 2015 Jul;56(7):1296–1307.
  • Pouwer MG, Pieterman EJ, Worms N, et al. Alirocumab, evinacumab, and atorvastatin triple therapy regresses plaque lesions and improves lesion composition in mice. J Lipid Res. 2020 Mar;61(3):365–375.
  • Prescribing information. Evkeeza (evinacumab). Tarrytown,Ny: Regeneron Pharmaceuticals, LLC; 2021.
  • Prescribing Information. Praluent (alirocumab). Bridgewater, NJ: Sanofi-Aventis U.S., LLC; 2019.
  • Ahmad Z, Banerjee P, Hamon S, et al. Inhibition of angiopoietin-like protein 3 with a monoclonal antibody reduces triglycerides in hypertriglyceridemia. Circulation. 2019 Aug 6;140(6):470–486.
  • Gaudet D, Gipe DA, Pordy R, et al. ANGPTL3 inhibition in homozygous familial hypercholesterolemia. N Engl J Med. 2017 Jul 20;377(3):296–297.
  • Raal FJ, Rosenson RS, Reeskamp LF, et al. Evinacumab for homozygous familial hypercholesterolemia. N Engl J Med. 2020 Aug 20;383(8):711–720.
  • Reeskamp LF, Nurmohamed NS, Bom MJ, et al. Marked plaque regression in homozygous familial hypercholesterolemia. Atherosclerosis. 2021 Jun;327:13–17.
  • Rosenson RS, Burgess LJ, Ebenbichler CF, et al. Evinacumab in patients with refractory hypercholesterolemia. N Engl J Med. 2020 Dec 10;383(24):2307–2319.
  • ClinicalTrials.gov [internet]. Bethesda (MD): National Library of Medicine (US). cited 2020 Apr 30. Available from https://clinicaltrials.gov/ct2/results?cond=evinacumab&term=&cntry=&state=&city=&dist=
  • U.S.food and drug administration center for drug evaluation and research – risk assessment and risk mitigation review(s). Evkeeza (evinacumab-dgnb). [ cited 2021 May 5]. Available from: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2021/761181Orig1s000RiskR.pdf
  • Evinacumab-dgnb (Evkeeza; Regeneron Pharmaceuticals, Inc.) is the first FDA-approved treatment that binds to and blocks the function of angiopoietin-like 3 (ANGPTL3), a protein that plays a key role in lipid metabolism. Pharmacy Times. [cited 2021 May 12]. Available from: https://www.pharmacytimes.com/view/fda-approves-first-in-class-therapy-for-ultra-rare-form-of-high-cholesterol
  • Nicholls SJ, Puri R, Anderson T, et al. Effect of evolocumab on progression of coronary disease in statin-treated patients: the GLAGOV randomized clinical trial. Jama. 2016 Dec 13;316(22):2373–2384.
  • Baigent C, Keech A, Kearney PM, et al. Efficacy and safety of cholesterol-lowering treatment: prospective meta-analysis of data from 90,056 participants in 14 randomised trials of statins. Lancet. 2005 Oct 8;366(9493):1267–1278.
  • Warden BA, Duell PB. Volanesorsen for treatment of patients with familial chylomicronemia syndrome. Drugs Today (Barc). 2018 Dec;54(12):721–735.
  • Rosenson RS. A phase 2 trial of the efficacy and safety of evinacumab in patients with severe hypertriglyceridemia. Abstract 406-19, ACC 2021 Scientific Session, 15-17 May.
  • National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (adult treatment panel III) final report. Circulation. 2002 Dec 17;106(25):3143–3421.
  • Voight BF, Peloso GM, Orho-Melander M, et al. Plasma HDL cholesterol and risk of myocardial infarction: a mendelian randomisation study. Lancet. 2012 Aug 11;380(9841):572–580.
  • Holmes MV, Asselbergs FW, Palmer TM, et al. Mendelian randomization of blood lipids for coronary heart disease. Eur Heart J. 2015 Mar 1;36(9):539–550.

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.