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Prescribing Information and Adverse Event Reporting (links to external website):

Lipid management

Lipid-lowering therapy forms a cornerstone of CV risk management1

High LDL-C is one of the key modifiable CVD risk factors.2–4

Aim for the lowest LDL-C possible as early as possible to reduce CV risk in your patients with high and very-high CV risk.5

Concomitant use of NILEMDO®/NUSTENDI® with simvastatin >40 mg daily is contraindicated; please refer to the relevant SmPC for more information.6,7

Statin therapy alone can be insufficient to lower LDL-C levels to target10

When the dose of a statin is doubled, there is a 4–6% increase in LDL-C lowering efficacy.11,*

70% of patients on LLT monotherapy in the SANTORINI study did not achieve their LDL-C target, leaving them at risk of CVD13,†


Prospective, observational, non-interventional study of patients with high and very high ASCVD risk across Europe (Europe N=9,602; UK n=673). Patients eligible for enrolment were ≥18 years of age with high or very high risk of ASCVD, for whom LLT would likely be beneficial and had an anticipated life expectancy of more than one year. 20.2% of enrolled patients in the UK did not receive any LLT; 75.6% of patients received monotherapy; and 4.0% of patients received combination LLT.13

References

  1. Samarasekera EJ, et al. BMJ. 2023;381:p1028.
  2. British Heart Foundation. UK Factsheet. 2024. Available at: https://www.bhf.org.uk/-/media/files/for-professionals/research/heart-statistics/bhf-cvd-statistics-uk-factsheet.pdf Accessed: February 2025.
  3. Fox KM, et al. Clin Res Cardiol. 2018;107(5):380–388.
  4. Duncan MS, et al. J Am Heart Assoc. 2019;8(11):e011433.
  5. Averna M, et al. Atherosclerosis. 2021;325:99–109.
  6. NILEMDO® Summary of Product Characteristics.
  7. NUSTENDI® Summary of Product Characteristics.
  8. Ference BA, et al. Eur Heart J. 2018;39:2540–2545.
  9. Pfizer. Pfizer Discontinues Global Development of Bococizumab, Its Investigational PCSK9 Inhibitor 1 November 2016. Available at: https://www.pfizer.com/news/press-release/press-release-detail/pfizer_discontinues_global_development_of_bococizumab_its_investigational_pcsk9_inhibitor Accessed: February 2025.
  10. Krähenbühl S, et al. Drugs. 2016;76(12):1175–1190.
  11. Nicholls SJ, et al. Am J Cardiol. 2010;105(1):69–76. 
  12. NHS England. Summary of national guidance for lipid management. April 2024. Available at: https://www.england.nhs.uk/aac/publication/summary-of-national-guidance-for-lipid-management/ Accessed: February 2025.
  13. Ray KK, et al. Lancet Reg Health Eur. 2023;29:100624.

Abbreviations


AAC, Accelerated Access Collaborative; ASCVD, atherosclerotic cardiovascular disease; BP, blood pressure; CV, cardiovascular; CVD, cardiovascular disease; LDL-C, low-density lipoprotein cholesterol; LLT, lipid-lowering therapy. NHS, National Health Service; PCSK9; proprotein convertase subtilisin/kexin type 9; SmPC, Summary of Product Characteristics; UK, United Kingdom.

Job code: UK/BIL/11/24/0006|Date of preparation: February 2025

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