There is limited efficacy and safety data of bempedoic acid or its fixed dose combination (FDC) with ezetimibe in Asian and Latin American patients. This non-interventional study (NIS) will be conducted to characterize the risks and benefits of bempedoic acid or FDC with ezetimibe in a real-world clinical setting in adult patients with primary hypercholesterolaemia (heterozygous familial and non-familial) or mixed dyslipidaemia.
The primary objective of this study is to describe patient characteristics and evaluate adverse drug reactions (ADRs) that occurred since initiation of bempedoic acid/FDC with ezetimibe and adverse events (AEs) collected after signed informed consent and initiation of bempedoic acid/FDC with ezetimibe in a regular clinical care setting in patients with primary hypercholesterolaemia (heterozygous familial and non-familial) or mixed dyslipidaemia during 1-year follow-up. The secondary objectives are defined as the assessment of the cardiovascular risk, rate, level of LDL-C goal attainment, changes over time in LDL-C levels, inflammatory markers, and uric acid levels from prior to treatment with bempedoic acid/FDC, and adverse events (AEs)/adverse drug reactions (ADRs).
Study Type
OBSERVATIONAL
Enrollment
2,560
No drug was administered in this observational study.
Incidence of adverse events
Adverse events (AEs) will be collected after signed informed consent and initiation of bempedoic acid/FDC with ezetimibe.
Time frame: From pre-bempedoic acid/pre-FDC initiation to 1 year after initiation of therapy
Cardiovascular (CV) risk of patients treated with bempedoic acid/FDC with ezetimibe using 2019 ESC/EAS guidelines risk classification
Cardiovascular (CV) risk of patients treated with bempedoic acid/FDC with ezetimibe will be assessed using 2019 ESC/EAS guidelines risk classification.
Time frame: From pre-bempedoic acid/pre-FDC initiation to 1 year after initiation of therapy
Proportion of patients with level of LDL-C goal attainment
The proportion of patients with level of LDL-C goal attainment at any subsequent data collection time point will be assessed.
Time frame: From pre-bempedoic acid/pre-FDC initiation to 1 year after initiation of therapy
Change from baseline in LDL-C levels
Changes over time in LDL-C levels from prior to treatment with bempedoic acid/FDC to any subsequent data collection points will be assessed.
Time frame: From pre-bempedoic acid/pre-FDC initiation to 1 year after initiation of therapy
Change from baseline in plasma levels of other potentially ASCVD-modifying cholesterol fragments
Changes over time in plasma levels of other potentially atherosclerotic cardiovascular disease (ASCVD)-modifying cholesterol fragments, namely, TC, apoB, HDL-C, non-HDL-C, TGs and Lp(a) from prior to treatment with bempedoic acid/FDC with ezetimibe to any subsequent data collection point will be assessed.
Time frame: From pre-bempedoic acid/pre-FDC initiation to 1 year after initiation of therapy
Change from baseline in the levels of inflammatory marker hsCRP
Changes over time in the levels of inflammatory marker Hs C-reactive Protein (hsCRP) from prior to treatment with bempedoic acid/FDC with ezetimibe to any subsequent data collection point will be assessed.
Time frame: From pre-bempedoic acid/pre-FDC initiation to 1 year after initiation of therapy
Change from baseline in uric acid levels
Changes over time in uric acid levels from prior to treatment with bempedoic acid/FDC with ezetimibe to any subsequent data collection point will be assessed.
Time frame: From pre-bempedoic acid/pre-FDC initiation to 1 year after initiation of therapy
Incidence of relevant cardiovascular events
The incidence of relevant CV events, including myocardial infarction (MI), unstable angina requiring hospitalization, CABG, PCI, stroke (ischemic and haemorrhagic), TIA , acute peripheral arterial occlusion, other arterial revascularization procedures, all-cause death, and CV-death will be assessed.
Time frame: From pre-bempedoic acid/pre-FDC initiation to 1 year after initiation of therapy
Adverse effects related to lipid-modifying treatments (LMTs) other than bempedoic acid/FDC with ezetimibe
Adverse effects related to lipid-modifying treatment (LMT) other than bempedoic acid/FDC with ezetimibe, including insufficient lipid lowering efficacy, laboratory abnormalities, muscle-associated symptoms, new onset and/or worsening of existing diabetes mellitus, reduced kidney function, drug-drug interaction assessed by the physician, and non-compliance assessed by the physician will be assessed.
Time frame: From pre-bempedoic acid/pre-FDC initiation to 1 year after initiation of therapy
Use of lipid modifying therapies prior or concomitantly to receiving bempedoic acid/FDC with ezetimibe
The use of LMTs prior or concomitantly to receiving bempedoic acid/FDC with ezetimibe (including combination treatments) will be assessed.
Time frame: From pre-bempedoic acid/pre-FDC initiation to 1 year after initiation of therapy
Treatment duration of bempedoic acid/FDC with ezetimibe
Bempedoic acid/FDC with ezetimibe treatment parameters such as treatment duration by therapy, dosage, prescription intervals, permanent discontinuations, switches and reasons for these will be assessed.
Time frame: From pre-bempedoic acid/pre-FDC initiation to 1 year after initiation of therapy
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