High levels of LDL cholesterol (LDL-C) are a major risk factor for cardiovascular events. Caused by genetic mutations or lifestyle factors, hypercholesterolemia can significantly reduce quality of life and increase the risk of mortality from cardiovascular disease.[L12153] About 1 in 4 patients, or 15 million Americans with elevated LDL-C, are insufficiently managed with maximally tolerated statin therapy alone, requiring additional treatment for hypercholesterolemia.[L12180] Bempedoic acid is first-in-class adenosine triphosphate-citrate lyase (ACL) inhibitor used once a day for reducing LDL cholesterol levels in statin-refractory patients.[L12144,L12147] It was developed by Esperion Therapeutics Inc. and approved by the FDA on February 21, 2020. A combination product of bempedoic acid and [ezetimibe] was approved on February 26, 2020 for increased control of LDL cholesterol levels in patients experiencing refractory elevations despite previous statin treatment.[L12144,L12150]
Synonyms
Bempedoic acid
Brand Names
Nustendi
Nexlizet
Nilemdo
Nexletol
Indication
Bempedoic acid is indicated to reduce the risk of myocardial infarction and coronary revascularization in adults who are unable to take recommended statin therapy and have established cardiovascular disease or are at high risk of a cardiovascular event.[L50963] It is also indicated as an adjunct to diet, with or without other LDL-C lowering therapies, to reduce LDL-C in adults with primary hyperlipidemia, including heterozygous familial hypercholesterolemia (HeFH).[L50963] Bempedoic acid in combination with [ezetimibe] is also indicated for the same.[L50968]
Categories
Acids, Acyclic
Adenosine Triphosphate-Citrate Lyase Inhibitor
Adenosine Triphosphate-Citrate Lyase Inhibitors
Enzyme Inhibitors
Hypolipidemic Agents
Hypolipidemic Agents Indicated for Hyperlipidemia
Lipid Modifying Agents
Lipid Modifying Agents, Plain
Lipid Regulating Agents
Non-statin Hypolipidemic Agents Indicated for Hyperlipidemia
Drug Info/Drug Targets: DrugBank 3.0: a comprehensive resource for 'omics' research on drugs. Knox C, Law V, Jewison
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