Evidence map›Paper›PMID 39857168›Full record

ReviewHealthcare (Basel, Switzerland)2025

The Safety Profile of Inclisiran in Patients with Dyslipidemia: A Systematic Review and Meta-Analysis.

Maisha Maliha, Vikyath Satish, Sriram Sunil Kumar, Kuan Yu Chi, Nishat Shama, Amrin Kharawala, Gustavo Duarte, Weijia Li, Sutopu Purkayastha, Shaunak Mangeshkar and 3 more

Abstract readReview
In one paragraph

Review in Healthcare (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Maisha MalihaJacobi Medical Center/New York City Health and Hospitals Corporation, Department of Medicine, 1400 Pelham Pkwy S, Bronx, New York, NY 10461, USA.
Vikyath SatishJacobi Medical Center/New York City Health and Hospitals Corporation, Department of Medicine, 1400 Pelham Pkwy S, Bronx, New York, NY 10461, USA.ORCID 0000-0003-4954-2620
Sriram Sunil KumarJacobi Medical Center/New York City Health and Hospitals Corporation, Department of Medicine, 1400 Pelham Pkwy S, Bronx, New York, NY 10461, USA.
Kuan Yu ChiJacobi Medical Center/New York City Health and Hospitals Corporation, Department of Medicine, 1400 Pelham Pkwy S, Bronx, New York, NY 10461, USA.ORCID 0000-0003-0763-8157
Nishat ShamaHenry Ford Hospital, Department of Medicine, 2799 W Grand Blvd, Detroit, MI 48202, USA.
Amrin KharawalaJacobi Medical Center/New York City Health and Hospitals Corporation, Department of Medicine, 1400 Pelham Pkwy S, Bronx, New York, NY 10461, USA.
Gustavo DuarteCleveland Clinic Florida, Department of Cardiology, 3100 Weston Rd, Weston, FL 33331, USA.
Weijia LiAdvent Health, Department of Cardiology, 601 E Rollins St, Orlando, FL 32803, USA.
Sutopu PurkayasthaNorthwell Health, Department of Cardiology, 501 Seaview Avenue, Suite 200, Staten Island, NY 10305, USA.
Shaunak MangeshkarJacobi Medical Center/New York City Health and Hospitals Corporation, Department of Medicine, 1400 Pelham Pkwy S, Bronx, New York, NY 10461, USA.
Pawel BorkowskiJacobi Medical Center/New York City Health and Hospitals Corporation, Department of Medicine, 1400 Pelham Pkwy S, Bronx, New York, NY 10461, USA.ORCID 0000-0001-9233-6545
Eleonora GashiJacobi Medical Center/New York City Health and Hospitals Corporation, Department of Medicine, 1400 Pelham Pkwy S, Bronx, New York, NY 10461, USA.
Supreeti BehuriaNorthwell Health, Department of Cardiology, 501 Seaview Avenue, Suite 200, Staten Island, NY 10305, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInclisiran is a novel drug that employs ribonucleic acid (RNA) interference to lower the levels of the proprotein convertase subtilisin/kexin type 9 (PCSK9) protein. It has demonstrated a significant reduction in LDL cholesterol levels compared to a placebo. We aim to comprehensively evaluate the safety of using Inclisiran in patients with dyslipidemia and ASCVD or an ASCVD risk equivalent.

methodsFour electronic databases, namely, Pubmed/MEDLINE, Web of Science, Embase, and ClinicalTrials.gov, were searched from inception to June 2024 to identify relevant randomized controlled trials (RCTs) comparing safety profiles of Inclisiran and the control group. The outcomes investigated were all-cause mortality, major adverse cardiovascular events (MACEs), injection-site adverse events, new-onset or worsening type 2 diabetes mellitus (T2DM), and nasopharyngitis. The effect estimates of outcomes were assessed using the risk ratio (RR) with a 95% confidence interval (CI). Random-effects meta-analysis was conducted using the restricted maximum likelihood method. Subgroup analysis was performed based on different dosing regimens.

resultsThe study included 7 RCTs, enrolling 4790 patients (age 63.8 ± 9.7 years, 33.2% females) who received Inclisiran. Compared to the control group, Inclisiran use did not yield a significant effect on all-cause mortality (RR, 0.92; 95% CI, 0.54 to 1.54; I

conclusionsInclisiran use significantly increased injection-site reactions, with no increase in mortality, T2DM, or nasopharyngitis. It demonstrates a generally favorable safety profile, making it a promising option for lipid management in individuals at high cardiovascular risk, such as those with ASCVD or equivalent conditions. While it effectively improves dyslipidemia, decision-makers should be aware of an increased incidence of injection-site reactions, which, though typically mild, warrant consideration in clinical practice. Further trials are required to assess the safety of Inclisiran, particularly the association of the severity of injection-site adverse events over longer treatment durations.

Indexed as

inclisiranLDLlipidsafety

Identifiers

PMID39857168
PMCPMC11764983

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.