Evidence map›Paper›PMID 42591249›Full record

ArticleFrontiers in pharmacology2026

Evaluation and AI-powered prediction of the efficacy of alirocumab use among patients with cardiovascular disease.

Hadeer Ehab Barakat, Ayman Selim Abougalambou, Walid Maher, Samar M Nour, Islam Tharwat Abdelhalim, Ammena Y Binsaleh, Dina Mohamed I Belal, Salwa Selim Abougalambou

Abstract read
In one paragraph

Article in Frontiers in pharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Hadeer Ehab BarakatDepartment of Clinical Pharmacy Practice, The British University in Egypt, Cairo, Egypt.
Ayman Selim AbougalambouRoyal Commission Health Services Program (RCH) in Aljubail Industrial City, Aljubail, Saudi Arabia.
Walid MaherRoyal Commission Health Services Program (RCH) in Aljubail Industrial City, Aljubail, Saudi Arabia.
Samar M NourDepartment of Computer Engineering and Systems, Faculty of Engineering and Technology, Badr University in Cairo (BUC), Cairo, Egypt.
Islam Tharwat AbdelhalimSchool of Information Technology and Computer Science (ITCS), Nile University, Giza, Egypt.
Ammena Y BinsalehDepartment of Pharmacy Practice, College of Pharmacy, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia.
Dina Mohamed I BelalClinical Pharmacy Department, Faculty of Pharmacy (Girls), Al-Azhar University, Cairo, Egypt.
Salwa Selim AbougalambouDepartment of Clinical Pharmacy and Pharmacy Practice, Ahram Canadian University, Giza, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Elevated low-density lipoprotein cholesterol (LDL-C) is a major risk factor for atherosclerotic cardiovascular disease (ASCVD). Despite statins and ezetimibe, many high-risk patients fail to reach lipid targets. Alirocumab, a PCSK9 inhibitor, is an effective alternative, but real-world data are limited. Objectives: This study evaluated the real-world effectiveness of Alirocumab in improving lipid profiles among patients with established cardiovascular disease and assessed the impact of patient characteristics, comorbidities, and concurrent medications. Additionally, artificial intelligence (AI) models were explored to predict treatment outcomes. Methods: A retrospective observational study was conducted at the Royal Commission Health Services Program in Aljubail, Saudi-Arabia. Data from 206 adults receiving Alirocumab (75 mg every 2 weeks) from July 2021 to July 2023 were analyzed. Lipid profiles were assessed at baseline, 12 weeks, and 24 weeks. Logistic regression identified factors associated with lipid target achievement. Machine learning models including Logistic-Regression, K-Neighbors, XGBoost, Support Vector Machine (SVM), Gaussian Naive Bayes, Decision Tree, and Random Forest were used to predict outcomes, and an AI-based SVM tool was developed as an exploratory research prototype. Results: Alirocumab significantly reduced LDL-C, total cholesterol, and triglycerides while increasing HDL-C at 12 and 24 weeks (p < 0.001). Ezetimibe and metformin improved lipid outcomes, whereas aspirin and anticoagulants were associated with lower target achievement. AI model accuracies ranged from 0.50 to 0.63, with the SVM classifier performing best (accuracy 0.625, F1 score 0.61). Conclusion: Alirocumab is effective in lowering lipids in real-world cardiovascular patients. Certain medications may enhance outcomes. AI models provide moderate predictive ability, supporting potential personalized treatment strategies.

Indexed as

alirocumabartificial intelligencecardiovascular diseaseshyperlipidemiaslow-density lipoprotein cholesterolmachine learningPCSK9 inhibitors

Identifiers

PMID42591249
PMCPMC13461596

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.