Closing
Do PCSK9 inhibitors improve costs & health-care use versus placebo?
Mostly studied in coronary & atherosclerotic disease.
Not modeled yetTrial evidence exists, but no mechanistic model yetWithout a model there is no decisive experiment to propose. Help build it. →
Where the evidence stands
A coin flip. So far, one result, not yet repeated.
NoUnsureYes
- Belief
- 0.50 (range 0.25–0.70)
- Trials for
- 1
- Trials against
- 0
- Inconclusive
- 0
Already under way
- Lipoprotein(a) Levels in Patients With Atherosclerotic Cardiovascular Diseases in RussiaNCT06858332 · recruiting · started 2025
- Further Lipid-Lowering With PCSK9 Inhibitors for Cardiovascular Outcomes in High-Risk Coronary Plaques Assessed by CT AngiographyNCT06863545 · recruiting · started 2025
- A Randomized, Double-blind, Placebo-controlled Study to Evaluate Efficacy and Safety of Early in Hospital Initiation of Inclisiran Treatment in Patients With…NCT07102628 · recruiting · started 2025
- Continuity of Care Between Primary Care Cardiology and Specialty Services for Patients With Chronic Ischemic Heart DiseaseNCT06421363 · not yet recruiting · started 2024
The evidence so far
- Registered trials
- 6
- With posted results
- 1
- Published papers
- 0
Of 2 decided analyses: 2 favor pcsk9 inhibitors, 0 find no difference, 0 favor the comparator.
Trials
- A Randomized, Multicenter, Open-label Trial Comparing the Effectiveness of an "Inclisiran First" Implementation Strategy to Usual Care on LDL Cholesterol (LDL-C) in Patients With Atherosclerotic Cardiovascular Disease and Elevated LDL-C (≥70 mg/dL) Despite Receiving Maximally Tolerated Statin Therapy (VICTORION-INITIATE)NCT04929249 · 2 posted results
- Further Lipid-Lowering With PCSK9 Inhibitors for Cardiovascular Outcomes in High-Risk Coronary Plaques Assessed by CT AngiographyNCT06863545
- A Randomized, Double-blind, Placebo-controlled Study to Evaluate Efficacy and Safety of Early in Hospital Initiation of Inclisiran Treatment in Patients With Acute Coronary Syndromes: Victorion - RIDESNCT07102628
- Continuity of Care Between Primary Care Cardiology and Specialty Services for Patients With Chronic Ischemic Heart DiseaseNCT06421363
- In-hospital Initiation of PCSK9 Inhibitor and Short-term Lipid Profile Alteration, as Well as In-hospital Mortality and Readmission Rate in Patients With Acute Myocardial InfarctionNCT05184530
- Lipoprotein(a) Levels in Patients With Atherosclerotic Cardiovascular Diseases in RussiaNCT06858332