Presentation is loading. Please wait.

Presentation is loading. Please wait.

Marina Cuchel, Dirk J. Blom, Maurizio R. Averna 

Similar presentations


Presentation on theme: "Marina Cuchel, Dirk J. Blom, Maurizio R. Averna "— Presentation transcript:

1 Clinical experience of lomitapide therapy in patients with homozygous familial hypercholesterolaemia 
Marina Cuchel, Dirk J. Blom, Maurizio R. Averna  Atherosclerosis Supplements  Volume 15, Issue 2, Pages (September 2014) DOI: /j.atherosclerosissup Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions

2 Fig. 1 Lomitapide inhibits the microsomal triglyceride transfer protein (MTP) activity in the liver and in the intestine. Atherosclerosis Supplements  , 33-45DOI: ( /j.atherosclerosissup ) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions

3 Fig. 2 Design of phase 3 study of lomitapide in patients with homozygous familial hypercholesterolaemia. Atherosclerosis Supplements  , 33-45DOI: ( /j.atherosclerosissup ) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions

4 Fig. 3 Low-density lipoprotein (LDL) cholesterol levels of patients at baseline. Atherosclerosis Supplements  , 33-45DOI: ( /j.atherosclerosissup ) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions

5 Fig. 4 Percentage reduction in concentration of low-density lipoprotein cholesterol (LDL-C), apolipoprotein B (apoB) and total cholesterol (TC) levels with lomitapide in addition to maximum lipid-lowering therapy (A); individual patient LDL-C responses by dose of lomitapide (B). A. Data are mean, 95%CI (n = 23). B. #Patient was a responder at later time points during the study. ‡Patients discontinued from the study. Numbers over the bars are baseline LDL-C in mmol/L. Atherosclerosis Supplements  , 33-45DOI: ( /j.atherosclerosissup ) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions

6 Fig. 5 Case study 1: Low-density lipoprotein cholesterol (LDL-C) level in a 44 year old woman with homozygous familial hypercholesterolaemia receiving lomitapide in phase 3 study. The dose of lomitapide was uptitrated to 60 mg during the efficacy phase of the study (Weeks 0–26). Atherosclerosis Supplements  , 33-45DOI: ( /j.atherosclerosissup ) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions

7 Fig. 6 Case study 2. Low-density lipoprotein cholesterol (LDL-C) and total cholesterol levels in a patient receiving lomitapide in phase 3 study. From lomitapide efficacy phase (A), through to extension phase (B). Atherosclerosis Supplements  , 33-45DOI: ( /j.atherosclerosissup ) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions

8 Fig. 7 Case study 3. Baseline levels of transaminases (ALT and AST) before treatment with lomitapide. The run-in period for this patient was longer than typical due to an AST/ALT flare associated with the first administration of lomitapide. The drug was stopped and successfully reintroduced 9 weeks later. Atherosclerosis Supplements  , 33-45DOI: ( /j.atherosclerosissup ) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions

9 Fig. 8 Case study #3: Concentrations of transaminases (ALT and AST) during efficacy phase (A), safety phase (B) and transaminitis flare (C). Atherosclerosis Supplements  , 33-45DOI: ( /j.atherosclerosissup ) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions

10 Fig. 9 Case study 3: Concentrations of transaminases (ALT and AST) during rechallenge with lomitapide. Atherosclerosis Supplements  , 33-45DOI: ( /j.atherosclerosissup ) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions

11 Fig. 10 Case study 4. Mean low-density lipoprotein (LDL) cholesterol levels in a patient receiving treatment with lomitapide, with or without LDL apheresis, in the phase 3 study. Atherosclerosis Supplements  , 33-45DOI: ( /j.atherosclerosissup ) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions


Download ppt "Marina Cuchel, Dirk J. Blom, Maurizio R. Averna "

Similar presentations


Ads by Google