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Inclisiran : Indications and use

This table provides a comprehensive summary of the recommendations, indications, and clinical evidence regarding the use of Inclisiran (Leqvio, Novartis) for the treatment of primary hypercholesterolaemia and mixed dyslipidaemia in adults. Inclisiran, a novel cholesterol-lowering therapy, has been under evaluation for its efficacy and safety in specific populations, especially those with a history of cardiovascular events. The table delineates the specific conditions under which Inclisiran is recommended, its mechanism of action, and the current clinical evidence supporting its use.

TopicInformation/Recommendation
Recommendation of useInclisiran Use: For treating primary hypercholesterolaemia (heterozygous familial and non-familial) or mixed dyslipidaemia in adults.
Criteria: - History of cardiovascular events: acute coronary syndrome, coronary or other arterial revascularisation procedures, coronary heart disease, ischaemic stroke, peripheral arterial disease.
- LDL-C concentrations persistently 2.6 mmol/l or more, despite max tolerated lipid-lowering therapy.
- The company provides inclisiran under a commercial arrangement.
Recommendation Inclisiran Use: Only in research for treating primary hypercholesterolaemia or mixed dyslipidaemia in adults without a history of cardiovascular events. The research is in the form of a clinical trial currently in development.
Recommendation Existing treatments started in the NHS before this guidance are unaffected. Treatments outside these recommendations may continue without...

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