Established atherosclerotic cardiovascular disease

Active Ingredient: Evolocumab

Indication for Evolocumab

Population group: only adults (18 years old or older)
Therapeutic intent: Curative procedure

Evolocumab is indicated in adults with established atherosclerotic cardiovascular disease (myocardial infarction, stroke or peripheral arterial disease) to reduce cardiovascular risk by lowering LDL-C levels, as an adjunct to correction of other risk factors:

  • in combination with the maximum tolerated dose of a statin with or without other lipid-lowering therapies or,
  • alone or in combination with other lipid-lowering therapies in patients who are statin-intolerant, or for whom a statin is contraindicated.

For this indication, competent medicine agencies globally authorize below treatments:

140 mg once every 2 weeks or 420 mg once monthly

For:

Dosage regimens

Regimen A: Subcutaneous, 140 milligrams evolocumab, once every 2 weeks.

Regimen B: Subcutaneous, 420 milligrams evolocumab, once monthly.

Detailed description

The recommended dose of evolocumab is either 140 mg every two weeks or 420 mg once monthly; both doses are clinically equivalent.

Dosage considerations

Evolocumab is for subcutaneous injection into the abdomen, thigh or upper arm region. Injection sites should be rotated and injections should not be given into areas where the skin is tender, bruised, red, or hard.

Active ingredient

Evolocumab

Evolocumab binds selectively to PCSK9 and prevents circulating PCSK9 from binding to the low density lipoprotein receptor (LDLR) on the liver cell surface, thus preventing PCSK9-mediated LDLR degradation. Increasing liver LDLR levels results in associated reductions in serum LDL-cholesterol (LDL-C).

Read more about Evolocumab

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