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Pharma bets a little-known form of cholesterol will underpin its next blockbuster heart drugs

Novartis, Amgen and Eli Lilly are betting that slashing levels of a particularly bad form of cholesterol could deliver the next blockbusters in cardiology.

Pharma bets a little-known form of cholesterol will underpin its next blockbuster heart drugs

TL;DR

  • Major drugmakers like Novartis, Amgen, and Eli Lilly are developing drugs to lower Lp(a), a cholesterol type linked to increased heart attack risk.
  • Lp(a) is genetically determined and unlike LDL cholesterol, is not significantly influenced by lifestyle factors, leaving few treatment options.
  • Experimental drugs from these companies have shown the ability to reduce Lp(a) levels by over 80% in earlier trials.
  • Late-stage clinical trials are ongoing to determine if reducing Lp(a) levels will prevent heart attacks and strokes.
  • Results from Novartis' Phase 3 trial are anticipated later this year, with Amgen and Lilly expecting data in subsequent years.
  • Few doctors currently test for Lp(a) levels, though major cardiology organizations now recommend at least one lifetime screening for all adults.
  • The potential market for successful Lp(a)-lowering drugs is estimated to be substantial, with some projections reaching billions in annual sales.