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Therapeutic options for homozygous familial hypercholesterolemia: the role of Lomitapide
- Publication Year :
- 2020
-
Abstract
- Background:Lomitapide (Juxtapid® in US and Lojuxta® in Europe) is the first developed inhibitor of the Microsomal Triglyceride Transfer Protein (MTP) approved as a novel drug for the management of Homozygous Familial Hypercholesterolemia (HoFH). It acts by binding directly and selectively to MTP thus decreasing the assembly and secretion of the apo-B containing lipoproteins both in the liver and in the intestine.Aims:The present review aims at summarizing the recent knowledge on lomitapide in the management of HoFH.Results:The efficacy and safety of lomitapide have been evaluated in several trials and it has been shown a reduction of the plasma levels of Low-Density Lipoprotein Cholesterol (LDL-C) by an average of more than 50%. Although the most common side effects are gastrointestinal and liver events, lomitapide presents generally with a good tolerability and satisfactory patients compliance. Recently, in Europe, to evaluate the long-term safety and efficacy of lomitapide, the LOWER registry (ClinicalTrials.gov Identifier: NCT02135705) has been established in order to acquire informations on HoFH lomitapidetreated patients from “real life” clinical practice.:Furthermore, the observation that lomitapide decreases triglyceride levels may be considered for patients affected by severe forms of hypertriglyceridemia who undergo recurrent episodes of pancreatitis and are poor responders to conventional treatment.Conclusion:Lomitapide represents an innovative and efficacious drug for the treatment of HoFH. Longterm safety data, treatment of pediatric and pregnant HoFH patients and management of severe hypertriglyceridemia still require further investigations.
- Subjects :
- Drug
medicine.medical_specialty
media_common.quotation_subject
Familial hypercholesterolemia
030204 cardiovascular system & hematology
Biochemistry
Microsomal triglyceride transfer protein
Hyperlipoproteinemia Type II
03 medical and health sciences
chemistry.chemical_compound
0302 clinical medicine
Internal medicine
Drug Discovery
Medicine
Humans
030212 general & internal medicine
media_common
Pharmacology
biology
business.industry
Anticholesteremic Agents
Organic Chemistry
Hypertriglyceridemia
Plasma levels
medicine.disease
Lomitapide
Europe
Tolerability
chemistry
biology.protein
Molecular Medicine
Pancreatitis
Benzimidazoles
HoFH – Lomitapide – LOWER Registry – MTP inhibition – MTP SNPs
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....6c034abd5f7a5af3badf27d6a4aa08f9