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. 2022 Feb 23;39(4):1857–1870. doi: 10.1007/s12325-021-02031-y
The principal aim of lipid-lowering therapy in Homozygous familial hypercholesterolaemia (HoFH) is to avert or delay the onset of atherosclerotic cardiovascular disease (ASCVD).
The effect of lomitapide on markers of subclinical atherosclerosis has not been studied in clinical trials
The present case series examines changes in carotid intima-media thickness (CIMT) in 14 patients receiving lomitapide in the normal course of care.
Lomitapide substantially reduced Low-density lipoprotein cholesterol (LDL-C) levels in the patients with HoFH and resulted in stabilisation and/or regression of CIMT
Lomitapide may have the potential to delay or avert ASCVD progression in patients with HoFH