How effective is lipid-lowering in patients with lower LDL?

Percentage reductions can be even greater at low LDL for some drugs, authors report
Reuters Health Staff writer

Patients with lower baseline levels of low-density lipoprotein cholesterol (LDL-C) have a greater percentage reduction of the lipoprotein with statins or PCSK9 inhibition than do those with higher baseline levels, a study shows.

US researchers examined data from 2000 patients in the A to Z-TIMI 21 trial, 10,000 patients in the IMPROVE-IT trial and 25,000 in the FOURIER trial, with all participants having existing CVD.

For patients on evolocumab, baseline LDL-C was reduced by 59% in patients with a level of 3.36mmol/L and by 66% in those with a level of 1.81mmol/L.

Patients on simvastatin had 45% and 48% reductions in LDL, for the two baseline levels, respectively.