including lipoprotein(a), and modest but significant increases in levels of HDL cholesterol and apolipoprotein A1, similar to those reported with evolocumab previously.3-6,16 More patients in the evolocumab group than in the placebo group were reported to have serious adverse events during treatment and to have adverse events leading to drug discontinuation. However, a review of the individual adverse events in these categories does not offer any clear indication of specific risks associated with evolocumab. The most common adverse events were nasopharyngitis, upper respiratory tract infection, influenza, and back pain, all of which occurred more frequently in the evolocumab group. There were
more reports of myalgia and elevated creatine kinase levels among patients receiving evolocumab. In conclusion, among patients at risk for a wide range of coronary diseases who were receiving guideline-recommended background lipidlowering therapy, the monoclonal PCSK9 antibody evolocumab reduced LDL cholesterol levels by 57%, as compared with placebo, at 52 weeks