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Multiple Choice

In addition to lowering LDL-C, alirocumab is associated with which modest lipid change?

Alirocumab’s primary action is to lower LDL-C by increasing hepatic LDL receptor recycling, which clears more LDL from the blood. Beyond this strong LDL-C effect, trials consistently show only a small rise in HDL-C with PCSK9 inhibitors like alirocumab. The increase in HDL-C is modest, not dramatic, and triglyceride levels don’t swing by large amounts. So the most accurate statement is that alirocumab is associated with a modest increase in HDL-C.

Alirocumab’s primary action is to lower LDL-C by increasing hepatic LDL receptor recycling, which clears more LDL from the blood. Beyond this strong LDL-C effect, trials consistently show only a small rise in HDL-C with PCSK9 inhibitors like alirocumab. The increase in HDL-C is modest, not dramatic, and triglyceride levels don’t swing by large amounts. So the most accurate statement is that alirocumab is associated with a modest increase in HDL-C.