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Multiple Choice

What is the generic name of the ANGPTL3 inhibitor used for HoFH?

In HoFH, where LDL receptor function is severely impaired, therapies that lower LDL-C without relying on LDL receptor activity are especially valuable. The ANGPTL3 inhibitor used for HoFH is evinacumab. It is a monoclonal antibody that blocks ANGPTL3, lifting its inhibition of lipoprotein lipase and related pathways. This leads to enhanced breakdown of triglyceride-rich lipoproteins and reduced production of VLDL remnants, which in turn lowers LDL-C even when LDL receptors are not working well. The other drugs listed are not ANGPTL3 inhibitors: alirocumab is a PCSK9 inhibitor; lomitapide inhibits MTTP and reduces VLDL production; ezetimibe blocks intestinal cholesterol absorption.

In HoFH, where LDL receptor function is severely impaired, therapies that lower LDL-C without relying on LDL receptor activity are especially valuable. The ANGPTL3 inhibitor used for HoFH is evinacumab. It is a monoclonal antibody that blocks ANGPTL3, lifting its inhibition of lipoprotein lipase and related pathways. This leads to enhanced breakdown of triglyceride-rich lipoproteins and reduced production of VLDL remnants, which in turn lowers LDL-C even when LDL receptors are not working well. The other drugs listed are not ANGPTL3 inhibitors: alirocumab is a PCSK9 inhibitor; lomitapide inhibits MTTP and reduces VLDL production; ezetimibe blocks intestinal cholesterol absorption.