Recaticimab in primary hypercholesterolaemia and mixed dyslipidaemia: a profile of its use
摘要
Recaticimab (艾心安), a humanised immunoglobulin G1 monoclonal antibody against proprotein convertase subtilisin/kexin type 9 (PCSK9), expands the treatment options available for adults with primary hypercholesterolaemia and mixed dyslipidaemia when used in combination with statins (with or without other lipid-lowering therapies), while also providing an important monotherapy option for patients. It is the only anti-PCSK9 monoclonal antibody approved for use as monotherapy in China. In the phase 3 REMAIN trials in adults with hypercholesterolaemia and mixed dyslipidaemia, subcutaneous recaticimab 150 mg once every 4 weeks and recaticimab 300 mg once every 8 weeks reduced plasma low-density lipoprotein cholesterol (LDL-C) compared with placebo, with benefits observed at week 12 to week 48 following treatment initiation. Based on pooled analysis, recaticimab was generally well tolerated, with mostly mild and transient injection site reactions being the most common adverse reaction.