FDA Broadens Use of Amgen’s Repatha
FDA has expanded the approved use of Amgen’s cholesterol-lowering drug Repatha (evolocumab) to include adults at increased risk of major adverse cardiovascular events due to uncontrolled low-density lipoprotein cholesterol (LDL-C), even if they have not been diagnosed with cardiovascular disease. The change removes a key limitation on the drug’s use, potentially opening treatment to millions of patients struggling to manage “bad cholesterol” with statins or unable to tolerate them, the company says.
“Far too many adults at risk of cardiovascular disease are not achieving their LDL-C goals, despite it being one of the most modifiable risk factors for a heart attack or stroke,” Amgen says. said “This label update highlights the real-world need for additional treatment options for at-risk patients.”
Alongside the broader cardiovascular risk indication, FDA’s action also expanded Repatha’s use as monotherapy for patients with homozygous familial hypercholesterolemia, a rare genetic disorder that causes extremely high cholesterol levels. The company reiterates that Repatha should be used in combination with diet and exercise.
Repatha is described by the company as a PCSK9 inhibitor designed to reduce LDL-C by preventing degradation of LDL receptors in the liver.