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WELL-TOLERATED SAFETY PROFILE

WELL-TOLERATED SAFETY PROFILE1

No warnings and precautions or clinically significant drug-drug interactions expected as per the prescribing information.1

 

In LEQVIO® phase 3 clinical trials over 18 months, most common adverse reactions in ≥3% of patients treated with LEQVIO and more frequently than placebo1

Adverse ReactionsLEQVIO (n=1833), %Placebo (n=1822), %

Injection-site reaction*

8

2

Arthralgia

5

4

Bronchitis

4

3

*Includes related terms such as injection site pain, erythema, and rash.

  • 2.5% of patients discontinued LEQVIO vs 1.9% with placebo1
  • Injection-site reactions were the most common causes for treatment discontinuation (0.2% of patients taking LEQVIO vs 0% taking placebo)1
  • The safety profile of LEQVIO was consistent across all subgroups, including elderly, hepatic, and renally impaired patient populations1†
  • The majority of adverse events were mild to moderate in severity1-3
LEQVIO was not studied in patients with end-stage renal disease or severe hepatic impairment.1

Consistent safety profile beyond 6 years4‡

In ORION-8, an open-label extension study in patients with ASCVD or at increased risk of CVD§ (N=3274):

  • Long-term safety data were consistent with phase 3 clinical trials1,4
  • No new safety signals4

Study Description: ORION-8, an open-label extension trial that included 3274 patients from ORION-9, ORION-10, ORION-11, and ORION-3, was designed to assess the long-term safety, efficacy, and tolerability of LEQVIO in patients with ASCVD or increased risk for CVD§ and elevated LDL-C, despite ongoing treatment with lipid-lowering therapy.4

Limitations: Study was not blinded nor controlled and includes inherent self-selection bias for continuing onto the extension trial. The open-label design and absence of a control group may present difficulties in the interpretation of results, allowing comparisons only to baseline values.

209 (6.4%) patients had exposure to LEQVIO for 6+ years, 213 (6.5%) patients had exposure to LEQVIO for 5+ years, 1553 (47.4%) patients had exposure for 4+ years, and 2095 (64%) patients had exposure for 3+ years.4,5 
§Factors that increase risk of CVD include HeFH, T2DM, or 10-year risk of ≥20%.6
 

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ASCVD, atherosclerotic cardiovascular disease; CVD, cardiovascular disease; HeFH, heterozygous familial hypercholesterolemia; LDL-C, low-density lipoprotein cholesterol; T2DM, type 2 diabetes mellitus.

References: 1. Leqvio. Prescribing information. Novartis Pharmaceuticals Corp. 2. Wright RS, Koenig W, Landmesser U, et al. Safety and tolerability of inclisiran for treatment of hypercholesterolemia in 7 clinical trials. J Am Coll Cardiol. 2023;82(24):2251–2261. doi:10.1016/j.jacc.2023.10.007 3. Data on file. Novartis Pharmaceuticals Corp; 2019. 4. Wright RS, Raal FJ, Koenig W, et al. Inclisiran administration potently and durably lowers LDL-C over an extended-term follow-up: the ORION-8 trial. Cardiovasc Res. 2024;120(12):1400-1410. doi:10.1093/cvr/cvae109 5. Data on file. ORION-8 (CKJX839A12306B) Cumulative LEQVIO exposure. Novartis Pharmaceuticals Corp; 2023. 6. Ray KK, Wright RS, Kallend D, et al; ORION-10 and ORION-11 Investigators. Two phase 3 trials of inclisiran in patients with elevated LDL cholesterol. N Engl J Med. 2020;382(16):1507-1519. doi:10.1056/NEJMoa1912387