Evolocumab FDA Approved for Stroke Prevention in Cardiovascular Disease

The FDA has approved evolocumab in adults with CVD for the prevention of heart attacks, strokes, and coronary revascularizations.

Amgen announced that the Food and Drug Administration (FDA) has approved Repatha (evolocumab) for the prevention of heart attacks, strokes, and coronary revascularizations in adults with established cardiovascular disease. 

Findings from the Phase 3 cardiovascular outcomes study (FOURIER; N=27,564) showed Repatha statistically significantly lowered the risk of heart attack by 27% (<.001), stroke by 21% (=.01), and coronary revascularization by 22% (<.001). No effect on cardiovascular mortality was seen. In addition, Repatha demonstrated a statistically significant 15% reduction (<.001) in the risk of the primary composite endpoint, which included hospitalization for unstable angina, coronary revascularization, heart attack, stroke, or cardiovascular death. 

Repatha, a proprotein convertase subtilisin kexin 9 (PCSK9) inhibitor, is already approved as an adjunct to diet and maximally tolerated statin therapy, in adults with heterozygous familial hypercholesterolemia (HeFH) or clinical atherosclerotic cardiovascular disease requiring additional lowering of LDL-C; and as an adjunct to diet and other LDL-lowering therapies, in patients with homozygous familial hypercholesterolemia (HoFH) requiring additional lowering of LDL-C. 

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Repatha is available as a 140mg/mL strength prefilled syringe or SureClick autoinjector for subcutaneous (SC) injection as well as a 420mg/3.5mL strength Repatha Pushtronex system, an on-body infusor with prefilled cartridge.


FDA approves amgen’s Repatha® (evolocumab) to prevent heart attack and stroke [press release]. Thousand Oaks, CA: Amgen. Published December 1, 2017, 2017. Accessed December 11, 2017.

This article originally appeared on MPR