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STAT·3h ago·2 min read
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STAT+: Beyond statins, one drug lowered heart attack risk by 20%

A new study could help doctors figure out what medicine to prescribe for cholesterol when statins don't cut it: It's “answering a really challenging clinical question."

Nov 5, 2026·read at STAT ↗RegulatoryNeutral

STAT PlusHealth Beyond statins, one drug lowered heart attack risk by 20% Real-world evidence study gives Amgen’s Repatha the win Manage alerts for this article Save this story for later Share this article By Elizabeth CooneyNov. 5, 2026 Cardiovascular Disease Reporter Elizabeth Cooney[email protected]Liz covers cardiovascular and metabolic disease, asking why we’re not doing better or even losing ground against the world’s leading killer. Send tips on Signal at LizC.22.

When statins aren’t enough, other cholesterol-lowering drugs come into play. But which one is most effective? Cardiologists looking to help their patients reduce the amount of LDL, or “bad,” cholesterol threatening to clog their coronary arteries often consider two long-approved drugs, each acting through a different mechanism delivered by a different route.

A new trial based on real-world evidence pitted the injectable PCSK9 inhibitor evolocumab, sold by Amgen as Repatha, against the oral cholesterol absorption inhibitor ezetimibe, now generic but previously sold by Merck as Zetia. Advertisement Repatha was the winner. STAT+ Exclusive Story Already have an account?

Log in This article is exclusive to STAT+ subscribers Unlock this article — plus in-depth analysis, newsletters, premium events, and news alerts. Already have an account? Log in Monthly $39 Totals $468 per year $39/month Get Started Totals $468 per year Starter $30 for 3 months, then $399/year $30 for 3 months Get Started Then $399/year Annual $399 Save 15% $399/year Get Started Save 15% 11+ Users Custom Savings start at 25%!

Request A Quote Request A Quote Savings start at 25%! 2-10 Users $300 Annually per user $300/year Get Started $300 Annually per user View All Plans To read the rest of this story subscribe to STAT+. Subscribe Log In cardiovascular disease, chronic disease, Pharmaceuticals, research, STAT+ Submit a correction requestReprints Elizabeth Cooney Cardiovascular Disease Reporter Liz covers cardiovascular and metabolic disease, asking why we’re not doing better or even losing ground against the world’s leading killer.

Send tips on Signal at LizC.22. Newsletter Understand how science, health policy, and medicine shape the world every day Recommended Health Tech Newsletter November 5, 2026 STAT Plus: Medicare delays controversial RPM rule update Biotech November 5, 2026 STAT Plus: Revolution Medicines’ pancreatic cancer drug has stunning commercial debut Advertisement Adam's Biotech Scorecard November 5, 2026 STAT Plus: A closer look at ProMis Neurosciences and its Alzheimer’s drug Biotech November 5, 2026 STAT Plus: In China, a flood of controversial clinical trials slows to a trickle Politics November 4, 2026 STAT Plus: Pharma critic Bernie Sanders is set to hold major sway over FDA funding bill Subscriber Picks

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Reporting by STAT.

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companies & drugs in this story

companies
AMGEN2LEADING2ProMIS Neurosciences Inc.
drugs
evolocumab4ezetimibe
topics
Cardiology7Endocrinology & Metabolism2HyperlipidemiaOncologySmall Molecule

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