The NHS Long Term Plan acknowledges cardiovascular disease
as a clinical priority2
of patients with cardiovascular disease in the UK have at least one comorbidity3,4
ASCVD, cardiovascular disease caused by the formation of atherosclerotic plaques, is the leading cause of morbidity and mortality worldwide.5
of very high-risk ASCVD patients are of very high-risk ASCVD patients areon statins alone*6
Sustained lowering of LDL-C can help prevent the development and progression of ASCVD and associated cardiovascular events.5,7
Greater utilisation of adjunctive therapies is needed to help patients reach guideline-recommended LDL-C goals.6
There is a marked geographic variation in the diagnosis and treatment of high-risk cardiovascular conditions, such as elevated cholesterol.8
With the number of people dying prematurely from cardiovascular disease on the rise for the first time in 50 years,3 there has never been a more important time to address the risk this population faces
ADDRESSING THE ASCVD BURDEN
Later this year, subject to a positive NICE appraisal, a proposed pioneering collaboration between Novartis and NHS England is set to use a population health approach to offer treatment to a large at-risk ASCVD patient population9
Population Health Management aims to address a wide range of real-world factors, like health inequalities, to improve health outcomes.10
The NHS Long Term Plan calls for a proactive population health approach to identify and treat patients with high-risk conditions to help prevent cardiovascular disease.11
A proposed collaboration between Novartis and NHS England aims to contribute towards meeting the NHS Long Term Plan goals9,11
IN primary care where cardiovascular disease is mainly managed12
through the PROPOSED population health APPROACH
could provide access to treatment for patients with cardiovascular disease and elevated cholesterol not reaching their LDL-C goals on statins alone.9,11,13
Inclisiran is indicated in adults with primary hypercholesterolaemia (heterozygous familial and non-familial) or mixed dyslipidaemia, as an adjunct to diet:
- in combination with a statin or statin with other lipid-lowering therapies in patients unable to reach LDL-C goals with the maximum tolerated dose of a statin, or
- alone or in combination with other lipid-lowering therapies in patients who are statin-intolerant, or for whom a statin is contraindicated.13
Learn more about the inclisiran clinical trial data
For further information please refer to the Summary of Product Characteristics by clicking here
Inclisiran is not yet available to prescribe in the UK.
* Data from an 18-country European-wide cross-sectional, observational study of patients prescribed lipid-lowering therapy for primary of secondary prevention in primary or secondary care across Europe, including the UK (N=5,888).6 Treatment goals for very high-risk patients: LDL-C <1.4 mmol/L (<55 mg/dL) and ≥50% LDL-C reduction from baseline.14 As untreated lipid levels were not available, the authors could not quantify to what extent the ≥50% LDL-C reduction from baseline was achieved.6 All patients with documented ASCVD, either clinical or unequivocal on imaging, are considered very high risk.14
ASCVD, atherosclerotic cardiovascular disease; EAS, European Atherosclerosis Society; ESC, European Society of Cardiology; LDL-C, low-density lipoprotein cholesterol; NHS, National Health Service; NICE, National Institute for Health and Care Excellence.
Gov.uk. Health Matters: Preventing cardiovascular disease. Available at: https://publichealthmatters.blog.gov.uk/2019/02/14/health-matters-preven... (Accessed: January 2021).
NHS. Cardiovascular disease (CVD). Available at: https://www.england.nhs.uk/ourwork/clinical-policy/cvd/ (Accessed: January 2021).
Heart UK. Prioritising the prevention of cardiovascular disease (CVD). Available at: https://www.heartuk.org.uk/downloads/health-professionals/heart-uk-cvd-p... (Accessed: January 2021).
Tran J et al. PLoS Med 2018;15(3):e1002513.
Ference BA et al. Eur Heart J 2017;38(32):2459–2472.
Ray KK et al. Eur J Prev Cardiol 2020 (DOI: 10.1093/eurjpc/zwaa047).
Ference BA et al. J Am Coll Cardiol 2018;72(10):1141–1156.
NHS. Optimising treatment of high-risk conditions. Available at: https://www.england.nhs.uk/ltphimenu/cvd/optimising-treatment-of-high-ri... (Accessed: January 2021).
Gov.uk. New heart disease drug to be made available for NHS patients. Available at: https://www.gov.uk/government/news/new-heart-disease-drug-to-be-made-ava... (Accessed: January 2021).
NHS. Population Health Management Flatpack. Available at: https://imperialcollegehealthpartners.com/wp-content/uploads/2018/07/Pop... (Accessed: January 2021).
NHS. The NHS Long Term Plan. Available at: https://www.longtermplan.nhs.uk/wp-content/uploads/2019/08/nhs-long-term... (Accessed: January 2021).
Hinton W et al. BMJ Open 2018;8(8):e020282.
Leqvio® Summary of Product Characteristics.
Mach F et al. Eur Heart J 2020;41(1):111–188.