Randomized Trialhigh evidence

Evolocumab to Reduce First Major Cardiovascular Events in Patients Without Known Significant Atherosclerosis and With Diabetes: Results From the VESALIUS-CV Trial.

JAMA·April 28, 2026·PMID 41903215

Why it matters

This is the first large trial to show that intensive LDL-C lowering with a PCSK9 inhibitor can prevent first cardiovascular events in high-risk diabetic patients without established atherosclerotic disease, expanding the potential role of evolocumab beyond secondary prevention.

Infographic summary of Evolocumab to Reduce First Major Cardiovascular Events in Patients Without Known Significant Atherosclerosis and With Diabetes: Results From the VESALIUS-CV Trial.
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