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 mattersThis 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.

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