Bad News/Good News For Cholesterol: Another Strike Against HDL, But Support For Stricter LDL Targets

A large genetic analysis published in the Lancet suggests that drugs that raise HDL may not reduce cardiovascular risk, creating more bad news for a field still reeling from the failure of Roche’s dalcetrapib. But another study calls for much wider use of LDL-lowering drugs, even in patients with low cardiovascular risk.

A pair of studies published in the Lancet May 17 could have broad ramifications for treatment of dyslipidemia. A major meta-analysis of cholesterol trials allays many concerns about use of statins for primary prevention and supports broader use of the popular LDL-lowering therapies. But a genetic study adds to the growing doubts about the value of drug therapy to increase HDL cholesterol.

LDL is a well-established biomarker for cardiovascular risk, backed by strong evidence from large outcomes studies

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