Praluent Launch Brings Clinical Practice Challenges

Despite enthusiasm about PCSK9 class, the prescribing community will have to wrestle with patient-selection criteria, uncertainty about very low LDL levels and a lack of outcomes data for Sanofi and Regeneron’s alirocumab.

With FDA approval in hand for Praluent (alirocumab), Sanofi and Regeneron Pharmaceuticals Inc. now must address clinical practice issues surrounding the first PCSK9 inhibitor to reach the U.S. market.

Among these are patient-selection issues for use of a new class of injectable hypercholesterolemia treatments that lack data on cardiovascular...

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