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GIVE 'EM L: UNMET NEED Adherence Matters

Nonadherence could be getting in the way of your patients reaching and remaining at LDL-C target1-5

49% more cardiovascular events* in patients who failed to reach LDL-C target6†

The effect of LEQVIO on cardiovascular morbidity and mortality has not been determined.

*An event may include myocardial infarction, unstable angina, revascularization, stroke, and/or acute limb ischemia resulting from coronary, cerebrovascular, or peripheral artery disease.7

Based on study (N=38,110,734) data that evaluated the annual cardiovascular event rates in a subset of guideline-defined high-risk patients of the Family Heart Database, which comprises diagnostic, procedure, lab, and prescription data from claims in the US from 2012 to 2021.6

Many patients struggle to adhere to self-administered treatments

From an analysis of a large IQVIA open claims dataset of patients (N=72,001) between September 2020 to January 2023.9
§In a retrospective cohort study of pharmacy and health plan claims of patients who initiated PCSK9 mAbs (N=13,151) between January 1, 2016 and June 30, 2016, who were followed for a minimum of 6 months after their first prescription fill. Discontinuation was defined as the gap of 60 days or more between the last day of supply of one prescription and the start of the next prescription. Specific reasons for discontinuation were unknown; however, it could have been due to poor tolerability, noncompliance, unwillingness to perform injections, and insurance or cost issues. Gaps in therapy were derived from actual prescription fill data.8

In a survey of physicians (N=113), 86% reported they frequently discuss adherence issues as a barrier to LDL-C control with their patients10

Questionnaire conducted in 113 physician providers in the United States from December 2016 to July 2018 as part of GOULD, a multicenter observational registry.10

Patients may be nonadherent to statins and self-administered treatments for many reasons11,12:

  • Treatment side effects
  • Frequent dosing burden
  • Cost
  • Fear/avoidance of self-injections
  • Inconvenience
  • Lack of motivation/belief in efficacy
  • Polypharmacy challenges
  • Statin intolerance

Dive into real-world adherence

See the data for the 12-month real-world adherence study

LDL-C, low-density lipoprotein cholesterol; mAb, monoclonal antibody; PCSK9, proprotein convertase subtilisin/kexin type 9.
References: 1. Benner JS, Glynn RJ, Mogun H, et al. Long-term persistence in use of statin therapy in elderly patients. JAMA. 2002;288(4):455-461. 2. Mann DM, Woodward M, Muntner P, Falzon L, Kronish I. Predictors of nonadherence to statins: a systematic review and meta-analysis. Ann Pharmacother. 2010;44(9):1410-1421. doi:10.1007/s11883-012-0291-7 3. Third report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) Final Report. Circulation. 2002;106(25):3143-3421. 4. Maningat P, Gordon BR, Breslow JL. How do we improve patient compliance and adherence to long-term statin therapy? Curr Atheroscler Rep. 2013;15(1):291. 5. Mazhar F, Hjemdahl P, Clase CM, Johnell K, Jernberg T, Carrero JJ. Lipid-lowering treatment intensity, persistence, adherence and goal attainment in patients with coronary heart disease. Am Heart J. 2022;251:78-90. doi:10.1016/j.ahj.2022.05.021 6. White paper: Prioritizing LDL-Cholesterol Control. Family Heart Foundation. Published September 30, 2023. Accessed April 30, 2026. https://familyheart.org/prioritizing-ldl-cholesterol-control 7. Olvera Lopez E, Ballard BD, Jan A. Cardiovascular Disease. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. Updated August 22, 2023. Accessed March 10, 2026. https://www.ncbi.nlm.nih.gov/books/NBK535419/ 8. Hines DM, Rane P, Patel J, Harrison DF, Wade RL. Treatment patterns and patient characteristics among early initiators of PCSK9 inhibitors. Vasc Health Risk Manag. 2018;14:409-418. doi:10.2147/VHRM.S180496 9. Data on file. PCSK9 Discontinuation. Novartis Pharmaceuticals Corp; 2022. 10. Arnold SV, Cannon CP, de Lemos JA, et al. What do US physicians and patients think about lipid-lowering therapy and goals of treatment? Results from the GOULD registry. J Am Heart Assoc. 2021;10(16):e020893. doi:10.1161/JAHA.120.020893 11. lngersgaard MV, Helms Andersen T, Norgaard O, Grabowski D, Olesen K. Reasons for nonadherence to statins - a systematic review of reviews. Patient Prefer Adherence. 2020;14:675-691. doi:10.2147/PPA.S245365 12. Bradley CK, Shrader P, Sanchez RJ, Peterson ED, Navar AM. The patient journey with proprotein convertase subtilisin/kexin type 9 inhibitors in community practice. J Clin Lipidol. 2019;13(5):725-734. doi:10.1016/j.jacl.2019.06.008