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Table 2 Follow-up lipid profile, lipid lowering therapies and MACE in HoFH cohorts

From: Long-term efficacy of lipoprotein apheresis and lomitapide in the treatment of homozygous familial hypercholesterolemia (HoFH): a cross-national retrospective survey

 

Lomitapide cohort (N = 30)

LA cohort

(N = 29)

p

Duration of follow-up (years)

2.2 (1.0–3.7)

16.5 (9.0–25.5)

 < 0.001

Risk factors, n (%)

 Smoking

2 (6.7)

7 (24.1)

0.006

 T2DM

1 (3.3)

0

NS

 HTN

11 (36.7)

7 (24.1)

NS

Plasma lipids (mg/dl)

 On-treatment LDL-C

111.4 (83.7–177.8)

247.2 (217.9–340.8)

 < 0.001

 On-treatment LDL-C burden (mg/dL-year)

293.0 (153.0–454.8)

3849.3 (2238.3–7045.5)

 < 0.001

 Last visit TC

169.0 (126.2 – 276.7)

390.5 (321.9 – 500.0)

 < 0.001

 Last visit HDL-C

47.5 (38.7 – 60.0)

30.6 (19.7 – 40.8)

0.001

 Last visit LDL-C

114.0 (64.7 – 202.95)

340.5 (280.5 – 418.8)

 < 0.001

 Last visit TG

58.0 (35.0 – 81.0)

92.7 (65.7 – 152.9)

0.001

LLT at last visit, n (%)

 LA

0

29 (100)

 < 0.001

 PCKS9i

5 (16.7)

1 (3.4)

NS

 Statin

29 (96.7)

27 (93.1)

NS

 Ezetimibe

28 (93.3)

27 (93.1)

NS

 Fibrate

0

0

-

 Porto-caval shunt

0

1 (3.4)

NS

 Resins

0

0

-

Incident MACE

 Cumulative number of MACE

7

42

-

 Individual MACE event, n (%)

4 (13.3)

16 (55.2)

0.001

CHD

3 (10.0)

11 (37.9)

0.012

Stroke

0

2 (6.9)

NS

PAD

0

14 (48.3)

0.001

Carotid revascularization

1 (3.3)

2 (6.9)

NS

Aortic Valve replacement

1 (3.3)

6 (22.2)

0.048

Death for cardiovascular disease

1 (3.3)

4 (14.3)

NS

Death for other reason

0

1 (3.6)

NS

Number of MACE per patient, n (%)

   

0.003

 0

26 (86.7)

13 (44.8)

 1

3 (6.7)

6 (20.7)

 ≥ 2

2 (6.7)

10 (34.5)

IR per 1000 person/years

77.6

86.9

-

  1. Data are represented as median (interquartile range), mean (standard deviation) or number (percentage) as appropriate. For estimation of incident MACE and Incident Rate of incident MACE (× 1000 person-years) please refer to Methods. Duration of follow-up has been calculated as the difference between the date of the last and the baseline visit with LA or lomitapide. On-treatment LDL-C burden was calculated as: \(({LDL-C}_{follow-up}*{Years}_{follow-up})\)
  2. T2DM, type 2 diabetes; HTN, hypertension; LDL-C, low density lipoprotein cholesterol; TC, total cholesterol; HDL-C, high density lipoprotein cholesterol; TG, triglycerides; LLT, Lipid Lowering Therapy; LA, Lipoprotein apheresis; PCKS9i, Proprotein convertase subtilisin/kexin type 9 inhibitors; MACE, Major Atherosclerotic Cardiovascular Events; CHD, coronary heart disease; PAD, peripheral artery disease; IR, incident rate; NS, not significant