冠心病降脂治疗新进展——贝派地酸

他汀类药物治疗最主要不良反应为肌肉疼痛，导致患者无法坚持服药，增加患者冠心病等心血管事件的发生率。贝派地酸特定作用于肝脏而不抑制肌肉胆固醇合成，因此避免了他汀的肌肉疼痛副作用。本文概述了贝派地酸的最新进展，汇总了贝派地酸的II期和III期临床试验研究结果，贝派地酸的副作用和其正在进行的相关临床试验，并介绍了贝派地酸的临床应用现状。

New development of lipid-lowering therapy of coronary heart disease: Bempedoic acid

Inability to tolerate statins because of muscle symptoms contributes to uncontrolled cholesterol levels and insufficient cardiovascular risk reduction. Bempedoic acid, an enzyme with high expression in the liver but that is undetectable in the skeletal muscle. Lack of the activating enzyme in skeletal muscle may prevent the muscular adverse effects associated with statins. In this review, we summarize the latest advances in bempedoic acid, and review the phase 2 and phase 3 clinical trials results, adverse events, and the clinical trials results in progress of Bempedoic acid. Finally, we discuss the current status of bempedoic acid in the clinical works.