About this trial
The overall objective of the trial is to evaluate the effect of the triple therapy consisting of bempedoic acid (BA), ezetimibe (EZE), and high-intensity atorvastatin or rosuvastatin on changes in coronary plaque burden and plaque morphology in patients with coronary atherosclerosis without significant obstructive coronary artery disease and without prior history of an ischemic vascular event.
Eligibility criteria
Qualifiers
Age ≥18 years
Having provided informed consent for participation in this trial
Lipid-lowering treatment-naïve
Unequivocal atherosclerosis in ≥5 American Heart Association (AHA) coronary segments (corresponding to a risk equivalent of obstructive coronary artery disease) and coronary artery disease - reporting and data system (CAD-RADS) category 1, 2, or 3
Disqualifiers
Known or suspected heterozygous or homozygous familial hypercholesterolaemia or familial combined hyperlipidaemia
Known contraindication for BA, EZE, atorvastatin, and/or rosuvastatin. A participant with a contraindication for atorvastatin, can be assigned to triple therapy with rosuvastatin, and vice versa.
Not expected to remain on a stable dose of high intensity triple therapy for the duration of the trial.
History of myocardial infarction, stroke, or peripheral artery disease (PAD), and/or coronary revascularisation (percutaneous coronary intervention [PCI] or coronary artery bypass grafting [CABG])
Trial design
Treatments tested in this trial
- Bempedoic acid
- Ezetimibe
- Rosuvastatin
- Atorvastatin