The Study
Effectiveness of PCSK9 inhibitors in homozygous familial hypercholesterolemia: insights from a Saudi Arabia genetic population
This study looks at what happened to cholesterol levels in a group of 37 people with a rare genetic condition after they took a special medicine. It can show if the medicine was linked to lower cholesterol, but it can't prove the medicine caused the drop because there was no comparison group and people weren’t randomly assigned.
Analysis score
Maximum 72 for a cohort study.
Where the score came from
This study looked at a strong cholesterol medicine given to people from Saudi Arabia with a rare genetic condition that causes very high cholesterol.
Where does this study sit?
Reviews of RCTs (Meta-analyses)
Max 100Randomized Trials
Max 90Reviews of Cohort Studies
Max 85Cohort Studies
Max 72Reviews of Case-Control Studies
Max 63Case-Control Studies
Max 58Cross-Sectional & Case Series
Max 50Expert Opinion
Max 527 / 100
Quality score
Groups of people are followed over time to see who develops an outcome. Strong for identifying risk factors and associations, but cannot prove causation as firmly as RCTs.
Key takeaways
Summary
Based on the study abstract and findings.
- 1The drop in cholesterol is real but small, especially compared to how well the drug usually works in others.
- 2The medicine lowered bad cholesterol a little: from 10.15 to 9.07 when given every 2 weeks (24 patients), and from 11.79 to 10.95 when given once a month (13 patients).
Score breakdown, methodology, conflicts of interest, evidence analysis & raw study data
Publication
Journal
European Journal of Preventive Cardiology
Year
2025
Authors
N. Kholaif, S. Alrumaih, O. Vriz, T. I. Mohamed, T. Z. Arabi, A. Makland, R. Alkhatib, G. Mohamed, S. Di Michele, A. Marra, D. Galzerano
Related Content
Claims (5)
Adding PCSK9 drugs to cholesterol-lowering statins can slash bad cholesterol by as much as 81% in people with high cholesterol.
For people in Saudi Arabia with a rare inherited form of very high cholesterol, taking a drug called Evolocumab once a month didn’t seem to lower their bad cholesterol much — the drop was small and not strong enough to be sure it wasn’t just by chance.
For people in Saudi Arabia with a rare genetic form of very high cholesterol, taking a drug called evolocumab every two weeks seems to lower their bad cholesterol a little bit — not a huge drop, but enough to show it's doing something.
In a group of 37 people in Saudi Arabia with a rare cholesterol condition, the most common gene change was in the LDL receptor, which likely breaks how the body clears bad cholesterol — and this might be common there.
People in Saudi Arabia with a rare cholesterol condition don’t seem to lower their bad cholesterol as much with a certain drug as other people did in past studies — and it might be because of their genes or how the treatment is used in real clinics.
Not medical advice. For informational purposes only. Always consult a qualified healthcare professional before making health decisions.