Lipids & metabolic liver disease

Obicetrapib for dyslipidemia with or without cardiovascular risk: A GRADE ‐assessed meta‐analysis of randomized trials with trial sequential evidence

Diabetes Obes MetabPublished Systematic review and meta-analysis of randomised trials

Pooled result · LDL-CResult — go to the resultMD −27.66 mg/dL 95% CI −33.62 to −21.70

Authors' conclusion

Obicetrapib provides substantial improvements in lipid parameters with a favourable short-term adverse events rate. These results support its role as a potential adjunctive lipid-lowering agent irrespective of ASCVD risk. Longer-term trials are warranted to confirm its durability, cardiovascular outcomes, and safety.

Study context

Population
Adults with dyslipidemia, with or without atherosclerotic cardiovascular disease risk; Randomized controlled trials (RCTs) from PubMed, Cochrane, Scopus and Web of Science up to June 2025
Participants
3,399 adults6 RCTs
Comparison
Obicetrapib vs placebo
Outcome
LDL-C
Follow-up
8-12 weeks
Methodological detailsGRADE-assessed, trial sequential analysis
  • GRADE-assessed
  • Trial sequential analysis

Pooled result

As reported in the abstract

MD

−27.66 mg/dL

95% CI −33.62 to −21.70

P < 0.0001

Obicetrapibvs Placebo
MD −27.66 mg/dL (95% CI −33.62 to −21.70); P < 0.0001

Further pooled results

OutcomeMD (mg/dL) (95% CI)P value
Non-HDL-C(−28.08%)−35.41 (−39.42 to −31.39)P < 0.0001
HDL-C(141.7%)70.85 (62.56–79.15)P < 0.0001
OutcomeRR (95% CI)
LDL-C target <55 mg/dL achieved6.42 (5.15–8.01)
OutcomeRRP value
LDL-C target <70 mg/dL achieved2.56P < 0.0001
LDL-C target <100 mg/dL achieved1.34P < 0.0001

Safety

OutcomeP value
Total adverse eventsNo significant differenceP = 0.41
Serious adverse eventsNo significant differenceP = 0.37

Original publication

Obicetrapib for dyslipidemia with or without cardiovascular risk: A GRADE ‐assessed meta‐analysis of randomized trials with trial sequential evidence. Diabetes Obes Metab. Published 25 November 2025. doi:10.1111/dom.70316

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