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Fipco

@fipco.bsky.social
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Matthew Herper @matthewherper.bsky.social · 19/08/2026
Moderna and Merck say mRNA cancer vaccine succeeded in late-stage melanoma trial www.statnews.com/2026/08/19/m... via @statnews.com
statnews.com
Moderna and Merck say mRNA cancer vaccine succeeded in late-stage melanoma trial
A personalized mRNA cancer vaccine succeeded in a late-stage melanoma study, results that could herald a new, powerful approach in oncology.
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Fipco @fipco.bsky.social · 23/07/2026
Top line retatrutide results in TRIUMPH-2 and TRIUMPH-3. Top dose shows 20.8% per protocol weight loss in T2DM. (few % > tirzepatide) In contrast with tirze's SURPASS-4, uncertainty on CV effects of adding glucagon agonism. /1 investor.lilly.com/news-release...
x.com
fipco (@fipco) on X
Reassuring for GIP agonism. This seems to meet previous FDA CV safety standard ahead of CV outcomes trial. #tirzepatide https://t.co/cBo21QZmiy https://t.co/SRvuoPegE6
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Fipco @fipco.bsky.social · 21/07/2026
Anderson, et al. show major expansion of statin eligible individuals 30-59 years old under the new 2026 ACC/AHA/+ lipid guidelines ~18% --> 36% of individuals. A large factor is the 30-year PREVENT-ASCVD risk criteria.👍 /1 jamanetwork.com/journals/jam...
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Fipco @fipco.bsky.social · 07/06/2026
Baricitinib safety data presented at #EULAR2026 for pooled RA-BRIDGE and RA-BRANCH scientific.sparx-ip.net/archiveeular... abstract search link. Arguably VTE and cancer signals persist. Tofa safety trial Rx dropouts 35% for TNF arm, 57% in bari trials. #Jak bsky.app/profile/fipc...
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Fipco @fipco.bsky.social · 05/05/2026
NCT03915964 and NCT04086745 have yet to report. Primary completion date of trial was May 2025. Nearly 4k randomized patients followed multiple years assessing JAKi safety. Potential release this month. #baricitinib bsky.app/profile/fipc...
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Reposted by Fipco
Ignacio Gallup-Diaz @igallupd.bsky.social · 19/04/2026
"Pancreatic cancer mRNA vaccine shows lasting results in an early trial: Scientists caution that more research is needed, but nearly all of the patients who responded to the personalized vaccine are still alive six years later."
nbcnews.com
Pancreatic cancer mRNA vaccine shows lasting results in an early trial
Scientists caution that more research is needed, but nearly all of the patients who responded to the personalized vaccine are still alive six years later.
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Reposted by Fipco
JAMA @jama.com · 08/04/2026
💬 Editorial: Simulation modeling demonstrates #ApoB-guided statin intensification is cost-effective, identifies more clinically meaningful risk, and aligns with 2026 ACC/AHA guidelines. ja.ma/4cxddfa
JAMA editorial published online April 8, 2026, titled "ApoB and Resilient Cost-Effectiveness of Statin Intensity" by Ankur Pandya, PhD, and Jinyi Zhu, PhD. The article discusses statin therapy and ASCVD prevention.
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JAMA @jama.com · 08/04/2026
A computer simulation found #ApoB-guided intensification of lipid-lowering therapy provides the most QALYs and is highly cost-effective compared to #LDL-C or #nonHDL-C targets. ja.ma/4cxfzKX
Line graph titled 'Cost-Effectiveness of text@1, Non-HDL-C, and LDL-C Goals for Primary Prevention Lipid-Lowering Therapy'. The graph shows cost-effectiveness acceptability curve with 'Optimal probability strategy, %' on the Y-axis and 'Cost-effectiveness threshold (2025 $/QALY gained)' on the X-axis. Lines represent ApoB goal, Non-HDL-C goal, and LDL-C goal.
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Dr Lipid @drlipid.bsky.social · 30/03/2026
New mega-analysis showing statin therapy is associated with reduced risk of AD and related out comes, pubmed.ncbi.nlm.nih.gov/41761642/ @nationallipid.bsky.social @aspcardio.bsky.social @fabyollaveras.bsky.social @menopausesociety.bsky.social @eassociety.bsky.social
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American College of Cardiology @accintouch.bsky.social · 30/03/2026
Essence-CTA: Does Olezarsen Reduce Noncalcified Coronary Plaque Volume? Check out the results of the 🆕 #ACC26 late-breaking clinical trial: bit.ly/4tc0UKH #cvLipids #CardioSky
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Reposted by Fipco
James Pirruccello 🎃🦇🧹 @jamespirruccello.com · 13/03/2026
Ann Marie Navar has more to say on this topic: youtu.be/DRO5kHfcnz0?...
youtu.be
New Lipid Guidelines, Baby!
YouTube video by Ann Marie Navar
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Fipco @fipco.bsky.social · 14/03/2026
AHA/ACC/+ Lipid Guidelines - another notable and welcome change: use of long term risk to guide lipid lowering therapy. 30-year PREVENT-ASCVD risk >=10% support use of lipid lowering therapy. (this adds a large number of 30-59yr olds over prior PCE 5%) x.com/fipco/status...
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Fipco @fipco.bsky.social · 13/03/2026
ApoB recommendations from the 2026 AHA/ACC/+ lipid guidelines. "reasonable to measure" Yay! /1 www.jacc.org/doi/full/10....
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Fipco @fipco.bsky.social · 23/02/2026
In Novo's head to head trial of Cagrisema 2.4/2.4mg compared to Tirzepatide 15mg, Cagrisema did not show non-inferiority on the primary endpoint of weight loss at 84 weeks. ITT weight loss 20.2% v 23.6%, PP 23.0% v 25.5% for C-S v T. REDEFINE-4 www.novonordisk.com/news-and-med...
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Fipco @fipco.bsky.social · 08/02/2026
"Recent research suggests that more people should be screened for a protein called apoB. A growing number of doctors agree." #cardiosky www.nbcnews.com/health/heart...
nbcnews.com
Is this blood test a better predictor of heart disease than LDL cholesterol?
Recent research suggests that more people should be screened for a protein called apoB. A growing number of doctors agree.
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Fipco @fipco.bsky.social · 24/01/2026
Rehman, et al. propose a single risk measure to reflect risk from apoB generally, Lp(a), and TG rich-lipoproteins. "RW-apoB" for "risk weighted". The scale is comparable to current apoB levels. #cardiosky /1 academic.oup.com/eurheartj/ad...
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Reposted by Fipco
Nature Reviews Cardiology @natrevcardiol.nature.com · 24/01/2026
New online! Residual cardiovascular risk in coronary artery disease: from pathophysiology to established and novel therapies #CardioSky
dlvr.it
Residual cardiovascular risk in coronary artery disease: from pathophysiology to established and novel therapies
Nature Reviews Cardiology, Published online: 23 January 2026; doi:10.1038/s41569-026-01249-zIn this Review, Galli and colleagues discuss the mechanisms and associated biomarkers of traditional and emerging factors responsible for the residual risk of recurrent adverse cardiovascular events in patients with coronary artery disease, with a focus on new pathophysiological insights and the therapeutic implications.
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Daniel Drucker @danieljdrucker.bsky.social · 11/12/2025
A TRIUMPH for the GCGR-GLP1R-GIPR triple agonist Retatrutide in P3. Participants with #obesity and knee osteoarthritis taking retatrutide 12 mg lost an average of 28.7% of their body weight at 68 weeks. Mild dysesthesias noted #weightloss #arthritis investor.lilly.com/news-release...
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Fipco @fipco.bsky.social · 02/12/2025
Open to views of others. I'm hooked based on RCT + supportive trial + limited alternatives. I'm also a supporter of high dose EPA for secondary CV prevention. That's based in part on theory that high achieved EPA drives benefit. That doesn't apply to PISCES... /1 bsky.app/profile/neph...
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Fipco @fipco.bsky.social · 30/11/2025
According to clinicaltrials.gov the baricitinib CV safety trials completed 6 months ago. Perhaps more t's to cross and i's to dot. This EULAR consensus review pointed to these studies as important in assessing JAKi safety. pubmed.ncbi.nlm.nih.gov/36357155/ bsky.app/profile/fipc...
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Fipco @fipco.bsky.social · 26/11/2025
The Economist on apoB. ApoB is inexpensive and more accurate than LDL-C. The measures disagree in 30-40% of individuals. www.economist.com/science-and-... #cardiosky
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Fipco @fipco.bsky.social · 08/11/2025
Thoughtful, provocative editorial. Some fair points. Respectfully disagree with apoB/CAC examples. IMO evidence base (including health economics) for these support broader use and are incorporated in some guidelines (apoB: EAS/ESC, CCS, NLA statement) #cardiosky bsky.app/profile/jame...
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JAMA @jama.com · 07/11/2025
Among more than 800 000 CKD-PC participants, discordance between cystatin C and creatinine eGFR values was associated with increased risk of death, cardiovascular events, and kidney failure. #KidneyWK @asnkidney.bsky.social ja.ma/4oV4DtU
JAMA graph shows association of eGFR difference with risks of long-term adverse outcomes. Hazard ratio vs. difference between eGFRcys & eGFRcr (%). Lines for death, CVD death, heart failure, ASCVD, KFRT are plotted. Declining risk as difference approaches zero.
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Nayan Arora @captainchloride.bsky.social · 07/11/2025
Shocking first high impact trial of the day. Fish oil reduces CV events in dialysis patients! #Pisces #kidneywk Simultaneous pub in NEJM www.nejm.org/doi/full/10....
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 21/10/2025
The latest empadata dump: @nephroseeker.medsky.social writes up a #NephJC short on the meta analysis www.nephjc.com/news/2025/10...
nephjc.com
Empagliflozin, the kidney, and what we still don’t understand — NephJC
NephJC short on an empagliflozin meta-analysis
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Fipco @fipco.bsky.social · 09/09/2025
• start prevention earlier (than current guidelines suggest) • measure apoB Editorial by Angela Pirillo and Alberico Catapano #cardiosky academic.oup.com/eurheartj/ad...
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Fipco @fipco.bsky.social · 09/09/2025
ICER organization draft: Semaglutide and tirzepatide for obesity are cost effective. For context, a 2014 ACC/AHA task force suggested a less than $50k per QALY threshold as "high value". #cardiosky icer.org/assessment/o...
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Fipco @fipco.bsky.social · 08/09/2025
NATURE-Legacy study compares MR/genetically modeled life long LDL-C and blood pressure lowering (HR 0.32) to short term effects in the HOPE-3 trial (HR 0.71). By Brian Ference, et al. /1 #ESCCongress2025 #cardiosky
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Fipco @fipco.bsky.social · 02/09/2025
"This study suggests that ApoB is a more accurate marker for cardiovascular risk than LDL-P when discordant, as marked by ApoB levels in excess of LDL-P." Analysis of UK Biobank data by Elizabeth Epstein, et al. #cardiosky pubmed.ncbi.nlm.nih.gov/40887080/
pubmed.ncbi.nlm.nih.gov
Apolipoprotein B outperforms low density lipoprotein particle number as a marker of cardiovascular risk in the UK Biobank - PubMed
This study suggests that ApoB is a more accurate marker for cardiovascular risk than LDL-P when discordant, as marked by ApoB levels in excess of LDL-P. Notably, risk was already elevated at as little...
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Fipco @fipco.bsky.social · 21/08/2025
Statin eligibility with PREVENT vs PCE 10 year risk at various thresholds by Sadiya Kahn, et al. jamanetwork.com/journals/jam...
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Fipco @fipco.bsky.social · 20/08/2025
Lp(a) testing is highly cost effective (cost saving) in this study by Morton, et al. Applies to US and various other countries. #cardiosky #lpa #cea www.sciencedirect.com/science/arti...
sciencedirect.com
Lp(a) testing for the primary prevention of cardiovascular disease in high-income countries: a cost-effectiveness analysis
Cost-effectiveness of Lipoprotein(a) [Lp(a)] testing is not established. We aimed to evaluate the cost-effectiveness of Lp(a) testing in the cardiovas…
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Fipco @fipco.bsky.social · 19/08/2025
Somewhat lukewarm view of colchicine in this editorial. "the CLEAR SYNERGY results have brought considerable clinical equipoise for the prescription of colchicine to reduce ASCVD risk" pubmed.ncbi.nlm.nih.gov/40825059/
pubmed.ncbi.nlm.nih.gov
Colchicine: Evidence to Treat or Equipoise? - PubMed
Colchicine: Evidence to Treat or Equipoise?
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Reposted by Fipco
Daniel Drucker @danieljdrucker.bsky.social · 15/08/2025
From #T2D to #obesity #CVD #OSA and now #MASH The expanding benefits of GLP-1 medicines www.novonordisk.com/news-and-med...
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Christos Argyropoulos MD, PhD, FASN 🇺🇸 0kale/acc @christosargyrop.bsky.social · 15/08/2025
This "living" guideline document will unlive many people with diabetes if applied. Why are guideline ppl addicted to sulfunylureas/nsulin/metformin ? Those are useful to lower A1c from stratospheric levels, but if we are thinking hard outcomes improvement, the answer is #flozin & #glp1 #fail
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Daniel Drucker @danieljdrucker.bsky.social · 07/08/2025
Orforglipron notches double digit #weightloss investor.lilly.com/news-release...
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Daniel Drucker @danieljdrucker.bsky.social · 31/07/2025
SURPASS CVOT #T2D #Tirzepatide Non inferior but numerically superior for some endpoints #CVD investor.lilly.com/news-release...
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Fipco @fipco.bsky.social · 19/07/2025
Looking below the surface... PREVENT equations seem better calibrated vs PCE in other studies compared to recent JACC study. VA, Kaiser, UK Biobank (ex-US), and others. /1 bsky.app/profile/fipc...
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Fipco @fipco.bsky.social · 14/07/2025
On the surface, in this dataset of 240k, the PCE calibration seems closer to actual than PREVENT. Excerpt S-Table 45. bsky.app/profile/pnat...
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Fipco @fipco.bsky.social · 11/07/2025
In Norway🇳🇴, 4 years after DAPA-HF, 85% of those with reduced ejection fraction heart failure get an SGLT2i. In the US🇺🇸, it's under 30%. #gdmt #flozins #cardiosky www.hcplive.com/view/study-h... onlinelibrary.wiley.com/doi/10.1002/...
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Daniel Drucker @danieljdrucker.bsky.social · 21/06/2025
A detailed look at dosing, efficacy and tolerability for Amycretin www.thelancet.com/journals/lan... #weightloss #obesity
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Fipco @fipco.bsky.social · 20/06/2025
Good interview with @danieljdrucker.bsky.social on obesity medicines. I clicked the translate button since hablo muy poco español elpais.com/salud-y-bien...
elpais.com
Daniel Drucker, padre de Ozempic: “No tenemos datos suficientes para usarlo en personas sanas, yo no vendo los fármacos”
El investigador canadiense acaba de recibir el Premio Fronteras del Conocimiento por su papel en los fármacos antiobesidad, aunque es conservador sobre su uso
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Fipco @fipco.bsky.social · 17/06/2025
Three views on GIP agonism and antagonism. Thread with 3 links. #obesity #cardiosky bsky.app/profile/dani...
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Fipco @fipco.bsky.social · 11/06/2025
Systemic review of discordance studies by Daniel Sehayek, et al. finds apoB generally outperforms LDL-C and non-HDL-C. (prior post of recent study adds to this evidence) #cardiosky www.lipidjournal.com/article/S193...
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Fipco @fipco.bsky.social · 11/06/2025
Mid-sized 🇬🇷discordance study (n=3042, 20 year follow-up) favors apoB over traditional lipid measures. By Giannakopoulou et al. /1 #cardiosky pubmed.ncbi.nlm.nih.gov/40386959/
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Fipco @fipco.bsky.social · 09/06/2025
Merck's enlicitide, an oral PCSK9i, meets LDL-C and other endpoints in 2 phase 3 trials. Details to come. "There were no clinically meaningful differences in incidences of AEs and SAEs in either trial" #cardiosky www.merck.com/news/merck-a... bsky.app/profile/fipc...
merck.com
Merck Announces Positive Topline Results From the First Two Phase 3 CORALreef Trials Evaluating Enlicitide Decanoate for the Treatment of Adults With Hyperlipidemia - Merck.com
Enlicitide demonstrated statistically significant and clinically meaningful reductions in LDL-C in both Phase 3 CORALreef HeFH and CORALreef AddOn trials Enlicitide, a novel macrocyclic peptide, has t...
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Fipco @fipco.bsky.social · 29/05/2025
Pooled Cohort Equations and newer PREVENT 10 year risk equations won't identify many of those who had early MIs. #cardiosky pmc.ncbi.nlm.nih.gov/articles/PMC...
pmc.ncbi.nlm.nih.gov
Performance of PREVENT equations for cardiovascular risk prediction in young patients with myocardial infarction: From the MGB YOUNG-MI registry
Predicting cardiovascular risk in young adults remains challenging. The newly developed PREVENT equations offers several advantages for short and long-term cardiovascular risk prediction. To determine...
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Fipco @fipco.bsky.social · 13/05/2025
Related editorial by Sniderman et al. #apoB #Lp(a) #cardiosky academic.oup.com/eurheartj/ad... bsky.app/profile/eric...
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Daniel Drucker @danieljdrucker.bsky.social · 11/05/2025
SURMOUNT-5 Among participants with #obesity but without diabetes, treatment with tirzepatide was superior to treatment with semaglutide with respect to reduction in body weight and waist circumference at week 72 www.nejm.org/doi/full/10....
nejm.org
Tirzepatide as Compared with Semaglutide for the Treatment of Obesity | NEJM
Tirzepatide and semaglutide are highly effective medications for obesity management. The efficacy and safety of tirzepatide as compared with semaglutide in adults with obesity but without type 2 di...
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Daniel Drucker @danieljdrucker.bsky.social · 29/04/2025
With an editorial from the expert, Dr. Alice E. Adriaenssens @cambridgeuni.bsky.social disentangling divergent neural networks that explain the success of both GIPR gain and loss of function strategies for promoting #weightloss #obesity @naturemetabolism.bsky.social www.nature.com/articles/s42...
nature.com
Unravelling the GIPR agonist versus antagonist paradox - Nature Metabolism
The debate over whether to agonize or antagonize GIPR signalling has divided the obesity drug design field. Studies from Gutgesell et al. and Liu et al. represent important first steps towards disenta...
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Eric Topol @erictopol.bsky.social · 28/04/2025
Best lab assessment for coronary artery risk consists of ApoB particles and LP(a) academic.oup.com/eurheartj/ad...
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