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Ziltivekimab Fails to Reduce MACE Risk in Phase 3 ZEUS Trial

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The primary endpoint was time to first occurrence of 3-point MACE, analyzed by Cox regression in the full analysis set. Ziltivekimab showed no reduction in MACE risk compared with placebo (HR, 0.99; 95% CI, 0.88-1.11). 1 The result held despite ziltivekimab producing the anticipated pharmacodynamic effect on the IL-6 pathway, according to Novo Nordisk, which noted expected reductions in free IL-6 and hsCRP consistent with target engagement. The lack of separation on the primary endpoint indicates inflammation reduction via IL-6 inhibition did not translate into a measurable cardiovascular benefit in this population.

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https://www.hcplive.com/view/ziltivekimab-fails-to-reduce-mace-risk-in-phase-3-zeus-trial
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https://web.archive.org/web/20261005110143/https://www.hcplive.com/view/ziltivekimab-fails-to-reduce-mace-risk-in-phase-3-zeus-trial
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10,970 characters, retrieved Aug 7, 2026 · 167 sections, 41 passages
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History 3

  1. Nov 11, 2026DividedSegmenter · Divided into 208 parts by its own structure
  2. Nov 11, 2026FactsFacts fetcher · Facts looked up
  3. Nov 11, 2026Entered the graphEntered the graph; copy stored
Ziltivekimab Fails to Reduce MACE Risk in Phase 3 ZEUS Trial · Minerval