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Ziltivekimab Fails to Reduce MACE Risk in Phase 3 ZEUS Trial0 passages
Author(s) Patrick Campbell0 passages
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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.