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StrokeJanuary 2026Summary reviewed August 2026

Cholesterol Shot Cut First Heart Attacks and Strokes by 25% in High-Risk Patients

Patients with heart disease or diabetes who had never had a heart attack or stroke took an injection every two weeks to lower their cholesterol. Over nearly five years, they were 25% less likely to have a heart attack or stroke compared to those who got a placebo. The treatment was safe and well-tolerated.

What the trial was testing

The VESALIUS-CV enrolled 12,301 patients with stroke. The study was sponsored by Amgen and tracked outcomes across the full group of patients who matched the trial's eligibility profile.

It was a large trial designed to confirm whether the treatment works well enough for wider use. Trials at this stage are designed to produce evidence regulators and physicians can act on — not just observations to follow up later.

What the results showed

Patients taking the cholesterol-lowering injection were 25% less likely to have a first heart attack or stroke.

The New England journal of medicine · 2026 · NCT03872401

These findings — that lower risk of first heart attack or stroke over five years — were published in the The New England journal of medicine and represent the headline result of the study.

Researchers tracked outcomes across 12,301 patients enrolled in the trial. The result was consistent enough across the group that the team felt confident reporting it.

What this means for patients

For patients with stroke, this result changes the calculus on what to ask their care team about. Whether it changes day-to-day care depends on factors like disease subtype, prior treatments, and where the patient is in their care journey.

What you can do now

If you have heart disease or diabetes but haven't had a heart attack or stroke yet, this treatment might help prevent one. The injection is FDA-approved and already used for people who've had cardiovascular events. Talk to your doctor about whether it makes sense for you, especially if your cholesterol remains high despite other medications.

Eligibility for the treatments mentioned above depends on specific test results and clinical history. Bring this summary, the trial name, and your most recent labs or pathology report to your next visit.

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