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inclisiran

PCSK9 Inhibitor (siRNA) · Antihyperlipidemic

PCSK9 Inhibitor (siRNA)Antihyperlipidemic
CDSCO approved
EXCRETION
not curated
INTERACTIONS
none in our sources
PREGNANCY
not curated

Mechanism

Inclisiran is a small interfering ribonucleic acid (siRNA) therapeutic that targets PCSK9 mRNA. By blocking PCSK9 protein synthesis, it prevents the production of PCSK9, leading to reduced degradation of LDL receptors and increased liver clearance of LDL from the circulation, thereby lowering serum LDL-C levels.

Indications

Adjunct to diet and maximally tolerated statin therapy for treatment of adults with HeFH who require additional lowering of LDL-CAdjunct to diet and maximally tolerated statin therapy for treatment of adults with clinical ASCVD who require additional lowering of LDL-C

Dosing

Adult
284 mg in 1.5 mL administered as a single subcutaneous injection initially, then after 3 months, and every 6 months thereafter.
Renal adjustment
No dosage adjustments required in patients with mild to severe renal impairment.
Hepatic adjustment
No dosage adjustments required in patients with mild to moderate liver impairment.

Contraindications

  • Pregnancy

Side effects

Common
Injection site reactions (8.2% vs. 1.8% in placebo)Bronchitis (4.3% vs. 2.7% in placebo)

Related guidelines

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Sources: Goodman & Gilman 14e·Verified: 2026-05-10 · House clinical team