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Circulation:January 6, 2026 Cardiac Allograft Vasculopathy Inhibition With Alirocumab: The CAVIAR Trial

The CAVIAR trial investigated whether adding the drug alirocumab to standard statin therapy could prevent artery disease in heart transplant recipients, a common cause of post-transplant mortality. While the study confirmed that this combination drastically lowered "bad" cholesterol levels without causing safety concerns, it failed to show a significant clinical benefit regarding physical heart health. Specifically, researchers discovered that the volume of arterial plaque continued to increase regardless of whether patients received the additional medication or a placebo. Ultimately…

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