Mar 4, 2023 / Nov 16, 2024

YELLOW III

Effect of Evolocumab on Coronary Plaque Characteristics

Clinical Trial

This study aims to evaluate the impact of evolocumab on coronary plaque characteristics in patients with stable coronary artery disease (CAD) already on maximally tolerated statin therapy. Using intravascular imaging and PBMC gene expression analysis, the research integrates imaging techniques with machine learning-based transcriptomic analysis to identify molecular mechanisms driving beneficial changes in atherosclerotic plaques. The primary endpoints include changes in minimal fibrous cap thickness (FCT) measured by optical coherence tomography (OCT) and maxLCBI4mm assessed by near-infrared spectroscopy (NIRS) over 26 weeks of treatment. Secondary endpoints involve changes in lipid and macrophage-related plaque features assessed by OCT, plaque volume changes by intravascular ultrasound (IVUS), and PBMC gene expression profiles.

Part 1 – Imaging

Part 2 – Transcriptomic

Part 2 – Transcriptomic

Yellow III Transcriptomic Results Presentation

Yellow III In the News

Beyond the Data: YELLOW III: PCSK9 Inhibitors and Plaque Characterization

TCTMD – March 5, 2023

Clues to Evolocumab Response Exist in Patients’ Genes: YELLOW III

TCTMD – November 21, 2024

Stable CAD Plaque Morphology Improved by PCSK9 Inhibitors: YELLOW III

TCTMD – March 04, 2023

YELLOW III Study Improves Understanding of Evolocumab in CAD Treatment

HCPLive – March 05, 2023

ACC 23: Effect of Evolocumab on Coronary Plaque Morphology: The YELLOW III Study

ICRJournal – March 05 2023

Annapoorna Kini, ACC 2023: PCSK9 inhibitors for acute coronary syndrome

Touch Cardio – March 30 2023

Imaging data may predict best responders to evolocumab therapy: YELLOW III

Healio – March 04, 2023