Monday, March 08, 2021 8:54:14 AM
1) If your TG are > 500, take Lovaza
2) If your TG are 150-500 and you fit the Reduce-it profile, take Vascepa
This is fantastic news for Amarin because the key is to thwart gV. The above will accomplish that, however I am greedy and are thinking ahead...
What about a patient with TG 600 who also fits the REDUCE-IT profile (except for VHTG)?
Under UHC's new guidelines, this patient will not be eligible for Vascepa. I think this is silly because people do not stop having a CVD risk because their TG are "very high". This person is at risk for both, Pancreatitis (Lovaza) & CVD (Vascepa). CVD should easily win over because it's much more deadly. But UHC does not see it that way (yet). Anyone with TG > 500, regardless of CVD risk, gets L and not V.
Could get interesting after Viet Le's presentation:
https://www.abstractsonline.com/pp8/#!/9228/presentation/12635
Having said that, and it sounds heartless but on a tactical level, I am willing to sacrifice a few > 500 patients in exchange for regaining 100% of the 150-500 (Reduce-it) market.
After we retire gV then we can fight Lovaza. One step at a time.
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