Amarin will not ask for a primary prevention label ---except for that subgroup of primary prevention patients that are diabetic etc .and were included in R-IT .
R-IT did not include a vast number of non diabetic primary prevention patients ...so Amarin has no data to base a claim for that label .
In reality ...once approved ...many primary prevention patients on statins with family history and TG's still above 135 mg/dl ...will get scripts for all the reasons JL has explained
2. REDUCE-IT data are corroborated by JELIS data: a. using an essentially identical agent (pure EPA ethyl ester) b. in a similar population (high ASCVD risk) c. with similar achieved plasma EPA levels d. with a similar %RRR
Everyone should expect that AMARIN wants JELIS on R-I labeling and a primary care prevention indication.