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**Evacetrapib + simvastatin** is a combination of two small molecule drugs: evacetrapib, a potent cholesteryl ester transfer protein (CETP) inhibitor, and simvastatin, an HMG-CoA reductase inhibitor (statin). Evacetrapib acts by inhibiting CETP, which results in increased HDL cholesterol and reduced LDL cholesterol. Simvastatin works by inhibiting HMG-CoA reductase in the liver, decreasing cholesterol synthesis and upregulating LDL receptors to lower plasma LDL cholesterol. Combination therapy was investigated to assess enhanced lipid-modifying effects but failed to show superior reduction in cardiovascular events compared to statin alone[2][3][4][5][6][7].
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