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LY3475766 is a monoclonal antibody developed by Eli Lilly for the treatment of dyslipidemias, specifically targeting patients with mixed hyperlipidemia. It acts as an inhibitor of the angiopoietin-like 3/8 (ANGPTL3/8) complex, which is a potent regulator of triglyceride metabolism through inhibition of lipoprotein lipase (LPL). In phase 1 clinical studies, single doses of LY3475766 led to significant reductions in plasma triglycerides (up to 70%), remnant cholesterol, LDL-C (up to 37%), and apolipoprotein B levels, while increasing HDL-C. The drug was administered both intravenously and subcutaneously and demonstrated good safety and tolerability in early trials. Its mechanism suggests potential for reducing cardiovascular risk in patients with or at high risk for atherosclerotic cardiovascular disease on top of standard care[2][5][6][7].
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