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rosuvastatin + ezetimibe + bempedoic acid is an oral fixed-dose small-molecule combination being developed by Althera Pharma for hyperlipidemia and cardiovascular risk reduction. The regimen combines three complementary LDL-cholesterol lowering mechanisms: rosuvastatin inhibits 3-hydroxy-3-methylglutaryl-coenzyme A reductase to reduce hepatic cholesterol synthesis and increase LDL receptor expression, ezetimibe inhibits intestinal cholesterol absorption through Niemann-Pick C1-Like 1, and bempedoic acid inhibits adenosine triphosphate citrate lyase upstream of HMG-CoA reductase to further suppress cholesterol biosynthesis. Based on the provided Althera Pharma pipeline context, this product is positioned as a dossier-ready branded combination in late-stage regulatory preparation rather than a novel discovery asset, with listed strengths including 180/10/40 mg, 180/10/20 mg, and 180/10/10 mg.
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