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RVX000222 + atorvastatin is a **combination drug therapy** consisting of the small molecule BET inhibitor RVX000222 (apabetalone) and the HMG-CoA reductase inhibitor atorvastatin. RVX000222 selectively inhibits the second bromodomain (BD2) of BET proteins (BRD2, BRD3, BRD4), modulating gene expression linked to inflammation, atherosclerosis, lipid metabolism (increasing HDL and ApoA-I), and cardiovascular protection. Atorvastatin reduces cholesterol through competitive inhibition of HMG-CoA reductase, lowering LDL and providing anti-inflammatory and plaque stabilization effects. This combination has been studied primarily for reduction of major adverse cardiovascular events (MACE) in high-risk patients with type 2 diabetes and coronary artery disease, aiming to achieve greater cardiovascular benefit than statins alone. Developed by Resverlogix, the drug combination has progressed to phase III trials such as BETonMACE evaluating outcomes in conjunction with standard-of-care statin therapy[3][4][5].
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