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Statin + ezetimibe + hybutimibe is an intensive lipid-lowering combination therapy regimen. It consists of an HMG-CoA reductase inhibitor (statin), ezetimibe (a cholesterol absorption inhibitor), and hybutimibe (a novel selective cholesterol absorption inhibitor, also known as HS-25). Statins work by inhibiting the rate-limiting enzyme in hepatic cholesterol synthesis, while ezetimibe and hybutimibe both target the Niemann-Pick C1-Like 1 (NPC1L1) protein in the small intestine to block the absorption of dietary and biliary cholesterol. This triple combination (or the use of these agents in tandem) is primarily studied in high-risk cardiovascular patients, such as those with acute coronary syndrome (ACS), to achieve rapid and profound reductions in low-density lipoprotein cholesterol (LDL-C) levels. The regimen is a key component of the ELITE-ACS clinical trial led by Yun Dai Chen, which evaluates early intensive lipid-lowering strategies in Chinese patient populations.
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