Bempedoic Acid CAS 738606-46-7

Chemical Name: Bempedoic Acid
Synonyms: ESP 55016; ETC 1002
CAS No.: 738606-46-7
Molecular Fomula: C19H36O5
Molecular weight: 344.49
Appearance: White powder
Assay: 99%

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Comprehensive Guide to Bempedoic Acid (CAS 738606-46-7)

Table of Contents

1. Product Overview & Specifications

Bempedoic Acid (CAS 738606-46-7) is a first-in-class ATP citrate lyase inhibitor with the following technical parameters:

Parameter Specification
Chemical Name 8-Hydroxy-2,2,14,14-tetramethylpentadecanedioic acid
Molecular Formula C19H36O5
Molecular Weight 344.49 g/mol
Appearance White to off-white crystalline powder
Solubility Practically insoluble in water (≤0.1 mg/mL)
Storage Conditions 2-8°C in airtight containers

2. Key Applications & Therapeutic Uses

Primary clinical applications include:

  • Treatment of heterozygous familial hypercholesterolemia (HeFH)
  • Management of atherosclerotic cardiovascular disease (ASCVD)
  • Adjunct therapy to maximally tolerated statins
  • Alternative for statin-intolerant patients

3. Clinical Usage Scenarios

3.1 Primary Hyperlipidemia Management

Dosage: 180 mg oral tablet once daily

3.2 Combination Therapy Protocol

Typical combinations with:

  • Ezetimibe (dual mechanism therapy)
  • PCSK9 inhibitors in high-risk patients

4. Real-World Case Studies

4.1 Cardiovascular Clinic – Boston, USA

Challenge: 62-year-old male with statin-induced myalgia (LDL-C: 145 mg/dL)

Solution: Bempedoic Acid + Ezetimibe combination

Outcome: LDL-C reduced to 78 mg/dL within 12 weeks

4.2 EU Cardiology Center Case

Patient Profile: Post-MI patient with multiple drug intolerances

Regimen: Monotherapy at 180 mg/day

Result: 28% LDL-C reduction sustained over 6 months

5. Technical Comparison with Alternatives

Parameter Bempedoic Acid Atorvastatin Ezetimibe
Mechanism ACL inhibitor HMG-CoA inhibitor NPC1L1 inhibitor
LDL Reduction 18-25% 30-50% 15-20%
Muscle AE Rate 1.2% 5-10% 0.8%

6. Procurement Guidance

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