TheraRadar

Pharma Intelligence, Simplified

Data updated: Mar 10, 2026

PRALUENT

ALIROCUMAB PCSK9 Inhibitors
Cardiovascular Approved 2015-07-24

Praluent (alirocumab) is a PCSK9 inhibitor indicated to reduce the risk of major adverse cardiovascular events, including myocardial infarction and stroke, in adults at increased risk. It is also used as an adjunct to diet and exercise to lower low-density lipoprotein cholesterol (LDL-C) in adults with hypercholesterolemia or homozygous familial hypercholesterolemia. Furthermore, the treatment is approved for adults and pediatric patients aged 8 years and older with heterozygous familial hypercholesterolemia.

Source: FDA Label • Regeneron • PCSK9 Inhibitor

How PRALUENT Works

Alirocumab is a human monoclonal antibody that binds to proprotein convertase subtilisin kexin type 9 (PCSK9). Under normal physiological conditions, PCSK9 binds to low-density lipoprotein receptors (LDLR) on the surface of liver cells to promote their degradation. By inhibiting the binding of PCSK9 to these receptors, alirocumab increases the number of available LDLRs to clear LDL from the blood, thereby lowering LDL-C levels.

Source: FDA Label
8
Indications
--
Phase 3 Trials
10
Years on Market

Details

Status
Prescription
First Approved
2015-07-24
Routes
INJECTION
Dosage Forms
INJECTABLE

Companies

Active Ingredient: ALIROCUMAB

PRALUENT Approval History

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What PRALUENT Treats

4 indications

PRALUENT is approved for 4 conditions since its original approval in 2015. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Major adverse cardiovascular events risk reduction in adults
  • Hypercholesterolemia in adults
  • Heterozygous familial hypercholesterolemia in adults and pediatric patients (8 years and older)
  • Homozygous familial hypercholesterolemia in adults
Source: FDA Label

PRALUENT Target & Pathway

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Target

PCSK9 (Proprotein Convertase Subtilisin/Kexin Type 9) Enzyme

A protein that promotes degradation of LDL receptors, reducing the liver's ability to clear LDL cholesterol. Blocking PCSK9 increases LDL receptor availability, dramatically lowering LDL cholesterol levels beyond what statins achieve.

PRALUENT Competitors

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3 other drugs also target PCSK9. Compare mechanisms, indications, and trial activity.

Drug = Competitor name Company = Manufacturer N indic. = FDA-approved indications → Date = Patent/exclusivity expiry

Competitors share the same molecular target (PCSK9). Earlier expiry dates signal biosimilar/generic opportunities.

Drugs Similar to PRALUENT

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

PRALUENT FDA Label Details

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Indications & Usage

FDA Label (PDF)

PRALUENT ® is indicated: To reduce the risk of major adverse cardiovascular (CV) events (coronary heart disease death, myocardial infarction, stroke, or unstable angina requiring hospitalization) in adults at increased risk for these events . As an adjunct to diet and exercise to reduce low- density lipoprotein cholesterol (LDL-C) in: adults with hypercholesterolemia. adults and pediatric patients aged 8 years and older with heterozygous familial hypercholesterolemia (HeFH). adults with homozygous familial hypercholesterolemia (HoFH). PRALUENT is a proprotein convertase subtilisin kexin type 9...

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.