EBM BLS: Pitavastatin Reduces Cardiovascular Events in People Living with HIV With Low-to-Moderate Cardiovascular Risk - Takeaways - MDSpire

EBM BLS: Pitavastatin Reduces Cardiovascular Events in People Living with HIV With Low-to-Moderate Cardiovascular Risk

  • By

  • Suman Atluri

  • Radha Rao

  • March 9, 2026

  • 0 min

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  • 1

    Pitavastatin significantly reduced major adverse cardiovascular events by 35% in HIV-positive individuals with moderate to low risk factors.

  • 2

    The REPRIEVE trial involved participants aged 40-75 years on stable antiretroviral therapy without clinical ASCVD.

  • 3

    Despite a median 10-year ASCVD risk of 4.5%, the placebo group experienced a higher observed MACE rate of 7.3%.

  • 4

    Muscle-related symptoms and incident diabetes were more frequent in the pitavastatin group compared to placebo.

  • 5

    Guidelines now recommend statin therapy for HIV-positive individuals aged 40-75, regardless of lipid levels or ASCVD risk.

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