ESSENCE CS9 – TIMI 73b

ESSENCE CS9 TIMI 73b is a phase 3 multicenter, randomized, double-blind, placebo-controlled trial in ~1320 patients to evaluate the safety and efficacy of olezarsen, an antisense oligonucleotide inhibitor of apoC-III production, administered subcutaneously to patients with either moderate hypertriglyceridemia and atherosclerotic cardiovascular disease (established or at increased risk for) or with severe hypertriglyceridemia.

MAIN RESULTS:
Targeting APOC3 with Olezarsen in Moderate Hypertriglyceridemia

N Engl J Med. 2025 Oct 2;393(13):1279-1291.

MAIN RESULTS PRESENTATION

Olezarsen in patients with hypertriglyceridemia at high cardiovascular risk-the Essence-TIMI 73b trial (Bergmark, ESC 2025)

OTHER PRESENTATIONS

Essence-TIMI 73b CCTA Trial-Effect of APOC3 Inhibition with Olezarsen on Coronary Atherosclerosis (Marston, ACC 2026)
Apolipoprotein C-III (APOC3) Inhibition in Patients With Versus Without Baseline Fibrate Use-A Prespecified Secondary Analysis of the ESSENCE-TIMI 73b Trial (Wang, ACC 2026) 

PUBLICATIONS

Olezarsen in Patients with Hypertriglyceridemia at High Cardiovascular Risk: Rationale and Design of the Essence-TIMI 73b Trial. Am Heart J. 2025 Aug:286:116-124.

Targeting APOC3 with Olezarsen in Moderate Hypertriglyceridemia. Reply. N Engl J Med. 2026 Jan 1;394(1):99. doi: 10.1056/NEJMc2515639.

Effect of APOC3 Inhibition with Olezarsen on Coronary Atherosclerosis: Essence-TIMI 73b Imaging Study.. Circulation. 2026 Mar 30. doi: 10.1161/CIRCULATIONAHA.126.080012.

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