Outcomes data are critical.
NVS acquired inclisiran (Leqvio) for $9.7 BILLION three and a half years ago, yet there is no evidence that taking Leqvio reduces the risk of myocardial infarction, stroke, coronary revascularization, and CV deaths (outcomes).
With only a pharmacologic effect of lowering LDL cholesterol without clinical meaningfully outcomes, it's not surprising that sales of Leqvio are very low (almost negligible) regardless of the cost of the drug to patients, frequency of administration, or the number of sales reps and meetings