ESC Congress 2025 Hot Line & Late-Breaking Science Collection

  • Published:  08 August 2025
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ESC Congress 2025 Hot Line & Late-Breaking Science Collection

  • Published:  08 August 2025
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About the episode

ESC Congress 2025 - NEWTON-CABG finds evolocumab with regular statin therapy did not improve vein graft patency after coronary artery bypass graft (CABG) surgery in the short-term.

Dr Subodh Verma and Dr Lawrence Leiter (University of Toronto, Toronto, CA) join us to discuss findings from NEWTON-CABG CardioLink-5 (NCT03900026). The investigator-initiated multicenter, randomised, placebo-controlled study aimed to investigate the effect of evolocumab on saphenous vein graft patency within 21 d coronary artery bypass graft (CABG) surgery. Before randomisation to either evolocumab or placebo, post-operative patients will be on moderate or high intensity statin therapy.

Findings showed that over 2 years, evolocumab produced a neutral result on vein graft patency after CABG surgery, However, evolocumab was found to lower LDL cholesterol by 60%.

Interview Questions:

  1. What is the reasoning behind the NEWTON-CABG CardioLink-5 study?
  2. What was the study design and patient population?
  3. What were the key findings?
  4. How should these findings impact clinical practice?
  5. What further research is needed in this area?

Recorded on-site at ESC Congress 2025, Madrid.

Editors: Jordan Rance, Yazmin Sadik.
Videographers: Mike Knight, Dan Brent, Oliver Miles, Tom Green, David-Ben-Harosh.

Support: This is an independent interview produced by Radcliffe Cardiology.

Overview

Dive into our coverage of ESC Congress 2025 for groundbreaking trial results and discussions with expert faculty.

  • Watch our View From the Thoraxcenter series for practice-focused reviews of the most anticipated trials from interventional experts, Prof Nicolas Van Mieghem and Dr Joost Daemen.
  • Watch our Wrap-Up series led by Dr Mirvat Alasnag summarising the key take-aways from each day of the congress.
  • For clinical trial data from principal investigators, keep up with Dr Harriette Van Spall's Late-Breaker Discussion series.
  • Our concise, accessible Expert Interviews will focus on the current data and it's impact on clinical practice.
  • Don't miss the Highlights series to stay ahead of the curve in each field.
  • In the Journal Discussions series, authors of ECR Journal explore their special focuses in depth.
     

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Faculty Biographies

Subodh Verma

Subodh Verma

Dr Subodh Verma is a cardiac surgeon-scientist at St Michael’s Hospital and Professor in the Departments of Surgery, and Pharmacology and Toxicity at the University of Toronto. He is also the current Canada Research Chair in Cardiovascular Surgery.

Dr Verma oversees a prolific basic, translational and clinical research program. He spearheads the CARDIOLINK clinical trials platform at St Michael’s Hospital and has leadership roles in seven ongoing global heart failure trials.

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Lawrence A Leiter

Lawrence A Leiter

Professor

Dr Lawrence A Leiter is Director of the Lipid Clinic; Associate Director of the Clinical Nutrition and Risk Factor Modification Centre; and Associate Scientist, Li Ka Shing Knowledge Institute at St Michael’s Hospital in Toronto, Canada. He is a Professor in the Departments of Medicine and Nutritional Sciences at the University of Toronto.

Dr Leiter is a Past-President of the Canadian Society of Endocrinology & Metabolism (CSEM) and a past Chair of the Clinical and Scientific Section of the Canadian Diabetes Association (CDA). He has been involved in many national and international committees and consensus conferences including those of the International Diabetes Federation, CDA, Canadian Hypertension Education Program (CHEP), Canadian Cardiovascular Society (Dyslipidemia), and Obesity Canada. He is an Associate Editor of the journal Diabetes Care.
 

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