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A cardiovascular therapy sponsor

Keeping patients on PCSK9 therapy with SMS alone

The challenge

High LDL cholesterol is silent. It damages arteries progressively and leads to heart attacks and strokes, and it produces no symptoms along the way, so nothing reminds a patient that the therapy matters.

PCSK9-lowering therapies come with different injection schedules — self-injected monoclonal antibodies on one rhythm, clinician-administered inclisiran twice a year. Patients lose track.

Hospitals and cardiologists rarely have a structural process or the staff to onboard patients and check whether injections happen on time. The result is inconsistent use of therapies that are both expensive and life-saving, and for the sponsor an adherence gap that reduces real-world impact and weakens the evidence base.

What we did

Automated SMS reminders ahead of each injection. No app to install, no account to create, no smartphone requirement — which matters in a population that skews older.

Hospitals get a simple onboarding flow and a dashboard showing who is on schedule and who needs attention. The program adapts to both the self-injected schedules and the twice-yearly inclisiran rhythm, and deploys across countries with minimal setup.

For familial hypercholesterolaemia, the problem extends to the family

Many first- and second-degree relatives of an FH patient remain undiagnosed while carrying the same risk. The program includes a patient-driven family-tree module that guides an FH patient through mapping their relatives and inviting them for screening — structured cascade testing without additional workload for the care team.

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