The present invention inter alia provides a method, and uses thereof, to measure 
drug efficacy and specificity of treatment with an inhibitor of 
Proprotein Convertase Subtilisin / 
Kexin Type 9 (PCSK9) by detecting the concentrations of lipids and / or lipid-lipid concentration ratios of a biological sample and comparing it to a control. The invention is applicable, inter alia, to determining whether a PCSK9 inhibiting 
drug is functioning efficiently in lowering serum low-density 
lipoprotein (LDL) concentration and whether a PCSK9 inhibiting 
drug displays any adverse side-effects, such as 
liver toxicity. Provided are lipid markers that are more specific and sensitive in detecting drug 
efficacy and possible adverse drug-induced side-effects than the currently utilized clinical markers. Also provided is an 
antibody towards said lipids, and the use thereof for predicting and diagnosing of PCSK9 inhibiting drug-induced adverse reactions. The invention additionally relates to kits comprising lipids and / or an 
antibody thereto, for the determination of PCSK9 inhibiting drug 
efficacy and drug-induced adverse reactions.