(3R,5S)-Fluvastatin, the 3R,5S-isomer of Fluvastatin (XU62-320freeacid), stands as the inaugural fully synthetic, competitive inhibitor of HMG-CoA reductase, exhibiting an IC50 value of 8 nM. It safeguards vascular smooth muscle cells from oxidative stress by activating the Nrf2-dependent antioxidant pathway.