Oral PCSK9 Inhibitor Tied to LDL-C Drop
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by Kerri Miller
November 24, 2025
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3 min
9 Key Takeaways
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1
Enlicitide is a PCSK9 inhibitor.
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2
Achieved a 5
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3
2% reduction in LDL-C compared to placebo.
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4
Trial involved 303 adults with HeFH across 17 countries.
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5
Participants were on moderate to high-intensity statins.
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6
LDL-C reductions sustained throughout the trial duration.
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7
Adverse event rates were similar between groups.
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8
Ongoing separate outcomes trial will assess cardiovascular effects.
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9
Study funded by Merck Sharp & Dohme LLC.
Enlicitide, an oral macrocyclic peptide and PCSK9 inhibitor, was evaluated in a phase 3 trial involving 303 adults with heterozygous familial hypercholesterolemia (HeFH). This study revealed a significant 58.2% reduction in LDL-C levels after 24 weeks of treatment compared to placebo. The trial demonstrated that enlicitide is effective in lowering cholesterol levels while maintaining a safety profile similar to placebo, with only mild adverse effects observed. Participants were already on high-intensity statins, and the trial is ongoing to determine long-term cardiovascular outcomes.
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