A Study to Evaluate the Efficacy and Safety of Enlicitide Decanoate (MK-0616, Oral PCSK9 Inhibitor) Compared With Ezetimibe or Bempedoic Acid or Ezetimibe and Bempedoic Acid in Adults With Hypercholesterolemia (MK-0616-018) CORALreef AddOn

NCT ID: NCT06450366

Last Updated: 2025-05-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

301 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-07-08

Study Completion Date

2025-03-28

Brief Summary

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The main purpose of this study is to assess whether enlicitide decanoate is superior to ezetimibe or bempedoic acid or ezetimibe + bempedoic acid in reducing LDL-C in participants with hypercholesterolemia, and to evaluate its safety and tolerability. The primary study hypotheses are enlicitide decanoate is superior to ezetimibe, bempedoic acid, and ezetimibe + bempedoic acid on mean percent change from baseline in LDL-C at week 8.

Detailed Description

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Conditions

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Hypercholesterolemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Enlicitide Decanoate

Participants receive enlicitide decanoate 20mg, ezetimibe-matching placebo, and bempedoic acid-matching placebo once daily (QD) orally up to approximately 56 days.

Group Type EXPERIMENTAL

Enlicitide Decanoate

Intervention Type DRUG

Administered orally.

Placebo for Ezetimibe

Intervention Type OTHER

Administered orally.

Placebo for Bempedoic Acid

Intervention Type OTHER

Administered orally.

Ezetimibe

Participants receive ezetimibe 10mg, enlicitide decanoate-matching placebo, and bempedoic acid-matching placebo QD orally up to approximately 56 days.

Group Type ACTIVE_COMPARATOR

Ezetimibe

Intervention Type DRUG

Administered orally.

Placebo for Enlicitide Decanoate

Intervention Type OTHER

Administered orally.

Placebo for Bempedoic Acid

Intervention Type OTHER

Administered orally.

Bempedoic Acid

Participants receive bempedoic acid 180mg, ezetimibe-matching placebo, and enlicitide decanoate-matching placebo QD orally up to approximately 56 days.

Group Type ACTIVE_COMPARATOR

Bempedoic Acid

Intervention Type DRUG

Administered orally.

Placebo for Enlicitide Decanoate

Intervention Type OTHER

Administered orally.

Placebo for Ezetimibe

Intervention Type OTHER

Administered orally.

Ezetimibe + Bempedoic Acid

Participants receive ezetimibe 10 mg, bempedoic acid 180mg, enlicitide decanoate-matching placebo orally QD for approximately 56 days.

Group Type ACTIVE_COMPARATOR

Ezetimibe

Intervention Type DRUG

Administered orally.

Bempedoic Acid

Intervention Type DRUG

Administered orally.

Placebo for Enlicitide Decanoate

Intervention Type OTHER

Administered orally.

Interventions

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Enlicitide Decanoate

Administered orally.

Intervention Type DRUG

Ezetimibe

Administered orally.

Intervention Type DRUG

Bempedoic Acid

Administered orally.

Intervention Type DRUG

Placebo for Enlicitide Decanoate

Administered orally.

Intervention Type OTHER

Placebo for Ezetimibe

Administered orally.

Intervention Type OTHER

Placebo for Bempedoic Acid

Administered orally.

Intervention Type OTHER

Other Intervention Names

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MK-0616

Eligibility Criteria

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Inclusion Criteria

* Has either a) history of a major atherosclerotic cardiovascular disease (ASCVD) event or b) if no history of a major ASCVD event, has intermediate to high risk for development of a first major ASCVD event
* Has fasted lipid values (evaluated by the central laboratory) at Visit 1 (Screening) as follows: a) history of a major ASCVD event with LDL-C ≥55 mg/dL (≥1.42 mmol/L) OR b) No history of a major ASCVD event with LDL-C ≥70 mg/dL (≥1.81 mmol/L)
* Is treated with a low, moderate, or high intensity statin (±non-statin lipid lowering therapy \[LLT\])
* Is on a stable dose of all background LLTs with no planned medication or dose changes during the study
* Is an individual of any sex/gender, from 18 years of age inclusive, at the time of providing the informed consent

Exclusion Criteria

* Has a history of homozygous familial hypercholesterolemia (FH) based on genetic or clinical criteria, compound heterozygous familial hypercholesterolemia (HeFH), or double HeFH
* Has New York Heart Association class IV heart failure, or last known left ventricular ejection fraction ≤25% by any imaging method, or had a heart failure hospitalization within 3 months before Visit 1 (Screening)
* Participants with a history of tendon disorder or tendon rupture
* Participants with a history of gout
* Is undergoing or previously underwent an LDL-C apheresis program within 3 months before Visit 1 (Screening) or plans to initiate an LDL-C apheresis program
* Was previously treated/is being treated with certain other cholesterol lowering medications, including ezetimibe, bempedoic acid, or protein convertase subtilisin/kexin type 9 (PCSK9) inhibitors without adequate washout
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Merck Sharp & Dohme LLC

Locations

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Clinical Trials Research ( Site 1509)

Lincoln, California, United States

Site Status

Healthcare Research Network - Chicago ( Site 1507)

Flossmoor, Illinois, United States

Site Status

L-MARC Research Center ( Site 1501)

Louisville, Kentucky, United States

Site Status

Velocity Clinical Research Rockville ( Site 1503)

Rockville, Maryland, United States

Site Status

Velocity Clinical Research, Gulfport ( Site 1505)

Gulfport, Mississippi, United States

Site Status

Piedmont Research Partners ( Site 1506)

Fort Mill, South Carolina, United States

Site Status

Rainier Clinical Research Center ( Site 1502)

Renton, Washington, United States

Site Status

Instituto de Investigaciones Clínicas Mar del Plata ( Site 1002)

Mar del Plata, Buenos Aires, Argentina

Site Status

CIPREC-CIPREC Sede Arenales ( Site 1000)

Buenos Aires, Buenos Aires F.D., Argentina

Site Status

Fundacion Estudios Clinicos ( Site 1001)

Rosario, Santa Fe Province, Argentina

Site Status

The Medical Arts Health Research Group ( Site 1606)

Vancouver, British Columbia, Canada

Site Status

Cambridge Cardiac Care Centre ( Site 1603)

Cambridge, Ontario, Canada

Site Status

North York Diagnostic and Cardiac Centre ( Site 1605)

North York, Ontario, Canada

Site Status

Institut de Cardiologie de Montreal ( Site 1604)

Montreal, Quebec, Canada

Site Status

Diex Recherche Trois-Rivieres ( Site 1602)

Trois-Rivières, Quebec, Canada

Site Status

Hôpital Arnaud de Villeneuve - CHU Montpellier ( Site 0505)

Montpellier, Herault, France

Site Status

Hôpital Nord Guillaume-et-René-Laennec / CHU de Nantes-CIC Endocrinology-Diabetology-Nutrition ( Sit

Nantes, Loire-Atlantique, France

Site Status

Hospices Civils de Lyon - Hopital Louis Pradel ( Site 0501)

Bron, Rhone, France

Site Status

Hôpital Bichat - Claude-Bernard ( Site 0504)

Paris, , France

Site Status

Yitzhak Shamir Medical Center. ( Site 0702)

Beer Yaakov, , Israel

Site Status

Assuta Beersheba MC ( Site 0704)

Beersheba, , Israel

Site Status

Rambam Health Care Campus ( Site 0700)

Haifa, , Israel

Site Status

Meir Medical Center. ( Site 0703)

Kfar Saba, , Israel

Site Status

Hospital Universitario Virgen de la Victoria-UGC Endocrinologia y nutricion ( Site 0801)

Málaga, Andalusia, Spain

Site Status

Hospital de Figueres ( Site 0804)

Figueres, Gerona, Spain

Site Status

Hospital San Rafael de Coruna ( Site 0805)

A Coruña, La Coruna, Spain

Site Status

EAP Sardenya ( Site 0800)

Barcelona, , Spain

Site Status

Hospital Universitari Vall d'Hebron ( Site 0803)

Barcelona, , Spain

Site Status

National Cheng Kung University Hospital-Internal Medicine ( Site 0403)

Tainan City, , Taiwan

Site Status

National Taiwan University Hospital ( Site 0400)

Taipei, , Taiwan

Site Status

Taipei Veterans General Hospital-Department of Medicine ( Site 0402)

Taipei, , Taiwan

Site Status

Chang Gung Medical Foundation-Linkou Branch ( Site 0404)

Taoyuan District, , Taiwan

Site Status

Barts Health NHS Trust-William Harvey Clinical Research Centre ( Site 0901)

London, England, United Kingdom

Site Status

Royal Free Hospital ( Site 0900)

London, England, United Kingdom

Site Status

National Institute for Health Research UCLH Clinical Research Facility ( Site 0908)

London, London, City of, United Kingdom

Site Status

Countries

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United States Argentina Canada France Israel Spain Taiwan United Kingdom

Related Links

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Other Identifiers

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MK-0616-018

Identifier Type: OTHER

Identifier Source: secondary_id

2023-504920-25

Identifier Type: REGISTRY

Identifier Source: secondary_id

U1111-1290-3888

Identifier Type: REGISTRY

Identifier Source: secondary_id

0616-018

Identifier Type: -

Identifier Source: org_study_id

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