A Study of the Efficacy and Safety of Enclitide Chloride (MK-0616 Oral PCSK9 Inhibitor) in Adults With Hypercholesterolemia (MK-0616-008)

Phase
Recruitment status
Participants
Lead sponsor
Merck Sharp & Dohme LLC
Start date
Number of sites

Summary
The purpose of this study is to evaluate the efficacy and safety of enclitide chloride, an oral PCSK9 inhibitor, in lowering low-density lipoprotein cholesterol (LDL-C) in participants with hypercholesterolemia. The primary hypothesis is that at least one of the four doses of enclitide chloride tested in this study is superior to placebo on percent change from baseline in LDL-C at Week 8.
Short title
A Study of the Efficacy and Safety of Enclitide Chloride (MK-0616 Oral PCSK9 Inhibitor) in Adults With Hypercholesterolemia (MK-0616-008)
Official title
A Phase 2b, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of MK-0616 in Adults With Hypercholesterolemia

Control arm
Registry reports results
Listing at source
Recruitment status
Phase
Study type
Interventional

Completion date
First posted
Registry last updated
Primary completion date
Start date

Actual participants
Participants
Participant count basis
Protocol amendments
Number of sites

Data monitoring committee
Registry sponsor category
Lead sponsor
Merck Sharp & Dohme LLC
Source registry
ClinicalTrials.gov

Registry ID
ClinicalTrials.gov ID
Registry record
Open registry record

Allocation
Randomised
Model
Parallel groups
Purpose
Treatment
Masking
Double masking
Masked roles
Participants, Investigators
Sources for study design

  1. Percent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C) at Week 8

    Timeframe: Baseline and up to Week 8

    Blood samples were collected at baseline and after 8 weeks of treatment to assess mean percent change in LDL-C. Based on a constrained longitudinal analysis (cLDA) model including terms for treatment, time, baseline statin intensity, baseline renal function, and the interaction of treatment by time. The percent change from baseline in LDL-C at week 8 was reported.

  2. Percentage of Participants Who Experienced One or More Adverse Events (AEs)

    Timeframe: Up to approximately 17 Weeks

    An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The percentage of participants who experienced at least one AE was reported.

  3. Percentage of Participants Who Discontinued Study Intervention Due to AEs

    Timeframe: Up to approximately 9 Weeks

    An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The percentage of participants who discontinued study intervention due to AEs was reported.

  1. Percent Change From Baseline in Apolipoprotein B (ApoB) at Week 8

    Timeframe: Baseline and up to Week 8

    Blood samples were collected at baseline and after 8 weeks of treatment to assess mean percent change in ApoB. The least square mean and 95% CI were obtained from fitting a cLDA model including terms for treatment, time, baseline statin intensity, baseline renal function, and the interaction of treatment by time. The percent change from baseline in ApoB at week 8 was reported.

  2. Percent Change From Baseline in Non-High-density Lipoprotein Cholesterol (Non-HDL-C) at Week 8

    Timeframe: Baseline and up to Week 8

    Blood samples were collected at baseline and after 8 weeks of treatment to assess mean percent change in non-HDL-C. The least square mean and 95% CI were obtained from fitting a cLDA model including terms for treatment, time, baseline statin intensity, baseline renal function, and the interaction of treatment by time. The percent change from baseline in non-HDL-C at week 8 was reported.

  3. Percentage of Participants With LDL-C Value at Goal at Week 8

    Timeframe: Week 8

    LDL-C goal was defined as: LDL-C \<70 mg/dL (\<1.81 mmol/L) in participants with clinical atherosclerotic cardiovascular disease (ASCVD), LDL-C \<100 mg/dL (\<2.59 mmol/L) in participants with an ASCVD risk-equivalent and/or a 10-year risk of having an ASCVD event that is ≥7.5%, OR LDL-C \<130 mg/dL (\<3.37mmol/L) in participants with a 10-year risk of having an ASCVD event that is ≥5.0% and \<7.5%. The percentage of participants with LDL-C value at goal at week 8 were reported.

Sources for outcomes

Sex
All
Age groups
Adults, Older adults
Minimum age
18 Years
Maximum age
80 Years
Healthy volunteers
No

  • History of clinical atherosclerotic cardiovascular disease (ASCVD), or has an ASCVD risk equivalent and/or a 10-year risk of having an ASCVD event ≥5.0%, AND has a corresponding LDL-C that falls within the protocol-specified range at screening.
  • Treatment with a stable dose of one or more lipid-lowering therapies for ≥30 days before screening, or has not received treatment with any lipid-lowering therapy for ≥30 days before screening.
  • A female participant is not pregnant or breastfeeding, not a woman of child-bearing potential (WOCBP) or is a WOCBP and agrees to follow contraceptive guidance during the intervention period and for at least 8 weeks after the last dose of study intervention.

  • History of homozygous familial hypercholesterolemia (FH) based on genetic or clinical criteria.
  • History of nephrotic syndrome.
  • History of unstable angina, a myocardial infarction, percutaneous transluminal coronary angioplasty, transient ischemic attack, or stroke within 3 months before Screening.
  • Has poorly controlled diabetes mellitus, defined as hemoglobin A1C (A1C) ≥9.0% at Screening.
  • History of malignancy ≤3 years before screening, except for adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer, which have no timeframe limitations relative to screening.
  • Currently participating in or has previously participated in an interventional clinical study within 3 months before Screening.
  • Has moderate or greater renal insufficiency.
Sources for eligibility

  • Westside Medical Associates of Los Angeles ( Site 0026)Beverly Hills, United States
  • Clinical Trials Research ( Site 0007)Sacramento, United States
  • National Research Institute (NRI) - Santa Ana ( Site 0024)Santa Ana, United States
  • Excel Medical Clinical Trials ( Site 0042)Boca Raton, United States
  • Alliance for Multispecialty Research, LLC ( Site 0050)Coral Gables, United States
  • ForCare Clinical Research ( Site 0017)Tampa, United States
  • Healthcare Research Network - Chicago ( Site 0037)Flossmoor, United States
  • Midwest Institute For Clinical Research ( Site 0036)Indianapolis, United States
  • Cotton O'Neil Mulvane ( Site 0022)Topeka, United States
  • L-MARC Research Center ( Site 0003)Louisville, United States
  • The University of Mississippi Medical Center-Clinical Research and Trials Unit ( Site 0028)Jackson, United States
  • Jubilee Clinical Research ( Site 0047)Las Vegas, United States
  • New Mexico Clinical Research & Osteoporosis Center ( Site 0032)Albuquerque, United States
  • Mid Hudson Medical Research ( Site 0004)New Windsor, United States
  • altoona center for clinical research ( Site 0045)Duncansville, United States
  • Piedmont Research Partners ( Site 0005)Fort Mill, United States
  • Dallas Diabetes Research Center ( Site 0012)Dallas, United States
  • Center for Cardiometabolic Disease Prevention/Baylor College of Medicine ( Site 0051)Houston, United States
  • Northeast Clinical Research of San Antonio ( Site 0014)San Antonio, United States
  • National Clinical Research, Inc-research office ( Site 0019)Richmond, United States
  • Klinikum der Ludwig-Maximilians-Universitaet Muenchen ( Site 0504)München, Germany
  • Kardiologische Gemeinschaftspraxis ( Site 0502)Nuremberg, Germany
  • Ambulantes Herzzentrum Kassel ( Site 0501)Kassel, Germany
  • Universitätsklinikum Leipzig ( Site 0500)Leipzig, Germany
  • Charité Campus Virchow-Klinikum ( Site 0505)Berlin, Germany

And 38 more, listed on the interactive page.

Sources for sites

  • MK-0616-008
  • jRCT2031210701
  • 2021-005221-24
Sources for references

Related records

Drugs (1)

Lead sponsors (1)

Conditions (2)