Study of Obicetrapib & Ezetimibe Fixed Dose Combination on Top of Maximum Tolerated Lipid-Modifying Therapies
TANDEM
A Placebo-Controlled, Double-Blind, Randomized, Phase 3 Study to Evaluate the Effect of Obicetrapib 10 mg and Ezetimibe 10 mg Fixed Dose Combination Daily on Top of Maximally Tolerated Lipid-Modifying Therapy in Participants With Heterozygous Familial Hypercholesterolemia (HeFH) and/or Atherosclerotic Cardiovascular Disease (ASCVD) or Multiple ASCVD Risk Factors
1 other identifier
interventional
407
1 country
45
Brief Summary
The study is a placebo-controlled, double-blind, randomized, phase 3 study in participants with heterozygous familial hypercholesterolemia (HeFH) and/or atherosclerotic cardiovascular disease (ASCVD) or multiple ASCVD risk factors to evaluate the efficacy, safety and tolerability of obicetrapib 10mg and ezetimibe 10mg fixed dose combination as an adjunct to diet and maximally tolerated lipid-lowering therapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Mar 2024
Shorter than P25 for phase_3
45 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 15, 2023
CompletedFirst Posted
Study publicly available on registry
August 22, 2023
CompletedStudy Start
First participant enrolled
March 1, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 25, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
October 16, 2024
CompletedResults Posted
Study results publicly available
October 8, 2025
CompletedOctober 8, 2025
September 1, 2025
7 months
August 15, 2023
September 18, 2025
September 18, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
Effect of Fixed-Dose Combination (FDC) Compared to Placebo on LDL-C
LS mean percent change in low-density lipoprotein cholesterol (LDL-C) from baseline to Day 84 in the obicetrapib 10 mg/ezetimibe 10 mg fixed-dose combination (FDC) group compared to the placebo group. LDL-C level was measured by preparative ultracentrifugation (PUC).
84 Days
Effect of Fixed Dose Combination (FDC) Compared to Ezetimibe Monotherapy on LDL-C
LS mean percent change in low-density lipoprotein cholesterol (LDL-C) from baseline to Day 84 in the obicetrapib 10 mg/ezetimibe 10 mg fixed-dose combination (FDC) group compared to the ezetimibe monotherapy 10 mg group. LDL-C level was measured by preparative ultracentrifugation (PUC).
84 Days
Effect of Fixed Dose Combination (FDC) Compared to Obicetrapib Monotherapy on LDL-C
LS mean percent change in low-density lipoprotein cholesterol (LDL-C) from baseline to Day 84 in the obicetrapib 10 mg/ezetimibe 10 mg fixed-dose combination (FDC) group compared to the obicetrapib monotherapy 10 mg group. LDL-C level was measured by preparative ultracentrifugation (PUC).
84 Days
Effect of Obicetrapib Monotherapy Compared to Placebo on LDL-C
LS mean percent change in low-density lipoprotein cholesterol (LDL-C) from baseline to Day 84 in the obicetrapib 10 mg group compared to the placebo group. LDL-C level was measured by preparative ultracentrifugation (PUC).
84 Days
Secondary Outcomes (8)
Effect of Fixed Dose Combination (FDC) Compared to Placebo on Non-HDL-C
84 Days
Effect of Fixed Dose Combination (FDC) Compared to Placebo on Apolipoprotein B (ApoB)
84 Days
Effect of Obicetrapib Monotherapy Compared to Placebo on Non-HDL-C
84 Days
Effect of Obicetrapib Monotherapy Compared to Placebo on Apolipoprotein B (ApoB)
84 Days
Effect of Fixed-Dose Combination (FDC) Compared to Ezetimibe Monotherapy on Non-HDL-C
84 Days
- +3 more secondary outcomes
Study Arms (4)
Combination Therapy
EXPERIMENTALonce-daily obicetrapib 10 mg and ezetimibe 10 mg fixed dose combination tablet, placebo tablet, placebo capsule
Monotherapy obicetrapib
EXPERIMENTALonce-daily obicetrapib 10 mg, placebo tablet, placebo capsule
Monotherapy ezetimibe
ACTIVE COMPARATORonce-daily ezetimibe 10 mg capsule, 2 placebo tablets
Placebo
PLACEBO COMPARATORonce-daily placebo tablets (2), placebo capsule
Interventions
tablet; 10mg obicetrapib and 10mg ezetimibe fixed does combination
tablet; 10mg obicetrapib
tablet; no active ingredient
capsule; no active ingredient
Eligibility Criteria
You may qualify if:
- Have underlying HeFH and/or a history of ASCVD or multiple ASCVD risk factors
- On maximally tolerated lipid-modifying therapy as an adjunct to a diet and lifestyle modifications
- LDL-C ≥ 70 mg/dL
- Triglycerides \< 500
- Estimated glomerular filtration rate ≥ 15 mL/min/1.73 m2
You may not qualify if:
- History of New York Heart Association (NYHA) class III or IV heart failure of left ventricular ejection fraction \<30%
- Hospitalized for heart failure within the last 5 years
- Myocardial infarction, stroke, non-elective coronary revascularization or hospitalization for unstable angina or chest pain in the last 3 months
- Uncontrolled severe hypertension
- Diagnosis of homozygous FH
- Liver disease
- HbA1c ≥ 10.0% or fasting glucose ≥ 270 mg/dL
- Thyroid-stimulating hormone \>1.5 x upper limit of normal (ULN)
- History of malignancy
- Creatinine kinase (CK) \>3 X ULN
- Alcohol abuse
- Treatment with investigational product
- Treatment with gemfibrozil or ezetimibe
- Previous participation in a trial evaluating obicetrapib
- Known allergy to study drugs, placebo or excipients in study drugs of placebo
- +1 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (45)
East Valley Diabetes & Endocrinology
Gilbert, Arizona, 85297, United States
Jacksonville Center for Clinical Research
Jacksonville, Florida, 32216, United States
Progressive Medical Research
Port Orange, Florida, 32127, United States
Centricity Research - Columbus
Columbus, Georgia, 31904, United States
Center for Advanced Research and Education
Gainesville, Georgia, 30501, United States
NSC Research
Johns Creek, Georgia, 30024, United States
North Georgia Clinical Research
Woodstock, Georgia, 30189, United States
Evanston Premier Healthcare Research LLC
Skokie, Illinois, 60077, United States
Cardiovascular Research of Northwest Indiana, LLC
Munster, Indiana, 46321, United States
Grace Research, LLC - Bossier City, LA
Bossier City, Louisiana, 71111, United States
Horizon Research Group of Opelousas
Eunice, Louisiana, 70535, United States
Maryland Cardiovascular Specialists
Baltimore, Maryland, 21229, United States
TidalHealth Peninsula Regional, Inc.
Salisbury, Maryland, 21804, United States
McClaren Bay Heart and Vascular
Bay City, Michigan, 49770, United States
Northern Pines Health Center
Buckley, Michigan, 49620, United States
Sparrow Clinical Research Institute
Lansing, Michigan, 48912, United States
Oakland Medical Research Center
Troy, Michigan, 48085, United States
CentraCare Heart & Vascular Center
Saint Cloud, Minnesota, 56303, United States
North Mississippi Medical Center
Tupelo, Mississippi, 38801, United States
St. Louis Heart and Vascular Cardiology
St Louis, Missouri, 63136, United States
Washington University School of Medicine
St Louis, Missouri, 63136, United States
Triad Internal Medicine
Asheboro, North Carolina, 27203, United States
Cary Research Group, LLC
Cary, North Carolina, 27518, United States
Novant Health Clinical Research, LLC
Charlotte, North Carolina, 27701, United States
Novant Health Heart and Vascular Institute
Charlotte, North Carolina, 28204, United States
Lucas Research, Inc
Morehead City, North Carolina, 28557, United States
Wilmington Health Associates
Wilmington, North Carolina, 28412, United States
Metabolic and Atherosclerosis Research Center
Cincinnati, Ohio, 45227, United States
Summit Research Group, LLC
Stow, Ohio, 44240, United States
Capital Area Research
Camp Hill, Pennsylvania, 17074, United States
Monument Health Clinical Research, a department of Monument Health Rapid City Hospital, Inc
Rapid City, South Dakota, 57701, United States
Chattanooga Research & Medicine, PLLC
Chattanooga, Tennessee, 37404, United States
Cardiovascular Research of Knoxville
Powell, Tennessee, 37849, United States
PharmaTex Research, LLC
Amarillo, Texas, 79109, United States
Amarillo Heart Clinical Research Institute, Inc
Amarillo, Texas, 79124, United States
South Texas Clinical Research
Corpus Christi, Texas, 78404, United States
Diabetes and Thyroid Center of Fort Worth
Fort Worth, Texas, 76132, United States
Baylor College of Medicine
Houston, Texas, 77030, United States
Juno Research, LLC - Medical Center Office
Houston, Texas, 77054, United States
DM Clinical Research
Houston, Texas, 77375, United States
Wellness Clinical Research Associates
McKinney, Texas, 75069, United States
Northwest Houston Heart Center
Tomball, Texas, 77375, United States
Alpine Research Organization, Inc.
Clinton, Utah, 84015, United States
Spectrum Medical, Inc.
Danville, Virginia, 24541, United States
Hampton Roads Center for Clinical Research
Suffolk, Virginia, 23435, United States
Related Publications (1)
Sarraju A, Brennan D, Hayden K, Stronczek A, Goldberg AC, Michos ED, McGuire DK, Mason D, Tercek G, Nicholls SJ, Kling D, Neild AL, Kastelein J, Davidson M, Ditmarsch M, Nissen SE. Fixed-dose combination of obicetrapib and ezetimibe for LDL cholesterol reduction (TANDEM): a phase 3, randomised, double-blind, placebo-controlled trial. Lancet. 2025 May 17;405(10491):1757-1768. doi: 10.1016/S0140-6736(25)00721-4. Epub 2025 May 7.
PMID: 40347969RESULT
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Study Director
- Organization
- NewAmsterdam Pharma
Study Officials
- STUDY DIRECTOR
Marc Ditmarsch, MD
NewAmsterdam Pharma
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Masking Details
- placebo tablets made to resemble active; placebo capsule made to resemble active
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 15, 2023
First Posted
August 22, 2023
Study Start
March 1, 2024
Primary Completion
September 25, 2024
Study Completion
October 16, 2024
Last Updated
October 8, 2025
Results First Posted
October 8, 2025
Record last verified: 2025-09
Data Sharing
- IPD Sharing
- Will not share