NCT07821944

Brief Summary

Researchers are looking for new ways to treat high cholesterol. Cholesterol is a type of fat in the blood. Enlicitide (also known as enlicitide decanoate or MK-0616), the study medicine, is in a class of medicines designed to lower low-density lipoprotein cholesterol (LDL-C). LDL-C is sometimes called "bad cholesterol." The goal of this study is to learn if enlicitide works better than placebo to lower the amount of LDL-C in a person's blood. Researchers also want to learn about the safety of enlicitide and if people tolerate it.

Trial Health

65
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
150

participants targeted

Target at P25-P50 for phase_3

Timeline
14mo left

Started Oct 2026

Shorter than P25 for phase_3

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 9, 2026

Completed
7 days until next milestone

First Posted

Study publicly available on registry

September 16, 2026

Completed
1 month until next milestone

Study Start

First participant enrolled

October 16, 2026

Expected
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 26, 2027

Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 26, 2027

Last Updated

September 16, 2026

Status Verified

August 1, 2026

Enrollment Period

1.1 years

First QC Date

September 9, 2026

Last Update Submit

September 9, 2026

Conditions

Outcome Measures

Primary Outcomes (3)

  • Mean Percent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C) at Week 24

    Blood samples will be collected at baseline and at Week 24 to assess mean percent change in LDL-C.

    Baseline and Week 24

  • Number of Participants with One or More Adverse Events (AEs)

    An AE is 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.

    Up to approximately 32 Weeks

  • Number of Participants who Discontinue Study Drug Due to One or More AEs

    An AE is 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.

    Up to approximately 24 Weeks

Secondary Outcomes (5)

  • Mean Percent Change From Baseline in Non High-Density Lipoprotein Cholesterol (Non-HDL-C) at Week 24

    Baseline and Week 24

  • Mean Percent Change From Baseline in Apolipoprotein B (ApoB) at Week 24

    Baseline and Week 24

  • Percent Change From Baseline in Lipoprotein (a) (Lp(a)) at Week 24

    Baseline and Week 24

  • Percentage of Participants With LDL-C <70 mg/dL and ≥50% Reduction From Baseline at Week 24

    Baseline and Week 24

  • Percentage of Participants With LDL-C <55 mg/dL and ≥50% Reduction From Baseline at Week 24

    Baseline and Week 24

Study Arms (2)

Enlicitide Decanoate

EXPERIMENTAL

Participants will receive 20 mg enlicitide decanoate orally once daily (qd) for up to 24 weeks.

Drug: Enlicitide Decanoate

Placebo

OTHER

Participants will receive placebo orally qd for up to 24 weeks.

Other: Placebo

Interventions

Oral administration

Also known as: MK-0616, enlicitide
Enlicitide Decanoate
PlaceboOTHER

Oral administration

Placebo

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • History of a major atherosclerotic cardiovascular disease (ASCVD) event or if no history of a major ASCVD event, has one or more of the following: possible or definite diagnosis of heterozygous familial hypercholesterolemia (HeFH), diabetes mellitus, stable angina pectoris, transient ischemic attack or symptomatic peripheral arterial disease
  • Has a low-density lipoprotein cholesterol (LDL-C) ≥55 mg/dL or ≥70 mg/dL depending on medical history
  • Is treated with a moderate- or high-intensity statin OR is treated with low-intensity statin with documentation of intolerance to a moderate or high-intensity statin OR is not receiving statins with documentation of statin intolerance
  • If on any lipid-lowering therapies (LLTs), should be on a stable dose with no planned medication change

You may not qualify if:

  • Had a heart failure hospitalization within 3 months before Screening
  • Has unstable angina, a myocardial infarction, coronary artery bypass graft, percutaneous transluminal coronary angioplasty, transient ischemic attack, or stroke within 3 months before Screening
  • Is undergoing or previously underwent an LDL-C apheresis program within 3 months before first study visit or plans to initiate an LDL-C apheresis program
  • Was previously treated/is being treated with certain other cholesterol lowering medications, including protein convertase subtilisin/kexin type 9 (PCSK9) inhibitors
  • Has a history of nephrotic syndrome
  • Has poorly controlled diabetes mellitus
  • Has hyperthyroidism or inadequately controlled hypothyroidism
  • Is actively receiving chemotherapy for malignancy or has a history of malignancy ≤3 years before Screening

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Links

MeSH Terms

Conditions

HyperlipidemiasHypercholesterolemia

Interventions

MK-0616

Condition Hierarchy (Ancestors)

DyslipidemiasLipid Metabolism DisordersMetabolic DiseasesNutritional and Metabolic Diseases

Study Officials

  • Medical Director

    Merck Sharp & Dohme LLC

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 9, 2026

First Posted

September 16, 2026

Study Start (Estimated)

October 16, 2026

Primary Completion (Estimated)

November 26, 2027

Study Completion (Estimated)

November 26, 2027

Last Updated

September 16, 2026

Record last verified: 2026-08

Data Sharing

IPD Sharing
Will share

https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

More information