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Pcsk9

All articles tagged with #pcsk9

Merck's Lipfendra Becomes the First Oral PCSK9 Inhibitor to Lower LDL-C
business25 days ago

Merck's Lipfendra Becomes the First Oral PCSK9 Inhibitor to Lower LDL-C

The FDA has approved Lipfendra (enlicitide), Merck’s oral PCSK9 inhibitor, to lower LDL-C in patients not adequately controlled on statins. As the first oral option in this class, enlicitide is a macrocyclic peptide designed to disrupt PCSK9-LDL receptor interactions and is produced via a biocatalytic process using 13 engineered enzymes. Because it’s a pill rather than an injectable antibody, it could be prescribed by general practitioners, expanding access, though cost and adherence remain concerns; patients must fast for 30 minutes after dosing for full absorption.

Merck Eyes Blockbuster Potential with Lipfendra, the First Oral PCSK9 Drug
business26 days ago

Merck Eyes Blockbuster Potential with Lipfendra, the First Oral PCSK9 Drug

Merck is betting Lipfendra—the first oral PCSK9 inhibitor—will unlock a sluggish market after gaining July FDA approval via the Commissioner’s National Priority Voucher (CNPV) program, with initial demand rising but payer access likely slow; priced at $315 per month and supported by a direct-to-patient discount plan, Merck sees long-term blockbuster potential and is exploring combos with rosuvastatin and MK-7262, plus an outcomes study due in 2029.

FDA approves first oral PCSK9 inhibitor to lower LDL cholesterol
health1 month ago

FDA approves first oral PCSK9 inhibitor to lower LDL cholesterol

The US FDA approved Lipfendra, the world’s first oral PCSK9 inhibitor, for adults with high cholesterol including heterozygous familial hypercholesterolaemia, offering an injectable-free option. In trials, it reduced LDL cholesterol by about 56–59% over 24 weeks in patients on maximally tolerated statins, with effectiveness comparable to injectable PCSK9 inhibitors. It is unlikely to be a first-line therapy, and it won’t be available in India immediately, as CDSCO clearance (and possibly local trials) would be required. Doctors say it could help patients who prefer oral treatment or struggle with injections.

Severe LDL-C Elevations Reversed by Restoring Thyroid Hormone in a Post-Thyroidectomy Patient
medicine1 month ago

Severe LDL-C Elevations Reversed by Restoring Thyroid Hormone in a Post-Thyroidectomy Patient

A 47-year-old woman with autoimmune Hashimoto’s thyroiditis who had total thyroidectomy showed dramatic LDL-C elevations during profound hypothyroidism, driven by reduced LDL receptor activity and increased PCSK9; LDL-C levels improved markedly when euthyroidism was restored with levothyroxine. The case highlights hypothyroidism as a reversible, non-genetic cause of severe hypercholesterolemia and emphasizes evaluating thyroid function before diagnosing familial hypercholesterolemia or initiating lipid-lowering therapy.

A daily pill that slashes LDL could change how we fight heart disease
future-perfect1 month ago

A daily pill that slashes LDL could change how we fight heart disease

FDA-approved enlicitide is an oral pill that lowers LDL cholesterol by about 60%, offering a needle-free alternative to injections and statins for those who can’t tolerate them; the drug’s development builds on PCSK9 genetics, and while LDL reductions look promising, hard outcomes like deaths will take years to prove, and cost and access—alongside the potential of gene editing and other therapies—will shape how broadly it helps curb heart disease.

Merck’s Lipfendra gains FDA nod as first oral PCSK9 inhibitor
health1 month ago

Merck’s Lipfendra gains FDA nod as first oral PCSK9 inhibitor

Merck’s cholesterol pill Lipfendra (enlicitide) was approved by the FDA, becoming the first oral PCSK9 inhibitor on the market and offering an alternative to injectable cholesterol drugs. The decision was based on two late‑stage trials showing significant LDL‑C reductions across a broad patient group, including those with familial hypercholesterolemia and statin users. The drug could help Merck diversify beyond Keytruda, with analysts forecasting potential tens of billions in peak sales amid competition from injectable PCSK9 drugs like Repatha and Praluent.

One-shot gene-editing therapy reduces LDL by up to 62% in early trial
science3 months ago

One-shot gene-editing therapy reduces LDL by up to 62% in early trial

In a small Phase I study, Verve Therapeutics’ VERVE-102, a one-time mRNA-based gene-editing therapy targeting PCSK9, reduced LDL by up to 62% in the highest-dose group among 35 participants, with no serious safety events aside from a transient mild rise in a liver enzyme; results suggest durable LDL-C lowering, but larger and longer trials are needed for confirmation, and the FDA has granted Fast Track designation.

DNA-powered therapy halves 'bad' cholesterol, bypassing statins
health-and-medicine4 months ago

DNA-powered therapy halves 'bad' cholesterol, bypassing statins

A DNA-based treatment using polypurine hairpins to silence PCSK9 lowers LDL cholesterol and boosts LDL receptors. In liver cells HpE9/HpE12 reduced PCSK9 RNA by up to 74% and protein by up to 87%; in transgenic mice a single injection cut PCSK9 by ~50% and cholesterol by ~47% within days, potentially offering a statin-free alternative with fewer side effects.

Oral PCSK9 Pill Cuts LDL Cholesterol by Up to 60% in Phase 3 Trial
health5 months ago

Oral PCSK9 Pill Cuts LDL Cholesterol by Up to 60% in Phase 3 Trial

A phase 3 trial of the daily oral PCSK9 inhibitor enlicitide showed LDL cholesterol falls by about 60% in 2,909 patients with atherosclerosis or high cardiovascular risk, many already on statins. The pill also reduced non-HDL cholesterol, apolipoprotein B, and lipoprotein(a), with effects lasting one year. If FDA approves, enlicitide could offer an oral alternative to injectable PCSK9 therapies and improve adherence, though a separate study is needed to confirm whether these LDL reductions translate into fewer heart attacks and strokes. The trial was Merck-funded and ongoing work aims to determine cardiovascular event outcomes.

Merck's PCSK9 Pill Shows Promise in Lowering Cholesterol to Injectable Levels
health9 months ago

Merck's PCSK9 Pill Shows Promise in Lowering Cholesterol to Injectable Levels

Merck has developed a new pill called enlicitide that significantly reduces LDL cholesterol levels by blocking the PCSK9 protein, showing promising results in clinical trials with a 20% reduction in heart attack and stroke rates among high-risk patients, and offering a potentially more affordable alternative to existing injectable treatments.

The Far-Reaching Impact of Antibody Patent Disputes in Biotech
biotechnology3 years ago

The Far-Reaching Impact of Antibody Patent Disputes in Biotech

A patent case before the US Supreme Court over rights to therapeutic antibodies that are used to treat high cholesterol could have far-reaching impacts on drug prices and technology. The decision could affect how specific patents of any ilk must be when they describe an invention, and how broad they can be. A win by Amgen could hinder the development of new medicines by restricting competition and discouraging the development of multiple therapeutic antibodies that bind to the same target.