Randomised controlled trial

Phase 2b Randomized Trial of the Oral PCSK9 Inhibitor MK-0616

J Am Coll CardiolPublished

  • Randomised controlled trial
  • Phase 2b
  • double-blind
  • placebo-controlled
  • multicentre

Authors' conclusion

MK-0616 demonstrated statistically significant and robust, dose-dependent placebo-adjusted reductions in LDL-C at Week 8 of up to 60.9% from baseline and was well tolerated during 8 weeks of treatment and an additional 8 weeks of follow-up.

Study context

Population
Adults with hypercholesterolemia and a wide range of atherosclerotic CVD risk380 treated
Participants
381 adults
Comparison
MK-0616 vs placebo
Primary endpoint
% change from baseline in low-density lipoprotein cholesterol (LDL-C); proportion with AEs and discontinuations due to AEs
Follow-up
Week 8

Primary result

As reported in the abstract

LS mean % change in LDL-C from baseline, placebo-adjusted
6 mg
difference −41.2 %; P < 0.001
12 mg
difference −55.7 %; P < 0.001
18 mg
difference −59.1 %; P < 0.001
30 mg
difference −60.9 %; P < 0.001

Safety

OutcomeValues
AEs · 8 weeks treatment + 8 weeks follow-up · similar proportion vs placeboPlacebo 44.0%
Adverse events (AEs) — AEs in MK-0616 arms
39.5% to 43.4%

Discontinuations due to AEs

2 or fewer participants in any treatment group

Original publication

Phase 2b Randomized Trial of the Oral PCSK9 Inhibitor MK-0616. J Am Coll Cardiol. Published 6 March 2023. doi:10.1016/j.jacc.2023.02.018

Summarised from the published abstract; every number is checked against it