Heterozygous Familial Hypercholesterolemia (HeFH)Phase 2/3NCT07058077
A Study of Enlicitide Decanoate (MK-0616, an Oral PCSK9 Inhibitor) in Children and Adolescents With Heterozygous Familial Hypercholesterolemia (MK-0616-029)
A Phase 2/3 study testing Enlicitide Decanoate in people with Heterozygous Familial Hypercholesterolemia (HeFH), run by Merck Sharp & Dohme LLC at 47 sites in 19 countries.
Trial summary
This study is designed to learn if enlicitide decanoate is safe and effective to treat children and adolescents with heterozygous familial hypercholesterolemia (HeFH) and high amounts of low-density lipoprotein cholesterol (LDL-C) in the blood. Read more about this study
- Who is it for?
- Ages 6 to 17 years
- Conditions the study is for
- Heterozygous Familial Hypercholesterolemia (HeFH)
- What is being tested?
- Enlicitide Decanoate
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 153 participants
- Where
- 47 sitesin 19 countries
- Study dates
- 21 Aug 2025to 23 Jan 2037
- Phase
- Phase 2/3
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 6 to 17 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Has possible or definite diagnosis of HeFH based on a locally accepted diagnostic algorithm or diagnosis by genetic testing results
- Has a fasted LDL-C value (evaluated by the central laboratory) that is ≥130 mg/dL
- Is receiving either:
- An optimized daily dose of statin (± nonstatin LLT)
- A nonstatin LLT with documented intolerance to at least 2 different statins, or documented intolerance to 1 statin plus refusal of statin therapy by the participant or legally acceptable representative
- Is on a stable dose of all background LLTs for at least 30 days prior to screening, with no medication or dose changes planned during participation in Part A or Part B
Who cannot join
- Has a history of homozygous FH based on genetic or clinical criteria, or history of known compound heterozygous FH, or double heterozygous FH
- Has a history of nephrotic syndrome
- Has any clinically significant malabsorption condition based on investigator assessment
- Was previously treated/is being treated with certain other cholesterol lowering medications, including proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors without adequate washout
Trial locations and contacts
47 sites in 19 countries. Contact the study team or a site near you to ask about taking part.
47 sites in 19 countries
United States8 sites, 8 recruiting
- Recruiting
Children's Healthcare of Atlanta Cardiology ( Site 0026)
Atlanta, Georgia, 30329
Study Coordinator, 404-256-2593
- Recruiting
Excel Medical Clinical Trials ( Site 0008)
Boca Raton, Florida, 33434
Study Coordinator, 561-529-4356
- Recruiting
Boston Children's Hospital ( Site 0018)
Boston, Massachusetts, 02115
Study Coordinator, 616-354-3372
- Recruiting
Cincinnati Children's Hospital Medical Center ( Site 0016)
Cincinnati, Ohio, 45229
Study Coordinator, 513-636-3200
- Recruiting
West Virginia University ( Site 0013)
Morgantown, West Virginia, 26506
Study Coordinator, 304-598-4000
- Recruiting
St. Louis Children's Hospital ( Site 0014)
St Louis, Missouri, 63110
Study Coordinator, 314-454-6000
- Recruiting
Children's National Medical Center ( Site 0015)
Washington D.C., District of Columbia, 20010
Study Coordinator, 202-476-5000
- Recruiting
Nemours/Alfred I. duPont Hospital for Children ( Site 0001)
Wilmington, Delaware, 19803
Study Coordinator, 302-651-6600
China6 sites, 6 recruiting
- Recruiting
Children's Hospital Capital Institute of Pediatrics ( Site 1908)
Beijing, Beijing Municipality, 100020
Study Coordinator, 010-85695555
- Recruiting
Beijing Anzhen Hospital. Capital Medical University ( Site 1917)
Beijing, Beijing Municipality, 100029
Study Coordinator, 010-64412431
- Recruiting
Guangdong Provincial People's Hospital ( Site 1915)
Guangzhou, Guangdong, 510080
Study Coordinator, 02083882222
- Recruiting
The Children's Hospital of Zhejiang University School of Medicine ( Site 1905)
Hangzhou, Zhejiang, 310057
Study Coordinator, 0571-86036545
- Recruiting
Children's Hospital of Fudan University ( Site 1906)
Shanghai, Shanghai Municipality, 200032
Study Coordinator, 021-96999176
- Recruiting
Shanghai Children's Medical Center ( Site 1918)
Shanghai, Shanghai Municipality, 200120
Study Coordinator, 021-38626161
Colombia4 sites, 4 recruiting
- Recruiting
Clinica de la Costa S.A.S. ( Site 0400)
Barranquilla, Atlántico, 080020
Study Coordinator, +57 3133894240
- Recruiting
Fundacion Valle del Lili ( Site 0403)
Cali, Valle del Cauca Department, 760032
Study Coordinator, +573166237452
- Recruiting
Oncomédica S.A.S ( Site 0401)
Montería, Departamento de Córdoba, 230002
Study Coordinator, +57 3135342052
- Recruiting
Fundación Cardiovascular de Colombia ( Site 0402)
Piedecuesta, Santander Department, 681017
Study Coordinator, +573203400438
Brazil3 sites, 3 recruiting
- Recruiting
Universidade Federal Do Ceara ( Site 0201)
Fortaleza, Ceará, 60430270
Study Coordinator, +558533668590
- Recruiting
Instituto Dante Pazzanese de Cardiology ( Site 0206)
São Paulo, 04012-909
Study Coordinator, +551150856419
- Recruiting
Incor - Instituto do Coracao ( Site 0200)
São Paulo, 05403900
Study Coordinator, +551126615450
Chile3 sites, 3 recruiting
- Recruiting
Biocenter ( Site 0305)
Concepción, Biobio, 4070196
Study Coordinator, +56412858421
- Recruiting
Explora Salud ( Site 0304)
Santiago, Region M. de Santiago, 7500504
Study Coordinator, +56944213579
- Recruiting
Pontificia Universidad Catolica de Chile ( Site 0300)
Santiago, Region M. de Santiago, 8330032
Study Coordinator, 56934331806
Czechia3 sites, 3 recruiting
- Recruiting
Detska nemocnice FN Brno ( Site 0701)
Brno, Brno-mesto, 613 00
Study Coordinator, +420532231111
- Recruiting
Vseobecna fakultni nemocnice v Praze ( Site 0702)
Prague, Praha 2, 128 00
Study Coordinator, +420224967708
- Recruiting
Fakultni nemocnice v Motole ( Site 0700)
Prague, 150 00
Study Coordinator, +420224435332
Mexico3 sites, 3 recruiting
- Recruiting
INVECORDIS S.C. ( Site 0503)
Huixquilucan, 52763
Study Coordinator, +525552469710
- Recruiting
Laboratorio de Patología Clínica del Hospital Universitario "Dr. José Eleuterio González" ( Site 0501)
Monterrey, Nuevo León, 64460
Study Coordinator, +52 8183338623
- Recruiting
Centro de Investigacion Clinica de Oaxaca ( Site 0505)
Oaxaca City, Oaxaca, 68020
Study Coordinator, +52 9516035559
Spain3 sites, 3 recruiting
- Recruiting
Hospital Universitario Central de Asturias ( Site 1303)
Oviedo, Asturias, Principado de, 33011
Study Coordinator, +34985108000
- Recruiting
COMPLEJO HOSPITALARIO DE NAVARRA ( Site 1302)
Pamplona, Navarre, 31009
Study Coordinator, +34660021505
- Recruiting
Hospital Clinico Universitario de Santiago de Compostela ( Site 1300)
Santiago de Compostela, La Coruna, 15706
Study Coordinator, +34981951108
United Kingdom3 sites, 3 recruiting
- Recruiting
Birmingham Childrens Hospital ( Site 1501)
Birmingham, B4 6NH
Study Coordinator, +441213338504
- Recruiting
Sheffield Childrens Hospital ( Site 1503)
Sheffield, S10 2TH
Study Coordinator, +441142717000
- Recruiting
Southampton General Hospital ( Site 1502)
Southampton, SO16 6YD
Study Coordinator, +442381204989
Australia2 sites, 2 recruiting
- Recruiting
Monash Children s Hospital ( Site 1603)
Clayton, Victoria, 3168
Study Coordinator, +61385723000
- Recruiting
Perth Children s Hospital ( Site 1601)
Nedlands, Western Australia, 6909
Study Coordinator, +61864565671
Belgium1 site, 1 recruiting
- Recruiting
UZ Antwerpen ( Site 0601)
Edegem, Antwerpen, 2650
Study Coordinator, +323 821 32 51
Finland1 site, 1 recruiting
- Recruiting
New Childrens Hospital ( Site 0800)
Helsinki, Uusimaa, 00029
Study Coordinator, +358 9 4711
France1 site, 1 recruiting
- Recruiting
Hopital Femme Mere Enfant ( Site 2101)
Bron, Rhone, 69500
Study Coordinator, +33472357050
Germany1 site, 1 recruiting
- Recruiting
Universitaetsklinikum Freiburg ( Site 2203)
Freiburg im Breisgau, Baden-Wurttemberg, 79106
Study Coordinator, +49 761 270 - 43000
Netherlands1 site, 1 recruiting
- Recruiting
Amsterdam UMC, locatie AMC ( Site 1000)
Amsterdam, North Holland, 1105 AZ
Study Coordinator, +31205666360
New Zealand1 site, 1 recruiting
- Recruiting
New Zealand Clinical Research (Christchurch) ( Site 1700)
Christchurch, Canterbury, 8011
Study Coordinator, NZCR +6433729477
Norway1 site, 1 recruiting
- Recruiting
Oslo Universitetssykehus Aker-Lipidklinikken ( Site 1100)
Oslo, 0586
Study Coordinator, 4722894808
Poland1 site, 1 recruiting
- Recruiting
Instytut Centrum Zdrowia Matki Polki ( Site 1201)
Lodz, Łódź Voivodeship, 93-338
Study Coordinator, +48422711266
Singapore1 site, 1 recruiting
- Recruiting
National University Hospital-Paediatrics ( Site 1800)
Singapore, Central Singapore, 117599
Study Coordinator, +6567795555
About this study
Official title: An Operationally Seamless Phase 2/3 Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of Enlicitide Decanoate in Pediatric Participants With Heterozygous Familial Hypercholesterolemia
This study is designed to learn if enlicitide decanoate is safe and effective to treat children and adolescents with heterozygous familial hypercholesterolemia (HeFH) and high amounts of low-density lipoprotein cholesterol (LDL-C) in the blood.
The goals of this study are to learn about the safety of enlicitide and if children tolerate it, what happens to enlicitide in a child's body over time, and if enlicitide works to lower cholesterol levels in children more than a placebo.
- Being tested
- Enlicitide Decanoate, Placebo
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Enlicitide DecanoateDrug
Also called MK-0616, Enlicitide
Enlicitide decanoate taken by mouth
PlaceboDrug
Placebo tablet matched to enlicitide decanoate taken by mouth
| Study group | Role | What they receive |
|---|---|---|
| Part A: Enlicitide Decanoate | Experimental | Participants receive enlicitide decanoate orally once daily (QD) at a dosage determined by age for up to 2 weeks. Receives: Drug: Enlicitide Decanoate |
| Part B: Enlicitide Decanoate | Experimental | Participants receive enlicitide decanoate QD at a dosage determined by age for up to 24 weeks. Receives: Drug: Enlicitide Decanoate |
| Part B: Placebo | Placebo comparator | Participants receive placebo orally QD for up to 24 weeks. Receives: Drug: Placebo |
| Open-Label Extension: Enlicitide Decanoate | Experimental | Participants who complete either Part A or Part B may enroll in this open-label extension arm. Participants in the extension arm receive enlicitide decanoate QD at a dosage determined by age for up to 3 years. Receives: Drug: Enlicitide Decanoate |
What is being measured
The primary outcome is the main question the study is designed to answer.
Part A: Maximum Plasma Concentration (Cmax) of Enlicitide
Blood samples will be collected to determine the Cmax of enlicitide.
Measured: At designated timepoints (up to 24 hours postdose on day 14)
Part A: Area Under the Concentration-Time Curve from 0 to 24 Hours (AUC0-24) of Enlicitide
Blood samples will be collected to determine the AUC0-24 of enlicitide.
Measured: At designated timepoints (up to 24 hours postdose on day 14)
Part B: Percent Change from Baseline in Low-Density Lipoprotein Cholesterol (LDL-C)
Blood samples will be collected to determine the percent change from baseline in LDL-C.
Measured: Baseline and Week 24
Number of Participants Who Experience an Adverse Event (AE)
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.
Measured: Up to approximately 188 weeks
Number of Participants Who Discontinue Study Treatment Due to an AE
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.
Measured: Up to approximately 180 weeks
Secondary outcomes (7)
Part B: Percent Change from Baseline in Apolipoprotein B (ApoB)
Blood samples will be collected to determine the percent change from baseline in apolipoprotein B.
Measured: Baseline and week 24
Part B: Percent Change from Baseline in Non-High-Density Lipoprotein Cholesterol (non-HDL-C)
Blood samples will be collected to determine the percent change from baseline in non-HDL-C.
Measured: Baseline and week 24
Part B: Percent Change from Baseline in Lipoprotein (a) (Lp(a))
Blood samples will be collected to determine the percent change from baseline in Lp(a).
Measured: Baseline and week 24
Part B: Percentage of Participants With LDL-C <130 mg/dL at Week 24
The percentage of participants with LDL-C <130 mg/dL at week 24 will be reported.
Measured: Week 24
Part B: Percentage of Participants With ≥50% LDL-C Reduction from Baseline at Week 24
The percentage of participants with ≥50% LDL-C reduction from baseline at week 24 will be reported.
Measured: Baseline and week 24
Part B: Percentage of Participants With LDL-C <100 mg/dL at Week 24
The percentage of participants with LDL-C <100 mg/dL at week 24 will be reported.
Measured: Week 24
Change in Carotid Intima-media Thickness (cIMT)
Ultrasound measurements will be performed to determine the change from baseline in cIMT.
Measured: Baseline and week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Jul 2025
- Study start21 Aug 2025
- Primary completion4 Dec 2033 (estimated)
- Study completion23 Jan 2037 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Heterozygous Familial Hypercholesterolemia (HeFH)Studies of the same condition, open and under way.
- More trials run by Merck Sharp & Dohme LLCThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- There are two parts of the study. Part A is a non randomized single treatment group. Part B is randomized parallel treatment groups. Participants who complete either part are then eligible to enroll in an open label extension (single group).
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 153 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Merck Sharp & Dohme LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Merck Sharp & Dohme LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07058077
- Sponsor's protocol ID
- 0616-029
- Other IDs
- U1111-1314-5796, 2024-519068-42-00, jRCT2040260089
- Status last verified
- Oct 2026
- First submitted
- 1 Jul 2025
- Last updated
- 7 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf