Extension trial for adults with high cholesterol who completed a MK-0616 clinical trial

2023-504922-20-00 Protocol MK-0616-019 Therapeutic confirmatory (Phase III) Ongoing, recruitment ended

Start 23 Aug 2024 · Status Ongoing, recruitment ended · 9 EU/EEA countries · 43 sites · Protocol MK-0616-019

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruitment ended
Participants planned 3,453
Countries 9
Sites 43

Hypercholesterolemia

To evaluate the safety and tolerability of enlicitide treatment

Key facts

Sponsor
Merck Sharp & Dohme LLC
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Cardiovascular Diseases [C14]
Trial duration
23 Aug 2024 → ongoing
Decision date (initial)
2024-08-22
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Merck Sharp & Dohme LLC

External identifiers

EU CT number
2023-504922-20-00
WHO UTN
U1111-1290-3950

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Safety, Therapy

To evaluate the safety and tolerability of enlicitide treatment

Secondary objectives 3

  1. To evaluate the efficacy of enlicitide on percent change from baseline of the parent study in LDL-C at Week 8 of the OLE
  2. To evaluate the efficacy of enlicitide on percent change from baseline of the parent study in non-HDL-C, ApoB, and Lp(a) at Week 8 of the OLE
  3. To evaluate the efficacy of enlicitide on the proportion of participants with LDL-C <70 mg/dL and ≥50% reduction, and <55 mg/dL and ≥50% reduction from baseline of the parent study over time

Conditions and MedDRA coding

Hypercholesterolemia

VersionLevelCodeTermSystem organ class
21.0 LLT 10020604 Hypercholesterolemia 10027433

Regulatory references

Scientific advice from competent authorities
European Medicines Agency
Plan to share IPD
Yes
EU CT numberTitleSponsor
2023-504920-25-00 A Phase 3, Randomized, Double-Blind Study to Evaluate the Efficacy and Safety of MK-0616 Compared With Ezetimibe or Bempedoic Acid or Ezetimibe and Bempedoic Acid in Adults With Hypercholesterolemia Merck Sharp &amp; Dohme LLC
2022-502777-42-01 A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of MK-0616 in Adults With Hypercholesterolemia Merck Sharp & Dohme LLC
2022-502782-14-00 A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of MK-0616 in Adults With Heterozygous Familial Hypercholesterolemia Merck Sharp & Dohme LLC

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 2

  1. Has completed an enlicitide (also known as enlicitide decanoate and MK-0616) parent study (MK-0616-013, MK-0616-017, MK-0616-018) per protocol including the final assessments/procedure of their parent study
  2. Had overall study compliance ≥80% while participating in their parent study

Exclusion criteria 4

  1. Had discontinued study intervention in their parent study
  2. Has an ongoing serious adverse event (SAE) considered related to study intervention by the investigator in the parent study
  3. Is planning to begin treatment with a nonstudy protein convertase subtilisin/kexin type 9 inhibitor (PCSK9i) while enrolled in the study
  4. Is currently participating in an interventional clinical study other than an enlicitide parent study (i.e., MK-0616-013, MK-0616-017, MK-0616-018)

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Number of participants with one or more adverse events (AEs)
  2. Number of participants who discontinue study drug due to an AE

Secondary endpoints 6

  1. Percent change from baseline of the parent study in low-density lipoprotein cholesterol (LDL-C) at Week 8 of this extension study
  2. Percent change from baseline of the parent study in non-high-density lipoprotein cholesterol (non-HDL-C) at Week 8 of this extension study
  3. Percent change from baseline of the parent study in apolipoprotein B (ApoB) at Week 8 of this extension study
  4. Percent change from baseline of the parent study in lipoprotein(a) (Lp[a]) at Week 8 of this extension study
  5. Percentage of participants with LDL-C <70 mg/dL and ≥50% reduction from baseline of the parent study
  6. Percentage of participants with LDL-C <55 mg/dL and ≥50% reduction from baseline of the parent study

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

MK-0616

PRD10318236 · Product

Active substance
Enlicitide Chloride
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
20 mg milligram(s)
Max total dose
21900 mg milligram(s)
Max treatment duration
1095 Day(s)
Authorisation status
Not Authorised
MA holder
MERCK & CO. INC.
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Merck Sharp & Dohme LLC

Sponsor organisation
Merck Sharp & Dohme LLC
Address
126 East Lincoln Avenue
City
Rahway
Postcode
07065-4607
Country
United States

Scientific contact point

Organisation
Merck Sharp & Dohme LLC
Contact name
Laura Gellis

Public contact point

Organisation
Merck Sharp & Dohme LLC
Contact name
Laura Gellis

Third parties 3

OrganisationCity, countryDuties
Parexel International Corp.
ORG-100007310
Auburndale, United States Other
Signant Health Global LLC
ORG-100040604
Blue Bell, United States Interactive response technologies (IRT)
Labcorp Central Laboratory Services SARL
ORG-100011524
Meyrin, Switzerland Laboratory analysis

Locations

9 EU/EEA countries · 43 investigational sites

By country

CountryMS statusPlanned subjectsSites
Czechia Ongoing, recruitment ended 25 3
Finland Ongoing, recruitment ended 10 1
France Ongoing, recruitment ended 30 4
Germany Ongoing, recruitment ended 150 6
Hungary Ongoing, recruitment ended 20 3
Italy Ongoing, recruitment ended 100 5
Netherlands Ongoing, recruitment ended 25 4
Norway Ongoing, recruitment ended 18 2
Spain Ongoing, recruitment ended 205 15
Rest of world
Turkey, Colombia, Argentina, Japan, Israel, United Kingdom, South Africa, New Zealand, Brazil, China, United States, Hong Kong, Singapore, Korea, Republic of, Canada, Taiwan, Mexico, Australia, Chile
2,870

Investigational sites

Czechia

3 sites · Ongoing, recruitment ended
Fakultni Nemocnice Brno
Interní kardiologická klinika, Jihlavska 340/20, Bohunice, Brno
Fakultni Nemocnice U Sv Anny V Brne
Oddělení klinické biochemie, Pekarska 53, Stare Brno, Brno-Stred
Institute For Clinical And Experimental Medicine
Pracoviště preventivní kardiologie, Videnska 1958/9 Krc, 140 00, Prague

Finland

1 site · Ongoing, recruitment ended
HUS-Yhtymae
Meilahti Tower Hospital, Haartmaninkatu 4, 00290, Helsinki

France

4 sites · Ongoing, recruitment ended
Hospices Civils De Lyon
Diabetologie, 59 Boulevard Pinel, 69500, Bron
Centre Hospitalier Universitaire De Montpellier
Cardiologie, 371 Avenue Du Doyen Gaston Giraud, 34090, Montpellier
Institut de Cancerologie de l Ouest
Endocrinologie, Bd Du Professeur Jacques Monod, 44800, St Herblain
Assistance Publique Hopitaux De Paris
Cardiologie, 46 Rue Henri Huchard, 75877, Paris Cedex 18

Germany

6 sites · Ongoing, recruitment ended
Hausarzt- und Diabetologischen Schwerpunktpraxis Hohenmölsen
N/A, An der Pforte 5, 06679, Hohenmölsen
Zentralklinik Bad Berka GmbH
Cardiology, Robert-Koch-Allee 9, 99437, Bad Berka
Velocity Clinical Research GmBH
N/A, Ansbacher Strasse 17-19, Schoeneberg, Berlin
Technische Universitaet Dresden
Universitätsstudienzentrum für Stoffwechselerkrankungen, Fetscherstrasse 74, Johannstadt-Nord, Dresden
Uhz Klinische Forschung
N/A, Unterstrasse 75, Frintrop, Essen
Charite Universitaetsmedizin Berlin KöR
Klinik für Kardiologie, Angiologie und Intensivmedizin, Hindenburgdamm 30, Lichterfelde, Berlin

Hungary

3 sites · Ongoing, recruitment ended
Semmelweis University
Városmajori Szív- és Érgyógyászati Klinika, Varosmajor Utca 68, Kerulet, Budapest XII
University Of Debrecen
Belgyógyászati Klinika, Nagyerdei Korut 98, 4032, Debrecen
University Of Szeged
Belgyógyászati Klinika, Semmelweis Utca 8, 6725, Szeged

Italy

5 sites · Ongoing, recruitment ended
Azienda Ospedaliero-Universitaria Sant Andre
Internal medicine, Via Di Grottarossa 1035-1039, 00189, Rome
Azienda Ospedaliera Policlinico Universitario Tor Vergata
Cardiology, Viale Oxford 81, 00133, Rome
Centro Cardiologico Monzino S.p.A.
Endocrinology, Via Carlo Parea 4, 20138, Milan
Azienda Ospedaliera Universitaria Citta Della Salute E Della Scienza Di Torino
Cardiology, Corso Bramante 88, 10126, Turin
Presidio Ospedaliero Garibaldi-Nesima
Internal medicine, Via Palermo, 636, Catania

Netherlands

4 sites · Ongoing, recruitment ended
Universitair Medisch Centrum Utrecht
Vascular Medicine Research, Heidelberglaan 100, 3584 CX, Utrecht
Stichting Radboud universitair medisch centrum
Internal Medicine, Division of Vascular Medicine, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen
Amsterdam UMC Stichting
Vasular medicine clinical trial unit, De Boelelaan 1117, 1081 HV, Amsterdam
Dijklander Ziekenhuis
Vasculair Onderzoek Centrum Hoorn, Maelsonstraat 3, 1624 NP, Hoorn Nh

Norway

2 sites · Ongoing, recruitment ended
Oslo University Hospital HF
Lipidklinikken, avd for endokrinologi, sykelig overvekt og forebyggende medisin, Trondheimsveien 235, 0586, Oslo
Nordlandssykehuset HF
Medisinsk avdeling, Parkveien 95, 8005, Bodo

Spain

15 sites · Ongoing, recruitment ended
Hospital Universitario Virgen De La Victoria
Endocrinología y nutrición, Calle Del Arroyo Teatinos Sn, 29010, Malaga
Hospital Universitario Virgen De La Macarena
Cardiología, Avenida Del Doctor Fedriani 3, 41009, Sevilla
Complexo Hospitalario Universitario De Santiago
Cardiología, Calle Choupana Da S/n, 15706, Santiago De Compostela
Hospital Universitari Vall D Hebron
Medicina Interna, Passeig De La Vall D'Hebron 119-129, 08035, Barcelona
Hospital Universitario Quironsalud Madrid
Endocrinología, Calle De Diego De Velazquez 1, 28223, Pozuelo De Alarcon
Salut Sant Joan De Reus
Medicina vascular y metabolismo, Avinguda Del Doctor Josep Laporte 2, 43204, Reus
Fundacio Salut Emporda
Medicina interna, Ronda Del Rector Arolas S/n, 17600, Figueres
Equip D'atencio Primaria Barcelona Sardenya S.L.P.
Atención Primaria, C Sardenya 466, 08025, Barcelona
Hospital Nisa Sevilla Aljarafe
Endocrinología, Avenida Placido Fernandez Viagas S/n, 41950, Castilleja De La Cuesta
Hospital Clinico Universitario De Valencia
Cardiología, Avenida Blasco Ibanez 17, 46010, Valencia
Hospital Universitario Fundacion Alcorcon
Medicina interna, Calle Budapest 1, 28922, Alcorcon
Area Sanitaria Da Coruna E Cee
Medicina interna, Lugar Jubias De Arriba Num 84, 15006, A Coruna
Instituto Medico Quirurgico San Rafael S.A.
Endocrinología, Poboado Nucleo Rural La Jubias 82, 15006, A Coruna
Eap Osona Sud Alt Congost S.L.P.
Medicina interna, Placa Del Pla Del Mestre 7, 08540, Centelles
Hospital Universitario 12 De Octubre
Medicina interna, Bloque D, Avenida De Cordoba Sn, Madrid

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Czechia 2024-11-25 2024-11-28 2025-02-07
Finland 2024-10-17 2024-11-08 2024-12-27
France 2024-10-04 2024-12-16 2025-01-30
Germany 2025-01-21 2025-01-24 2025-06-11
Hungary 2024-11-15 2024-12-04 2025-02-13
Italy 2024-09-20 2025-02-04 2025-05-12
Netherlands 2024-08-23 2024-11-07 2025-02-10
Norway 2024-10-10 2024-10-28 2025-01-21
Spain 2024-10-17 2024-11-05 2025-06-06

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 41 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_2023-504922-20_for pub 03R
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_CZE_CS_for pub 05APR2024
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_DEU_EN_for pub 1.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_ESP_ES_for pub 04APR2024R
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_FIN_EN_for pub 1.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_FRA_FR_for pub 08MAR2024
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_HUN_EN_for pub 12MAR2024
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_ITA_EN_for pub 12MAR2024
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_NLD_EN_for pub 2.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements and ICF Procedure_NOR_EN_for pub 16JULY2024
Recruitment arrangements (for publication) K2_Recruitment Doc Brochure_CZE_CS_for pub 20AUG2024
Recruitment arrangements (for publication) K2_Recruitment Doc Patient Brochure_ESP_ES_for pub 30SEP2024
Recruitment arrangements (for publication) K2_Recruitment Doc Patient Brochure_FRA_FR_for pub 25SEP2024
Recruitment arrangements (for publication) K2_Recruitment Doc Patient Visit Guide_CZE_CS_for pub CZE_v1
Recruitment arrangements (for publication) K2_Recruitment Doc Patient Visit Guide_ESP_ES_for pub 30SEP2024
Recruitment arrangements (for publication) K2_Recruitment Doc Patient Visit Guide_FRA_FR_for pub 25SEP2024
Subject information and informed consent form (for publication) L1_ICF_Main consent_CZE_CS_for pub Czech v4R
Subject information and informed consent form (for publication) L1_ICF_Main consent_DEU_DE_for pub 1.00R
Subject information and informed consent form (for publication) L1_ICF_Main consent_ESP_ES_SM07_for pub AM01v1.01R
Subject information and informed consent form (for publication) L1_ICF_Main consent_FIN_FI_for pub AM01v1.00
Subject information and informed consent form (for publication) L1_ICF_Main consent_FRA_FR_for pub AM01v1.00R
Subject information and informed consent form (for publication) L1_ICF_Main consent_HUN_HU_for pub AM01v1.00R
Subject information and informed consent form (for publication) L1_ICF_Main consent_ITA_IT_for pub AM01v1.00R
Subject information and informed consent form (for publication) L1_ICF_Main consent_NLD_NL_for pub AM01v1.00R
Subject information and informed consent form (for publication) L1_ICF_Main consent_NOR_NN_for pub 1.00
Subject information and informed consent form (for publication) L1_ICF_Main data privacy_ITA_IT_for pub 30SEP2024
Subject information and informed consent form (for publication) L1_ICF_Main GDPR_CZE_CS_for pub 3.0
Subject information and informed consent form (for publication) L1_ICF_Optional_add reimbursement_DEU_DE_for pub 00
Subject information and informed consent form (for publication) L1_ICF_Optional_DILI sample_ITA_IT_for pub 30SEP2024
Subject information and informed consent form (for publication) L1_Patient GP letter_ITA_IT_for pub 1.0
Subject information and informed consent form (for publication) L1_Patient ID Card_CZE_CS_for pub 1.0 00 1.2
Subject information and informed consent form (for publication) L1_Patient ID Card_HUN_HU_for pub 1.0
Synopsis of the protocol (for publication) D1_PPLS_2023-504922-20_CZE_CS_for pub 2
Synopsis of the protocol (for publication) D1_PPLS_2023-504922-20_ESP_ES_for pub 2.0
Synopsis of the protocol (for publication) D1_PPLS_2023-504922-20_for pub 2.0
Synopsis of the protocol (for publication) D1_PPLS_2023-504922-20_FRA_FR_for pub 2.0
Synopsis of the protocol (for publication) D1_PPLS_2023-504922-20_ITA_IT_for pub 2.0
Synopsis of the protocol (for publication) D1_PPLS_2023-504922-20_NLD_NL_for pub 2.0
Synopsis of the protocol (for publication) D1_PPLS_2023-504922-20_NOR_NN_for pub 2.0
Synopsis of the protocol (for publication) D1_PPLS_HUN_HU_for pub 2.0
Synopsis of the protocol (for publication) D1_Protocol Scientific Synopsis_2023-504922-20_CZE_CS_for pub 1R

Application history

16 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-04-29 Finland Acceptable
2024-08-21
2024-08-21
2 SUBSTANTIAL MODIFICATION SM-1 2024-08-27 Finland Acceptable 2024-09-12
3 SUBSTANTIAL MODIFICATION SM-2 2024-10-10 Finland Acceptable with conditions
2025-01-30
2025-01-30
4 NON SUBSTANTIAL MODIFICATION NSM-1 2025-02-04 Finland Acceptable with conditions
2025-01-30
2025-02-04
5 SUBSTANTIAL MODIFICATION SM-3 2025-02-05 Acceptable with conditions 2025-03-26
6 SUBSTANTIAL MODIFICATION SM-4 2025-02-06 Acceptable with conditions 2025-02-13
7 NON SUBSTANTIAL MODIFICATION NSM-2 2025-03-26 Finland Acceptable with conditions 2025-03-26
8 SUBSTANTIAL MODIFICATION SM-5 2025-04-16 Finland Acceptable
2025-05-15
2025-05-15
9 SUBSTANTIAL MODIFICATION SM-7 2025-06-16 Finland Acceptable
2025-07-29
2025-07-29
10 NON SUBSTANTIAL MODIFICATION NSM-3 2025-08-26 Finland Acceptable
2025-07-29
2025-08-26
11 NON SUBSTANTIAL MODIFICATION NSM-4 2025-09-10 Finland Acceptable
2025-07-29
2025-09-10
12 SUBSTANTIAL MODIFICATION SM-8 2025-10-23 Finland Acceptable
2026-01-13
2026-01-13
13 NON SUBSTANTIAL MODIFICATION NSM-5 2026-01-26 Acceptable
2026-01-13
2026-01-26
14 SUBSTANTIAL MODIFICATION SM-9 2026-01-28 Acceptable 2026-02-12
15 NON SUBSTANTIAL MODIFICATION NSM-6 2026-02-18 Acceptable 2026-02-18
16 NON SUBSTANTIAL MODIFICATION NSM-7 2026-04-13 Acceptable 2026-04-13