A clinical study of enlicitide in people with high cholesterol (MK-0616-037)

2025-521495-54-00 Protocol MK-0616-037 Therapeutic confirmatory (Phase III) Ongoing, recruitment ended

Start 20 Dec 2025 · Status Ongoing, recruitment ended · 2 EU/EEA countries · 8 sites · Protocol MK-0616-037

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruitment ended
Participants planned 975
Countries 2
Sites 8

Hyperlipidemia

To compare the efficacy of enlicitide + rosuvastatin against placebo on mean percent change from baseline LDL-C at Week 8.

Key facts

Sponsor
Merck Sharp & Dohme LLC
Participant type
Patients
Age range
18-64 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Cardiovascular Diseases [C14]
Trial duration
20 Dec 2025 → ongoing
Decision date (initial)
2025-11-24
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Merck Sharp & Dohme LLC

External identifiers

EU CT number
2025-521495-54-00
WHO UTN
U1111-1319-9502

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Pharmacogenomic, Safety, Efficacy, Pharmacogenetic

To compare the efficacy of enlicitide + rosuvastatin against placebo on mean percent change from baseline LDL-C at Week 8.

Secondary objectives 11

  1. To compare the efficacy of enlicitide monotherapy against placebo on mean percent change from baseline LDL-C at Week 8.
  2. To compare the efficacy of enlicitide + rosuvastatin against rosuvastatin monotherapy and enlicitide monotherapy on mean percent change from baseline LDL-C at Week 8.
  3. To compare the efficacy of enlicitide + rosuvastatin against placebo on mean percent change from baseline ApoB at Week 8.
  4. To compare the efficacy of enlicitide monotherapy against placebo on mean percent change from baseline ApoB at Week 8.
  5. To compare the efficacy of enlicitide + rosuvastatin against rosuvastatin monotherapy and enlicitide monotherapy on mean percent change from baseline ApoB at Week 8.
  6. To evaluate the safety and tolerability of enlicitide + rosuvastatin, enlicitide monotherapy, and rosuvastatin monotherapy.
  7. To evaluate the efficacy of the following with respect to the mean percent change from baseline in LDL-C at Week 12: -Enlicitide + rosuvastatin compared with placebo, enlicitide monotherapy, and rosuvastatin monotherapy -Enlicitide monotherapy compared with placebo
  8. To evaluate the efficacy of the following with respect to the mean percent change from baseline in non-HDL-C at Week 8: -Enlicitide + rosuvastatin compared with placebo, enlicitide monotherapy, and rosuvastatin monotherapy -Enlicitide monotherapy compared with placebo
  9. To evaluate the efficacy of the following with respect to percent change from baseline in Lp(a) at Week 8: -Enlicitide + rosuvastatin compared with placebo, enlicitide monotherapy, and rosuvastatin monotherapy -Enlicitide monotherapy compared with placebo
  10. To evaluate the efficacy of the following with respect to the proportion of participants with LDL-C <70 mg/dL and ≥50% reduction from baseline at Week 8: -Enlicitide + rosuvastatin compared with placebo, enlicitide monotherapy, and rosuvastatin monotherapy -Enlicitide monotherapy compared with placebo
  11. To evaluate the efficacy of the following with respect to the proportion of participants with LDL-C <55 mg/dL and ≥50% reduction from baseline at Week 8: -Enlicitide + rosuvastatin compared with placebo, enlicitide monotherapy, and rosuvastatin monotherapy -Enlicitide monotherapy compared with placebo

Conditions and MedDRA coding

Hyperlipidemia

VersionLevelCodeTermSystem organ class
23.0 LLT 10020667 Hyperlipidemia 10027433

Regulatory references

Scientific advice from competent authorities
European Medicines Agency
Plan to share IPD
Yes

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 2

  1. Has either not received lipid-lowering therapy (LLT) or has not received certain LLTs within a specified time period prior to the study.
  2. Is an individual of any sex/gender, from 18 years to 64 years age inclusive.

Exclusion criteria 8

  1. Has a history of homozygous familial hypercholesterolemia (FH), compound heterozygous FH, or double heterozygous FH.
  2. Had a heart failure hospitalization within 3 months before Screening.
  3. Is unwilling to take a statin, and/or has a history of statin-associated muscle symptoms or other statin-related AEs to any statin and dose, and/or is known to be intolerant to 1 or more statins.
  4. Has a history of any of the following conditions: (1) Myopathy, myositis, rhabdomyolysis, or unexplained muscle pain; (2) Muscular or neuromuscular disease; (3) Neuropathy, fibromyalgia, or chronic pain; or (4) Has a personal or family history of hereditary muscular disorders.
  5. Has active or chronic hepatobiliary or hepatic disease.
  6. Has known human immunodeficiency virus (HIV) infection.
  7. Is undergoing or previously underwent an LDL-C apheresis program within 3 months before Screening or plans to initiate an LDL-C apheresis program.
  8. Has received any medication that may interact with rosuvastatin within 5 half-lives prior to Screening or is planning to initiate such treatment.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Mean Percent Change from Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Week 8 (Enlicitide + Rosuvastatin Versus Placebo)

Secondary endpoints 9

  1. Mean Percent Change from Baseline in LDL-C at Week 8
  2. Mean Percent Change from Baseline in Apolipoprotein B (ApoB) at Week 8
  3. Number of Participants with One or More Adverse Events (AEs)
  4. Number of Participants who Discontinue Study Drug Due to One or More AEs
  5. Mean Percent Change from Baseline in LDL-C at Week 12
  6. Mean Percent Change from Baseline in Non-High-Density Lipoprotein Cholesterol (non-HDL-C) at Week 8
  7. Percent Change from Baseline in Lipoprotein (a) (Lp[a]) at Week 8
  8. Percentage of Participants with LDL-C <70 mg/dL and ≥50% Reduction from Baseline at Week 8
  9. Percentage of Participants with LDL-C <55 mg/dL and ≥50% Reduction from Baseline at Week 8

Investigational products

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

Test 2

Rosuvastatin Zinc

SCP102639772 · ATC

Active substance
Rosuvastatin Zinc
Route of administration
ORAL
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
12 Week(s)
Authorisation status
Authorised
ATC code
C10AA07 — ROSUVASTATIN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
over-encapsulation

MK-0616

PRD10318236 · Product

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

Placebo 2

Rosuvastatin Placebo

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
Route of administration
ORAL
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
0 Week(s)
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

MK-0616 (Enlicitide chloride) Placebo

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
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, P. O. Box 2000 P. O. Box 2000
City
Rahway
Postcode
07065-4607
Country
United States

Scientific contact point

Organisation
Merck Sharp & Dohme LLC
Contact name
Min Zhuo

Public contact point

Organisation
Merck Sharp & Dohme LLC
Contact name
Min Zhuo

Third parties 3

OrganisationCity, countryDuties
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
Parexel International Corp.
ORG-100007310
Auburndale, United States Other

Locations

2 EU/EEA countries · 8 investigational sites

By country

CountryMS statusPlanned subjectsSites
Hungary Ongoing, recruitment ended 60 5
Spain Ongoing, recruitment ended 50 3
Rest of world
New Zealand, United States, Canada, Australia, Argentina, Israel, Brazil, United Kingdom, Turkey
865

Investigational sites

Hungary

5 sites · Ongoing, recruitment ended
University Of Debrecen
Belgyógyászati Klinika A épület, Nagyerdei Korut 98, 4032, Debrecen
DRC Kft.
NA, Ady Endre Utca 12/b, 8230, Balatonfured
Belinus Bt.
NA, Erzsebet Utca 11-13, 4025, Debrecen
Borbanya Praxis Egeszsegugyi Kft.
NA, Bazsalikom Utca 1/1, Borbanya, Nyiregyhaza
Lausmed Kft.
NA, Fulep Lajos Utca 15, 6500, Baja

Spain

3 sites · Ongoing, recruitment ended
Eap Osona Sud Alt Congost S.L.P.
Medicina interna, Placa Del Pla Del Mestre 7, 08540, Centelles
Equip D'Atencio Primaria Barcelona Sardenya S.L.P.
Atención Primaria, Carrer De Sardenya 466, 08025, Barcelona
Centro De Salud Concepcion Arenal
Atención Primaria, Calle De Santiago Leon De Caracas N 12, 15701, Santiago De Compostela

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Hungary 2025-12-20 2025-12-29 2026-04-30
Spain 2025-12-22 2025-12-23 2026-06-03

Results and documents

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

Documents 18 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol_2025-521495-54_NSM01_for pub 02R
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_ESP_ES_IN_for pub 13AUG2025R
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_HUN_EN_IN_for pub 07AUG2025
Subject information and informed consent form (for publication) L1_ICF_FBR consent_HUN_HU_IN-RFI002_for pub v0-00
Subject information and informed consent form (for publication) L1_ICF_Genetic consent_HUN_HU_IN-RFI002_for pub v0-00
Subject information and informed consent form (for publication) L1_ICF_Main consent_ESP_ES_IN-RFI003_for pub 00R
Subject information and informed consent form (for publication) L1_ICF_Main consent_HUN_HU_IN-RFI001_for pub V0-00R
Subject information and informed consent form (for publication) L1_ICF_Optional_limited screening consent_ESP_ES_IN_for pub 00R
Subject information and informed consent form (for publication) L1_ICF_Optional_limited screening consent_HUN_HU_IN-RFI002_for pub v0-00R
Subject information and informed consent form (for publication) L1_ICF_Optional_pregnancy follow-up_ESP_ES_IN_for pub 00
Subject information and informed consent form (for publication) L1_ICF_Optional_pregnant partner_ESP_ES_IN_for pub 00R
Subject information and informed consent form (for publication) L1_ICF_Optional_pregnant partner_HUN_HU_IN-RFI001_for pub V0-00
Subject information and informed consent form (for publication) L2_Patient ID Card_HUN_HU_IN-RFI002_for pub v2-0
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC RSI_Rosuvastatin_Glenmark Pharmaceuticals_IN-RFI004_for pub 23JUN2025
Synopsis of the protocol (for publication) D1_PPLS_2025-521495-54_ESP_ES_IN_for pub 1.0
Synopsis of the protocol (for publication) D1_PPLS_2025-521495-54_HUN_HU_IN_for pub 1.0
Synopsis of the protocol (for publication) D1_PPLS_2025-521495-54_IN_for pub 1.0
Synopsis of the protocol (for publication) D1_Protocol Scientific Synopsis_2025-521495-54_HUN_HU_IN_for pub 0.00R

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-08-21 Spain Acceptable
2025-11-18
2025-11-19
2 NON SUBSTANTIAL MODIFICATION NSM-1 2025-11-24 Spain Acceptable
2025-11-18
2025-11-24
3 SUBSTANTIAL MODIFICATION SM-1 2025-11-24 Spain Acceptable 2025-12-04