A Study of Enlicitide Decanoate (MK-0616, an Oral PCSK9 Inhibitor) in Children and Adolescents With Heterozygous Familial Hypercholesterolemia (MK-0616-029)
Heterozygous Familial Hypercholesterolemia (HeFH)
What this study involves
The registry says this study is recruiting. Individual locations may have different availability.
- Study type
- Interventional
- Phase
- Phase 2 / Phase 3
- Age range
- 6 years - 17 years
- Sex eligible
- All sexes
- Healthy volunteers
- Not accepted
- Participants
- 153 Estimated
These are starting points, not an eligibility decision. The research team must review the full requirements.
About the research
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.
Who may be able to participate?
The list below is the sponsor’s full registry wording. It can include conditions, prior treatment, test results and other requirements. A match in search does not mean you qualify.
Inclusion Criteria:
Inclusion criteria include, but are not limited to:
- 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
Exclusion Criteria:
Exclusion criteria include, but are not limited to:
- 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
Treatment, groups and participation
The registry may describe treatments and study duration without a complete visit calendar. Ask the study team for the exact schedule, procedures, risks, costs and alternatives. Keep your usual care plan unless your treating clinician tells you otherwise.
- Assignment
- Random assignment
- Masking
- Quadruple masked
Part A: Enlicitide Decanoate
Participants receive enlicitide decanoate orally once daily (QD) at a dosage determined by age for up to 2 weeks.
Drug: Enlicitide Decanoate
Part B: Enlicitide Decanoate
Participants receive enlicitide decanoate QD at a dosage determined by age for up to 24 weeks.
Drug: Enlicitide Decanoate
Part B: Placebo
Participants receive placebo orally QD for up to 24 weeks.
Drug: Placebo
Open-Label Extension: Enlicitide Decanoate
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.
Drug: Enlicitide Decanoate
Enlicitide Decanoate DRUG
Enlicitide decanoate taken by mouth
Placebo DRUG
Placebo tablet matched to enlicitide decanoate taken by mouth
What researchers are measuring
Outcome measures describe what is being studied. They are not proof that a treatment works.
Primary measures
Part A: Maximum Plasma Concentration (Cmax) of Enlicitide
Time frame: At designated timepoints (up to 24 hours postdose on day 14)
Blood samples will be collected to determine the Cmax of enlicitide.
Part A: Area Under the Concentration-Time Curve from 0 to 24 Hours (AUC0-24) of Enlicitide
Time frame: At designated timepoints (up to 24 hours postdose on day 14)
Blood samples will be collected to determine the AUC0-24 of enlicitide.
Part B: Percent Change from Baseline in Low-Density Lipoprotein Cholesterol (LDL-C)
Time frame: Baseline and Week 24
Blood samples will be collected to determine the percent change from baseline in LDL-C.
Number of Participants Who Experience an Adverse Event (AE)
Time frame: Up to approximately 188 weeks
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.
Number of Participants Who Discontinue Study Treatment Due to an AE
Time frame: Up to approximately 180 weeks
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.
Secondary measures
Part B: Percent Change from Baseline in Apolipoprotein B (ApoB)
Time frame: Baseline and week 24
Blood samples will be collected to determine the percent change from baseline in apolipoprotein B.
Part B: Percent Change from Baseline in Non-High-Density Lipoprotein Cholesterol (non-HDL-C)
Time frame: Baseline and week 24
Blood samples will be collected to determine the percent change from baseline in non-HDL-C.
Part B: Percent Change from Baseline in Lipoprotein (a) (Lp(a))
Time frame: Baseline and week 24
Blood samples will be collected to determine the percent change from baseline in Lp(a).
Part B: Percentage of Participants With LDL-C <130 mg/dL at Week 24
Time frame: Week 24
The percentage of participants with LDL-C \<130 mg/dL at week 24 will be reported.
Part B: Percentage of Participants With ≥50% LDL-C Reduction from Baseline at Week 24
Time frame: Baseline and week 24
The percentage of participants with ≥50% LDL-C reduction from baseline at week 24 will be reported.
Part B: Percentage of Participants With LDL-C <100 mg/dL at Week 24
Time frame: Week 24
The percentage of participants with LDL-C \<100 mg/dL at week 24 will be reported.
Change in Carotid Intima-media Thickness (cIMT)
Time frame: Baseline and week 24
Ultrasound measurements will be performed to determine the change from baseline in cIMT.
Review the complete result tables and limitations in the official record.
Open official results ↗Research locations (48)
The overall study status and a local site’s status can differ. Confirm that location’s availability before traveling.
48 locations
Nemours/Alfred I. duPont Hospital for Children ( Site 0001)Wilmington, Delaware, United StatesRecruiting
Children's National Medical Center ( Site 0015)Washington D.C., District of Columbia, United StatesRecruiting
Excel Medical Clinical Trials ( Site 0008)Boca Raton, Florida, United StatesRecruiting
Children's Healthcare of Atlanta Cardiology ( Site 0026)Atlanta, Georgia, United StatesRecruiting
Boston Children's Hospital ( Site 0018)Boston, Massachusetts, United StatesRecruiting
St. Louis Children's Hospital ( Site 0014)St Louis, Missouri, United StatesRecruiting
Cincinnati Children's Hospital Medical Center ( Site 0016)Cincinnati, Ohio, United StatesRecruiting
West Virginia University ( Site 0013)Morgantown, West Virginia, United StatesRecruiting
Monash Children s Hospital ( Site 1603)Clayton, Victoria, AustraliaRecruiting
Perth Children s Hospital ( Site 1601)Nedlands, Western Australia, AustraliaRecruiting
UZ Antwerpen ( Site 0601)Edegem, Antwerpen, BelgiumRecruiting
Universidade Federal Do Ceara ( Site 0201)Fortaleza, Ceará, BrazilRecruiting
Instituto Dante Pazzanese de Cardiology ( Site 0206)São Paulo, BrazilRecruiting
Incor - Instituto do Coracao ( Site 0200)São Paulo, BrazilRecruiting
Biocenter ( Site 0305)Concepción, Biobio, ChileRecruiting
Explora Salud ( Site 0304)Santiago, Region M. de Santiago, ChileRecruiting
Pontificia Universidad Catolica de Chile ( Site 0300)Santiago, Region M. de Santiago, ChileRecruiting
Children's Hospital Capital Institute of Pediatrics ( Site 1908)Beijing, Beijing Municipality, ChinaRecruiting
Beijing Anzhen Hospital. Capital Medical University ( Site 1917)Beijing, Beijing Municipality, ChinaRecruiting
Guangdong Provincial People's Hospital ( Site 1915)Guangzhou, Guangdong, ChinaRecruiting
Children's Hospital of Fudan University ( Site 1906)Shanghai, Shanghai Municipality, ChinaRecruiting
Shanghai Children's Medical Center ( Site 1918)Shanghai, Shanghai Municipality, ChinaRecruiting
The Children's Hospital of Zhejiang University School of Medicine ( Site 1905)Hangzhou, Zhejiang, ChinaRecruiting
Clinica de la Costa S.A.S. ( Site 0400)Barranquilla, Atlántico, ColombiaRecruiting
Oncomédica S.A.S ( Site 0401)Montería, Departamento de Córdoba, ColombiaRecruiting
Fundación Cardiovascular de Colombia ( Site 0402)Piedecuesta, Santander Department, ColombiaRecruiting
Fundacion Valle del Lili ( Site 0403)Cali, Valle del Cauca Department, ColombiaRecruiting
Detska nemocnice FN Brno ( Site 0701)Brno, Brno-mesto, CzechiaRecruiting
Vseobecna fakultni nemocnice v Praze ( Site 0702)Prague, Praha 2, CzechiaRecruiting
Fakultni nemocnice v Motole ( Site 0700)Prague, CzechiaRecruiting
New Childrens Hospital ( Site 0800)Helsinki, Uusimaa, FinlandRecruiting
Hopital Femme Mere Enfant ( Site 2101)Bron, Rhone, FranceRecruiting
Universitaetsklinikum Freiburg ( Site 2203)Freiburg im Breisgau, Baden-Wurttemberg, GermanyRecruiting
Chutoen General Medical Center ( Site 2003)Kakegawa, Shizuoka, JapanRecruiting
Laboratorio de Patología Clínica del Hospital Universitario "Dr. José Eleuterio González" ( Site 0501)Monterrey, Nuevo León, MexicoRecruiting
Centro de Investigacion Clinica de Oaxaca ( Site 0505)Oaxaca City, Oaxaca, MexicoRecruiting
INVECORDIS S.C. ( Site 0503)Huixquilucan, MexicoRecruiting
Amsterdam UMC, locatie AMC ( Site 1000)Amsterdam, North Holland, NetherlandsRecruiting
New Zealand Clinical Research (Christchurch) ( Site 1700)Christchurch, Canterbury, New ZealandRecruiting
Oslo Universitetssykehus Aker-Lipidklinikken ( Site 1100)Oslo, NorwayRecruiting
Instytut Centrum Zdrowia Matki Polki ( Site 1201)Lodz, Łódź Voivodeship, PolandRecruiting
National University Hospital-Paediatrics ( Site 1800)Singapore, Central Singapore, SingaporeRecruiting
Hospital Universitario Central de Asturias ( Site 1303)Oviedo, Asturias, Principado de, SpainRecruiting
Hospital Clinico Universitario de Santiago de Compostela ( Site 1300)Santiago de Compostela, La Coruna, SpainRecruiting
COMPLEJO HOSPITALARIO DE NAVARRA ( Site 1302)Pamplona, Navarre, SpainRecruiting
Birmingham Childrens Hospital ( Site 1501)Birmingham, United KingdomRecruiting
Sheffield Childrens Hospital ( Site 1503)Sheffield, United KingdomRecruiting
Southampton General Hospital ( Site 1502)Southampton, United KingdomRecruiting
Study team and timeline
- Lead sponsor
- Merck Sharp & Dohme LLC
- Study start
- Aug 21, 2025 Actual
- Primary completion
- Dec 4, 2033 Estimated
- Study completion
- Jan 23, 2037 Estimated
- First posted
- Jul 10, 2025 Actual
- Last updated
- Nov 10, 2026 Actual
Official study contacts
Official study 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
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Source: ClinicalTrials.gov API v2. Information is submitted by sponsors and investigators. NLM does not approve the safety or science of all listed studies. Registry disclaimer.
Retrieved: Nov 11, 2026 · Last registry update: Nov 10, 2026
