The first oral PCSK9 pill is approved, matching the shots at a third the price The FDA approved Merck's LIPFENDRA (enlicitide) on July 16 as the first oral PCSK9 inhibitor, a once-daily macrocyclic peptide tablet that cut LDL cholesterol 56 and 59 percent against placebo in two Phase 3 trials, matching injectable antibodies at a $315-a-month list price, roughly a third of the injections. The approval rests on LDL, not heart-attack prevention; the cardiovascular outcomes trial does not report until 2029. An approved, priced, once-daily macrocyclic peptide is the clearest sign yet the oral-peptide class has cleared its chemistry problem.
27d ago · Regulatory · @pavel 4 min read