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August 26, 2026˜The œmedical letter on drugs and therapeutics/˜The œmedical letter

Enlicitide (Lipfendra) – An Oral PCSK9 Inhibitor for LDL-Cholesterol Lowering

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Overview

Regulatory review reports FDA approval of oral enlicitide for lowering LDL-cholesterol in adults with hypercholesterolemia, highlighting an oral alternative to injectable PCSK9-targeted therapies.

Key Points

  • Summarize the FDA approval and therapeutic profile of enlicitide (Lipfendra) as the first orally administered PCSK9 inhibitor for LDL-C reduction.
  • Evaluation of enlicitide for drug approval under the FDA Commissioner's National Priority Voucher program.
  • Regulatory indication assessment in adult populations with hypercholesterolemia and heterozygous familial hypercholesterolemia (HeFH).
  • Enlicitide received FDA approval to reduce LDL-C in adults with hypercholesterolemia, including HeFH.
  • The agent marks the first orally available PCSK9 inhibitor approved in the United States, contrasting with existing subcutaneous monoclonal antibodies and small interfering RNA therapies.

Cite This Study

A 2026 study studied this question.

synapsesocial.com/papers/6a8e9af2451774b83f3b35fbhttps://doi.org/10.58347/tml.2026.1762a
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