MK-0616 : an oral PCSK9 inhibitor for hypercholesterolemia treatment

INTRODUCTION: Atherosclerotic cardiovascular disease (ASCVD) is a leading cause of morbidity and mortality worldwide. Lowering LDL-cholesterol, by lifestyle modification or therapeutically, reduces the risk of ASCVD. Proprotein convertase subtilisin/kexin type 9 (PCSK9), a protein which binds to the LDL-receptor and induces degradation, is a clinically validated target to lower LDL-cholesterol. Injectable PCSK9 inhibitor therapies have demonstrated substantial reductions in LDL-cholesterol with associated decreased risk of ASCVD events.

AREAS COVERED: MK-0616 is an orally bioavailable, renally excreted, macrocyclic peptide inhibitor of PCSK9. The article provides an understanding of the chemistry and development, pharmacokinetic and pharmacodynamic characteristics of MK-0616 and insight into its clinical efficacy and safety. In clinical trials, MK-0616 produced dose-dependent reductions in LDL-cholesterol, non-HDL-cholesterol, and apolipoprotein (apo) B levels. Furthermore, MK-0616 modestly lowered lipoprotein (a) [Lp(a)].

EXPERT OPINION: MK-0616 is a potent, oral macrocyclic peptide inhibitor of PCSK9 that is not only able to reduce LDL-cholesterol, non-HDL-cholesterol, and apoB, but can also lower Lp(a). Safety and tolerability studies reported to date are promising. MK-0616 may offer advantages over injectable anti-PCSK9 therapies in terms of ease of dosing, patient preference and cost. The results from phase III trials of MK-0616 on cardiovascular outcomes are awaited with interest.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:32

Enthalten in:

Expert opinion on investigational drugs - 32(2023), 10 vom: 10. Juli, Seite 873-878

Sprache:

Englisch

Beteiligte Personen:

Burnett, John R [VerfasserIn]
Hooper, Amanda J [VerfasserIn]

Links:

Volltext

Themen:

97C5T2UQ7J
ApoB
Cholesterol
Cholesterol, LDL
EC 3.4.21.-
Journal Article
LDL-cholesterol
Lp(a)
MK-0616
Non-HDL-cholesterol
PCSK9
PCSK9 inhibitor
PCSK9 protein, human
Peptides
Proprotein Convertase 9
Review

Anmerkungen:

Date Completed 07.11.2023

Date Revised 07.11.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/13543784.2023.2267972

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363084959