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Bempedoic acid+ Ezetimibe

Phase 3

Cardiovascular Diseases | Small molecule | Cardiovascular |Esperion Therapeutics, Inc.|Trials Updated: Jul 17, 2026

Bempedoic acid+ Ezetimibe target and mechanism

Molecular targetACLY
Target classInhibitor
ModalitySmall molecule

Also known as Bempedoic acid

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials10
Total Enrollment17,602

FDA Designations

No designations recorded

Bempedoic acid+ Ezetimibe clinical trials

Bempedoic acid+ Ezetimibe · 10 trials · 9 indications

Phase 3 6Phase 2 4
NCT03337308A Study Evaluating the Safety and Efficacy of Bempedoic Acid Plus Ezetimibe Fixed-Dose Combination Compared to Bempedoic Acid, Ezetimibe, and Placebo in Patients Treated With Maximally Tolerated Statin TherapyHyperlipidemias
COMPLETED382 Analytics
NCT03067441Assessment of the Long-Term Safety and Efficacy of Bempedoic Acid (CLEAR Harmony OLE)Hypercholesterolemia
COMPLETED1,462 Analytics
NCT02993406Evaluation of Major Cardiovascular Events in Participants With, or at High Risk for, Cardiovascular Disease Who Are Statin Intolerant Treated With Bempedoic Acid (ETC-1002) or PlaceboCardiovascular Diseases
COMPLETED13,970 Analytics
NCT03001076Evaluation of the Efficacy and Safety of Bempedoic Acid (ETC-1002) as Add-on to Ezetimibe Therapy in Patients With Elevated LDL-C (CLEAR Tranquility)Hypercholesterolemia
COMPLETED269 Analytics
NCT02991118Evaluation of Long-Term Efficacy of Bempedoic Acid (ETC-1002) in Patients With Hyperlipidemia at High Cardiovascular RiskHypercholesterolemia
COMPLETED779 Analytics
NCT02988115Evaluation of the Efficacy and Safety of Bempedoic Acid (ETC-1002) in Patients With Hyperlipidemia and Statin IntolerantHypercholesterolemia
COMPLETED345 Analytics
PHASE3COMPLETED
A Study Evaluating the Safety and Efficacy of Bempedoic Acid Plus Ezetimibe Fixed-Dose Combination Compared to Bempedoic Acid, Ezetimibe, and Placebo in Patients Treated With Maximally Tolerated Statin Therapy
HyperlipidemiasUnlock trial analytics
PHASE3COMPLETED
Assessment of the Long-Term Safety and Efficacy of Bempedoic Acid (CLEAR Harmony OLE)
HypercholesterolemiaUnlock trial analytics
PHASE3COMPLETED
Evaluation of Major Cardiovascular Events in Participants With, or at High Risk for, Cardiovascular Disease Who Are Statin Intolerant Treated With Bempedoic Acid (ETC-1002) or Placebo
Cardiovascular DiseasesUnlock trial analytics
PHASE3COMPLETED
Evaluation of the Efficacy and Safety of Bempedoic Acid (ETC-1002) as Add-on to Ezetimibe Therapy in Patients With Elevated LDL-C (CLEAR Tranquility)
HypercholesterolemiaUnlock trial analytics
PHASE3COMPLETED
Evaluation of Long-Term Efficacy of Bempedoic Acid (ETC-1002) in Patients With Hyperlipidemia at High Cardiovascular Risk
HypercholesterolemiaUnlock trial analytics
PHASE3COMPLETED
Evaluation of the Efficacy and Safety of Bempedoic Acid (ETC-1002) in Patients With Hyperlipidemia and Statin Intolerant
HypercholesterolemiaUnlock trial analytics

Study Endpoints

Primary Endpoints

Percent Change From Baseline to Week 12 in Low-density Lipoprotein Cholesterol (LDL-C)
Baseline; Week 12

Blood samples were drawn after a minimum 10-hour fast (water was allowed) at pre-specified intervals. Samples were collected and analyzed for LDL-C. Baseline was defined as the mean of the LDL-C values from Week -2 and predose Day 1/Week 0. Percent change from baseline in LDL-C was analyzed using analysis of covariance (ANCOVA) with treatment group and randomization stratification as a factors and baseline LDL-C as a covariate. Percent change from baseline was calculated as: (\[LDL-C value at Week 12 minus Baseline value\] divided by \[Baseline Value\]) multiplied by 100. For LDL-C, if measured LDL-C value was available, measured LDL-C was used.

Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
Up to Week 82

TEAEs are defined as adverse events that began or worsened in severity after the first dose of investigational medicinal product (IMP) until 30 days after the last dose in the Open-Label Extension (OLE) Study.

Number of Participants With First Occurrence of Four Component Major Adverse Cardiovascular Events (MACE)
Up to 68 months

The primary efficacy end point was a four-component composite of adjudicated MACE, defined as death from cardiovascular causes, nonfatal myocardial infarction, nonfatal stroke, or coronary revascularization, as assessed in a time-to first-event analysis.

Percent Change From Baseline (PCFB) in Low-density Lipoprotein Cholesterol (LDL-C) at Week 12
Baseline; Week 12

PCFB was calculated as the (\[post-Baseline (BL) value minus the BL value\] divided by the BL value ) x 100. BL was defined as the mean of the last two non-missing values on or prior to Day 1. If only one value was available, that single value was used as BL. PCFB in LDL-C was analyzed using analysis of covariance (ANCOVA), with treatment group and stratification factor (primary prevention; secondary prevention) as fixed effects and BL as a covariate. For participants with missing lipid data at Week 12 who were no longer taking study treatment, missing values were imputed using multiple imputation via a regression-based model including stratification and BL data from placebo participants only. In this imputation model, treatment group was not included. For participants with missing lipid data at Week 12 who were still taking study treatment, missing values were imputed using multiple imputation via a regression-based model including treatment, stratification and BL value.

Observed Trough Plasma Concentration of ETC-1002 Following 8 Weeks of Steady State Dosing of Bempedoic Acid
Week 8 pre-dose

Blood plasma samples were collected and analyzed to determine the plasma trough concentration of ETC-1002 following 8 weeks of steady-state dosing of bempedoic acid. The data presented here is for participants who received tablet formulation only.

Model-based Steady State Area Under the Concentration-time Curve Over 24 Hours (AUC,24ss) of ETC-1002
24 hours

Blood plasma samples were collected and analyzed to determine the AUC,24ss of ETC-1002 over 24 hours. The data presented here is for participants who received tablet formulation only.

Model-based Steady State Average Plasma Concentration (Cavg,ss) of ETC-1002
Week 8, 24 hours post-dose at steady state

Blood plasma samples were collected and analyzed to determine the Cavg,ss of ETC-1002. Cavg was calculated by empirical Bayesian estimated pediatric exposure over 24 hours divided by 24 (AUC24hr.ss / 24). The data presented here is for participants who received tablet formulation only.

Model-based Steady State Maximum Plasma Concentration (Cmax,ss) of ETC-1002
Day 1: 1-hour and 4 hours post-dose; Week 4 pre-dose; Week 8 pre-dose

Blood plasma samples were collected and analyzed to determine the Cmax,ss of ETC-1002. The data presented here is for participants who received tablet formulation only.

Percent Change From Baseline to Week 12/End of Study (EOS) in Low-density Lipoprotein Cholesterol (LDL-C)
Baseline; Week 12

Blood samples were drawn after a minimum 10-hour fast at pre-specified intervals. Samples were collected and analyzed for LDL-C. Baseline was defined as the average of LDL-C values at the Screening Visit 3 (Visit S3) and the Treatment Visit 1 (Visit T1) (last 2 non-missing values on or prior to Day 1). If only 1 value was available, the single value was used as Baseline. Percent change from Baseline for LDL-C was analyzed using analysis of covariance (ANCOVA), with treatment as factor and Baseline lipid parameter as a covariate. Missing data for LDL-C was imputed using the last observation carried forward (LOCF) method. Percent change from Baseline was calculated as: (\[LDL-C value at Week 12 minus Baseline value\] divided by \[Baseline value\]) multiplied by 100. For LDL-C, if a measured LDL-C value was available, measured LDL-C was used.

Percent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C) at Month 2
Baseline; Month 2

Percent change from Baseline is calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value ) x 100. Baseline is defined as the average of the last two non-missing values within Month -1 (Screening Visit 4) and Day 1 (Treatment Visit 1) values (including unscheduled assessments). If only one value was available, then that single value was used at Baseline. Percent change from Baseline was analyzed using analysis of covariance (ANCOVA), with treatment group as a factor and Baseline as a covariate. Missing data were imputed using last observation carried forward (LOCF) (only post-Baseline values were carried forward).

Percent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C) at Week 6
Baseline; Week 6

Percent change from Baseline is calculated as the (\[post-Baseline value minus the Baseline value\] divided by the Baseline value ) x 100. Baseline is defined as the mean of the values from Week -1 (Screening Visit 2) and predose Day 1/Week 0 (Treatment Visit 1). Percent change from Baseline in LDL-C was analyzed using analysis of covariance (ANCOVA) with treatment group as a factor and Baseline value as a covariate. Missing LDL-C values were imputed using last observation carried forward (LOCF), with only post-Baseline values carried forward. If LDL-C was measured (i.e., if TG was \>400 mg/dL or LDL-C was \<50 mg/dL), the measured values were used in the analysis.

Secondary Endpoints

Percent Change From Baseline to Week 12 in High-sensitivity C-reactive Protein (hsCRP)
Baseline; Week 12
Percent Change From Baseline to Week 12 in Non-high-density Lipoprotein Cholesterol (Non-HDL-C)
Baseline; Week 12
Percent Change From Baseline to Week 12 in Total Cholesterol (TC)
Baseline; Week 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
BA 180 mg + EZE 10 mg FDCEXPERIMENTALBempedoic acid (BA) + ezetimibe (EZE) fixed-dose combination (FDC) 180 mg/10 mg tablets taken orally once daily for 12 weeks
BA 180 mgEXPERIMENTALBempedoic acid (BA) 180 mg tablets taken orally once daily for 12 weeks
EZE 10 mgACTIVE_COMPARATOREzetimibe (EZE) 10 mg overencapsulated tablets taken orally once daily for 12 weeks
PlacebosPLACEBO_COMPARATORPlacebos to match identical bempedoic acid + ezetimibe fixed-dose combination (FDC) 180 mg/10 mg tablet, or identical bempedoic acid 180 mg tablet, or identical ezetimibe 10 mg capsule, taken orally, once daily for 12 weeks
Open-Label bempedoic acidEXPERIMENTALbempedoic acid 180 mg tablet
Bempedoic Acid 180 mgEXPERIMENTALBempedoic acid 180 mg tablet taken orally, once daily.
Placebo ComparatorPLACEBO_COMPARATORMatching placebo tablet taken orally, once daily
bempedoic acidEXPERIMENTALbempedoic acid 180 mg tablet taken orally, daily. Patients remain on ongoing ezetimibe therapy (study provided)
placeboPLACEBO_COMPARATORMatching placebo tablet taken orally, daily. Patients remain on ongoing ezetimibe therapy (study provided)
Cohort 1EXPERIMENTALParticipants at 16 to \<30 kilograms (kg) body weight at screening receiving once daily 60 milligrams (mg) bempedoic acid for 8 weeks followed by 90 mg bempedoic acid for 8 weeks.
Cohort 2EXPERIMENTALParticipants at 30 to 60 kg body weight at screening receiving once daily120 mg bempedoic acid for 8 weeks followed by 150 mg bempedoic acid for 8 weeks.
Cohort 3EXPERIMENTALParticipants at greater than 60 kg body weight at screening receiving once daily 180 mg bempedoic acid for 8 weeks.
Bempedoic acid + Ezetimibe FDCEXPERIMENTALBempedoic acid + Ezetimibe FDC Oral Tablet; Placebo oral capsule
Ezetimibe 10 mgACTIVE_COMPARATOREzetimibe 10Mg Oral Tablet; Placebo Oral Tablet
Triplet TherapyEXPERIMENTALBempedoic acid 180 mg, ezetimibe 10 mg, and atorvastatin 20 mg taken orally, daily.

Interventions

NameTypeDescription
Bempedoic Acid + Ezetimibe Fixed-Dose CombinationCOMBINATION_PRODUCTbempedoic acid + ezetimibe FDC 180 mg/10 mg tablet
Bempedoic AcidDRUGbempedoic acid 180 mg tablet
EzetimibeDRUGezetimibe 10 mg overencapsulated tablet
PlacebosDRUGplacebo tablet or capsule to match bempedoic acid + ezetimibe fixed-dose combination (FDC) 180 mg/10 mg tablet, or bempedoic acid 180 mg tablet, or ezetimibe 10 mg capsule
Bempedoic acid 180 mg tabletDRUGPatients take bempedoic acid 180 mg tablet orally once daily
Matching placebo tabletDRUGPatients take matching placebo tablet orally once daily
PlaceboOTHERmatching placebo tablet
Bempedoic acid + Ezetimibe FDC Oral TabletDRUGExperimental therapy of bempedoic acid 180 mg + ezetimibe 10 mg FDC tablet
Ezetimibe 10 mg Oral TabletDRUGEzetimibe 10 mg tablet, overencapsulated for blinding purposes
Placebo Oral TabletDRUGPlacebo tablet, matched for the FDC product for blinding purposes
Placebo oral capsuleDRUGPlacebo over-encapsulated for blinding purposes
bempedoic acid 180mgDRUGDaily bempedoic acid 180mg tablet in addition to monthly PCSK9i (evolocumab) background therapy
evolocumabDRUGMonthly PCSK9i (evolocumab) background therapy
Ezetimibe 10mgDRUGezetimibe 10 mg
Atorvastatin 20mgDRUGatorvastatin 20 mg
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: * Require lipid-modifying therapy for primary or secondary prevention of cardiovascular disease * Fasting LDL-C ≥ 130 mg/dL for primary prevention or LDL-C ≥ 100 mg/dL for secondary prevention (history of HeFH and/or ASCVD) * Treated with maximally tolerated statin therapy at st...

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Competitive Landscape -General Cardiovascular Diseases 67 trials (matched to "Cardiovascular Diseases")

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Recent Changes (Last 90 Days)

MEDIUMAug 17, 2026NCT05694260TRIAL_REMOVED: changed
MEDIUMAug 17, 2026NCT05694260TRIAL_REMOVED: changed
MEDIUMAug 17, 2026NCT05694260TRIAL_REMOVED: changed

Frequently asked questions about Bempedoic acid+ Ezetimibe

What is bempedoic acid + ezetimibe?

Bempedoic acid + ezetimibe is a fixed-dose combination oral tablet being developed for cardiovascular diseases, diabetes, hypercholesterolemia, and hyperlipidemias. It combines bempedoic acid 180 mg with ezetimibe in a single tablet. Esperion Therapeutics, Inc. (ticker: ESPR) is developing the combination, which is in Phase 3 clinical development.

What is bempedoic acid + ezetimibe used for?

Bempedoic acid + ezetimibe is being studied for cardiovascular diseases, diabetes, hypercholesterolemia, and hyperlipidemias, including elevated LDL-C in patients with type 2 diabetes and in patients on maximally tolerated statin therapy. It is an investigational fixed-dose combination and is in Phase 3 clinical development.

What does bempedoic acid + ezetimibe target?

Bempedoic acid, one component of the fixed-dose combination, targets ACLY (ATP citrate lyase) and acts as an inhibitor. Ezetimibe is the second component of the combination. The fixed-dose combination is a small molecule product developed by Esperion Therapeutics, Inc. (ticker: ESPR).

Who makes bempedoic acid + ezetimibe?

Esperion Therapeutics, Inc., which trades under the ticker ESPR, is developing bempedoic acid + ezetimibe. The company is the developer of the fixed-dose combination oral tablet, which is in Phase 3 clinical development for cardiovascular diseases, diabetes, hypercholesterolemia, and hyperlipidemias.

What phase is bempedoic acid + ezetimibe in?

Bempedoic acid + ezetimibe is in Phase 3 clinical development. Seven trials of the program are listed as completed, with a total enrollment of 13,970 participants across randomized, double-blind, placebo-controlled studies. It is an investigational fixed-dose combination and is not described as approved.

What clinical trials is bempedoic acid + ezetimibe in?

Completed trials include NCT03337308, a Phase 3 study of the bempedoic acid plus ezetimibe fixed-dose combination versus bempedoic acid, ezetimibe, and placebo in patients on maximally tolerated statin therapy, and NCT03531905, a Phase 2 fixed-dose combination study in patients with type 2 diabetes and elevated LDL-C. NCT03193047 evaluated bempedoic acid 180 mg added to PCSK9 inhibitor therapy.