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lerodalcibep

Phase 3

Cardiovascular Disease With Mention of Arteriosclerosis | Small molecule | Cardiovascular |Medpace Holdings, Inc. Common Stock|Last Updated: Sep 28, 2026

Development status

Highest phase Phase 3
Registered trials 7 across 1 sponsor since Mar 2021

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment2,000

FDA Designations

No designations recorded

Clinical trial landscape

lerodalcibep · 4 trials · 6 indications

Phase 3 4
NCT05004675Trial to Evaluate Efficacy and Safety of LIB003 and Inclisiran in High-risk CVD PatientsHypercholesterolemia
COMPLETED166 Analytics
NCT05234775Cross-Over Study to Compare the Pharmacokinetics and Pharmacodynamics of LIB003 Process 1 and Process 2 Drug ProductHypercholesterolemia
COMPLETED22 Analytics
NCT04797104Study to Assess the Efficacy and Safety of LIB003 in HeFH Patients on Oral Lipid Therapy Needing Further LDL-C ReductionHeterozygous Familial Hypercholesterolemia
COMPLETED478 Analytics
NCT04798430Long-term Efficacy and Safety of OLE LIB003 in HoFH, HeFH, and High-risk CVD Patients Requiring Further LDL-C ReductionCardiovascular Disease With Mention of Arteriosclerosis
ENROLLING BY_INVITATION2,000 Analytics
PHASE3COMPLETED
Trial to Evaluate Efficacy and Safety of LIB003 and Inclisiran in High-risk CVD Patients
HypercholesterolemiaUnlock trial analytics
PHASE3COMPLETED
Cross-Over Study to Compare the Pharmacokinetics and Pharmacodynamics of LIB003 Process 1 and Process 2 Drug Product
HypercholesterolemiaUnlock trial analytics
PHASE3COMPLETED
Study to Assess the Efficacy and Safety of LIB003 in HeFH Patients on Oral Lipid Therapy Needing Further LDL-C Reduction
Heterozygous Familial HypercholesterolemiaUnlock trial analytics
PHASE3ENROLLING BY_INVITATION
Long-term Efficacy and Safety of OLE LIB003 in HoFH, HeFH, and High-risk CVD Patients Requiring Further LDL-C Reduction
Cardiovascular Disease With Mention of ArteriosclerosisUnlock trial analytics

Study Endpoints

Primary Endpoints

LDL-C change
Day 270

Percent LDL-C change from baseline

pharmacodynamics
4 weeks

comparison of free PCSK9 reductions from baseline between P1 and P2

Cmax pharmacokinetics
4 weeks

comparison of serum lerodalcibep Cmax between P1 and P2

AUC 0-last pharmacokinetics
4 weeks

comparison of serum lerodalcibep AUC 0-last between P1 and P2

T-Half pharmacokinetics
4 weeks

comparison of serum lerodalcibep T-HALF between P1 and P2

Change From Baseline Compared to Placebo in LDL-C Level Calculated by Friedwald Formula at Week 24
Baseline and Week 24

Blood samples were collected at baseline and Week 24 to determine mean percent change in LDL-C (calculated by the Friedwald formula). Percent change from baseline determined using analysis of covariance (ANCOVA) model with treatment and CVD status as factors and baseline LDL-C value as covariate.

Change From Baseline Compared to Placebo in LDL-C Level Calculated by Friedwald Formula Using the Mean of Weeks 22 and 24
Baseline and Week 24

Blood samples were collected at baseline Week 22 and Week 24 to determine mean percent change in LDL-C (calculated by the Friedwald formula). Percent change from baseline determined using analysis of covariance (ANCOVA) model with treatment and CVD status as factors and baseline LDL-C value as covariate.

Incidence of Treatment-Emergent Adverse Events as assessed by Medical Dictionary for Regulatory Activities as severe, moderate or mild after 48 and 72 weeks
72 weeks

Evaluation of Adverse Events based on MedRA based on ITT population

Secondary Endpoints

Adverse Events
270 days
Serum free PCSK9 levels
Day 270
Apolipoproteins
Day 270
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
lerodalcibepEXPERIMENTAL300 mg SC dosed monthly
inclisiranACTIVE_COMPARATOR284 mg SC dosed Day 1 and Day 90
LIB003 (lerodalcibep) Process 1EXPERIMENTAL300 mg LIB003 Process 1 drug product administered SC
LIB003 (lerodalcibep) Process 2ACTIVE_COMPARATOR300 mg LIB003 Process 2 drug product administered SC
LIB003 (lerodalcibep)EXPERIMENTAL300 mg (1.2 mL) SC Q4W
PlaceboPLACEBO_COMPARATOR1.2 mL SC Q4W

Interventions

NameTypeDescription
lerodalcibepBIOLOGICAL300 mg
InclisiranDRUG284 mg
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites7

Inclusion Criteria: * Provision of signed informed consent prior to any study-specific procedure; * Weight of ≥40 kg (88 lb) and body mass index (BMI) ≥16 and ≤42 kg/m2; * Very- high or high risk for CVD as defined in 2019 ESC/EAS Guidelines * High-intensity statin (daily atorvastatin 40/80 or rosu...

Countries:FranceGermanyNorwaySpainUnited KingdomUnited StatesIsraelSouth AfricaTurkey (Türkiye)India
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