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FDA Greenlights Merck's Daily Cholesterol Tablet

The once-daily pill offers an alternative to injectable PCSK9 inhibitors currently dominating the cholesterol treatment market.

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Merck said the U.S. Food and Drug Administration has approved Lipfendra (enlicitide), making it the first oral PCSK9 inhibitor approved to treat high LDL, or "bad," cholesterol, reported by Reuters.

According to the report, the once-daily pill offers an alternative to injectable PCSK9 inhibitors currently dominating the cholesterol treatment market.

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Lipfendra works by blocking the PCSK9 protein, which regulates cholesterol levels, while traditional statins reduce cholesterol production in the liver through a different mechanism.

The FDA based its decision on two late-stage clinical trials showing the drug significantly lowered LDL cholesterol in patients, including those with familial hypercholesterolemia and individuals already taking statins.

Reuters reported that the approval supports Merck's strategy to diversify beyond its blockbuster cancer drug Keytruda, which is expected to face biosimilar competition after key patent protections begin expiring in 2028.

Analysts estimate Lipfendra could eventually generate tens of billions of dollars in peak annual sales.

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