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Recruiting

NCT Number: NCT07614958

Phase 3 Clinical Study Evaluating Efficacy, Safety, and Tolerability of Obicetrapib Vs Bempedoic Acid to Treat Dyslipidemia in Adults With Primary Non-familial Hypercholesterolemia or Mixed Dyslipidemia at High to Very High Cardiovascular Risk, During a Treatment Period of Approximately 84 Days

This Phase 3, randomized, double-blind, active-controlled study evaluates the efficacy and safety of obicetrapib (OBI) compared to bempedoic acid (BPA) in participants with dyslipidemia at high or very high cardiovascular risk. Participants must have elevated low density lipoprotein cholesterol (LDL-C) levels despite receiving maximally tolerated lipid lowering therapy.

The primary objective is to compare the LDL-C lowering effect of OBI (a CETP inhibitor) against BPA at 12 weeks

Recruiting

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

FutureMeds North Tees

Stockton-on-Tees, TS19, United Kingdom

Location status: Recruiting

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Are male or female and ≥18 years of age at Screening (Visit 1);
  • Females may be enrolled if all 3 of the following criteria are met:
  • Are not pregnant;
  • Are not breastfeeding; and
  • Do not plan to become pregnant during the study.
  • Have primary non-familial hypercholesterolemia or mixed dyslipidemia and are at high to very high CV risk;
  • Are on stable maximally tolerated lipid-modifying therapy for at least 8 weeks prior to Screening (Visit 1) as an adjunct to a lipid-lowering diet and lifestyle modifications, defined as a maximum tolerated statin dose, with or without ezetimibe and/or a monoclonal PCSK9-targeted therapy for at least 4 stable doses prior to Screening (Visit 1);
  • Have a fasting serum LDL-C at Screening (Visit 1) of ≥70 mg/dL (1.81 mmol/L) and <130 mg/dL (3.37 mmol/L);
  • Have fasting TGs <500 mg/dL (<5.7 mmol/L) at Screening (Visit 1); and
  • Have an eGFR ≥30 mL/min/1.73 m2 calculated using the Chronic Kidney Disease Epidemiology Collaboration equation at Screening (Visit 1).

Exclusion criteria

  • Have current or any previous history of New York Heart Association class III or IV HF or left ventricular ejection fraction <30%;
  • Have been hospitalized for HF, with HF as the primary cause of the hospitalization, within 5 years prior to Screening (Visit 1);
  • Have had any of the following clinical events within 3 months prior to Screening (Visit 1): MI; Stroke; Non-elective coronary revascularization; and/or Hospitalization for unstable angina and/or chest pain.
  • Have uncontrolled severe hypertension;
  • Have a formal diagnosis of definite familial hypercholesterolemia (either homozygous or heterozygous) either through genetic testing on Dutch Lipid Network criteria, Simon Broome, or MedPed;
  • Have active liver disease;
  • Have HbA1c ≥8.0% (≥0.080 hemoglobin fraction) or a fasting glucose ≥270 mg/dL (≥15.0 mmol/L) at Screening (Visit 1);
  • Have a history of a malignancy that required surgery (excluding local and wide local excision), radiation therapy, and/or systemic therapy during the 3 years prior to Screening (Visit 1);
  • Have history of full statin intolerance;

Treatment and study plan

Obicetrapib 10 mg/Bempedoic Acid Placebo

Drug

Orally, Once Daily

Bempedoic Acid 180mg/Placebo Obicetrapib

Drug

Orally, Once Daily

Primary outcomes

  1. The primary efficacy endpoint is the percentage change from baseline to Day 84 in LDL-C in the OBI group compared to the BPA group.

    Time frame: 84 days

Secondary outcomes

  1. Percentage change from baseline to Day 84 in non-HDL-C in the OBI group compared to the BPA group

    Time frame: 84 days

  2. Percentage change from baseline to Day 84 in HDL-C in the OBI group compared to the BPA group;

    Time frame: 84 days

  3. Percentage change from baseline to Day 84 in ApoA1 in the OBI group compared to the BPA group;

    Time frame: 84 days

  4. Percentage change from baseline to Day 84 in Lp(a) in the OBI group compared to the BPA group;

    Time frame: 84 days

  5. Percentage change from baseline to Day 84 in ApoB in the OBI group compared to the BPA group;

    Time frame: 84 days

  6. Percentage change from baseline to Day 84 in TGs in the OBI group compared to the BPA group.

    Time frame: 84 days

Study contacts

Contact information is provided by the study sponsor or research team.

Andrea Conte, Medical Doctor

CONTACT

[email protected]

+352 26497650

Sponsors and collaborators

Lead sponsor

A. Menarini International Licensing S.A.

Industry

Collaborators

  • Medpace, Inc.

Registry information

Official study title

A Double-Blind, Randomized, Comparative Study of Obicetrapib and Bempedoic Acid on Top of Maximally Tolerated Lipid-Lowering Therapy in Patients With Dyslipidemia at High to Very High Cardiovascular Risk

Acronym: MEDICI

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
May 29, 2026
Registry last updated
Jun 9, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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