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Not yet recruitingNCT07775339Updated Aug 25, 2026

Long-Term Efficacy and Safety of Lerodalcibep in Children and Adolescents With Familial Hypercholesterolemia

A Phase 3 interventional study of Lerodalcibep in Heterozygous Familial Hypercholesterolemia (HeFH), sponsored by LIB Therapeutics LLC. Not yet recruiting at 5 sites in 5 countries. Open to participants aged 6 Years to 17 Years. Per ClinicalTrials.gov, last updated 2026-08-25.

Sponsored by LIB Therapeutics LLC · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
150
Allocation
Not applicable
Ages
6 Years to 17 Years
Sex
All
01

Study summary

The goal is to assess the long term efficacy (LDL cholesterol reduction) and safety over 3 years of lerodalcibep (Lerochol) SC 300 mg QM administered by auto-injector (AI)/pre-filled pen (PFP) in male and female pediatric patients 6 to 17 years of age, with inherited high cholesterol (HeFH) on a stable diet and maximally tolerated oral LDL C lowering drug therapy such as statins who completed the 24 week placebo controlled base trial.

The main question[s] it aims to answer are:

How effective is Lerochol in maintaining LDL cholesterol reductions over years? How well is it tolerated and are there any safety concerns?

Participants will visit the clinic every month for 3 months and then home dosed with clinic visits every 3 months. They will undergo periodic physical exams, height and weight measurements, answer questions, have blood drawn from a vein in their arm, have blood pressure measurements, EKC heart tests, and receive monthly injections lasting about 5 seconds in their arms or abdomen with an autoinjector.

Read the detailed description

STUDY DESIGN AND DURATION:

This is an open label Phase 3b study to evaluate the long-term efficacy, safety, and tolerability of lerodalcibep 300 mg administered SC QM (\<31 days) over a 156-week Treatment Period. Approximately 150 males and females 6 to 17 years of age at time of entry in the base LIB003 008 study, with HeFH and who completed the LIB003-008 study at approximately 30 sites in the United States, Canada, Central and South America, Europe, South Africa, Asia, Australasia, and the Middle East may be eligible to continue into this 156-week long term open-label extension with lerodalcibep after signing an independent informed consent form.

Patients maintaining their statin with or without ezetimibe and other allowed oral LDL-C-lowering agents will be eligible.

Study Procedures Patients who meet all eligibility criteria for the LIB003-016 study may proceed directly to the first dose of lerodalcibep at the final visit of the LIB003-008 study. Patients will receive SC doses, via auto-injector (AI)/prefilled pen (PFP) of lerodalcibep 300 mg QM (31 days) until Week 152. Following administration of the last dose at Week 152, the patients will return 4 weeks later for follow-up at Week 156.

Patients may begin the OLE on the final visit of their prior study and/or have up to 28 days to return for Day 1 of the OLE. The period between the base study and LIB003-008 may be extended upon review and approval.

Patients will be able to be dosed at home between clinic visits. In addition to a basic lipid profile, LDL-C will be measured by PUC at specified visits during the study. Safety assessments will include adverse events (AEs) and the results from physical examinations, including Tanner staging, skin and Achilles/extensor tendon xanthoma, electrocardiograms (ECGs), and clinical laboratory tests (hematology, serum safety chemistry, and urinalysis). Tests for growth and development (eg, estradiol, testosterone, dehydroepiandrosterone, follicle stimulating hormone, luteinizing hormone, adrenocorticotropic hormone, and cortisol) will be assessed at the Week 48, 96 and 156 visits. Samples will be collected for immunogenicity testing. Injection site reactions will be assessed at each dosing visit.

02

Conditions studied

  • Heterozygous Familial Hypercholesterolemia (HeFH)

Keywords

  • PCSK9 inhibitor
  • LDL-C
  • HeFH
  • lerodalcibep
  • pediatric
03

In context

Hyperlipoproteinemia Type II

249 studies on the registry are indexed under Hyperlipoproteinemia Type II; 56 are open to participants now.

This study's planned enrollment of 150 is above the median of 134 across 178 interventional studies indexed under Hyperlipoproteinemia Type II.

Browse Hyperlipoproteinemia Type II studies →

Lead sponsor

LIB Therapeutics LLC is the lead sponsor of 13 studies on the registry; 3 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 2 (25%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
6 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Provision of written and signed /assent of the LIB003-016 trial prior to any study-specific procedure;
  2. Completion of the LIB003-008 study having received the last dose of study drug at Week 20 and completed the Week 24 visit;
  3. Male or female, 6 to 17 years of age (defined as from 6 to less than 18 years of age), at the first Screening Visit of the LIB003-008 study;
  4. Weight of >18 kg (40 lbs) and \<17 and >42 kg/m2;
  5. On stable diet and lipid-lowering oral drug therapy (statins, ezetimibe, bile-acid sequestrants) or combinations thereof (excluded oral lipid-lowering agents are include mipomersen, lomitapide, and gemfibrozil);

Exclusion criteria

Exclusion Criteria:

  1. History of any prior or active clinical condition or acute and/or unstable systemic disease compromising patient inclusion, at the discretion of the Investigator, which in the Investigator's opinion, would not be suitable for the study from a patient safety consideration or could interfere with the results of the study;
  2. Females of who are sexually active, not using or unwilling to use a highly effective form of during the study and until 60 days after last dose of study drug, pregnant or breastfeeding, or who have a positive urine pregnancy test at the last Screening Visit;
  3. Patients who cannot be available for Protocol-required study visits or procedures, to the best of the patient's and Investigator's knowledge;
  4. A history, during the LIB003-008 study of prescription drug abuse, illicit drug use, or alcohol abuse according to medical history;
  5. Have any other finding which, in the opinion of the Investigator, would compromise the patient's safety or participation in the study;
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
150 participants (estimated)

Study arms

  • Experimental
    Lerodalcibep

    lerodalcibep 300 mg monthly

    Drug: Lerodalcibep

Interventions

06

What researchers measure

Primary outcomes

  1. Change in LDL cholesterol at Week 156 from baseline

    The primary objective of this study is to assess the change in LDL-C (by Friedewald Formula) at Week 156 with monthly lerodalcibep 300 mg QM

    Time frame: 156 weeks

07

Study locations

5 sites
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 25, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07775339
Lead sponsor
LIB Therapeutics LLC
Responsible party
Sponsor
First posted
Aug 20, 2026
Start date
Jan 20, 2027 (estimated)
Primary completion
Jul 31, 2031 (estimated)
Completion
Dec 31, 2031 (estimated)
Last update
Aug 25, 2026

Study contacts

Kate Caldwell, BS MT(ASCP)
Contact
kcaldwell@libtherapeutics.com
+1 513 290 9582
Evan Stein, MD PhD
Contact
estein@libtherapeutics.com
+1-800-345-2032

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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