Drugs / Bempedoic acid

Regulatory milestones approvals, filings & regulatory actions · 14 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed atherosclerotic cardiovascular disease 1 milestone
Filed EU (EMA) NILEMDO atherosclerotic cardiovascular disease —

“submission of an application for expanded indication for NILEMDO ® (bempedoic acid) and NUSTENDI ® (bempedoic acid and ezetimibe) to the European Medicines Agency (EMA)” esperion.com ↗

Filed hypercholesterolemia due to cholesterol 7alpha-hydroxylase deficiency 2 milestones
Filed US (FDA) — hypercholesterolemia due to cholesterol 7alpha-hydroxylase deficiency 2019-02-20

“submission of two New Drug Applications (NDAs) for bempedoic acid and the bempedoic acid / ezetimibe combination tablet to the U.S. Food and Drug Administration” esperion.com ↗

“We also achieved the filing and acceptance of New Drug Applications in the US and Marketing Authorization Applications in the EU for both bempedoic acid” esperion.com ↗

“our February submissions for marketing approvals of bempedoic acid and the bempedoic acid / ezetimibe combination tablet in both the U.S. and E.U.” esperion.com ↗

Filed EU (EMA) — hypercholesterolemia due to cholesterol 7alpha-hydroxylase deficiency 2019-02-11

“We also achieved the filing and acceptance of New Drug Applications in the US and Marketing Authorization Applications in the EU for both bempedoic acid” esperion.com ↗

“The MAAs for bempedoic acid and the bempedoic acid / ezetimibe combination tablet were submitted to the EMA on February 11, 2019.” esperion.com ↗

“The MAAs for bempedoic acid and the bempedoic acid / ezetimibe combination tablet were submitted to the EMA on February 11, 2019.” esperion.com ↗

Filed hypercholesterolemia, autosomal dominant, type B 2 milestones
Filed Japan (PMDA) NEXLETOL hypercholesterolemia, autosomal dominant, type B 2025-03-04

“submitted a New Drug Application to the Japanese Ministry of Health, Labour and Welfare for the manufacture and sale of bempedoic acid” esperion.com ↗

Filed Japan (PMDA) — hypercholesterolemia, autosomal dominant, type B 2024-11-26

“Otsuka Pharmaceutical Co., Ltd. (Otsuka) has submitted a New Drug Application (NDA) to the Japanese Ministry of Health, Labour and Welfare” esperion.com ↗

“announces the submission of a New Drug Application (NDA) to the Japanese Ministry of Health, Labour and Welfare” otsuka.co.jp ↗

Filed hyperlipidemia 1 milestone
Filed US (FDA) — hyperlipidemia 2019-05-05

“the U.S. Food and Drug Administration (FDA) has accepted both New Drug Applications for bempedoic acid and the bempedoic acid / ezetimibe combination tablet for filing” esperion.com ↗

Filed hyperlipidemia, combined, 2 1 milestone
Filed EU (EMA) — hyperlipidemia, combined, 2 —

“our February submissions for marketing approvals of bempedoic acid and the bempedoic acid / ezetimibe combination tablet in both the U.S. and E.U.” esperion.com ↗

Approved Indication not stated 6 milestones
Label expansions (2) US (FDA) NEXLETOL — 2024-03-22 – 2025-11-21 fda.gov ↗
Rejected Other NEXLIZET — 2025-11-18

“has issued a Notice of Non-Compliance ("NON") for NEXLIZET®” hlstherapeutics.com ↗

Filed Other NEXLETOL and NEXLIZET — 2025-11-06

“CSL Seqirus, the Company’s partner in Australia and New Zealand, filed a marketing application in Australia for NEXLETOL and NEXLIZET in July 2025” esperion.com ↗

“HLS Therapeutics, Esperion’s commercial partner for NEXLETOL and NEXLIZET in Canada, has filed New Drug Submissions to Health Canada” esperion.com ↗

“Neopharm Israel filed a New Drug Application for marketing approval of NEXLETOL and NEXLIZET in Q1 2025.” esperion.com ↗

“In Q4 2024, Esperion submitted New Drug Submissions to Health Canada for both NEXLETOL and NEXLIZET” hlstherapeutics.com ↗

“The Company filed New Drug Submissions (NDSs) to Health Canada for NEXLETOL and NEXLIZET” esperion.com ↗

“filed a marketing application in Australia for NEXLETOL and NEXLIZET in July 2025” esperion.com ↗

Filed US (FDA) NEXLETOL and NEXLIZET cardiovascular risk reduction, hypercholesterolemia 2023-06-01

“submitted Supplemental New Drug Applications (sNDA) to the U.S. Food and Drug Administration (FDA) for the Company’s oral non-statin products NEXLETOL and NEXLIZET.” esperion.com ↗

Approved EU (EMA) Nustendi — 2020-03-27 europa.eu ↗

Trials 35

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 13 trials
Phase 1 NCT02044627 Dec 2013 → Jan 2014 hyperlipidemia Esperion Therapeutics, Inc. Completed No outcome recorded
Phase 1 NCT01485146 Oct 2011 → Jan 2012 — Esperion Therapeutics, Inc. Completed No outcome recorded
Phase 1 NCT01105598 Apr → Oct 2010 — Esperion Therapeutics, Inc. Completed No outcome recorded
Phase 214 trials · 8 met primary
Phase 2 NCT05488431 Mar 2023 → Mar 2028 expected HIV infectious disease, atherosclerosis, hyperlipidemia Priscilla Hsue, MD Recruiting No outcome recorded
Phase 2 NCT05694260 Jan 2023 → Jun 2025 familial hypercholesterolemia Esperion Therapeutics, Inc. Completed No outcome recorded
Phase 2 NCT04784442 Mar 2021 → Apr 2022 hyperlipidemia Otsuka Pharmaceutical Co., Ltd. Completed Met primary
Phase 2 NCT03531905 May 2018 → Jun 2019 hyperlipidemia, type 2 diabetes mellitus Esperion Therapeutics, Inc. Completed Met primary
Phase 2 NCT03193047 Apr 2017 → Jan 2018 hyperlipidemia Esperion Therapeutics, Inc. Completed Met primary
Phase 2 NCT03051100 Jan → Jun 2017 hyperlipidemia Esperion Therapeutics, Inc. Completed Met primary
Phase 2 NCT02659397 Dec 2015 → Jul 2016 hyperlipidemia Esperion Therapeutics, Inc. Completed No outcome recorded
Phase 2 NCT02178098 Jun 2014 → May 2015 hyperlipidemia, hypertensive disorder Esperion Therapeutics, Inc. Completed Met primary
Phase 2 NCT02072161 Mar 2014 → Jan 2015 hyperlipidemia Esperion Therapeutics, Inc. Completed No outcome recorded
Phase 2 NCT01941836 Sep 2013 → Oct 2014 hyperlipoproteinemia Esperion Therapeutics, Inc. Completed No outcome recorded
Phase 313 trials · 6 met primary
Phase 3 NCT07474649 Sep 2026 → Jun 2028 expected coronary atherosclerosis, hyperlipidemia, combined, 2 Daiichi Sankyo Not yet recruiting No outcome recorded
Phase 3 NCT07440381 Sep 2026 → Aug 2027 expected acute coronary syndrome Heart Care Foundation Not yet recruiting No outcome recorded
Phase 3 NCT07623915 Jun 2026 → Jun 2027 expected hyperlipoproteinemia CSPC Ouyi Pharmaceutical Co., Ltd. Not yet recruiting No outcome recorded
Phase 3 NCT06780410 Dec 2024 → Oct 2025 overdue hyperlipoproteinemia Gan & Lee Pharmaceuticals. Recruiting No outcome recorded
Phase 3 NCT05687071 Feb 2023 → Oct 2024 low density lipoprotein cholesterol, mild elevation of Otsuka Pharmaceutical Co., Ltd. Completed No outcome recorded
Phase 3 NCT05683340 Feb 2023 → Feb 2024 low density lipoprotein cholesterol, mild elevation of Otsuka Pharmaceutical Co., Ltd. Completed Met primary
Phase 3 NCT03337308 Oct 2017 → Jun 2018 hyperlipidemia Esperion Therapeutics, Inc. Completed Met primary
Phase 3 NCT03067441 Feb 2017 → Nov 2019 atherosclerotic cardiovascular disease, familial hypercholesterolemia Esperion Therapeutics, Inc. Completed No outcome recorded
Phase 3 NCT02993406 Dec 2016 → Nov 2022 cardiovascular disorder, statin toxicity Esperion Therapeutics, Inc. Completed Met primary
Phase 3 NCT03001076 Nov 2016 → Jan 2018 atherosclerosis, hyperlipidemia, statin toxicity Esperion Therapeutics, Inc. Completed Met primary
Phase 45 trials
Phase 4 NCT07824323 Aug 2026 → Mar 2028 expected acute coronary syndrome, hyperlipidemia Taipei Medical University Hospital Recruiting No outcome recorded
Phase 4 NCT07508254 May → Oct 2026 expected acute coronary syndrome, hyperlipidemia Punjab Institute of Cardology Not yet recruiting No outcome recorded
Phase 4 NCT06925100 Apr → Oct 2025 hyperlipoproteinemia Daiichi Sankyo Completed No outcome recorded
Phase 4 NCT06381947 May 2024 → Jun 2025 cardiovascular disorder, cholesterol metabolism disease, hyperlipidemia, statin toxicity University of Salerno Unknown No outcome recorded
Phase 4 NCT06021951 Aug 2023 → Feb 2024 — Esperion Therapeutics, Inc. Completed No outcome recorded
Comparator or background therapy11 trials
Phase 1 NCT06742853 Background Dec 2024 → Oct 2025 hyperlipidemia AstraZeneca Completed No outcome recorded
Phase 2 NCT07282821 Comparator Sep 2026 → Sep 2029 expected autosomal dominant polycystic kidney disease Kenneth Hallows Recruiting No outcome recorded
Phase 3 NCT07614958 Comparator May 2026 → Jan 2027 expected hyperlipidemia, combined, 2 A. Menarini International Licensing S.A. Recruiting No outcome recorded
Phase 3 NCT07239414 Comparator Nov 2025 → Nov 2026 expected cardiovascular disorder Sohaib Ashraf Not yet recruiting No outcome recorded
Phase 3 NCT06450366 Comparator Jul 2024 → Feb 2025 hyperlipidemia Merck Sharp & Dohme LLC Completed Met primary

News releases announcing trial results or a regulatory action · 64

DateIssuerRelease
2026-05-26 Esperion Therapeutics, Inc. Results Esperion Presents New Data from CLEAR Outcomes and the CLEAR PATH Phase 2 Pediatric Study at the European Atherosclerosis Society Congress 2026 esperion.com ↗
Esperion (NASDAQ: ESPR) today announced the presentation of results from a Phase 2 study of bempedoic acid in children, along with an additional post hoc analysis from CLEAR Outcomes describing patient traits associated an enhanced LDL-C lowering with bempedoic acid.
2026-05-13 Esperion Therapeutics, Inc. Results Esperion Announces Two New Analyses Supporting Bempedoic Acid to Reduce LDL-C Levels to be Presented at the European Atherosclerosis Society (EAS) Congress 2026 esperion.com ↗
New Analyses from CLEAR Outcomes Trial Identified Factors Associated With Enhanced LDL-C Reductions in Adult Patients
2026-03-30 Merck Sharp & Dohme LLC Results MSD’s Enlicitide Decanoate, an Investigational Oral PCSK9 Inhibitor, Demonstrated Significantly Greater LDL-C Reductions at Eight Weeks Compared to Guideline-Recommended Oral Non-Statin Therapies When Added to Background Statins msd.com ↗
In the study, treatment with enlicitide resulted in statistically significant and clinically meaningful reductions in low-density lipoprotein cholesterol (LDL-C) compared to bempedoic acid, ezetimibe or bempedoic acid with ezetimibe at eight weeks (day 56) of treatment.
2026-03-30 Esperion Therapeutics, Inc. Results Esperion Showcases New Data from CLEAR Outcomes Highlighting Value of NEXLETOL® (bempedoic acid) at the American College of Cardiology’s Annual Scientific Session 2026 esperion.com ↗
Analysis Demonstrated 22% Reduced Risk of Ischemic Stroke for Patients Taking Bempedoic Acid Compared to Placebo
2025-11-21 Esperion Therapeutics, Inc. Regulatory Esperion Partner Otsuka Launches NEXLETOL® in Japan for the Treatment of Hypercholesterolemia esperion.com ↗
We are thrilled that Otsuka, our partner in Japan, has received national pricing approval and launched NEXLETOL.
2025-11-18 Esperion Therapeutics, Inc. Regulatory Esperion Partner HLS Therapeutics Announces Approval of NILEMDO® for the Reduction of LDL-Cholesterol in Canadians at Risk of Cardiovascular Disease esperion.com ↗
This approval marks another important milestone in our global strategy to expand access to bempedoic acid products for patients who urgently need better options to manage their LDL-C and reduce cardiovascular risk.
2025-11-18 HLS Therapeutics, Inc Regulatory HLS Therapeutics Announces Health Canada Approval of NILEMDO® for the Reduction of LDL-Cholesterol in Canadians at Risk of Cardiovascular Disease hlstherapeutics.com ↗
HLS Therapeutics Inc. ("HLS" or the "Company") (TSX: HLS), a pharmaceutical company focused on addressing unmet needs in the treatment of psychiatric disorders and cardiovascular disease, announces that Health Canada has approved NILEMDO® (bempedoic acid) for use in Canada and has issued a Notice of Non-Compliance ("NON") for NEXLIZET® (bempedoic acid and ezetimibe).
2025-11-10 Esperion Therapeutics, Inc. Results Esperion Announces New Data from CLEAR Outcomes Highlighting Value of NEXLETOL® (bempedoic acid) in Oral and Poster Presentations at the AHA Scientific Sessions 2025 esperion.com ↗
2025-09-19 Otsuka Pharmaceutical Development & Commercialization, Inc. Regulatory Otsuka Receives Approval in Japan for NEXLETOLas a Treatment for Hypercholesterolemia® otsuka.co.jp ↗
Otsuka Pharmaceutical Co., Ltd. (Otsuka) announces that the Japanese Ministry of Health, Labour and Welfare(MHLW)has approved NEXLETOL(bempedoic acid) for the treatment of hypercholesterolemia and familial hypercholesterolemia.
2025-09-19 Esperion Therapeutics, Inc. Regulatory Esperion Partner Otsuka Receives Regulatory Approval to Market NEXLETOL® in Japan for the Treatment of Hypercholesterolemia esperion.com ↗
2025-06-16 Daiichi Sankyo Regulatory Anvisa aprova novo tratamento para colesterol alto daiichisankyo.com.br ↗
A Agência Nacional de Vigilância Sanitária (Anvisa) acaba de anunciar a aprovação do medicamento Nustendi®
2025-03-20 Esperion Therapeutics, Inc. Regulatory Esperion Aligns with U.S. Food and Drug Administration to Initiate Phase 3 Clinical Trials of Bempedoic Acid in Pediatric Heterozygous and Homozygous Familial Hypercholesterolemia esperion.com ↗
Based on these discussions with the FDA, the Company plans to initiate Phase 3 clinical studies this year.

All press releases naming this drug 108 releases

DateIssuerRelease
Show all 108 releases opens the full record — a long page

Evidence & citations 14 cited values

Every value below carries the sentence it was read from. 52 sources stand behind the page.

FieldValueCited text
Known as bempedoic acid “Treatment includes high-intensity statins (atorvastatin 40-80mg, rouvastatin 20-40mg), with possible addition of azetimibe, bempedoic acid, and/or PCSK9 inhibitors if target is...” NCT07611747 ↗
33

“This study is a phase IV, open-label, randomized study designed to evaluate the efficacy of Inclisiran vs. bempedoic acid (BPA) in 400 adult subjects” NCT06431763 ↗

“Bempedoic acid is an oral ATP citrate lyase inhibitor that lowers LDL-c upstream of HMG-CoA reductase.” NCT07440381 ↗

“180mg of ETC-1002(bempedoic acid)” NCT04784442 ↗

NCT07239414 ↗

NCT06780410 ↗

NCT07255820 ↗

NCT02991118 ↗

NCT07282821 ↗

NCT07614958 ↗

NCT05587621 ↗

Show 23 more sources

Known as 8-Hydroxy-2,2,14,14-tetramethylpentadecanedioic acid “8-Hydroxy-2,2,14,14-tetramethylpentadecanedioic acid (ETC-1002) is a small molecule with a unique mechanism of action shown in nonclinical studies to modulate pathways of...” PMID 24385236 ↗ Jan 2014
Known as Acide bempedoique ChEMBL registry synonym — accepted as the source's own label CHEMBL3545313 ↗
Known as Acido bempedoico ChEMBL registry synonym — accepted as the source's own label CHEMBL3545313 ↗
Known as Bempedoic acid component of nexlizet ChEMBL registry synonym — accepted as the source's own label CHEMBL3545313 ↗
Known as BPA “This study is a phase IV, open-label, randomized study designed to evaluate the efficacy of Inclisiran vs. bempedoic acid (BPA) in 400 adult subjects” NCT06431763 ↗
1

“obicetrapib (OBI) compared to bempedoic acid (BPA)” NCT07614958 ↗

Known as ESP-55016 ChEMBL registry synonym — accepted as the source's own label CHEMBL3545313 ↗
Known as ETC-1002 “bempedoic acid (ETC-1002) 180mg added to PCSK9 inhibitor (evolocumab) therapy is effective and safe” NCT03193047 ↗
16

“Bempedoic acid (ETC-1002), a ATP citrate lyase (ACLY) inhibitor that lowers the LDL cholesterol” PMID 34909677 ↗ Sep 2021

“180mg of ETC-1002(bempedoic acid)” NCT05683340 ↗

“180mg of ETC-1002(bempedoic acid)” NCT05687071 ↗

NCT02072161 ↗

NCT01941836 ↗

NCT02178098 ↗

NCT02666664 ↗

NCT01779453 ↗

NCT01262638 ↗

NCT02044627 ↗

Show 6 more sources

Known as Nexletol “Bempedoic Acid 180 MG Oral Tablet \[Nexletol\]” NCT06021951 ↗
Known as Nilemdo ChEMBL registry synonym — accepted as the source's own label CHEMBL3545313 ↗
Action Inhibit “Bempedoic acid, a prodrug that is activated by a hepatic enzyme not present in skeletal muscle, inhibits ATP -citrate lyase” PMID 30922146 ↗ Apr 2019
Modality Small molecule “ETC-1002 is a small molecule that modulates pathways of cholesterol, fatty acid, and carbohydrate metabolism” PMID 23770179 ↗ Jun 2013
Route Oral “once daily oral treatment with ETC-1002” PMID 24385236 ↗ Jan 2014
Target ACLY “Background Bempedoic acid (BA) inhibits ATP-citrate lyase in the cholesterol synthesis pathway and lowers low-density lipoprotein cholesterol (LDL-C).” PMID 35916348 ↗ Aug 2022