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Updated: May 20, 2025

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Total Synthesis of Enlicitide Decanoate.

Hongming Li1, David A Thaisrivongs1, Gao Shang1

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We synthesized enlicitide decanoate, a novel oral proprotein convertase subtilisin/kexin type 9 inhibitor for atherosclerotic cardiovascular disease. A robust manufacturing process was developed for large-scale production of this complex peptide.

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Area of Science:

  • Medicinal Chemistry
  • Cardiovascular Medicine
  • Process Chemistry

Background:

  • Atherosclerotic cardiovascular disease (ASCVD) is a leading cause of mortality worldwide.
  • Proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors represent a promising therapeutic strategy for managing hyperlipidemia and reducing cardiovascular risk.
  • Enlicitide decanoate is an orally bioavailable PCSK9 inhibitor under development for ASCVD treatment.

Purpose of the Study:

  • To report the total synthesis of enlicitide decanoate.
  • To describe the development of a manufacturing process for large-scale enlicitide production.

Main Methods:

  • Convergent synthesis strategy.
  • Development of a robust and efficient manufacturing process.
  • Characterization of the synthesized enlicitide decanoate.

Main Results:

  • Successful total synthesis of enlicitide decanoate.
  • Establishment of a scalable manufacturing process.
  • Enlicitide decanoate is a complex macrocyclic peptide with nonpeptide structural elements.

Conclusions:

  • The developed synthetic and manufacturing process enables large-scale production of enlicitide decanoate.
  • This work facilitates the clinical development of enlicitide decanoate for atherosclerotic cardiovascular disease.