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Pemafibrate · Parmodia

Small molecule

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Reliablesignal

Evidence outlook · lead readout

NCT04998981 · Hyperlipidemia

The completed lead evidence has the design features that historically survive confirmatory trials: randomized, controlled, and adequately powered against a prespecified clinically accepted endpoint.

NCT04998981: This randomized, placebo- and active-controlled trial kept participants, care providers, investigators and outcome assessors blind to treatment assignment. Its primary endpoint was met: the higher pemafibrate dose produced a significantly larger triglyceride reduction than both placebo and fenofibrate.

Also in development:Chronic Kidney Disease

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Competitive landscape

117 competitors in this universe: 0 direct rivals (same mechanism and indication), 0 same-class, 117 same-indication; 41 further along in development.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Pemafibrate (Parmodia): this drugPhase 3Small moleculePPAR-alpha
Alirocumab (Praluent)ApprovedMonoclonal antibodyPCSK9
Atrasentan (Vanrafia)ApprovedSmall moleculeEndothelin A receptor
Avacopan (Tavneos)ApprovedSmall moleculeComplement C5a receptor 1 (C5aR1/CD88)
Baxdrostat (Baxfendy)ApprovedSmall moleculeAldosterone synthase (CYP11B2)
Bempedoic Acid (Nexletol)ApprovedSmall moleculeAdenosine Triphosphate-Citrate Lyase Inhibitor, ATP citrate lyase
Bempedoic Acid / EzetimibeApprovedSmall moleculeATP citrate lyase (ACLY, bempedoic acid) and NPC1L1 (ezetimibe)
Budesonide (targeted-Release) (TARPEYO / Nefecon)ApprovedSmall moleculeGlucocorticoid receptor
Canagliflozin (Invokana)ApprovedSmall moleculeSGLT2
Cangrelor (Kengreal)ApprovedSmall moleculeP2Y12 receptor
Colchicine (cardiovascular) (Lodoco)ApprovedSmall moleculeMicrotubule/inflammasome (tubulin)
Dapagliflozin (Farxiga / Forxiga)ApprovedSmall moleculeSGLT2
Daprodustat (Jesduvroq)ApprovedSmall moleculeHIF prolyl hydroxylase (HIF-PH1/2/3)
Difelikefalin (Korsuva)ApprovedPeptideKappa-opioid receptor (agonist, peripherally restricted)
Dulaglutide (Trulicity)ApprovedPeptideGLP-1 receptor
Empagliflozin (Jardiance)ApprovedSmall moleculeSGLT2

…and 102 more. Research shows the complete landscape.

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Research adds each competitor's evidence grade and sourced trial results, aligned per race, so you can see who actually has the data.

Upcoming events

(2 total)

Estimated primary-completion dates from ClinicalTrials.gov. These are registry estimates, never confirmed readout dates; they can move as trials progress.

2027 (1)
July 2027 (1)
Phase 4Atherosclerotic Cardiovascular DiseaseRecruiting
Est. primary completion 2027-07-31 · NCT07634484 · CT.gov ↗
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2028 (1)
March 2028 (1)
Early phase / not applicableIntracranial Atherosclerotic Disease (ICAD), Hypertriglyceridaemia, Stroke (CVA) or TIARecruiting
Est. primary completion 2028-03-31 · NCT07562178 · CT.gov ↗
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See the full readout calendar ↗

All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.

Phase 3 (8)
Phase 2 (5)
Phase 1 (13)
Phase 4 (1)
Early phase / not applicable (1)
Appears in other studies (1)