Muvalaplin is a small molecule that reduces Lp(a) formation by binding to the kringle IV domains 7 and 8 of apo(a).1 This prevents the initial noncovalent interaction between apo(a) and lysine residues in apoB-100, prior to formation of a covalent bond between apo(a) and apoB100 resulting in formation of Lp(a).1 In a Phase 1 trial, daily administration of muvalaplin resulted in dose-dependent lowering of Lp(a) by up to 65% by day 14 of daily dosing.1
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- Nicholls SJ, Nissen SE, Fleming C et al. Muvalaplin, an Oral Small Molecule Inhibitor of Lipoprotein(a) Formation: A Randomized Clinical Trial. JAMA. 2023 Sep 19;330(11):1042-1053.