TheraRadar
Data updated: Jun 28, 2026

LEROCHOL (lerodalcibep-liga) · LIB THERAPEUTICS, INC.

Genetically Validated
1st Cycle Met PDUFA 1st in US
Metabolic Approved 2025-12-12

LEROCHOL (lerodalcibep-liga) is a PCSK9 inhibitor indicated for the reduction of low-density lipoprotein cholesterol (LDL-C) in adult patients. It is used as an adjunct to diet and exercise in individuals with hypercholesterolemia, including those with heterozygous familial hypercholesterolemia (HeFH). The medication provides a therapeutic option for managing elevated cholesterol levels in these specific patient populations.

Source: FDA Label

How LEROCHOL Works

Lerodalcibep-liga is a recombinant fusion protein that binds to proprotein convertase subtilisin kexin type 9 (PCSK9) with high affinity. PCSK9 typically binds to low-density lipoprotein receptors (LDLR) on the surface of liver cells to promote their degradation. By inhibiting this binding, the drug increases the density of LDLRs available to clear LDL-C from the blood, thereby lowering cholesterol levels.

Source: FDA Label
1
Indication
--
Phase 3 Trials
0
Years on Market

Details

Status
Prescription
First Approved
2025-12-12
Routes
INJECTION
Dosage Forms
INJECTABLE

Companies

Active Ingredient: LERODALCIBEP-LIGA

LEROCHOL Approval History

2026
Original
New Indication
New Form
Label Update
1 FDA actions from 2025 to 2025
Dec 2025 ORIGINAL
New Drug · Type 1 - New Molecular Entity

What LEROCHOL Treats

2 indications

LEROCHOL is approved for 2 conditions since its original approval in 2025. These indications span multiple therapeutic areas including oncology, immunology, and more.

Source: FDA Label

LEROCHOL Target & Pathway

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Target

PCSK9 (Proprotein Convertase Subtilisin/Kexin Type 9) Enzyme

A protein that promotes degradation of LDL receptors, reducing the liver's ability to clear LDL cholesterol. Blocking PCSK9 increases LDL receptor availability, dramatically lowering LDL cholesterol levels beyond what statins achieve.

LEROCHOL Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

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Active Pipeline

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

LEROCHOL FDA Label Details

Indications & Usage

LEROCHOL TM is indicated as an adjunct to diet and exercise to reduce low-density lipoprotein cholesterol (LDL-C) in adults with hypercholesterolemia, including heterozygous familial hypercholesterolemia (HeFH). LEROCHOL is a proprotein convertase subtilisin kexin type 9 (PCSK9) inhibitor indicated as an adjunct to diet and exercise: to reduce low-density lipoprotein cholesterol (LDL-C) in adults with hypercholesterolemia, including heterozygous familial hypercholesterolemia (HeFH).

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.