Last reviewed · How we verify
Niacin ER/Simvastatin Tablets
Niacin ER/Simvastatin combines extended-release niacin (which increases HDL and lowers triglycerides) with simvastatin (a statin that inhibits HMG-CoA reductase to lower LDL cholesterol).
Niacin ER/Simvastatin combines extended-release niacin (which increases HDL and lowers triglycerides) with simvastatin (a statin that inhibits HMG-CoA reductase to lower LDL cholesterol). Used for Hyperlipidemia and mixed dyslipidemia in patients requiring both statin and niacin therapy, Reduction of cardiovascular risk in patients with coronary heart disease.
At a glance
| Generic name | Niacin ER/Simvastatin Tablets |
|---|---|
| Also known as | ABT-919/483, Niacin ER/Simvastatin, Simcor |
| Sponsor | Abbott |
| Drug class | Combination lipid-modifying agent (statin + niacin) |
| Target | HMG-CoA reductase (simvastatin); GPR109A and DGAT2 (niacin) |
| Modality | Small molecule |
| Therapeutic area | Cardiovascular |
| Phase | Phase 3 |
Mechanism of action
Simvastatin blocks HMG-CoA reductase, the rate-limiting enzyme in cholesterol synthesis, thereby reducing LDL cholesterol production and hepatic VLDL secretion. Niacin ER acts through multiple mechanisms including inhibition of hepatic diacylglycerol acyltransferase-2 (DGAT2) and activation of GPR109A, leading to increased HDL cholesterol and reduced triglycerides. Together, they provide complementary lipid-modifying effects for cardiovascular risk reduction.
Approved indications
- Hyperlipidemia and mixed dyslipidemia in patients requiring both statin and niacin therapy
- Reduction of cardiovascular risk in patients with coronary heart disease
Common side effects
- Flushing
- Pruritus
- Nausea
- Headache
- Myalgia
- Elevated liver enzymes
- Hyperglycemia
Key clinical trials
- To Evaluate Ezetimibe/Simvastatin and Niacin (Extended Release Tablet) in Patients With Type IIa or Type IIb Hyperlipidemia (0653A-091)(COMPLETED) (PHASE3)
- MK-0524B Lipid Study (MK-0524B-063) (PHASE3)
- Efficacy and Safety of Extended-Release Niacin/ Laropiprant/Simvastatin Tablets in Participants With Hypercholesterolemia or Mixed Dyslipidemia (MK-0524B-143) (PHASE3)
- Lipid Efficacy and Safety in Participants With Mixed Hyperlipidemia (MK-0524B-024) (PHASE3)
- A Study to Evaluate Efficacy and Safety of Extended-Release Niacin + Laropiprant + Simvastatin in Participants With Primary Hypercholesterolemia or Mixed Dyslipidemia (MK-0524B-118) (PHASE3)
- Merck Carotid Atherosclerosis Trial (MK-0000-111)(COMPLETED) (PHASE2)
- MK0524B Bioequivalence Study (0524B-070) (PHASE1)
- Study of Extended Release Niacin/Laropiprant on Lipids (0524A-067) (PHASE3)
Primary sources
Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.
| Source | Used for |
|---|---|
| ClinicalTrials.gov | Trial enrolment, design, endpoints, results |
Competitive intelligence
For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:
- Niacin ER/Simvastatin Tablets CI brief — competitive landscape report
- Niacin ER/Simvastatin Tablets updates RSS · CI watch RSS
- Abbott portfolio CI