Esperion TV Spot for Nexlizet False, Misleading: FDA

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The CDER Office of Prescription Drug Promotion (OPDP) says a direct-to-consumer connected TV broadcast ad for Esperion Therapeutics’ Nexlizet (bempedoic acid and ezetimibe) tablets for oral use is false and misleading. A just-released 12/19/2025 Notice of Violation says the ad’s claims and presentations falsely suggest that bempedoic acid is the only non-statin approved by FDA to lower bad cholesterol and reduce the risk of heart attack in statin-intolerant patients.

“Specifically,” OPDP says, “certain PCSK9 inhibitors are also FDA approved to lower LDL cholesterol and reduce the risk of major adverse cardiovascular events such as heart attack, and the indications for these products do not limit their use to adult patients who are either statin tolerant or intolerant.”

The letter says the ad is misleading because of the compelling and attention-grabbing visuals during the presentation of the major statement, which interfere with the comprehension of the major statement.

Esperion was told to respond with a list of all Nexlizet promotional communications that contain representations like those described in the letter and explaining the company’s plan to discontinue such communications or cease distribution of Nexlizet.

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