Background: Nascent VLDL exits the ER in a specialized large vesicle, the VTV. Results: CideB interacts with COPII proteins, and CideB ablation abrogates VTV biogenesis. Conclusion: CideB forms an intricate COPII coat and regulates the formation of the VTV. Significance: New physiological role of CideB provides new insight into the mechanism that controls intracellular VLDL trafficking and secretion.