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Lp(a) Lowering Study of Pelacarsen (TQJ230) in US Black/African American and Hispanic Participants With Elevated Lp(a) and Established ASCVD

Phase 3
Active, not recruiting
Conditions
Elevated Lp(a) and Established Atherosclerotic Cardiovascular Disease
Interventions
Drug: Placebo
Registration Number
NCT06267560
Lead Sponsor
Novartis Pharmaceuticals
Brief Summary

Study CTQJ230A12303 is a randomized, double-blind placebo-controlled, Phase IIIb study to evaluate the efficacy, safety and tolerability of pelacarsen (TQJ230) 80 mg s.c. QM compared with placebo s.c. QM in US Black/African American and Hispanic participants with established ASCVD and elevated levels of Lp(a) who are treated for cardiovascular (CV) risk factors according to local practice/guidelines for the reduction of cardiovascular risk.

Detailed Description

CTQJ230A12303 is a randomized, double-blind, placebo-controlled, multi-center, Phase IIIb study to evaluate the efficacy ( measured by reduction of the Lp(a) levels) and safety of pelacarsen (TQJ230) 80mg s.c. QM compared to placebo in US Black/African American and US Hispanic participants, with established atherosclerotic cardiovascular disease (ASCVD) as evidenced by history of coronary heart disease, cerebrovascular disease or symptomatic peripheral artery disease (PAD) and elevated levels of Lp(a).

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
423
Inclusion Criteria
  • Male and female US Black/African American and US Hispanic participants 18 to ≤ 80 years of age

  • Lp(a) ≥ 125 nmol/L at the screening visit, measured at the Central laboratory

  • On Standard of Care (SoC) therapy for risk factors other than Lp(a), including LDL-C (LDL-C lowering therapy dose stable for at least 30 days), elevated blood pressure and diabetes, at the randomization visit according to local practice/guidelines.

  • Established ASCVD disease defined as documented:

    • Coronary heart disease (CHD) and/or
    • Cerebrovascular disease (CVD) and/or
    • Peripheral arterial disease (PAD):
Exclusion Criteria
  • Uncontrolled hypertension
  • Heart failure New York Heart Association (NYHA) class IV
  • History of malignancy of any organ system
  • History of hemorrhagic stroke or other major bleeding
  • Platelet count <140,000 per mm3
  • Active liver disease or hepatic dysfunction
  • Significant kidney disease
  • Pregnant or nursing women

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
TQJ230TQJ230TQJ230 80mg QM s.c.
PlaceboPlaceboMatching placebo.
Primary Outcome Measures
NameTimeMethod
Change in log-transformed Lp(a) concentration from baseline at week 52Baseline, week 52

The primary aim of the study is to demonstrate the superiority of pelacarsen to placebo in lowering the Lp(a) level at 12 months of treatment in US Black/African American and US Hispanic participants with established ASCVD and a Lp(a) level of ≥ 125 nmo/L.

Secondary Outcome Measures
NameTimeMethod
Incidence proportion of study discontinuations due to TEAEsUp to 52 weeks

Incidence proportion of study discontinuations due to TEAEs will be provided

Incidence proportion of Treatment emergent adverse events (TEAEs) of special interestUp to 52 weeks

Incidence proportion of Treatment emergent adverse events (TEAEs) of special interest will be provided

Trial Locations

Locations (104)

Synexus Clinical Research Advantage

🇺🇸

Birmingham, Alabama, United States

Parkway Medical Center

🇺🇸

Birmingham, Alabama, United States

Optimal Research LLC

🇺🇸

Huntsville, Alabama, United States

Synexus

🇺🇸

Glendale, Arizona, United States

Cardiology and Medicine Clinic PA

🇺🇸

Little Rock, Arkansas, United States

National Heart Institute

🇺🇸

Beverly Hills, California, United States

Hope Clinical Research

🇺🇸

Canoga Park, California, United States

Valley Clinical Trials Inc

🇺🇸

Covina, California, United States

NICRs Research Center

🇺🇸

Garden Grove, California, United States

University of Calif Irvine Med Cntr

🇺🇸

Irvine, California, United States

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Synexus Clinical Research Advantage
🇺🇸Birmingham, Alabama, United States

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