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临床试验/NCT07157774
NCT07157774招募中3 期

A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study to Investigate the Effect of Muvalaplin on the Reduction of Major Adverse Cardiovascular Events in Adults With Elevated Lipoprotein(a) Who Have Had a Prior Atherosclerotic Cardiovascular Event or Are at Risk for a First Atherosclerotic Cardiovascular Event

Eli Lilly and Company1404 个研究点 分布在 3 个国家目标入组 10,450 人开始时间: 2025年9月2日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
状态
招募中
入组人数
10,450
试验地点
1,404
主要终点
Time to First Occurrence of Any Component of the Major Adverse Cardiac Event (MACE)-4 Composite Endpoint

研究概览

简要总结

The purpose of this study is to evaluate the efficacy of muvalaplin in reducing cardiovascular risk in participants with high lipoprotein(a) who have cardiovascular disease or are at risk of a heart attack or stroke.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Participant, Investigator)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Have Lp(a) ≥175 nanomoles per liter (nmol/L)
  • Meet one of the following criteria:
  • Have had a prior atherosclerotic cardiovascular disease (ASCVD) event (such as heart attack, stroke, or procedure to restore blood flow to the heart or other parts of the body) within 10 years prior to screening
  • Are at risk for a first ASCVD event, defined as one or more of the following:
  • Documented coronary artery disease (CAD), carotid stenosis, or peripheral artery disease (PAD) without a history of ASCVD event
  • A high coronary artery calcium (CAC) score
  • Reduced kidney function with diabetes
  • Combination(s) of high risk factors

排除标准

  • Have experienced a major cardiovascular event or surgery, such as heart attack, stroke, or procedure to restore blood flow to the heart or other parts of the body, within 90 days prior to screening or occurring between screening and randomization
  • Are planning or expected to undergo a procedure to restore blood flow in the arteries or a major heart surgery during the study
  • Have uncontrolled high blood pressure
  • Have New York Heart Association (NYHA) class III or IV heart failure
  • Have undergone a procedure to remove cholesterol from the blood within 90 days of screening, or have a planned procedure during the study
  • Have severe kidney impairment
  • Have had cancer within 5 years prior to screening

研究组 & 干预措施

Placebo

Placebo Comparator

Participants will receive placebo orally.

干预措施: Placebo (Drug)

Muvalaplin

Experimental

Participants will receive muvalaplin orally.

干预措施: Muvalaplin (Drug)

结局指标

主要结局

Time to First Occurrence of Any Component of the Major Adverse Cardiac Event (MACE)-4 Composite Endpoint

时间窗: Baseline up to End of Study (About 5.25 Years)

Time to first event in a MACE-4 composite endpoint, comprised of cardiovascular death, nonfatal myocardial infarction, nonfatal ischemic stroke, and urgent coronary revascularization.

Time to First Occurrence of Any Component of the Major Adverse Cardiac Event (MACE)-4 Composite Endpoint

时间窗: Baseline up to End of Study (About 5.25 Years)

Time to first event in a MACE-4 composite endpoint, comprised of cardiovascular death, nonfatal myocardial infarction, nonfatal ischemic stroke, and urgent coronary revascularization.

次要结局

  • Time to First Occurrence of Any Component of the MACE-3 Composite Endpoint(Baseline up to End of Study (About 5.25 Years))
  • Time to First Occurrence of Any Component of the Modified MACE-3 Composite Endpoint(Baseline up to End of Study (About 5.25 Years))
  • Time to Occurrence of All-Cause Mortality(Baseline up to End of Study (About 5.25 Years))
  • Time to First Occurrence of Each Individual Component of the MACE-4 Composite Endpoint(Baseline up to End of Study (About 5.25 Years))
  • Percent Change from Baseline in Lipoprotein(a) (Lp(a)) at Week 4(Baseline, Week 4)
  • Time to First Occurrence of Any Component of the MACE-3 Composite Endpoint(Baseline up to End of Study (About 5.25 Years))
  • Time to First Occurrence of Any Component of the Modified MACE-3 Composite Endpoint(Baseline up to End of Study (About 5.25 Years))
  • Time to First Occurrence of Any Component of the Coronary MACE-3 Composite Endpoint(Baseline up to End of Study (About 5.25 Years))
  • Time to First Occurrence of Any Component of MACE-3 + Major Adverse Limb Event (MALE) Composite Endpoint(Baseline up to End of Study (About 5.25 Years))
  • Time to Occurrence of All-Cause Mortality(Baseline up to End of Study (About 5.25 Years))
  • Change from Baseline to Each Annual Visit for Health-Care Resource Utilization (HCRU)(Baseline up to End of Study (About 5.25 Years))
  • Time to First Occurrence of Each Individual Component of the MACE-4 Composite Endpoint(Baseline up to End of Study (About 5.25 Years))
  • Pharmacokinetics (PK): Trough Concentration at Steady State (C-trough, ss) of Muvalaplin(Predose through Week 96)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (1404)

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