Clinical trial • Phase III • Cardiology
INCLISIRAN (Inclisiran sodium) for Atherosclerotic cardiovascular disease (ASCVD)
Phase III trial of INCLISIRAN (Inclisiran sodium) for Atherosclerotic cardiovascular disease (ASCVD).
Overview
- Trial Therapeutic Area
- Cardiology
- Trial Disease
- Atherosclerotic cardiovascular disease (ASCVD)
- Trial Stage
- Phase III
- Drug Modality
- Oligonucleotide | Small molecule
Key dates
- Initial CTIS Submission Date
- 17-05-2024
- First CTIS Authorization Date
- 27-06-2024
Trial design
Randomised, placebo to kjx839 (inclisiran sodium) 0 mg/1.5 ml solution for injection in pre-filled syringe (placebo injection matching inclisiran). background high-intensity statin therapy is required for all participants (atorvastatin ≥40 mg qd or rosuvastatin ≥20 mg qd) as part of standard of care.-controlled Phase III trial.
- Randomised
- Yes
- Comparator
- Placebo to KJX839 (Inclisiran sodium) 0 mg/1.5 mL solution for injection in pre-filled syringe (placebo injection matching inclisiran). Background high-intensity statin therapy is required for all participants (atorvastatin ≥40 mg QD or rosuvastatin ≥20 mg QD) as part of standard of care.
- Target Sample Size
- 10234
Eligibility
Recruits 10234 Vulnerable population selected. Pregnant or nursing women are explicitly excluded; women of child-bearing potential must use effective methods of contraception during dosing of study treatment. Specific informed consent and follow-up information sheets are provided for pregnant participants and for female partners (separate ICFs indicated in country documents). Informed consent is obtained from adult participants (no paediatric/assent procedures are provided)..
- Pregnancy Exclusion
- Pregnant or nursing (lactating) women
- Vulnerable Population
- Vulnerable population selected. Pregnant or nursing women are explicitly excluded; women of child-bearing potential must use effective methods of contraception during dosing of study treatment. Specific informed consent and follow-up information sheets are provided for pregnant participants and for female partners (separate ICFs indicated in country documents). Informed consent is obtained from adult participants (no paediatric/assent procedures are provided).
Inclusion criteria
- {"criterion_text":"- Male or female ≥40 years of age\n- Fasting LDL-C ≥1.8 mmol/L (70 mg/dL) at the Screening Visit\n- At the Screening Visit, participants must be on a stable (≥4 weeks) and well-tolerated lipid-lowering regimen (including e.g., with or without Ezetimibe) that must include a high-intensity statin therapy with either atorvastatin ≥40 mg QD or rosuvastatin ≥20 mg QD\n- Established CV disease, defined as any of the following: - Previous myocardial infarction - Previous ischemic stroke - Symptomatic peripheral arterial disease (PAD), as evidenced by either intermittent claudication with ABI <0.85, prior peripheral arterial revascularization procedure, or amputation due to atherosclerotic disease"}
Exclusion criteria
- {"criterion_text":"- New York Heart Association (NYHA) class III or IV heart failure at the Statin Optimization Screening Visit (if applicable), Screening Visit, or at the Baseline Visit (Day1)\n- Previous exposure to inclisiran or any other non-mAb PCSK9-targeted therapy, either as an investigational or marketed drug within 2 years prior to the first study visit\n- Pregnant or nursing (lactating) women\n- Women of child-bearing potential, unless they are using effective methods of contraception during dosing of study treatment"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Time to first occurrence of cardiovascular death, non-fatal myocardial infarction, or non-fatal ischemic stroke (3P-MACE)","definition_or_measurement_approach":"Time-to-event: time to first occurrence of the composite 3P-MACE (cardiovascular death, non‑fatal MI, non‑fatal ischemic stroke)."}
Secondary endpoints
- {"endpoint_text":"- Time to cardiovascular death","definition_or_measurement_approach":"Time-to-event: time until cardiovascular death."}
- {"endpoint_text":"- Time to first occurrence of cardiovascular death, non-fatal myocardial infarction, non-fatal ischemic stroke, or urgent coronary revascularization (4P-MACE)","definition_or_measurement_approach":"Time-to-event: time to first occurrence of the composite 4P‑MACE (CV death, non‑fatal MI, non‑fatal ischemic stroke, urgent coronary revascularization)."}
- {"endpoint_text":"- Time to fist occurrence of Major Adverse Limb Events (MALE)","definition_or_measurement_approach":"Time-to-event: time to first occurrence of MALE (major adverse limb events)."}
- {"endpoint_text":"- Time to all-cause death","definition_or_measurement_approach":"Time-to-event: time until death from any cause."}
- {"endpoint_text":"- Number of participants with SAEs","definition_or_measurement_approach":"Count of participants experiencing serious adverse events (SAEs)."}
- {"endpoint_text":"- Number of participants with AEs leading to study treatment discontinuation","definition_or_measurement_approach":"Count of participants with adverse events (AEs) that led to discontinuation of study treatment."}
Recruitment
- Planned Sample Size
- 10234
- Recruitment Window Months
- 71
- Consent Approach
- Informed consent is obtained from adult participants using country-specific Subject Information and Informed Consent Forms. Main adult ICFs are provided for each country/language; additional ICFs are provided for genetic research, pregnant participants, pregnant partners/female partners, and follow-up procedures. Consent materials are available in the local/country languages (multiple language-specific ICFs are listed in the dossier).
Sponsor
Primary sponsor
- Full Name
- Novartis Pharma AG
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- Switzerland
Contract research organisations
- Name
- IQVIA RDS Spain S.L.
- Responsibilities
- sponsorDuties codes: 1
- Name
- IQVIA Limited
- Responsibilities
- sponsorDuties codes: 1, 15 (Endpoint package collection and reporting), 3
- Name
- Parexel International (IRL) Limited
- Responsibilities
- sponsorDuties codes: 1, 12, 2, 5
- Name
- Syneos Health Inc.
- Responsibilities
- sponsorDuties codes: 1
- Name
- Icon Clinical Research Limited
- Responsibilities
- sponsorDuties codes: 1
- Name
- PRA Hellas CRO A.E.
- Responsibilities
- sponsorDuties codes: 1
- Name
- Medidata Solutions Inc.
- Responsibilities
- sponsorDuties codes: 6
Third parties
- {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"sponsorDuties codes: 6","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Greenphire LLC","duties_or_roles":"Travel support for patients visit to site (sponsorDuties code 15; value: Travel support for patients visit to site)","organisation_type":"Non-Pharmaceutical company"}
- {"country":"Finland","full_name":"Tamro Oyj","duties_or_roles":"IMP delivery and IMP returns (sponsorDuties code 15; value: IMP delivery and IMP returns)","organisation_type":"Pharmaceutical company"}
- {"country":"Spain","full_name":"IQVIA RDS Spain S.L.","duties_or_roles":"sponsorDuties codes: 1","organisation_type":"Pharmaceutical company"}
- {"country":"Austria","full_name":"Mag. Andreas Raffeiner GmbH","duties_or_roles":"sponsorDuties codes: 8","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Omnitrace Corp.","duties_or_roles":"Patient retention (sponsorDuties code 15; value: Patient retention)","organisation_type":"Non-Pharmaceutical company"}
- {"country":"Austria","full_name":"Abf Pharmaceutical Services GmbH","duties_or_roles":"Local depot:storage+distribution of AxMP to sites/Destruction (sponsorDuties code 15; value: Local depot:storage+distribution of AxMP to sites/Destruction)","organisation_type":"Pharmaceutical company"}
- {"country":"United Kingdom","full_name":"IQVIA Limited","duties_or_roles":"sponsorDuties codes: 1, 15 (Endpoint package collection and reporting), 3","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Datacubed Health Inc.","duties_or_roles":"Patient retention (sponsorDuties code 15; value: Patient retention)","organisation_type":"Pharmaceutical company"}
- {"country":"Slovakia","full_name":"Movianto Slovensko s.r.o.","duties_or_roles":"IMP storage after return from sites and its destruction (sponsorDuties code 15; value: IMP storage after return from sites and its destruction)","organisation_type":"Pharmaceutical company"}
- {"country":"France","full_name":"Creapharm Clinical Supplies","duties_or_roles":"Drug distribution, storage, relabeling, return and destruction (sponsorDuties code 15; value: Drug distribution, storage, relabeling, return and destruction)","organisation_type":"Pharmaceutical company"}
- {"country":"Italy","full_name":"Opis S.r.l.","duties_or_roles":"TMF archive (sponsorDuties code 15; value: TMF archive)","organisation_type":"Pharmaceutical company"}
- {"country":"Italy","full_name":"Mipharm S.p.A.","duties_or_roles":"Local drug supply (sponsorDuties code 15; value: Local drug supply)","organisation_type":"Pharmaceutical company"}
- {"country":"Iceland","full_name":"Distica hf.","duties_or_roles":"Drug import, delivery to site and destruction of IMP (sponsorDuties code 15; value: Drug import, delivery to site and destruction of IMP)","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Medpace Reference Laboratories LLC","duties_or_roles":"sponsorDuties codes: 4","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"Latvia","full_name":"Oribalt Riga SIA","duties_or_roles":"Equipment purchases and delivery at site if applicable IMP destruction Local drug supply (sponsorDuties code 15; value: Equipment purchases and delivery at site if applicable IMP destruction Local drug supply)","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Syneos Health Inc.","duties_or_roles":"sponsorDuties codes: 1","organisation_type":"Pharmaceutical company"}
- {"country":"Greece","full_name":"PRA Hellas CRO A.E.","duties_or_roles":"sponsorDuties codes: 1","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Icon Laboratory Services Inc.","duties_or_roles":"sponsorDuties codes: 4","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"Ireland","full_name":"Parexel International (IRL) Limited","duties_or_roles":"sponsorDuties codes: 1, 12, 2, 5","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Cleveland Clinic Foundation","duties_or_roles":"Adjudication committee (sponsorDuties code 15; value: Adjudication committee)","organisation_type":"Hospital/Clinic/Other health care facility"}
- {"country":"Croatia","full_name":"Medical Intertrade d.o.o.","duties_or_roles":"Import or entry of study drugs and medical equipment, return and destruction of study drugs. (sponsorDuties code 15; value: Import or entry of study drugs and medical equipment, return and destruction of study drugs.)","organisation_type":"Pharmaceutical company"}
- {"country":"Norway","full_name":"Freja Transport & Logistics AS","duties_or_roles":"Drug destruction and re-labeling. (sponsorDuties code 15; value: Drug destruction and re-labeling.)","organisation_type":"Pharmaceutical company"}
- {"country":"Ireland","full_name":"Icon Clinical Research Limited","duties_or_roles":"sponsorDuties codes: 1","organisation_type":"Pharmaceutical company"}
- {"country":"Spain","full_name":"Syneos Health Clinical Spain S.L.","duties_or_roles":"sponsorDuties codes: 1","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"WCG Clinical Inc.","duties_or_roles":"sponsorDuties codes: 10","organisation_type":"Pharmaceutical company"}
- {"country":"Spain","full_name":"Rps Research Iberica S.L.","duties_or_roles":"sponsorDuties codes: 1","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Medidata Solutions Inc. (additional entry)","duties_or_roles":"Contact listed with info@medidata.com; sponsorDuties codes: 6","organisation_type":"Non-Pharmaceutical company"}
Investigational products
- Investigational Product Name
- INCLISIRAN
- Active Substance
- INCLISIRAN (Inclisiran sodium)
- Modality
- Oligonucleotide
- Routes Of Administration
- SUBCUTANEOUS USE
- Route
- Subcutaneous
- Authorisation Status
- No marketing authorisation (marketingAuthNumber: -)
- Maximum Dose
- 300 mg
- Investigational Product Name
- Placebo to KJX839 (Inclisiran sodium) 0 mg/1.5 mL solution for injection in pre-filled syringe
- Active Substance
- N/A (placebo)
- Modality
- Other
- Investigational Product Name
- ATORVASTATIN
- Active Substance
- ATORVASTATIN
- Modality
- Small molecule
- Routes Of Administration
- ORAL USE
- Route
- Oral
- Authorisation Status
- No marketing authorisation number provided (marketingAuthNumber: -)
- Frequency
- QD (as per inclusion: atorvastatin ≥40 mg QD as high-intensity statin)
- Maximum Dose
- 40 mg (maxDailyDoseAmount listed 40 mg)
- Investigational Product Name
- ROSUVASTATIN
- Active Substance
- ROSUVASTATIN
- Modality
- Small molecule
- Routes Of Administration
- ORAL USE
- Route
- Oral
- Authorisation Status
- No marketing authorisation number provided (marketingAuthNumber: -)
- Frequency
- QD (as per inclusion: rosuvastatin ≥20 mg QD as high-intensity statin)
- Maximum Dose
- 40 mg (maxDailyDoseAmount listed 40 mg)
- Combination Treatment
- Yes
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