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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