Clinical trial • Phase III • Cardiology
MUVALAPLIN for Elevated lipoprotein(a) | Atherosclerotic cardiovascular disease
Phase III trial of MUVALAPLIN for Elevated lipoprotein(a) | Atherosclerotic cardiovascular disease.
Overview
- Trial Therapeutic Area
- Cardiology
- Trial Disease
- Elevated lipoprotein(a) | Atherosclerotic cardiovascular disease
- Trial Stage
- Phase III
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 20-06-2025
- First CTIS Authorization Date
- 13-10-2025
Trial design
Randomised, placebo to match ly (placebo matching muvalaplin). dose and schedule not specified in the ctis record.-controlled Phase III trial.
- Randomised
- Yes
- Comparator
- Placebo to match LY (placebo matching Muvalaplin). Dose and schedule not specified in the CTIS record.
- Target Sample Size
- 7290
Eligibility
Recruits 7290 Vulnerable population flag selected in the CTIS record (isVulnerablePopulationSelected = true). No further details on specific vulnerable population consent/assent handling are provided in the CTIS data supplied..
- Vulnerable Population
- Vulnerable population flag selected in the CTIS record (isVulnerablePopulationSelected = true). No further details on specific vulnerable population consent/assent handling are provided in the CTIS data supplied.
Inclusion criteria
- {"criterion_text":"- Have Lp(a) levels of 175 nmol/L or higher\n- Meet one of the following criteria: • Have had a previous heart-related event, such as a heart attack, stroke, or a procedure to restore blood flow to the heart or other parts of the body • Be at risk for a first heart-related event, defined by one or more of the following: • Coronary artery disease (CAD), carotid stenosis, or peripheral artery disease (PAD) without a previous heart-related event • A high coronary artery calcium (CAC) score • Reduced kidney function with diabetes • Combination(s) of high risk factors"}
Exclusion criteria
- {"criterion_text":"- Have had a major heart or blood vessel event within 90 days before screening\n- Be planning any heart or artery surgery\n- Have very high blood pressure or have serious heart failure\n- Have had or planning to have a procedure to remove cholesterol from the blood within 90 days of screening\n- Have severe kidney failure\n- Have a history of cancer within 5 years before screening"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Time to First Occurrence of Any Component of the Major Adverse Cardiac Event (MACE)-4 Composite Endpoint","definition_or_measurement_approach":"Time-to-event (time from randomisation to first occurrence of any component of the MACE-4 composite). The study main objective is to evaluate reduction in risk of the composite MACE-4; endpoint is measured as time to first occurrence."}
Recruitment
- Digital Remote Recruitment
- Yes
- Planned Sample Size
- 7290
- Recruitment Window Months
- 64
- Consent Approach
- Informed consent obtained from adult participants. The CTIS record includes eConsent materials (patient-facing landing page, participant-facing screenshots) and multiple language/country-specific ICFs and addenda (examples in EN, FR, PL, RO, ES, IT, GR, BE, CZ, DE, HU, SK in the document list). Prescreening ICFs and optional-activity addenda and specific forms (e.g. pregnant-partner forms) are provided in country/language-specific versions. No assent process for minors is described (study population is adults).
Methods
- Posters, flyers and brochures (site-facing and participant-facing recruitment materials) - multiple country-specific versions available (e.g. FRA, PL, GR, ES, IT, BE, NL, etc.).
- Doctor-to-patient letters and doctor referral letters (site-mediated recruitment).
- Patient-facing eConsent / patient-facing landing page and participant-facing screenshots (electronic consent platform) for remote consent.
- Online recruitment campaign ads and platforms (documents list includes 'Recruitment Campaign Ads' and 'Recruitment Campaign Link2Trials' and other online ad materials).
- Website text and social media carousel/website recruitment content (e.g. Meclinas website text, carousel post images).
- Patient referral and recruitment services via third-party vendors/CROs (e.g. Clariness, Trialbee, Greenphire, Meclinas, PreCare/other recruitment vendors) and site-based recruitment.
Geography
- Total Number Of Participants
- 3160
Sponsor
Primary sponsor
- Full Name
- Eli Lilly & Co.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- United States
Contract research organisations
- Name
- Icon Clinical Research Limited
- Responsibilities
- Training
- Name
- Icon (Lr) Limited
- Responsibilities
- Adjudication
- Name
- IQVIA Biotech LLC
- Responsibilities
- code 1
Third parties
- {"country":"United States","full_name":"RWS Life Sciences Inc.","duties_or_roles":"eCOA translations","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Bioagilytix Labs LLC","duties_or_roles":"code 4","organisation_type":"Pharmaceutical company"}
- {"country":"Ireland","full_name":"Icon (Lr) Limited","duties_or_roles":"Adjudication","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Cleveland Clinic Foundation","duties_or_roles":"code 11","organisation_type":"Hospital/Clinic/Other health care facility"}
- {"country":"United States","full_name":"Veeva Systems Inc.","duties_or_roles":"code 6","organisation_type":"Non-Pharmaceutical company"}
- {"country":"Germany","full_name":"Clariness GmbH","duties_or_roles":"Patient Referral, Recruitment, Screening, and Retention","organisation_type":"Non-Pharmaceutical company"}
- {"country":"Singapore","full_name":"Labcorp Development (Asia) Pte Ltd","duties_or_roles":"code 4","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Labcorp Central Laboratory Services LP","duties_or_roles":"code 4","organisation_type":"Pharmaceutical company"}
- {"country":"Switzerland","full_name":"LabCorp Drug Development, Inc.","duties_or_roles":"code 4","organisation_type":"Health care"}
- {"country":"China","full_name":"Labcorp Pharmaceutical Research And Development (Shanghai) Co. Ltd.","duties_or_roles":"code 4","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Labcorp Early Development Laboratories Inc.","duties_or_roles":"code 4","organisation_type":"Pharmaceutical company"}
- {"country":"Greece","full_name":"Pharmaserve Lilly S.A.C.I.","duties_or_roles":"Multiple sponsor duties including negotiation and execution of clinical trial agreements, study payments, and others (codes 1,12,15,value described: Negotiation and Execution of Clinical Trial Agreements with the participating sites, make study payments based on invoices, plus codes 2 and 5)","organisation_type":"Pharmaceutical company"}
- {"country":"Ireland","full_name":"Icon Clinical Research Limited","duties_or_roles":"Training","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Greenphire LLC","duties_or_roles":"Patient Recruitment, Screening, and Retention","organisation_type":"Non-Pharmaceutical company"}
- {"country":"Sweden","full_name":"Trialbee AB","duties_or_roles":"Patient Referral, Recruitment, Screening, and Retention","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Iqvia Biotech LLC","duties_or_roles":"code 1","organisation_type":"Pharmaceutical company"}
- {"country":"China","full_name":"Labcorp Pharmaceutical Research And Development (Shanghai) Co. Ltd.","duties_or_roles":"code 4","organisation_type":"Pharmaceutical company"}
- {"country":"Germany","full_name":"Clariness GmbH (additional entry)","duties_or_roles":"Patient Referral, Recruitment, Screening, and Retention","organisation_type":"Non-Pharmaceutical company"}
Investigational products
- Investigational Product Name
- Muvalaplin
- Active Substance
- MUVALAPLIN
- Modality
- Small molecule
- Routes Of Administration
- ORAL USE
- Route
- ORAL
- Authorisation Status
- Not authorised (investigational product assessed in Phase III)
- Investigational Product Name
- Placebo to match LY
- Modality
- Other
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