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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