Clinical trial • Phase III • Cardiology

PELACARSEN for Atherosclerotic cardiovascular disease

Phase III trial of PELACARSEN for Atherosclerotic cardiovascular disease.

Overview

Trial Therapeutic Area
Cardiology
Trial Disease
Atherosclerotic cardiovascular disease
Trial Stage
Phase III
Drug Modality
Oligonucleotide

Key dates

Initial CTIS Submission Date
14-04-2025
First CTIS Authorization Date
05-08-2025

Trial design

Randomised, placebo to tqj230 80 mg/0.8 ml solution for injection in pre-filled syringe with needle safety device (placebo comparator); background inclisiran is used as background treatment in participants-controlled Phase III trial in Spain, France, Italy and others.

Randomised
Yes
Comparator
Placebo to TQJ230 80 mg/0.8 mL Solution for injection in pre-filled syringe with needle safety device (placebo comparator); background inclisiran is used as background treatment in participants
Target Sample Size
157

Eligibility

Recruits 157 Vulnerable population selected (isVulnerablePopulationSelected = true). No specific details on consent or assent handling for vulnerable participants are provided in the available data..

Pregnancy Exclusion
Pregnant or nursing women at Screening visit
Vulnerable Population
Vulnerable population selected (isVulnerablePopulationSelected = true). No specific details on consent or assent handling for vulnerable participants are provided in the available data.

Inclusion criteria

  • {"criterion_text":"- Male and female participants 18 to ≤80 years of age at Screening visit\n- Established ASCVD, defined as documented coronary heart disease (CHD), cerebrovascular disease (CVD), or peripheral arterial disease (PAD) at Screening visit\n- On stable dose of local guideline recommended lipid lowering therapy for at least 30 days prior to Screening visit\n- Participants must successfully complete the run-in period of background inclisiran treatment in order to be randomized\n- On standard of care (SoC) treatment for other CVD risk factors including hypertension and diabetes for at least 30 days prior to Randomization/Baseline visit\n- Central laboratory reported Lp(a) ≥175 nmol/L at Screening visit\n- Central laboratory reported LDL-C >70 mg/dL (or >1.8 mmol/L) at Screening visit"}

Exclusion criteria

  • {"criterion_text":"- Prior treatment with inclisiran\n- Any other PCSK9 inhibitor (e.g., evolocumab, alirocumab) use within 4 months prior to Screening visit\n- Uncontrolled hypertension at Randomization/Baseline visit\n- Heart failure New York Heart Association (NYHA) class IV at Screening visit or at Randomization/Baseline visit (Day 1)\n- Triglycerides ≥400 mg/dL at Screening visit\n- History of malignancy of any organ system within the past 5 years\n- Myocardial infarction, stroke or other major bleeding, coronary or lower limb re-vascularization, major cardiac or non-cardiac surgery between Screening visit and Randomization/Baseline visit (Day 1)\n- Central laboratory reported platelet count <140,000 per mm3\n- Active liver disease or hepatic dysfunction at Screening visit\n- Significant kidney disease at Screening visit\n- Pregnant or nursing women at Screening visit\n- Any uncontrolled chronic or serious medical condition which may pose an immediate risk to clinical stability of the study participant at Screening visit"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Change in log-transformed Lp(a) concentration from baseline at Month 6","definition_or_measurement_approach":"Change in log-transformed Lp(a) concentration from baseline at Month 6"}

Secondary endpoints

  • {"endpoint_text":"- Proportion of participants achieving Lp(a) levels <125 nmol/L at Month 6\n- Incidence of treatment emergent adverse events (TEAEs):\n- Incidence of treatment emergent serious adverse events (TESAEs)\n- Incidence of treatment emergent adverse events of special interest (AESI)\n- Incidence of study and treatment discontinuations due to TEAEs;\n- Observed value and change/shift from baseline in safety laboratory measures; • ECGs • Vital signs • Laboratory values (e.g. CBC, CMP, Liver Function Tests)","definition_or_measurement_approach":"Proportion achieving Lp(a) <125 nmol/L at Month 6; incidence measures are reported as counts/rates of events (TEAEs, TESAEs, AESI, discontinuations). Safety laboratory measures include ECGs, vital signs and laboratory values (e.g., CBC, CMP, liver function tests)."}

Recruitment

Planned Sample Size
157
Recruitment Window Months
36
Consent Approach
Written informed consent obtained from each adult participant. Main ICF documents available in multiple languages (English, Spanish, French, Italian, Dutch, German as per listed ICF documents). Participants are adults (18 to ≤80); no assent/parental consent procedures for minors are applicable or described. Follow-up information sheets for pregnant participants are included in some country documents.

Geography

Total Number Of Sites
48
Total Number Of Participants
188

Spain

Earliest CTIS Part Ii Submission Date
29-04-2025
Latest Decision Or Authorization Date
06-02-2026
Processing Time Days
283
Number Of Sites
11
Number Of Participants
39

Sites

Site Name
Instituto Medico Quirurgico San Rafael S.A.
Department Name
2809: Endocrinología
Principal Investigator Name
Alfonso Soto Gonzalez
Principal Investigator Email
alfonso.soto.gonzalez@sergas.es
Contact Person Name
Alfonso Soto Gonzalez
Site Name
Hospital Universitario De Navarra
Department Name
2804: Medicina Interna
Principal Investigator Name
Julio Sánchez Álvarez
Principal Investigator Email
julio.sanchez.alvarez@navarra.es
Contact Person Name
Julio Sánchez Álvarez
Site Name
Hospital Universitario Reina Sofia
Department Name
2802: Medicina Interna
Principal Investigator Name
José López Miranda
Principal Investigator Email
jlopezmir@uco.es
Contact Person Name
José López Miranda
Contact Person Email
jlopezmir@uco.es
Site Name
El Hospital Universitario De Gran Canaria Dr. Negrin
Department Name
2808: Cardiologia
Principal Investigator Name
Antonio Garcia Quintana
Principal Investigator Email
agarquil@gobiernodecanarias.org
Contact Person Name
Antonio Garcia Quintana
Site Name
Hospital Infanta Elena
Department Name
2801: Medicina Interna
Principal Investigator Name
Manuel Jesus Romero Jimenez
Principal Investigator Email
mjesus.romero.sspa@juntadeandalucia.es
Contact Person Name
Manuel Jesus Romero Jimenez
Site Name
Hospital Universitario De Salamanca
Department Name
2806: Cardiología
Principal Investigator Name
Daniel Nieto Ibáñez
Principal Investigator Email
dnietoi@saludcastillayleon.es
Contact Person Name
Daniel Nieto Ibáñez
Contact Person Email
dnietoi@saludcastillayleon.es
Site Name
Hospital Clinico Universitario De Valencia
Department Name
2803: Cardiologia
Principal Investigator Name
Julio Nuñez Villota
Principal Investigator Email
juenuvi@uv.es
Contact Person Name
Julio Nuñez Villota
Contact Person Email
juenuvi@uv.es
Site Name
Complexo Hospitalario Universitario De Santiago
Department Name
2800: Cardiologia
Principal Investigator Name
María del Pilar Mazón Ramos
Principal Investigator Email
pilar.mazon.ramos@sergas.es
Contact Person Name
María del Pilar Mazón Ramos
Contact Person Email
pilar.mazon.ramos@sergas.es
Site Name
Hospital Quironsalud Barcelona
Department Name
2805: Medicina Interna
Principal Investigator Name
Fernando Cereto Castro
Principal Investigator Email
fernando.cereto@quironsalud.es
Contact Person Name
Fernando Cereto Castro
Contact Person Email
fernando.cereto@quironsalud.es
Site Name
Consorcio Hospital General Universitario De Valencia
Department Name
2810: Medicina Interna
Principal Investigator Name
Francisco Puchades Gimeno
Principal Investigator Email
Francesc.puchades@ucv.es
Contact Person Name
Francisco Puchades Gimeno
Contact Person Email
Francesc.puchades@ucv.es
Site Name
Hospital Nisa Sevilla Aljarafe
Department Name
2807: Endocrinología
Principal Investigator Name
Cristóbal Jesús Morales Portillo
Principal Investigator Email
MoralesPCJ@vithas.es
Contact Person Name
Cristóbal Jesús Morales Portillo
Contact Person Email
MoralesPCJ@vithas.es

France

Earliest CTIS Part Ii Submission Date
04-07-2025
Latest Decision Or Authorization Date
03-02-2026
Processing Time Days
214
Number Of Sites
12
Number Of Participants
52

Sites

Site Name
Centre Hospitalier Universitaire De Toulouse
Department Name
2012: Cardiology
Principal Investigator Name
Meyer ELBAZ
Principal Investigator Email
elbaz.m@chu-toulouse.fr
Contact Person Name
Meyer ELBAZ
Contact Person Email
elbaz.m@chu-toulouse.fr
Site Name
Hopital Saint Joseph
Department Name
2013:Cardiology
Principal Investigator Name
Patrick KHANOYAN
Principal Investigator Email
Pkhanoyan@hopital-saint-joseph.fr
Contact Person Name
Patrick KHANOYAN
Site Name
Centre Hospitalier Universitaire Grenoble Alpes
Department Name
2010: Cardiology
Principal Investigator Name
Gilles BARONE -ROCHETTE
Principal Investigator Email
gbarone@chu-grenoble.fr
Contact Person Name
Gilles BARONE -ROCHETTE
Contact Person Email
gbarone@chu-grenoble.fr
Site Name
Centre Hospitalier Universitaire De Bordeaux
Department Name
2006: Cardiology
Principal Investigator Name
Yann PUCHEU
Principal Investigator Email
yann.pucheau@chu-bordeaux.fr
Contact Person Name
Yann PUCHEU
Contact Person Email
yann.pucheau@chu-bordeaux.fr
Site Name
Centre Hospitalier De Cholet
Department Name
2014:Cardiology
Principal Investigator Name
Jean-Eudes TRIHAN
Principal Investigator Email
Jean-eudes.trihan@ch-cholet.fr
Contact Person Name
Jean-Eudes TRIHAN
Contact Person Email
Jean-eudes.trihan@ch-cholet.fr
Site Name
Assistance Publique Hopitaux De Paris
Department Name
2012: Cardiology
Principal Investigator Name
Etienne PUYMIRAT
Principal Investigator Email
etienne.puymirat@aphp.fr
Contact Person Name
Etienne PUYMIRAT
Contact Person Email
etienne.puymirat@aphp.fr
Site Name
Hospices Civils De Lyon
Department Name
2008: Cardiology
Principal Investigator Name
Cyrille BERGEROT
Principal Investigator Email
cyrille.bergerot@chu-lyon.fr
Contact Person Name
Cyrille BERGEROT
Contact Person Email
cyrille.bergerot@chu-lyon.fr
Site Name
Centre Hospitalier Universitaire De Montpellier
Department Name
2002: Cardiology
Principal Investigator Name
François ROUBILLE
Principal Investigator Email
f-roubille@chu-montpellier.fr
Contact Person Name
François ROUBILLE
Contact Person Email
f-roubille@chu-montpellier.fr
Site Name
Assistance Publique Hopitaux De Paris
Department Name
2004: Cardiology
Principal Investigator Name
PAUL GUEDENEY
Principal Investigator Email
paul.guedeney@aphp.fr
Contact Person Name
PAUL GUEDENEY
Contact Person Email
paul.guedeney@aphp.fr
Site Name
Centre Hospitalier Universitaire De Poitiers
Department Name
2000: Cardiology
Principal Investigator Name
Claire BOULETI
Principal Investigator Email
claire.bouleti@chu-poitiers.fr
Contact Person Name
Claire BOULETI
Contact Person Email
claire.bouleti@chu-poitiers.fr
Site Name
Centre Hospitalier De Beziers
Department Name
2001: Cardiology
Principal Investigator Name
Philippe BERDAGUE
Principal Investigator Email
philippe.berdague@ch-beziers.fr
Contact Person Name
Philippe BERDAGUE
Site Name
Centre Hospitalier Universitaire De Lille
Department Name
2011: Therapeutic
Principal Investigator Name
Cécile YELNIK
Principal Investigator Email
cecile.yelnik@chu-lille.fr
Contact Person Name
Cécile YELNIK
Contact Person Email
cecile.yelnik@chu-lille.fr

Italy

Earliest CTIS Part Ii Submission Date
09-07-2025
Latest Decision Or Authorization Date
06-02-2026
Processing Time Days
212
Number Of Sites
10
Number Of Participants
36

Sites

Site Name
Centro Cardiologico Monzino S.p.A.
Department Name
2409: U.O. Scompenso, Cardiologia Critica e Cardiologia Riabilitativa
Principal Investigator Name
Jeness Campodonico
Principal Investigator Email
jeness.campodonico@cardiologicomonzino.it
Contact Person Name
Jeness Campodonico
Site Name
Azienda Ospedaliero Universitaria Delle Marche
Department Name
2400: S.O.D. Clinica di Cardiologia ed Aritmologia
Principal Investigator Name
Federico Guerra
Principal Investigator Email
Federico.Guerra@ospedaliriuniti.marche.it
Contact Person Name
Federico Guerra
Site Name
Azienda Ospediera Sant'anna E San Sebastiano Di Caserta
Department Name
2402: UOC Cardiologia Clinica a Direzione Universitaria e UTIC
Principal Investigator Name
Paolo Calabrò
Principal Investigator Email
paolo.calabro@unicampania.it
Contact Person Name
Paolo Calabrò
Contact Person Email
paolo.calabro@unicampania.it
Site Name
Santa Maria Degli Angeli Hospital
Department Name
2403: S.C. Cardiologia
Principal Investigator Name
Marco Alberto Mojoli
Principal Investigator Email
marco.mojoli@asfo.sanita.fvg.it
Contact Person Name
Marco Alberto Mojoli
Site Name
Ospedale Mater Salutis Di Legnago
Department Name
2405: UOC Cardiologia-Emodinamica
Principal Investigator Name
Antonio Mugnolo
Principal Investigator Email
antonio.mugnolo@aulss9.veneto.it
Contact Person Name
Antonio Mugnolo
Site Name
Humanitas Mirasole S.p.A.
Department Name
2401: U.O. di Cardiologia
Principal Investigator Name
Cristina Panico
Principal Investigator Email
cristina.panico@humanitas.it
Contact Person Name
Cristina Panico
Contact Person Email
cristina.panico@humanitas.it
Site Name
Hospital Santa Maria Della Misericordia
Department Name
2404: S.C. Medicina Interna
Principal Investigator Name
Matteo Pirro
Principal Investigator Email
Matteo.pirro@unipg.it
Contact Person Name
Matteo Pirro
Contact Person Email
Matteo.pirro@unipg.it
Site Name
Azienda Unita' Sanitaria Locale Toscana Sud Est
Department Name
2406: U.O.C. di Cardiologia
Principal Investigator Name
Alessandra Bosso
Principal Investigator Email
alessandra.bosso@uslsudest.toscana.it
Contact Person Name
Alessandra Bosso
Site Name
Azienda Ospedaliera Universitaria San Giovanni Di Dio E Ruggi d'Aragona
Department Name
2407: Malattie apparato Cardiovascolare
Principal Investigator Name
Gennaro Galasso
Principal Investigator Email
ggalasso@unisa.it
Contact Person Name
Gennaro Galasso
Contact Person Email
ggalasso@unisa.it
Site Name
Santa Maria Degli Angeli Hospital (duplicate listing not specified)

Netherlands

Earliest CTIS Part Ii Submission Date
14-07-2025
Latest Decision Or Authorization Date
04-02-2026
Processing Time Days
205
Number Of Sites
3
Number Of Participants
17

Sites

Site Name
Haga Hospital
Department Name
2602: Cardiology
Principal Investigator Name
Samer Somi
Principal Investigator Email
s.somi@hagaziekenhuis.nl
Contact Person Name
Samer Somi
Contact Person Email
s.somi@hagaziekenhuis.nl
Site Name
Medisch Spectrum Twente
Department Name
2603: Cardiology
Principal Investigator Name
Paolo Zocca
Principal Investigator Email
g.zocca@mst.nl
Contact Person Name
Paolo Zocca
Contact Person Email
g.zocca@mst.nl
Site Name
Amsterdam UMC Stichting
Department Name
2600: Vascular Medicine
Principal Investigator Name
Erik Stroes
Principal Investigator Email
e.s.stroes@amsterdamumc.nl
Contact Person Name
Erik Stroes
Contact Person Email
e.s.stroes@amsterdamumc.nl

Germany

Earliest CTIS Part Ii Submission Date
08-07-2025
Latest Decision Or Authorization Date
03-02-2026
Processing Time Days
210
Number Of Sites
12
Number Of Participants
44

Sites

Site Name
Institut fuer Diabetesforschung Muenster GmbH
Department Name
2211: Institut für Diabetesforschung Münster GmbH
Principal Investigator Name
Ludger Rose
Principal Investigator Email
L.Rose@diabetes-muenster.de
Contact Person Name
Ludger Rose
Contact Person Email
L.Rose@diabetes-muenster.de
Site Name
MVZ Diabeteszentrum Dr. Tews GmbH
Department Name
2208: MVZ Diabeteszentrum Dr. Tews GmbH
Principal Investigator Name
Dietrich Tews
Principal Investigator Email
dietrich.tews@tews-diabetes.de
Contact Person Name
Dietrich Tews
Contact Person Email
dietrich.tews@tews-diabetes.de
Site Name
Gesundheitsverbund Landkreis Konstanz gGmbH
Department Name
2203: I Medizinische Klinik/ Studienzentrum
Principal Investigator Name
Marc Kollum
Principal Investigator Email
marc.kollum@glkn.de
Contact Person Name
Marc Kollum
Contact Person Email
marc.kollum@glkn.de
Site Name
Klinikum Bielefeld gGmbH
Department Name
2200: Abteilung für Kardiologie und internistische Intensivmedizin
Principal Investigator Name
Ekaterina Stellbrink
Principal Investigator Email
EKATERINA.STELLBRINK@KLINIKUMBIELEFELD.DE
Contact Person Name
Ekaterina Stellbrink
Site Name
Hausaerztlich-Kardiologisches MVZ Am Felsenkeller GmbH
Department Name
2201: Hausaerztlich-Kardiologisches MVZ Am Felsenkeller GmbH
Principal Investigator Name
Christoph Axthelm
Principal Investigator Email
christoph.axthelm@cardiologicum.dee
Contact Person Name
Christoph Axthelm
Site Name
ze:ro Praxen MVZ fuer Nierenerkrankungen und Bluthochdruck GmbH Mannheim
Department Name
2202: MVZ für Nierenerkrankungen/ Bluthochdruck
Principal Investigator Name
Peter Salbach
Principal Investigator Email
Peter.Salbach@zero-praxen.de
Contact Person Name
Peter Salbach
Contact Person Email
Peter.Salbach@zero-praxen.de
Site Name
Robert Bosch Krankenhaus GmbH
Department Name
2214: Kardiologie und Angiologie
Principal Investigator Name
Peter Ong
Principal Investigator Email
peter.ong@rbk.de
Contact Person Name
Peter Ong
Contact Person Email
peter.ong@rbk.de
Site Name
Klinische Forschung Hannover-Mitte GmbH
Department Name
2205: Klinische Forschung Hannover-Mitte GmbH
Principal Investigator Name
Jan Wagner
Principal Investigator Email
Jan.wagner@pratia.com
Contact Person Name
Jan Wagner
Contact Person Email
Jan.wagner@pratia.com
Site Name
MVZ am Kuechwald GmbH ambulantes HerzCentrum
Department Name
2207: MVZ am Kuechwald GmbH amulantes HerzCentrum
Principal Investigator Name
Jan Ernstberger
Principal Investigator Email
j.ernstberger@poliklinik.de
Contact Person Name
Jan Ernstberger
Contact Person Email
j.ernstberger@poliklinik.de
Site Name
Diamedikum Potsdam
Department Name
2212: Diamedikum Potsdam
Principal Investigator Name
Jens Ringel
Principal Investigator Email
J.Ringel@diamedikum-potsdam.de
Contact Person Name
Jens Ringel
Contact Person Email
J.Ringel@diamedikum-potsdam.de
Site Name
Universitaetsklinikum Leipzig AöR
Department Name
2213: Klinik und Poliklinik fuer Kardiologie
Principal Investigator Name
Irina Mueller-Kozarez
Contact Person Name
Irina Mueller-Kozarez

Sponsor

Primary sponsor

Full Name
Novartis Pharma AG
Organisation Type
Pharmaceutical company
Country Of Registered Address
Switzerland

Contract research organisations

Name
Syneos Health Inc.
Responsibilities
code: 1
Name
Icon Clinical Research Limited
Responsibilities
code: 1; also code: 15 (Endpoint Adjudication) for another entry
Name
IQVIA Limited
Responsibilities
code: 1; additional entry code: 3
Name
Parexel International (IRL) Limited
Responsibilities
code: 12
Name
Labcorp Early Development Laboratories Limited
Responsibilities
code: 4

Third parties

  • {"country":"United States","full_name":"Medpace Reference Laboratories LLC","duties_or_roles":"code: 4","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Syneos Health Inc.","duties_or_roles":"code: 1","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Medical Equipment Supplies And Management Limited","duties_or_roles":"code: 15; Ancillary Supplies","organisation_type":"Pharmaceutical company"}
  • {"country":"Denmark","full_name":"Eurofins Genomics Europe AgriGenomics Products & Services A/S","duties_or_roles":"code: 4","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"IQVIA Limited","duties_or_roles":"code: 1","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Labcorp Early Development Laboratories Limited","duties_or_roles":"code: 4","organisation_type":"Pharmaceutical company"}
  • {"country":"Ireland","full_name":"Icon Clinical Research Limited","duties_or_roles":"code: 1","organisation_type":"Pharmaceutical company"}
  • {"country":"Germany","full_name":"DATAMAP-Gesellschaft fuer Datenmanagement Datenanalyse und Datenpraesentation mbH","duties_or_roles":"code: 10; code: 15 (DMC)","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Ireland","full_name":"Icon Clinical Research Limited (IDEA CEC Management)","duties_or_roles":"code: 15 (Endpoint Adjudication); code: 6","organisation_type":"Pharmaceutical company"}
  • {"country":"Ireland","full_name":"Parexel International (IRL) Limited","duties_or_roles":"code: 12","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"IQVIA Limited (additional entry)","duties_or_roles":"code: 3","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
TQJ230
Active Substance
PELACARSEN
Modality
Oligonucleotide
Routes Of Administration
SUBCUTANEOUS USE
Route
Subcutaneous
Starting Dose
80 mg/0.8 mL
Maximum Dose
960 mg
Investigational Product Name
INCLISIRAN
Active Substance
INCLISIRAN
Modality
Oligonucleotide
Routes Of Administration
SOLUTION FOR INJECTION
Maximum Dose
1200 mg
Investigational Product Name
Placebo to TQJ230 80 mg/0.8 mL Solution for injection in pre-filled syringe with needle safety device
Modality
Other
Combination Treatment
Yes

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