A Study to See if Lepodisiran Can Reduce Plaque in Coronary Arteries of Adults With Elevated Lp(a) Who Have Had Heart Events or Are at High Risk

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age45-80
SponsorEli Lilly and Company

About this trial

Lipoprotein(a), also known as Lp(a), is a protein that carries cholesterol and proteins in your blood. People with high Lp(a) have a higher risk for heart disease. The main purpose of the study is to investigate how lepodisiran, compared to a placebo, affects the amount and type of plaque in the heart's vessels using an imaging technology known as Coronary Computed Tomography Angiography (CCTA) in adults who have high levels of Lp(a).

Participation will last about 120 weeks.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Have an Lp(a) ≥175 nmol/L

Have established cardiovascular (CV) disease or are at risk for a first CV event

Have angiographic evidence of coronary artery disease on screening CCTA

If taking lipid-lowering medications, inclusive of statins or prescription strength niacin and PCSK9 inhibitors, these should be stable for 8 weeks

Disqualifiers

Have had a major CV event less than 60 days before measurement of the Lp(a) level used for eligibility or uncontrolled high blood pressure at screening

Have moderate to severe renal dysfunction

Have severe heart failure

Have a history of coronary artery bypass graft surgery (CABG)

Trial design

Design model

Parallel

Treatments tested in this trial

  • Lepodisiran

    Drug

    Administered SC

  • Placebo

    Drug

    Administered SC

Treatment groups

252 Participants
are divided into 2 treatment groups
Group A: LepodisiranExperimental treatment 1 intervention
Group B: PlaceboPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Percent Change from Baseline in Noncalcified Plaque (NCP) Volume

Time frame
Baseline, Week 104

Secondary outcomes

1

Percent Change from Baseline in Mean Fat Attenuation Index (FAI) Score

Time frame
Baseline, Week 104
2

Percent Change from Baseline in Lp(a) Level

Time frame
Baseline through Week 104
3

Percentage of Participants Reporting Strongly Agree or Agree on the Subcutaneous Administration Assessment Questionnaire (SQAAQ) Version 3.0 Items

Time frame
Week 26, Week 78
4

Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve from Time Zero to Infinity (AUC[0-inf]) of LY3819469

Time frame
Predose through Week 52

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.