Lp(a) Lowering Study of Pelacarsen (TQJ230) in Patients in the US With Elevated Lp(a) and Recent ACS (STEMI/NSTEMI) - Lp(a)FRONTIERS PEARL

Trial statusNot yet recruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18-79
SponsorNovartis Pharmaceuticals

About this trial

CTQJ230A1US13 is a randomized, double-blind, placebo-controlled, multicenter phase IIIb study designed to evaluate the efficacy, safety, tolerability, and coronary plaque effects of early pelacarsen (TQJ230) initiation in participants with elevated Lp(a) and recent acute coronary syndrome (ACS).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Lp(a) ≥ 150 nmol/L

Clinical syndrome consistent with spontaneous cardiac ischemia

Diagnosis of ACS: ST-elevation myocardial infarction (STEMI) or non-ST-elevation myocardial infarction (NSTEMI)

Disqualifiers

Uncontrolled hypertension

Heart failure New York Heart Association (NYHA) class IV

History of malignancy of any organs

History of hemorrhagic stroke or other major bleeding

Trial design

Design model

Parallel

Treatments tested in this trial

  • Pelacarsen

    Drug

    Pelacarsen 80 mg subcutaneously (s.c.) once a month (QM)

  • Placebo

    Drug

    Placebo subcutaneously (s.c.) once a month (QM)

Treatment groups

240 Participants
are divided into 2 treatment groups
Group A: PelacarsenExperimental treatment 1 intervention
Group B: PlaceboPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Change in log-transformed Lp(a) concentration

Change in log-transformed Lipoprotein A (Lp(a)) concentration from baseline to Day 180

Time frame
Baseline, Day 180

Secondary outcomes

1

Proportion of participants with Lp(a) < 105 nmol/L

Proportion of participants with Lipoprotein A (Lp(a)) \< 105 nmol/L

Time frame
Day 180 and Day 540
2

Proportion of participants with TEAEs, TESAEs,TEAEs or TESAEs leading to study drug discontinuation and TEAEs of special interest

Proportion of participants with: * Treatment-emergent adverse events (TEAEs) * Treatment-emergent serious adverse events (TESAEs) * TEAEs or TESAEs leading to study drug discontinuation * TEAEs of special interest

Time frame
22 months
3

Summary of observed values for Glomerular Filtration Rate (GFR)

Summary of observed values in GFR (Safety laboratory parameters)

Time frame
Up to 18 months
4

Change from baseline in Glomerular Filtration Rate (GFR)

Change from baseline in GFR (Safety laboratory parameters)

Time frame
Baseline and up to 18 months

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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