Status:

COMPLETED

Management of LDL-cholesterol With Inclisiran + Usual Care Compared to Usual Care Alone in Participants With a Recent Acute Coronary Syndrome

Lead Sponsor:

Novartis Pharmaceuticals

Conditions:

Acute Coronary Syndrome

Eligibility:

All Genders

18-100 years

Phase:

PHASE3

Brief Summary

The purpose of this study is to study the effectiveness of implementation of a systematic LDL-C management pathway including treatment with inclisiran in participants who have experienced a recent acu...

Detailed Description

This was a randomized, parallel-group, open-label, multicenter, 1-year (30-day Screening Period and 330-day Treatment Period) study comparing an LDL-C management strategy including inclisiran + usual ...

Eligibility Criteria

Inclusion

  • Recent Acute Coronary Syndrome (in-patient/out-patient) within 5 weeks of screening
  • Serum LDL-C ≥70 mg/dL or non-HDL-C ≥100 mg/dL
  • Fasting triglycerides \<4.52 mmol/L (\<400 mg/dL) at screening
  • Calculated glomerular filtration rate \>20 mL/min by estimated glomerular filtration rate (eGFR)
  • Participants are required to be discharged on statin therapy, or have documented statin intolerance, as determined by the investigator, following hospitalization for an ACS. Statin intolerant participants are eligible if they had intolerable side effects on at least 2 different statins, including one at the lowest standard dose

Exclusion

  • New York Heart Association (NYHA) class IIIb or IV heart failure or last known left ventricular ejection fraction \<25%.
  • Significant cardiac arrhythmia within 3 months prior to randomization that is not controlled by medication or via ablation at the time of screening.
  • Severe concomitant non-cardiovascular disease that carries the risk of reducing life expectancy to less than 2 years.
  • Treatment with other investigational products or devices within 30 days or five half˗lives of the screening visit, whichever is longer.
  • Planned use of other investigational products or devices during the course of the study.
  • Treatment with monoclonal antibodies directed towards PCSK9 within 90 days of screening.
  • Recurrent ACS event within 2 weeks prior to randomization.
  • Coronary angiography and revascularization procedure (percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) surgery) performed within 2 weeks prior to the randomization visit or planned after randomization.

Key Trial Info

Start Date :

June 24 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 7 2024

Estimated Enrollment :

400 Patients enrolled

Trial Details

Trial ID

NCT04873934

Start Date

June 24 2021

End Date

August 7 2024

Last Update

October 16 2025

Active Locations (88)

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Page 1 of 22 (88 locations)

1

Northeast Arkansas Baptist Clinic

Jonesboro, Arkansas, United States, 72401

2

Central Cardiology Medical Center

Bakersfield, California, United States, 93308

3

The Heart Group Cardiovascular Associates Inc

Fresno, California, United States, 93720

4

Mission Heritage Medical Group

Mission Viejo, California, United States, 92691