300 Participants NeededMy employer runs this trial

Inclisiran for Acute Coronary Syndrome

(ACS Trial)

Recruiting at 48 trial locations
Age: 18+
Sex: Any
Trial Phase: Phase 3
Sponsor: Novartis Pharmaceuticals
Must be taking: High-intensity statins
Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests inclisiran, a medication that might benefit individuals with serious heart problems, particularly those hospitalized due to acute coronary syndromes, such as heart attacks or severe chest pain. The researchers aim to determine if inclisiran, administered soon after hospital admission alongside standard treatments, proves more effective than a placebo. Participants should have recently been hospitalized for a heart attack and have high LDL cholesterol levels, even if they are already on medication. As a Phase 3 trial, this study represents the final step before FDA approval, offering participants an opportunity to contribute to potentially groundbreaking treatment advancements.

Is there any evidence suggesting that inclisiran is likely to be safe for humans?

Research shows that inclisiran is generally safe and well-tolerated, with studies finding a strong safety record. Serious side effects rarely occur, though some people report reactions at the injection site. While minor discomfort may occur, most do not experience serious health issues from the treatment. Inclisiran is already approved for managing cholesterol levels, and researchers are further studying its use for heart conditions. This existing approval for cholesterol management suggests it is safe to use.12345

Why do researchers think this study treatment might be promising for acute coronary syndrome?

Inclisiran is unique because it targets PCSK9, a protein that affects LDL cholesterol levels, using a new mechanism called RNA interference. This allows Inclisiran to effectively lower cholesterol with just two doses a year, which is a significant departure from the daily or weekly regimens of most current treatments like statins. Researchers are excited about Inclisiran because it offers a convenient, long-lasting alternative for patients, especially those who are intolerant to statins, while potentially reducing the risk of cardiovascular events.

What evidence suggests that inclisiran might be an effective treatment for acute coronary syndrome?

Research has shown that inclisiran can lower LDL cholesterol, often called "bad" cholesterol, by about 50%. This reduction helps patients reach cholesterol levels recommended by doctors. In this trial, some participants will receive inclisiran alongside their standard treatment. Previous studies have associated inclisiran with fewer major heart problems and hospital visits. More than half of the patients taking inclisiran achieved their LDL cholesterol goals, compared to fewer patients with standard care. These findings suggest that inclisiran could be a good option for improving heart health in people with serious heart issues.16789

Who Is on the Research Team?

NP

Novartis Pharmaceuticals

Principal Investigator

Novartis Pharmaceuticals

Are You a Good Fit for This Trial?

Inclusion Criteria

I have signed the consent form to participate in the study.
I was hospitalized for a heart attack.
I understand the study's requirements and agree to follow them.
See 6 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

≤ 7 days
1 visit (in-person)

Randomization/Baseline

Randomization and baseline assessments occur before or at the day of discharge

≤ 7 days
1 visit (in-person)

Double-blind Treatment

Participants receive inclisiran or placebo treatment for 150 days

150 days
Scheduled safety calls and on-site visits

Follow-up

Safety follow-up call to monitor participants after the end of study visit

30 days
1 call (virtual)

What Are the Treatments Tested in This Trial?

Interventions

  • Inclisiran
  • Placebo

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Placebo Group

Group I: Inclisiran sodium 300 mg s.c. + Standard treatmentExperimental Treatment1 Intervention
Group II: Matching placebo + Standard treatmentPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Novartis Pharmaceuticals

Lead Sponsor

Trials
2,963
Recruited
4,275,000+
Founded
1996
Headquarters
Basel, Switzerland
Known For
Precision medicine
Top Products
Gleevec, Cosentyx, Entresto, Kisqali
Dr. Vas Narasimhan profile image

Dr. Vas Narasimhan

Novartis Pharmaceuticals

Chief Executive Officer since 2018

MD from Harvard Medical School

Dr. Shreeram Aradhye profile image

Dr. Shreeram Aradhye

Novartis Pharmaceuticals

Chief Medical Officer since 2021

MD

Citations

Inclisiran for fast-track lipid-lowering treatment early after an ...

This pilot study shows promise for inclisiran as a novel therapeutic option to improve cardiovascular outcomes in patients with ACS by ...

efficacy and adherence of inclisiran in post-acute coronary ...

LDL-C levels were reduced by approximately 50%, enabling 100% of the cohort to achieve guideline-recommended LDL-C goals. The only side effect ...

Inclisiran Linked to Lower MACE, AMI Rates in High-Risk ...

When added to maximally tolerated statin therapy, inclisiran was associated with significant reductions in MACE and hospitalizations among ...

Inclisiran in a real-world single-center registry of patients ...

A mean relative 50 % reduction of LDL cholesterol (LDLc) levels was observed in randomized studies in patients treated with inclisiran, ...

Real-world efficacy of inclisiran: data from a tertiary lipid clinic

Inclisiran therapy resulted in a mean LDL-C reduction of 48.4% following the first dose, sustained over 27 months. Patients receiving three or ...

EFFICACY AND SAFETY OF INCLISIRAN IN OUTPATIENTS ...

Our data suggests that inclisiran 284 mg plus usual care is effectiveness in the management of patients with elevated LDL–C post–ACS despite receiving statin ...

Safety Data on PCSK9i Inclisiran

From a safety standpoint, inclisiran has demonstrated a strong profile across its clinical development program. Serious adverse events have been ...

Safety and Tolerability of Inclisiran for Treatment ...

This analysis indicates that long-term inclisiran is safe and generally well tolerated in a diverse population of patients with dyslipidemia ...

Evaluation of Efficacy and Safety of Early in Hospital ...

The purpose of this trial is to learn about the effects of inclisiran in people with serious heart conditions (acute coronary syndromes), ...