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Trial record 1 of 1 for:    CKJX839D12304
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Efficacy and Safety of Inclisiran as Monotherapy in Patients With Primary Hypercholesterolemia Not Receiving Lipid-lowering Therapy. (V-Mono)

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ClinicalTrials.gov Identifier: NCT05763875
Recruitment Status : Recruiting
First Posted : March 10, 2023
Last Update Posted : April 10, 2024
Sponsor:
Information provided by (Responsible Party):
Novartis ( Novartis Pharmaceuticals )

Brief Summary:
CKJX839D12304 is a research study to determine if the study treatment, called inclisiran, in comparison to placebo or ezetimibe can effectively reduce LDL-C as measured by percentage change from baseline to Day 150. This study is being conducted in eligible participants with primary hypercholesterolemia not receiving any lipid-lowering therapy (LLT), with a 10-year Atherosclerotic Cardiovascular Disease (ASCVD) risk of less than 7.5%.

Condition or disease Intervention/treatment Phase
Hypercholesterolemia Drug: Inclisiran Drug: Ezetimibe Drug: Matching Placebo for Inclisiran Drug: Matching Placebo for Ezetimibe Phase 3

Detailed Description:

This study is a randomized, double-blind, placebo- and active comparator-controlled, multicenter study in 300 adult participants with primary hypercholesterolemia not receiving any LLT with a 10-year ASCVD risk score of less than 7.5%. This study will evaluate the efficacy and safety of inclisiran sodium 300 mg, administered as a monotherapy in comparison to ezetimibe and placebo.

The study consists of:

  • a screening period of up to 14 days;
  • a double-blind treatment period of 150+/- 5 days during which participants will be randomly assigned to either the inclisiran arm, the ezetimibe arm or the placebo arm in a 2:1:1 ratio; and
  • a safety follow-up / End of Study visit conducted 30+5 days after the Day 150 visit.

The overall study duration is approximately 190 days.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 300 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: Multi-center, randomized, double-blind, placebo-controlled, parallel groups
Masking: Triple (Participant, Care Provider, Investigator)
Masking Description: Sponsor Personnel participating in the study conduct will also be blinded.
Primary Purpose: Treatment
Official Title: A Double-blind, Randomized, Placebo- and Active-Comparator Controlled Study to Evaluate the Efficacy of Inclisiran as Monotherapy in Patients With Primary Hypercholesterolemia Not Receiving Lipid-Lowering Therapy (VictORION-Mono)
Actual Study Start Date : March 15, 2023
Estimated Primary Completion Date : June 21, 2024
Estimated Study Completion Date : June 21, 2024

Resource links provided by the National Library of Medicine

Drug Information available for: Ezetimibe

Arm Intervention/treatment
Experimental: Inclisiran
Inclisiran s.c and Placebo p.o
Drug: Inclisiran
284 mg (equivalent to 300 mg inclisiran sodium) subcutaneous injection given on Day 1 and Day 90
Other Name: KJX839

Drug: Matching Placebo for Ezetimibe
0mg over-encapsulated placebo tablet taken once a day from Day 1 through Day 149
Other Name: Placebo p.o.

Active Comparator: Ezetimibe
Placebo s.c. and Ezetimibe p.o.
Drug: Ezetimibe
10 mg over-encapsulated tablet taken once a day from Day 1 through Day 149
Other Name: Sandoz ezetimibe

Drug: Matching Placebo for Inclisiran
0mg placebo injection solution for subcutaneous injection on Day 1 and Day 90
Other Name: Placebo s.c.

Placebo Comparator: Placebo
Placebo s.c. and Placebo p.o.
Drug: Matching Placebo for Inclisiran
0mg placebo injection solution for subcutaneous injection on Day 1 and Day 90
Other Name: Placebo s.c.

Drug: Matching Placebo for Ezetimibe
0mg over-encapsulated placebo tablet taken once a day from Day 1 through Day 149
Other Name: Placebo p.o.




Primary Outcome Measures :
  1. Percentage change in Low-density Lipoprotein Cholesterol (LDL-C) from Baseline to Day 150 compared with placebo [ Time Frame: Baseline, Day 150 ]
    Percentage change in LDL-C from Baseline (Day 1) to Day 150 comparing Inclisiran arm versus Placebo arm

  2. Percentage change in LDL-C from Baseline to Day 150 compared with ezetimibe [ Time Frame: Baseline, Day 150 ]
    Percentage change in LDL-C from Baseline (Day 1) to Day 150 comparing Inclisiran arm versus Ezetimibe arm.


Secondary Outcome Measures :
  1. Absolute change in LDL-C from Baseline to Day 150 [ Time Frame: Baseline, Day 150 ]
    Absolute change in LDL-C from Baseline (Day 1) to Day 150 compared to ezetimibe and placebo

  2. Percentage change in Proprotein Convertase Subtilisin/Kexin type 9 (PCSK9) from Baseline to Day 150 [ Time Frame: Baseline, Day 150 ]
    Percentage change in PCSK9 from Baseline (Day 1) and Day 150 compared to ezetimibe and placebo

  3. Percentage change in non-High-Density Lipoprotein Cholesterol (non-HDL-C) from Baseline to Day 150 [ Time Frame: Baseline, Day 150 ]
    Percentage change in non-HDL-C from Baseline (Day 1) and Day 150 compared to ezetimibe and placebo

  4. Percentage change in Total Cholesterol (TC)/HDL-C ratio from Baseline to Day 150 [ Time Frame: Baseline, Day 150 ]
    Percentage change in total cholesterol (TC)/HDL-C ratio from Baseline (Day 1) and Day 150 compared to ezetimibe and placebo

  5. Percentage change in Apolipoprotein B (Apo B) from Baseline to Day 150 [ Time Frame: Baseline, Day 150 ]
    Percentage change in Apo B from Baseline (Day 1) and Day 150 compared to ezetimibe and placebo

  6. Percentage change in Apo B/Apo A-1 ratio from Baseline to Day 150 [ Time Frame: Baseline, Day 150 ]
    Percentage change in Apo B/Apo A-1 ratio from baseline (Day 1) and Day 150 compared to ezetimibe and placebo

  7. Percentage change in Lipoprotein (a) [Lp(a)] from Baseline to Day 150 [ Time Frame: Baseline, Day 150 ]
    Percentage change in Lp(a) from Baseline (Day 1) and Day 150 compared to ezetimibe and placebo



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


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Ages Eligible for Study:   18 Years to 75 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria to be met at screening:

  • informed consent must be signed prior to participation in study
  • fasting LDL-C of >= 100mg/dL but < 190mg/dL
  • fasting triglycerides <= 400 mg/dL
  • 10-year ASCVD risk score < 7.5%
  • not on any lipid-lowering therapy within 90 days

Key Exclusion Criteria:

  • history of ASCVD
  • diabetes mellitus or fasting plasma glucose of >= 7.0 mmol/L or HbA1c >= 6.5%
  • secondary hypercholesterolemia, e.g. hypothyroidism (TSH above upper limit of normal)

Other protocol-defined inclusion/exclusion criteria may apply.


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05763875


Contacts
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Contact: Novartis Pharmaceuticals 1-888-669-6682 novartis.email@novartis.com
Contact: Novartis Pharmaceuticals +41613241111

Locations
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Sponsors and Collaborators
Novartis Pharmaceuticals
Investigators
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Study Director: Novartis Pharmaceuticals Novartis Pharmaceuticals
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Responsible Party: Novartis Pharmaceuticals
ClinicalTrials.gov Identifier: NCT05763875    
Other Study ID Numbers: CKJX839D12304
First Posted: March 10, 2023    Key Record Dates
Last Update Posted: April 10, 2024
Last Verified: April 2024
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Novartis ( Novartis Pharmaceuticals ):
inclisiran
ezetimibe
LDL-C
monotherapy
primary hypercholesterolemia
Additional relevant MeSH terms:
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Hypercholesterolemia
Hyperlipidemias
Dyslipidemias
Lipid Metabolism Disorders
Metabolic Diseases
Ezetimibe
Anticholesteremic Agents
Hypolipidemic Agents
Antimetabolites
Molecular Mechanisms of Pharmacological Action
Lipid Regulating Agents