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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT06292013




Registration number
NCT06292013
Ethics application status
Date submitted
27/02/2024
Date registered
4/03/2024
Date last updated
27/06/2024

Titles & IDs
Public title
A Study to Investigate the Effect of Lepodisiran on the Reduction of Major Adverse Cardiovascular Events in Adults With Elevated Lipoprotein(a) - ACCLAIM-Lp(a)
Scientific title
A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study to Investigate the Effect of Lepodisiran on the Reduction of Major Adverse Cardiovascular Events in Adults With Elevated Lipoprotein(a) Who Have Established Atherosclerotic Cardiovascular Disease or Are at Risk for a First Cardiovascular Event - ACCLAIM-Lp(a)
Secondary ID [1] 0 0
J3L-MC-EZEF
Secondary ID [2] 0 0
18812
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Atherosclerotic Cardiovascular Disease (ASCVD) 0 0
Elevated Lp(a) 0 0
Condition category
Condition code
Cardiovascular 0 0 0 0
Diseases of the vasculature and circulation including the lymphatic system

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Lepodisiran Sodium
Treatment: Drugs - Placebo

Experimental: Lepodisiran Sodium - Lepodisiran sodium administered subcutaneously (SC).

Placebo comparator: Placebo - Placebo administered SC.


Treatment: Drugs: Lepodisiran Sodium
Administered SC

Treatment: Drugs: Placebo
Administered SC

Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Time to First Occurrence of Any Component of the Major Adverse Cardiac Event (MACE)-4 Composite Endpoint
Timepoint [1] 0 0
Baseline up to End of Study (About 4.5 Years)
Secondary outcome [1] 0 0
Change from Baseline in Lipoprotein(a) [Lp(a)] at Week 4
Timepoint [1] 0 0
Baseline, Week 4
Secondary outcome [2] 0 0
Time to First Occurrence of Any of the Component of MACE-3 Composite Endpoint
Timepoint [2] 0 0
Baseline up to End of Study (About 4.5 Years)
Secondary outcome [3] 0 0
Time to First Occurrence of Fatal or Non-Fatal Myocardial Infarction
Timepoint [3] 0 0
Baseline up to End of Study (About 4.5 Years)
Secondary outcome [4] 0 0
Time to Cardiovascular Death
Timepoint [4] 0 0
Baseline up to End of Study (About 4.5 Years)
Secondary outcome [5] 0 0
Time to Occurrence of All-Cause Death
Timepoint [5] 0 0
Baseline up to End of Study (About 4.5 Years)
Secondary outcome [6] 0 0
Time to First Occurrence of Any Component of the MACE-4 Composite Endpoint (In the Population with Established ASCVD and CV Event, or Revascularization)
Timepoint [6] 0 0
Baseline up to End of Study (About 4.5 Years)
Secondary outcome [7] 0 0
Time to First Occurrence of any Component of the MACE-4 Composite Endpoint (In the Population At Risk for First CV event)
Timepoint [7] 0 0
Baseline up to End of Study (About 4.5 Years)
Secondary outcome [8] 0 0
Time to First Occurrence of any Component of the MACE-4 Composite Endpoint (In the Population with Lp(a) = 200 nmol/L)
Timepoint [8] 0 0
Baseline up to End of Study (About 4.5 Years)
Secondary outcome [9] 0 0
Time to First Occurrence of Any Component of MACE-3 + MALE Composite Endpoint
Timepoint [9] 0 0
Baseline up to End of Study (About 4.5 Years)
Secondary outcome [10] 0 0
Time to First Occurrence of Any Component of Coronary MACE-3 Composite Endpoint
Timepoint [10] 0 0
Baseline up to End of Study (About 4.5 Years)

Eligibility
Key inclusion criteria
* Have Lipoprotein(a) [Lp(a)] =175 nanomoles per liter (nmol/L).
* Meet criteria of either 2a or 2b:

2a: Individuals 18 years of age or older with established atherosclerotic cardiovascular disease (ASCVD) with an event or revascularization.

2b: Individuals 55 years of age or older who are at risk for a first cardiovascular (CV) event and either: Documented coronary artery disease (CAD), carotid stenosis, or peripheral artery disease (PAD) without history of event or revascularization; known familial hypercholesteremia; or a combination of high-risk factors.
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
* Have had a major cardiovascular event or surgery, such as myocardial infarction (MI), stroke or coronary or peripheral revascularization, < 90 days before screening.
* Have uncontrolled hypertension
* Have New York Heart Association class IV heart failure.
* Have lipoprotein apheresis within 90 days of screening, or planned lipoprotein apheresis during the study.
* Have severe renal failure, defined as

* Estimated glomerular rate (eGFR) <15 milliliters per minute per 1.73 meters squared (mL/min/1.73m2) at screening Visit 1, or ongoing dialysis.
* Have a diagnosis of active nephrotic syndrome, or urine albumin-creatinine ratio (UACR) of =5000 mg/g at screening Visit 1.
* Have acute or chronic hepatitis, signs and symptoms of any other liver disease other than nonalcoholic fatty liver disease, or any of these laboratory results as determined by the central laboratory at screening.

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s


The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Recruiting
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
ACT,NSW,QLD,SA,VIC,WA
Recruitment hospital [1] 0 0
Paratus Clinical Research Canberra - Bruce
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Paratus Clinical Research Western Sydney - Blacktown
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Optimus Clinical Research - Botany
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Northern Beaches Clinical Research - Brookvale
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Paratus Clinical Research Central Coast - Kanwal
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Liverpool Hospital - Liverpool
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The AIM Centre / Hunter Diabetes Centre - Merewether
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AusTrials - St. Leonards - Sydney
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Royal Brisbane and Women's Hospital - Brisbane
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Core Research Group - Brisbane
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Heart of Australia - Brisbane
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Cholesterol Care - Brisbane
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Paratus Clinical Research Brisbane - Herston
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Logan Hospital - Meadowbrook
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Mount Isa Base Hospital - Mount Isa
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The Townsville Hospital - Townsville
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Fusion Clinical Research - Adelaide
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Nightingale Research - Adelaide
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Adelaide Cardiology - Adelaide
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Emeritus Research - Camberwell
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Victorian Heart Hospital - Clayton
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Barwon Health - Geelong
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Austin Health - Repatriation Hospital - Heidelberg West
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AusTrials - Sunshine - Melbourne
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Advara HeartCare - Mulgrave - Mulgrave
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GenesisCare - Joondalup
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Clinitrials - Perth
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Royal Perth Hospital - Perth
Recruitment postcode(s) [1] 0 0
2617 - Bruce
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2148 - Blacktown
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2019 - Botany
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2100 - Brookvale
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2259 - Kanwal
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2170 - Liverpool
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2291 - Merewether
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2065 - Sydney
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4029 - Brisbane
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4064 - Brisbane
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4068 - Brisbane
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4102 - Brisbane
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4010 - Herston
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4131 - Meadowbrook
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4814 - Townsville
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5000 - Adelaide
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5068 - Adelaide
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3124 - Camberwell
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3168 - Clayton
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3220 - Geelong
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3081 - Heidelberg West
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3021 - Melbourne
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3170 - Mulgrave
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6027 - Joondalup
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6000 - Perth
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West Bromwich

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
Eli Lilly and Company
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
The purpose of this study is to evaluate the efficacy of lepodisiran in reducing cardiovascular risk in participants with high lipoprotein(a) who have cardiovascular disease or are at risk of a heart attack or stroke. The study drug will be administered subcutaneously (SC) (under the skin).
Trial website
https://clinicaltrials.gov/study/NCT06292013
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
1-877-CTLILLY (1-877-285-4559) or 317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
Address 0 0
Eli Lilly and Company
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
There may be multiple sites in this clinical trial. 1-877-CTLILLY (1-877-285-4559) or
Address 0 0
Country 0 0
Phone 0 0
317-615-4559
Fax 0 0
Email 0 0
ClinicalTrials.gov@lilly.com
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/study/NCT06292013