Could a shot every 4 weeks replace weekly blood filtering for High-Risk heart patients?
NCT ID NCT05305664
First seen Jul 17, 2026 · Last updated Jul 17, 2026
Summary
This study tests an experimental drug called pelacarsen in people with very high levels of lipoprotein(a), a type of cholesterol linked to heart disease. Participants currently undergo weekly blood-filtering treatments (apheresis) to lower their Lp(a). The trial aims to see if taking pelacarsen as a shot every four weeks can reduce how often they need these sessions. It involves about 50 adults in Germany who have both high Lp(a) and established cardiovascular disease.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- an experimental drug called pelacarsen (TQJ230) given as a shot under the skin every 4 weeks
- What this could lead to
- If successful, pelacarsen could free people with high Lp(a) from weekly blood-filtering sessions, simplifying their care and reducing treatment burden.
- What could go wrong
- This is a mid-stage trial with only 51 participants, so results may not apply to everyone. The drug may not work as hoped, and side effects are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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51 people
The number who actually took part.
- Started
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Aug 2022
- Finished
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Jan 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients currently undergoing lipoprotein apheresis for isolated Lp(a) on a weekly schedule in Germany for ≥ 12 months prior to screening with at least 40 sessions within the past 52 weeks prior to randomization * Lipoprotein(a) (Lp(a))\> 60 mg/dL at screening * Spontaneous prior myocardial infarction (MI): ≥ 3 months from screening visit to ≤ 10 years prior to the screening visit, and/or * Ischemic stroke: ≥ 3 months from screening visit to ≤ 10 years prior to the screening visit, and/or * Clinically significant symptomatic peripheral artery disease (PAD) * Clinically significant symptomatic coronary artery disease (PAD) Exclusion Criteria: * Uncontrolled hypertension * Heart failure New York Heart Association (NYHA) class IV * History of malignancy of any organ system * History of hemorrhagic stroke or other major bleeding * Platelet count \<140,000 per mm3 at screening * Active liver disease or hepatic dysfunction * Significant kidney disease * Pregnant or nursing women
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Novartis Investigative Site
Villingen-Schwenningen, Baden-Wurttemberg, 78052, Germany
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Novartis Investigative Site
Munich, Bavaria, 81377, Germany
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Novartis Investigative Site
Würzburg, Bavaria, 97080, Germany
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Novartis Investigative Site
Frankfurt am Main, Hesse, 60431, Germany
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Novartis Investigative Site
Göttingen, Lower Saxony, 37075, Germany
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Novartis Investigative Site
Düsseldorf, North Rhine-Westphalia, 42010, Germany
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Novartis Investigative Site
Geilenkirchen, North Rhine-Westphalia, 52511, Germany
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Novartis Investigative Site
Dresden, Saxony, 01307, Germany
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Novartis Investigative Site
Berlin, 13353, Germany
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Novartis Investigative Site
Cloppenburg, 49661, Germany
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Novartis Investigative Site
Erlangen, 91054, Germany
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Novartis Investigative Site
Mainz, 55131, Germany
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Novartis Investigative Site
Ulm, 89081, Germany
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