Can extremely low cholesterol save more hearts? new trial aims to find out

NCT ID NCT07615296

First seen Jun 27, 2026 ยท Last updated Jun 27, 2026

Summary

This study compares two cholesterol-lowering strategies in 6,000 Chinese patients with very high-risk heart disease. One group aims for ultra-low LDL cholesterol below 1.0 mmol/L, while the other targets a moderate level of 1.0-1.39 mmol/L. Researchers will track heart attacks, strokes, and deaths over up to 5 years, along with safety and cost. The goal is to see if pushing cholesterol extremely low offers extra protection without unacceptable side effects.

What this could mean

Our plain-language read of the trial. This is informational only โ€” not medical advice or a prediction.

Active substance
Lipid-lowering therapy (statins, ezetimibe, PCSK9 inhibitors)
What this could lead to
If successful, this could show that pushing LDL cholesterol extremely low provides better protection against heart attacks and strokes for high-risk patients, potentially changing treatment guidelines.
What could go wrong
This is an early-stage trial with no results yet. Ultra-low LDL-C may increase risks like cognitive decline or bleeding, and the benefit may not outweigh these risks. The study is also limited to Chinese patients, so results may not apply globally.

This is an AI summary of the original study and may miss details. Read our disclaimer.

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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

  • Beijing Anzhen Hospital, Capital Medical University

    Beijing, Beijing Municipality, 100029, China

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