New pill could tame inherited high cholesterol in major trial
NCT ID NCT07000136
First seen Jun 27, 2026 · Last updated Jul 17, 2026 · Updated 2 times
Summary
This study tests an experimental drug called AZD0780 in 473 adults with a genetic condition that causes very high cholesterol (heterozygous familial hypercholesterolemia). The drug aims to lower LDL (bad) cholesterol more than a placebo over 12 weeks, with treatment lasting up to 52 weeks. Participants must have high LDL despite current treatments, and neither they nor their doctors will know who gets the real drug.
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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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473 people
The number who actually took part.
- Started
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Jun 2025
- Expected to finish
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Jan 2027
An estimate. End dates often move.
- 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 years and older
- 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: •≥ 18 years of age at the time of signing the ICF. * Diagnosis of HeFH by genetic confirmation or a definite clinical diagnosis, ie, a score \> x using the Dutch Lipid Network \[Nordestgaard et al 2013\] or equivalent as per internationally accepted diagnostic algorithms (AHA \[Gidding et al 2015\], US MEDPED \[Williams et al 1993\], Simon Broome \[Scientific Steering Committee on behalf of the Simon Broome Register Group 1991\], or Japanese Atherosclerosis Society Guidelines \[Okamura et al 2024\]) * Fasting serum by central laboratory at screening as follows: LDL-C ≥ 55 mg/dL (≥ 1.4 mmol/L) in participants with HeFH and clinical ASCVD or ≥ 70 mg/dL (≥ 1.8 mmol/L) in HeFH without clinical ASCVD. Clinical ASCVD is defined as MI, stable or unstable angina, coronary or other arterial revascularisation, ischaemic stroke, or peripheral artery disease. * Participants should receive a background lipid lowering regimen anticipated to achieve at least a \~50% reduction in LDL-C. Except in cases of intolerance, the regimen should include a high intensity statin therapy or lower intensity statin therapy in combination with an oral agent with proven outcome benefit (eg, ezetimibe and/or bempedoic acid). Thus, the background lipid-lowering therapy must consist of one of the following: \- A high intensity LDL lowering regimen (i) A high intensity statin regimen, as defined by country specific guidelines - Oral combination therapy with ezetimibe and/or bempedoic acid is strongly recommended OR: (ii) A lower intensity statin regimen in combination with ezetimibe and/or bempedoic acid : OR: \- A maximally tolerated statin regimen - Oral combination therapy with ezetimibe and/or bempedoic acid is strongly recommended. Participants must achieve a stable background lipid lowering therapy \> 28 days before screening. Exclusion criteria: * Homozygous familial hypercholesterolaemia, LDL apheresis or plasma apheresis within 12 months prior to screening, or any other underlying known disease or condition that may interfere with interpretation of the clinical study results as judged by the Investigator. * Any of the following laboratory values at screening: * Calculated eGFR \< 15 mL/min/1.73 m2 * AST or ALT \> 3 × ULN * TBL \> 2 × ULN (except for patients with Gilberts syndrome, where TBL 3 × ULN is acceptable provided direct bilirubin \< 1.5 × ULN) * Fasting triglycerides ≥ 400 mg/dL (≥ 4.52 mmol/L) * Creatine kinase \> 5 × ULN * Urine albumin-to-creatinine ratio ≥ 500 mg/g * Uncontrolled type 2 diabetes mellitus defined as HbA1c ≥ 9.5% at screening * Inadequately treated hypothyroidism defined as TSH \> 1.5 ULN at screening or participants whose thyroid replacement therapy was initiated or modified within the last 3 months prior to screening * Use of mipomersen or lomitapide (cholesterol-lowering medications) within 12 months prior to screening or planned use during the study. * Use of gemfibrozil within 1 week prior to screening or planned use during the study. * Use of PCSK-9 inhibitors: evolocumab/alirocumab within 12 weeks of the screening visit or planned use during the study or inclisiran within 18 months of the screening visit or planned use during the study. Any other approved PCSK-9 inhibitor use within 5 half lives prior to the screening visit or planned use during the study.
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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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Garden Grove, California, 92844, United States
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San Diego, California, 92111, United States
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Miami Lakes, Florida, 33016, United States
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Orlando, Florida, 32807, United States
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Peachtree Corners, Georgia, 30092, United States
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Chicago, Illinois, 60607, United States
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Hammond, Louisiana, 70403, United States
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Las Vegas, Nevada, 89119, United States
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New York, New York, 10029, United States
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Morganton, North Carolina, 28655, United States
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Cincinnati, Ohio, 45227, United States
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Lima, Ohio, 45801, United States
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Chattanooga, Tennessee, 37404, United States
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Houston, Texas, 77043, United States
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Humble, Texas, 77338, United States
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Kingwood, Texas, 77345, United States
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McAllen, Texas, 78503, United States
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Mesquite, Texas, 75149, United States
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Redmond, Washington, 98052, United States
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CABA, C1006ACC, Argentina
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Ciudad Autonoma de Bs As, C1023AAB, Argentina
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Ciudad de Buenos Aires, C1094AAD, Argentina
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Ciudad de Buenos Aires, C1425AGC, Argentina
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Mar del Plata, 7600, Argentina
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Rosario, 2000, Argentina
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Rosario, S2000PBJ, Argentina
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Melbourne, 3004, Australia
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Campinas, 13060-080, Brazil
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São Caetano do Sul, 09521-160, Brazil
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São Paulo, 04004-030, Brazil
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São Paulo, 04012-180, Brazil
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São Paulo, 05403-000, Brazil
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Plovdiv, 4002, Bulgaria
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Sofia, 1527, Bulgaria
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Sofia, 1618, Bulgaria
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Vancouver, British Columbia, V6Z2H2, Canada
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London, Ontario, N6A 5A5, Canada
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Chicoutimi, Quebec, G7H 7K9, Canada
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Montreal, Quebec, H2W 1R7, Canada
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Québec, Quebec, G1V 4W2, Canada
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Trois-Rivières, Quebec, G9A 4P3, Canada
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Santiago, 7770086, Chile
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Valdivia, 5090000, Chile
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Hradec Králové, 500 05, Czechia
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Prague, 140 00, Czechia
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Prague, 19800, Czechia
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Uherské Hradiště, 686 01, Czechia
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Aarhus N, 8200, Denmark
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Copenhagen, 2400, Denmark
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Esbjerg, 6700, Denmark
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Herlev, 2730, Denmark
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Herning, 7400, Denmark
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Hvidovre, DK-2650, Denmark
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Viborg, 8800, Denmark
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Helsinki, 00290, Finland
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Kuopio, 70210, Finland
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Tampere, 33520, Finland
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Turku, 20520, Finland
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Bron, 69677, France
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Dijon, 21079, France
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Marseille, 13005, France
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Paris, 75013, France
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Saint-Herblain, 44093, France
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Berlin, 10559, Germany
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Dresden, 1307, Germany
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Leipzig, 04103, Germany
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Budapest, 1036, Hungary
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Budapest, 1132, Hungary
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Debrecen, 4032, Hungary
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Nyíregyháza, 4400, Hungary
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Székesfehérvár, 8000, Hungary
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Chūōku, 103-0027, Japan
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Fukushima, 960-1295, Japan
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Hamamatsu, 432-8580, Japan
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Ichikawa-shi, 272-8516, Japan
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Kanazawa, 920-8530, Japan
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Kanazawa, 920-8641, Japan
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Kishiwada-shi, 596-8522, Japan
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Kita-gun, 761-0793, Japan
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Komatsu-shi, 923-8560, Japan
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Minatoku, 108-0073, Japan
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Okayama, 700-0804, Japan
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Okayama, 702-8055, Japan
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Osaka, 543-8922, Japan
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Suita-shi, 564-8565, Japan
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Takatsuki-shi, 569-8686, Japan
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Tamanashi, 865-0016, Japan
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Urasoe-Shi, 901-2102, Japan
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Yokohama, 247-8581, Japan
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Amsterdam, 1105 AZ, Netherlands
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Roosendaal, 4708 AE, Netherlands
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Rotterdam, 3015 GD, Netherlands
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Utrecht, 3584 CX, Netherlands
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Christchurch, 8011, New Zealand
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Grafton, 1010, New Zealand
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Bodø, 8005, Norway
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Grålum, 1712, Norway
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Oslo, 0369, Norway
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Oslo, 0586, Norway
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Trondheim, 7030, Norway
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Bratislava, 83101, Slovakia
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Bratislava, 83106, Slovakia
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Košice, 04022, Slovakia
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Nitra, 949 11, Slovakia
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Žilina, 010 01, Slovakia
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Gyeonggi-do, 13620, South Korea
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Seoul, 03080, South Korea
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Seoul, 120-752, South Korea
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Seoul, 5278, South Korea
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A Coruña, 15006, Spain
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Barcelona, 08036, Spain
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Córdoba, 14004, Spain
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Reus, 43204, Spain
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Seville, 41013, Spain
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Gothenburg, 413 46, Sweden
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Linköping, 581 85, Sweden
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Lund, 22242, Sweden
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Stockholm, 117 27, Sweden
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Stockholm, 141 86, Sweden
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Uppsala, 75185, Sweden
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Kaohsiung City, 80756, Taiwan
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Taichung, 40705, Taiwan
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Taipei, 10002, Taiwan
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Taipei, 11217, Taiwan
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Adana, 01060, Turkey (Türkiye)
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Afyonkarahisar, 03030, Turkey (Türkiye)
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Ankara, 06530, Turkey (Türkiye)
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Izmir, 35100, Turkey (Türkiye)
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İzmit, 41380, Turkey (Türkiye)
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Hanoi, 100000, Vietnam
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Ho Chi Minh City, 700000, Vietnam
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Ho Chi Minh City, 70000, Vietnam
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Hồ Chí Minh, 9000, Vietnam