Cholesterol drug may calm inflammation after heart attack
NCT ID NCT03515304
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether evolocumab (Repatha), a drug that lowers LDL cholesterol, can reduce inflammation and improve heart function in people who recently had a mild heart attack (NSTEMI). Sixty participants received either evolocumab or a placebo within 24 hours of admission. The main goals were to measure changes in cholesterol levels and inflammation in the heart using PET scans.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Evolocumab (Repatha), a drug that lowers LDL cholesterol
- What this could lead to
- If successful, this could show that adding evolocumab right after a heart attack reduces inflammation and improves heart recovery.
- What could go wrong
- This is a small, early-phase trial with only 60 participants, so results may not apply broadly. The drug is already approved for cholesterol lowering, but its benefit in acute heart attack settings is unproven.
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
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
60 people
The number who actually took part.
- Started
-
May 2018
- Finished
-
Mar 2025
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
25 to 90 years
- Sex
-
Anyone
- Healthy volunteers
-
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: * Non ST segment elevation myocardial infarction * Troponin I \>/ 5.0 ng/dL * Permission of attending physician Exclusion Criteria: * ST elevation myocardial infarction * Patients requiring invasive hemodynamic support * Scheduled for cardiac surgery * Current or prior treatment with a PCSK9 antibody * Current participation in an intervention clinical trial * Female of childbearing potential who has not used acceptable method(s) of birth control for at least one month prior to screening * Contraindication to statin therapy * Subject likely not able to complete protocol related visits or procedures * Latex allergy * History of hypersensitivity to any monoclonal antibody
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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
-
Steven Paul Schulman
Baltimore, Maryland, 21136, United States
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