New shot may slash cholesterol after heart attacks
NCT ID NCT06501443
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether adding inclisiran (a twice-yearly injection) to standard care lowers LDL cholesterol more than standard care alone in 520 patients who recently had a heart attack, stroke, or urgent heart procedure. Participants are randomly assigned to receive inclisiran plus usual care or usual care alone. The main goal is to measure LDL cholesterol change after 330 days.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Inclisiran (KJX839) injection
- What this could lead to
- If it works, this could provide a more effective way to lower cholesterol after a heart attack or stroke, reducing the risk of future events.
- What could go wrong
- This is a Phase 4 real-world study, so it may confirm known benefits but not produce a breakthrough. Results may vary by country and patient adherence.
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 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 520 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2025
- Expected to finish
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Nov 2026
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 to 100 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: * Admitted for MI (Type 1 NSTEMI or STEMI), urgent (i.e., non-elective) coronary revascularization (PCI or CABG) or confirmed ischemic stroke. * Stable patient: Patient will be considered stable if they did not suffer cardiac arrest at presentation or if in the last 24 hours before randomization: * Was not in cardiogenic shock. * Did not required invasive hemodynamic, inotropic or vasopressor support. * Participants are required to be eligible for receiving inclisiran in accordance to approved local label. * Of note, patients who are initiated on statin therapy during the same hospitalization will not be excluded, as we expect a proportion of patients at baseline to not yet be on statin therapy in this real-world study. This will enhance the generalizability and pragmatic aspects of the study. However, because initiation of statin therapy at or near the time of enrollment could impact the primary outcome (if there is imbalance between the arms, or if there is differential stopping of statin therapy between the arms), we will stratify randomization by this factor and will pre-specify analyses in those who have vs. have not been initiated on statin therapy during the same hospitalization. Exclusion Criteria: * Currently on PCSK9i therapy (within last 3 months) * Current participation in another clinical study with another study drug * Active liver disease defined as any known current infectious, neoplastic, or metabolic pathology of the liver at the Baseline Visit * Pregnant or nursing (lactating) women * Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
10 sites in 2 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Novartis Investigative Site
RECRUITINGCorrientes, W3400CDS, Argentina
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Novartis Investigative Site
RECRUITINGSalvador, Estado de Bahia, 40170-130, Brazil
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Novartis Investigative Site
RECRUITINGBelo Horizonte, Minas Gerais, 30000, Brazil
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Novartis Investigative Site
RECRUITINGBelo Horizonte, Minas Gerais, 30110-934, Brazil
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Novartis Investigative Site
RECRUITINGCampo Largo, Paraná, 83606-177, Brazil
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Novartis Investigative Site
RECRUITINGPorto Alegre, Rio Grande do Sul, 90560-032, Brazil
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Novartis Investigative Site
WITHDRAWNBlumenau, Santa Catarina, 89010-500, Brazil
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Novartis Investigative Site
RECRUITINGSão José, Santa Catarina, 88103-901, Brazil
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Novartis Investigative Site
RECRUITINGSão José, São Paulo, 15015-110, Brazil
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Novartis Investigative Site
RECRUITINGCampina Gde Do Sul, 83430 000, Brazil
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Novartis Investigative Site
RECRUITINGSalvador, 40323-010, Brazil
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