Aggressive statins may halt artery clogging in young hearts
NCT ID NCT06896708
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This nationwide trial tests whether intensive cholesterol-lowering drugs (statins plus ezetimibe or PCSK9 inhibitors) can slow plaque buildup in heart arteries better than standard statin therapy. About 766 adults aged 18–60 with chronic coronary syndrome and moderate artery blockages will be randomly assigned to one of two treatment strategies. The goal is to see if driving LDL cholesterol below 1.0 mmol/L prevents plaque progression and reduces heart attacks or hospitalizations.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Intensive lipid-lowering therapy (atorvastatin or rosuvastatin plus ezetimibe or PCSK9 inhibitor)
- What this could lead to
- If successful, this could show that aggressive cholesterol lowering slows or stops artery plaque progression, reducing heart attack risk in younger patients.
- What could go wrong
- This is an open-label trial (no placebo), so results may be biased. The intensive regimen may cause more side effects like muscle pain or liver issues, and long-term benefits are not yet proven.
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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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 766 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2025
- Expected to finish
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Mar 2028
An estimate. End dates often move.
- Lead sponsor
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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
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18 to 60 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: 1\. Aged 18-60 years at screening 2. Stable angina symptoms with suspected or confirmed coronary artery disease; 2. CCTA examination demonstrating: at least one major coronary artery with a diameter of ≥1.5mm that has not been intervened and at least one leision with 50%-70% stenosis. 3\. Subjects who have been using statin therapy alone for at least 4 weeks prior to enrollment with a baseline LDL-C ≥1.8mmol/L or subjects who have not initiated lipid-lowering therapy prior to enrollment with a baseline LDL-C≥2.6mmol/L. Exclusion Criteria: 1. Left main coronary artery disease or severe three-vessel disease; 2. Ultra-high-risk ASCVD patients: ≥2 severe ASCVD events or 1 severe ASCVD event with ≥2 high-risk factors; 3. Use of PCSK9 inhibitors or ezetimibe within 8 weeks prior to study enrollment; 4. The baseline LDL-C was relatively high (LDL-C≥2.6 mmol/L in those taking statins and ≥4.9 mmol/L in those not taking statins). 5. Familial hypercholesterolemia; 6. Known allergy/intolerance to lipid-lowering drugs used in the trial; 7. Patients with severe congestive heart failure, liver or kidney dysfunction, or malignancy; 8. Pregnant or breastfeeding female patients.
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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
7 sites. 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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Guangdong Provincial People's Hospital
RECRUITINGGuangzhou, Guangdong, 510100, China
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The Eighth Affiliated Hospital of Sun Yat-sen University
NOT_YET_RECRUITINGShenzhen, Guangdong, 518033, China
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The First Affiliated Hospital of Chongqing Medical University
NOT_YET_RECRUITINGChongqing, Chongqing Municipality, 400015, China
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The First Affiliated Hospital of Dalian Medical University
NOT_YET_RECRUITINGDalian, Liaoning, 116000, China
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The Ninth Clinical Medical College of Guangzhou University of Chinese Medicine
NOT_YET_RECRUITINGDongguan, Guangdong, 523000, China
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The Third Affiliated Hospital of Guangzhou Medical University
NOT_YET_RECRUITINGGuangzhou, Guangdong, 510000, China
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Zhongshan People's Hospital
NOT_YET_RECRUITINGZhongshan, Guangdong, 528400, China
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