New drug olpasiran targets artery plaque in High-Risk heart patients
NCT ID NCT07293260
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This Phase 3 trial tests olpasiran, a drug that lowers lipoprotein(a), a genetic risk factor for heart disease. About 406 adults with stable heart disease and high Lp(a) will receive either olpasiran or a placebo. The main goal is to see if olpasiran reduces non-calcified plaque in the arteries after 72 weeks, as measured by CT scans.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- olpasiran
- What this could lead to
- If successful, this could show that olpasiran reduces artery plaque buildup, potentially leading to a new treatment for heart disease in people with high Lp(a).
- What could go wrong
- This is a Phase 3 trial, but it's still early to know if olpasiran actually prevents heart attacks. The study focuses on plaque changes, not clinical events, and side effects are possible.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 406 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2026
- Expected to finish
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Jun 2028
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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35 to 80 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: * Age 35 to ≤ 80 years. * Lp(a) ≥ 200 nmol/L during screening. * Angiographic evidence of coronary artery disease in at least one major epicardial vessel on screening CCTA. * History of myocardial infarction (presumed type 1 event due to plaque rupture/erosion) and/or coronary revascularization by percutaneous coronary intervention. Exclusion Criteria: * History of coronary artery bypass graft (CABG). * Moderate to severe renal dysfunction. * Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) \> 3 x upper limit of normal (ULN), or total bilirubin (TBL) \> 2 x ULN during screening. * History of hemorrhagic stroke. * History of major bleeding disorder. * Planned cardiac surgery or arterial revascularization. * Severe heart failure. * Current, recent, or planned lipoprotein apheresis. * Previously received ribonucleic acid therapy specifically targeting Lp(a).
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Get notified about this study
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Genom att skicka in godkänner du våra Användarvillkor
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 study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
40 sites in 11 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
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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Advara HeartCare Leabrook
RECRUITINGLeabrook, South Australia, 5068, Australia
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Advara HeartCare Wesley
RECRUITINGAuchenflower, Queensland, 4066, Australia
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Azienda Ospedaliera Ordine Mauriziano di Torino
RECRUITINGTorino, 10128, Italy
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Azienda Ospedaliera Universitaria di Ferrara Arcispedale Sant Anna
RECRUITINGFerrara, 44124, Italy
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Bridgeport Hospital
RECRUITINGBridgeport, Connecticut, 06610, United States
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Centre Hospitalier Regional Universitaire de Tours - Hopital Trousseau
RECRUITINGTours, 37044, France
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Centre Hospitalier Universitaire de Bordeaux Hopital Haut-Leveque
RECRUITINGPessac, 33604, France
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Centre Hospitalier Universitaire de Nice - Hopital Pasteur
RECRUITINGNice, 06000, France
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Centre Hospitalier Universitaire de Toulouse - Hopital Rangueil
RECRUITINGToulouse, 31059, France
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Charite - Universitaetsmedizin Berlin, Campus Benjamin Franklin
RECRUITINGBerlin, 12203, Germany
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Flourish Bowie
RECRUITINGBowie, Maryland, 20715, United States
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General Hospital of Ningxia Medical University
RECRUITINGYinchuan, Ningxia, 750004, China
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Hospital Alvaro Cunqueiro
RECRUITINGVigo, Galicia, 36312, Spain
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Hospital Universitari i Politecnic La Fe
RECRUITINGValencia, Valencia, 46026, Spain
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Hospital Universitario Ramon y Cajal
RECRUITINGMadrid, 28023, Spain
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Hospital Universitario Virgen Macarena
RECRUITINGSeville, Andalusia, 41009, Spain
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IRCCS Centro Cardiologico Monzino
RECRUITINGMilan, 20138, Italy
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IRCCS Policlinico San Donato
RECRUITINGSan Donato Milanese, 20097, Italy
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Jacksonville Center for Clinical Research
RECRUITINGJacksonville, Florida, 32216, United States
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Jinan Central Hospital
RECRUITINGJinan, Shandong, 250013, China
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Klinikum rechts der Isar der TUM
RECRUITINGMünchen, 80636, Germany
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Midwest Heart and Vascular Specialists
RECRUITINGOverland Park, Kansas, 66211, United States
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Montefiore Medical Center - Bronx
RECRUITINGPhiladelphia, Pennsylvania, 19141, United States
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North York Diagnostic and Cardiac Centre
RECRUITINGVaughan, Ontario, L6A 4N9, Canada
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Osaka Keisatsu Hospital
RECRUITINGOsaka, Osaka, 543-0042, Japan
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Peking University First Hospital
RECRUITINGBeijing, Beijing Municipality, 100034, China
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Regionshospitalet Gødstrup
RECRUITINGHerning, 7400, Denmark
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Regionshospitalet Viborg
RECRUITINGViborg, 8800, Denmark
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Shaanxi Provincial Peoples Hospital
RECRUITINGXi'an, Shaanxi, 710068, China
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Tergooiziekenhuizen, locatie Hilversum
RECRUITINGHilversum, 1201 DA, Netherlands
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The First Affiliated Hospital of Zhengzhou University
RECRUITINGZhengzhou, Henan, 450052, China
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The Second Affiliated Hospital of Nanjing Medical University
RECRUITINGNanjing, Jiangsu, 210011, China
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The Second Xiangya Hospital of Central South University
RECRUITINGChangsha, Hunan, 410011, China
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The Third Xiangya Hospital of Central South University
RECRUITINGChangsha, Hunan, 410013, China
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Tomakomai City Hospital
RECRUITINGTomakomai-shi, Hokkaido, 053-8567, Japan
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Universitaetsklinikum Essen
RECRUITINGEssen, 45147, Germany
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Universitaetsklinikum Frankfurt
RECRUITINGFrankfurt am Main, 60590, Germany
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University of The Sunshine Coast Clinical Trials, Sippy Downs
RECRUITINGSippy Downs, Queensland, 4556, Australia
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University of Yamanashi Hospital
RECRUITINGChuo-shi, Yamanashi, 409-3898, Japan
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Vital Heart and Vein
RECRUITINGHumble, Texas, 77338, United States
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