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Recruiting NCT05646381

A Multicenter Trial Assessing the Impact of Lipoprotein(a) Lowering With Pelacarsen (TQJ230) on the Progression of Calcific Aortic Valve Stenosis

Phase II Interventional Aortic Stenosis

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Pelacarsen (TQJ230) 80mg, Matching placebo.
Who it may be relevant to
Registry conditions: Aortic Stenosis. Basic parameters: 50 years — 80 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
United States, Austria, Belgium, Canada, Czechia +10
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Official title

A Randomized Double-blind, Placebo-controlled, Multicenter Trial Assessing the Impact of Lipoprotein(a) Lowering With Pelacarsen (TQJ230) on the Progression of Calcific Aortic Valve Stenosis [Lp(a)FRONTIERS CAVS]

Overview

The purpose of this study is to evaluate the efficacy, safety and tolerability of pelacarsen (TQJ230) administered subcutaneously once monthly compared to placebo in slowing the progression of calcific aortic valve stenosis.

Interventions

  • Drug Pelacarsen (TQJ230) 80mg
    Pelacarsen (TQJ230) 80mg
  • Drug Matching placebo
    Matching placebo

Primary outcome measures

  • Change in peak aortic jet velocity [Time frame: 36 months]
  • Change in aortic valve calcium score [Time frame: 36 months]
Secondary outcome measures (3)
  • Change in Lp(a) levels [Time frame: 12 months]
  • Change in fibrocalcific thickening of the aortic valve [Time frame: 36 months]
  • Time from randomization to first occurrence of composite clinical endpoint event [Time frame: Up to 36 months]

Eligibility criteria

Inclusion criteria

  • Male and female ≥50 to <80 years of age at Screening Part II
  • Lp(a) ≥175 nmol/L at the screening visit, measured at the Central laboratory
  • Mild or moderate calcific aortic valve stenosis
  • At the randomization visit, participant must be optimally treated for existing CV risk factors

Exclusion criteria

  • Severe calcific aortic valve stenosis
  • Uncontrolled hypertension
  • History of malignancy of any organ system
  • History of hemorrhagic stroke or other major bleeding
  • Platelet count ≤ LLN
  • Active liver disease or hepatic dysfunction
  • Significant kidney disease
  • Pregnant or nursing women

Other protocol-defined inclusion/exclusion criteria may apply

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Double blind
Primary purpose
Treatment

Study locations

United States · 38 centers
  • Heart Center Research Llc — Huntsville
  • Cardiovascular Res Found — Beverly Hills
  • National Heart Institute — Beverly Hills
  • Flourish Clinical Resrch Covin — Covina
  • Valley Clinical Trials — Northridge
  • Stanford University Medical Center — Palo Alto
  • University Of California San Diego — San Diego
  • UC San Francisco Medical Center — San Francisco
  • … and 30 more centers
Germany · 15 centers
  • Novartis Investigative Site — Frankfurt am Main
  • Novartis Investigative Site — Kaiserslautern
  • Novartis Investigative Site — Dresden
  • Novartis Investigative Site — Leipzig
  • Novartis Investigative Site — Ahaus
  • Novartis Investigative Site — Berlin
  • Novartis Investigative Site — Bonn
  • Novartis Investigative Site — Essen
  • … and 7 more centers
Italy · 12 centers

Center list to be confirmed — check the primary protocol.

United Kingdom · 12 centers

Center list to be confirmed — check the primary protocol.

Israel · 9 centers

Center list to be confirmed — check the primary protocol.

Spain · 8 centers

Center list to be confirmed — check the primary protocol.

Canada · 7 centers
  • Novartis Investigative Site — Cambridge
  • Novartis Investigative Site — North York
  • Novartis Investigative Site — Ottawa
  • Novartis Investigative Site — Montreal
  • Novartis Investigative Site — Montreal
  • Novartis Investigative Site — Montreal
  • Novartis Investigative Site — Québec
France · 6 centers
  • Novartis Investigative Site — Paris
  • Novartis Investigative Site — Paris
  • Novartis Investigative Site — Paris
  • Novartis Investigative Site — Pessac
  • Novartis Investigative Site — Poitiers
  • Novartis Investigative Site — Rennes
Austria · 5 centers
  • Novartis Investigative Site — Innsbruck
  • Novartis Investigative Site — Linz
  • Novartis Investigative Site — Vienna
  • Novartis Investigative Site — Vienna
  • Novartis Investigative Site — Vienna
Belgium · 5 centers
  • Novartis Investigative Site — Genk
  • Novartis Investigative Site — Yvoir
  • Novartis Investigative Site — Aalst
  • Novartis Investigative Site — Kortrijk
  • Novartis Investigative Site — Roeselare
Czechia · 5 centers
  • Novartis Investigative Site — Hradec Králové
  • Novartis Investigative Site — Jaroměř
  • Novartis Investigative Site — Prague
  • Novartis Investigative Site — Prague
  • Novartis Investigative Site — Prague
Netherlands · 5 centers

Center list to be confirmed — check the primary protocol.

Switzerland · 5 centers

Center list to be confirmed — check the primary protocol.

Denmark · 4 centers
  • Novartis Investigative Site — Esbjerg
  • Novartis Investigative Site — Hvidovre
  • Novartis Investigative Site — Roskilde
  • Novartis Investigative Site — Viborg
Portugal · 4 centers

Center list to be confirmed — check the primary protocol.

Publications

  • Nicholls SJ, Nelson AJ, Michael LF. Oral agents for lowering lipoprotein(a). Curr Opin Lipidol. 2024 Dec 1;35(6):275-280. doi: 10.1097/MOL.0000000000000953. Epub 2024 Sep 25. PMID 39329200

Identifiers

NCT: NCT05646381 · CTQJ230A12203

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗