Lipids and lipoproteins in calcific aortic valve disease.
Olcay Aksoy, Yin Tintut, Linda L Demer
https://pubmed.ncbi.nlm.nih.gov/42592935/Actively Recruiting
Led by Novartis Pharmaceuticals · Updated on 2026-06-23
502
Participants Needed
140
Research Sites
N/A
Total Duration
This trial studies adults aged 50 to under 80 with mild or moderate calcific aortic valve stenosis and elevated lipoproteina levels. Researchers are assessing the safety, tolerability, and ability of pelacarsen TQJ230 given once monthly by injection to slow the progression of this heart valve condition. The study compares pelacarsen to a placebo in a randomized, double-blind design. Participants receive either pelacarsen 80 mg or a matching placebo as a subcutaneous injection monthly. They continue treatment and monitoring for up to 36 months to observe changes in heart valve narrowing and calcium buildup. The study also tracks lipoproteina levels and clinical heart-related events during this period. Throughout the study, participants will have regular assessments including imaging to measure aortic valve function and calcium score, blood tests for lipoproteina, and monitoring for safety. The main outcomes analyzed after 36 months include changes in valve jet velocity and calcium score, alongside clinical events. Participants remain under medical care while being observed for any effects of the study drug or placebo.
CONDITIONS
A Multicenter Trial Assessing the Impact of Lipoprotein(a) Lowering With Pelacarsen (TQJ230) on the Progression of Calcific Aortic Valve Stenosis
N
Novartis Pharmaceuticals
N
Novartis Pharmaceuticals
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Novartis Pharmaceuticals
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Pelacarsen (TQJ230) 80mg | Matching placebo |
|---|---|---|
| What is it? | A study drug designed to reduce levels of lipoprotein(a) [Lp(a)], administered at a dose of 80mg by subcutaneous injection. | A subcutaneous injection with no active medication, designed to match the appearance of the study drug. |
| Role in the trial | Assesses whether lowering Lp(a) with Pelacarsen slows the progression of calcific aortic valve stenosis. | Serves as a comparison group to measure the effect of Pelacarsen by receiving an identical-appearing injection without active medication. |
| Primary use or purpose | Investigational use to determine if Lp(a) lowering can reduce progression of heart valve narrowing in persons with mild or moderate calcific aortic stenosis. | Inactive injection to enable blinded comparison for the effect of Pelacarsen on aortic valve disease progression. |
| How it is given or performed | Given by subcutaneous injection (under the skin), with the schedule defined in the study protocol. | Given by subcutaneous injection on the same schedule as the study drug. |
| Evidence status / research maturity | Pelacarsen is under investigation and results for its effect on aortic stenosis are not yet established. Clinical research seeks to determine if lowering Lp(a) slows valve disease progression or improves disease outcomes. | Placebo serves as the inactive comparator in this blinded clinical trial. No therapeutic effect is expected. |
| Important limitations | The effect of Pelacarsen on clinical outcomes in aortic stenosis is not yet known. All results depend on the completion of the trial and subsequent analysis. | Placebo provides no active intervention and does not modify valve stenosis risk or Lp(a) levels. The trial does not compare Pelacarsen with other Lp(a)-targeted therapies or standard valve interventions. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 to 2 visits
Duration - Up to 36 months
Participants receive monthly subcutaneous injections of either pelacarsen 80 mg or a matching placebo. They continue treatment while being monitored for up to 36 months.
Monthly visits
Duration - Up to 36 months
Participants are monitored for changes in aortic valve function, calcium score, lipoprotein(a) levels, and clinical events. Safety and tolerability are assessed throughout this period.
Regular assessments during treatment
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Olcay Aksoy, Yin Tintut, Linda L Demer
https://pubmed.ncbi.nlm.nih.gov/42592935/Stephen J Nicholls, Adam J Nelson, Laura F Michael
https://pubmed.ncbi.nlm.nih.gov/39329200/Novartis Pharmaceuticals
Lead Sponsor