Actively Recruiting
A Phase III, Randomised, Double-blind, Placebo-controlled Study of Oral AZD0780 to Reduce Major Cardiovascular Events in Patients With Established Atherosclerotic Cardiovascular Disease or High Risk for a First Event
Led by AstraZeneca · Updated on 2026-06-03
15100
Participants Needed
1333
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating the effect of AZD0780, an oral PCSK9 inhibitor, compared with a placebo in reducing the risk of major adverse cardiovascular events plus MACE-PLUS in adults with established atherosclerotic cardiovascular disease ASCVD or at high risk for a first ASCVD event. This phase 3, randomized, placebo-controlled, and double-blind study aims to assess the time to first MACE-PLUS event over up to approximately 54 months from randomization until the primary analysis censoring date. Participants will be randomly assigned to receive either oral AZD0780 once daily or an oral placebo once daily. The study includes a parallel-group design with two arms the experimental AZD0780 group and the placebo comparator group. After the primary analysis censoring date, a study closure visit will be scheduled as the final visit for each participant. During the study, participants will be monitored for the occurrence of cardiovascular events including myocardial infarction, stroke, urgent coronary revascularization, cardiovascular death, major adverse limb events, and all-cause mortality. Researchers will assess these events through regular follow-up visits up to approximately 54 months. The study includes detailed safety monitoring and outcome evaluations to understand the effects of AZD0780 compared to placebo in this population at risk for cardiovascular events.
CONDITIONS
Brief Title
A Phase III Study of AZD0780 on Major Adverse CV Events in Patients With a History of ASCVD Events or at High Risk for a First Event
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Adults 18 years of age or older at the time of consent
- History of myocardial infarction or ischemic stroke due to atherosclerotic vascular disease at least 1 month prior to randomization
- Revascularization for symptomatic lower limb peripheral artery disease any time prior to screening
- LDL cholesterol levels meeting specified thresholds with additional risk factors such as type 2 diabetes, age 65 or older, previous above ankle amputation, or non-end stage chronic kidney disease
- Participants at increased risk for a first ASCVD event: males 50 years or older or females 55 years or older with elevated LDL cholesterol and diagnostic evidence of significant atherosclerotic artery disease or high-risk diabetes-related organ disease
- Stable background lipid-lowering therapy expected to reduce LDL cholesterol by approximately 50% for more than 28 days before screening
You will not qualify if you...
- Known diseases or conditions interfering with study interpretation, including homozygous familial hypercholesterolemia
- Planned revascularization procedure within the next 3 months
- Imaging within last 3 years showing coronary calcium score of zero or no atherosclerosis on coronary computed tomography angiography
- Estimated glomerular filtration rate less than 15 mL/min/1.73 m2 at screening
- Laboratory abnormalities including elevated liver enzymes, bilirubin, fasting triglycerides, creatine kinase, or urine albumin/creatinine ratio above specified limits
- Uncontrolled type 2 diabetes with HbA1c 9.5% or higher at screening
- Inadequately treated hypothyroidism or recent changes in thyroid therapy
- Use of certain cholesterol-lowering medications (mipomersen, lomitapide, gemfibrozil) within specified times before screening or planned use during the study
- Use of PCSK9 inhibitors within specified times before screening or planned use during the study
- Any other conditions deemed by the investigator to interfere with study results
Research Team
A
AstraZeneca Clinical Study Information Center
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