Effect of Lepodisiran on Coronary Plaque in Adults with Elevated Lipoprotein(a) and Established Atherosclerotic Cardiovascular Disease or High Risk for First Event

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What is this study about?

The study focuses on adults who have high levels of Lipoprotein(a) and who have already experienced heart problems or are at high risk for a first heart event. These individuals typically have Cardiovascular Diseases caused by Atherosclerosis, a condition where fatty deposits, called plaque, build up inside the arteries that supply the heart. The medication being tested is called Lepodisiran, which is given as a liquid that is injected just under the skin. Some participants will receive a harmless substance that looks the same as the medication but does not contain the active drug, called a placebo.

The main goal of the trial is to see whether Lepodisiran can reduce the amount of plaque in the coronary arteries. Participants will receive a series of injections over several months and will have routine check‑ups that may include imaging scans to look at the arteries. Throughout the study, researchers will compare the changes in plaque size between those who receive Lepodisiran and those who receive the placebo, to determine if the drug can help lower the risk of future heart events.

1 randomization and assignment

after you join the study, study staff will assign you to either lepodisiran or a matching placebo in a randomized, double-blind manner, meaning you will not know which product you receive.

2 baseline measurements

before receiving any medication, you will have imaging of your heart arteries to measure coronary plaque and blood tests. this creates the starting point for later comparison.

3 medication administration

you will receive a subcutaneous injection of the assigned product (lepodisiran or placebo) according to the schedule defined by the study. the exact dose is determined by the protocol, and injections will be given at the study site or at home if instructed.

4 regular follow‑up visits

you will return to the study site at scheduled intervals for safety checks, blood tests, and to receive additional injections as required. the frequency of visits follows the study protocol.

5 repeat imaging

after a period of treatment, you will undergo another imaging test to assess the change in noncalcified plaque volume. the difference from the baseline measurement will be used to evaluate the effect of the medication.

6 final assessment and study end

at the end of the study, a final set of measurements will be taken, and you will be informed about the overall results. participation ends after the final assessment.

Who Can Join the Study?

  • Have a blood level of Lp(a) (a type of cholesterol particle) that is 175 nmol/L or higher.
  • Have already been diagnosed with cardiovascular disease (heart or blood‑vessel problems) or be considered at risk for a first heart event.
  • Show evidence of coronary artery disease (narrowing of the heart’s arteries) on a screening scan called CCTA (a special type of CT scan of the heart).
  • If you are taking medicines that lower cholesterol—such as statins, prescription‑strength niacin, or PCSK9 inhibitors—the dose must have been stable and unchanged for at least 8 weeks.
  • Be an adult (generally 18 years of age or older).
  • Both males and females are eligible to participate.

Who Cannot Join the Study?

  • Had a major cardiovascular (CV) event such as a heart attack or stroke within the last 60 days, or has uncontrolled high blood pressure (blood pressure that is not well managed) at the screening visit.
  • Has moderate to severe renal dysfunction (meaning the kidneys are not working well).
  • Has severe heart failure (the heart cannot pump blood effectively).
  • Has previously undergone coronary artery bypass graft surgery (CABG) – a surgery that creates new pathways for blood around blocked heart arteries.
  • Is planning to have any of the following heart procedures soon: coronary angiography (a test that looks at heart arteries), percutaneous coronary intervention (PCI) (a procedure to open blocked arteries), another bypass surgery, or a heart valve operation.
  • Has already received a treatment that removes lipoproteins (fat‑carrying proteins) from the blood or has taken medication that specifically targets Lipoprotein(a) (Lp(a)).
  • Cannot safely undergo a coronary CT angiography (CCTA) because of medication intolerance, an allergy to the contrast dye used in the scan, or because of body shape or technical factors that make the test unsafe.

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Site Name City Country Status
Top Moravia Health s.r.o. Brno Czechia
Hospital Clinico San Carlos Madrid Spain

Other Sites

Site Name City Country Status
Obudai Egeszseguegyi Centrum Kft. Dunaújváros Hungary
Virgen del Rocío University Hospital Sevilla Spain
Semmelweis University Budapest Hungary
Hospital General Universitario De Valencia Valencia Spain
Szabolcs-Szatmar-Bereg Varmegyei Oktatokorhaz Nyiregyhaza Hungary
Hospital Del Mar Barcelona Spain
Hospital Quironsalud Barcelona Barcelona Spain
Stichting Viecuri Medisch Centrum voor Noord-Limburg Venlo The Netherlands
Medisch Spectrum Twente Enschede The Netherlands
Complejo Hospitalario Universitario Insular Materno Infantil Las Palmas De Gran Canaria Spain
Ziekenhuis St Jansdal Harderwijk The Netherlands
Alrijne Zorggroep Stichting Leiderdorp The Netherlands
FNUSA Brno Czechia
EFERTUS healthcare, s.r.o. Brno Czechia
FNUSA Brno Czechia
Hbhrkxhy Umziucvdatkep do A Cxqoou A Coruna Galicia Spain

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
Czechia Czechia
Not yet recruiting
05.06.2026
Hungary Hungary
Not yet recruiting
05.06.2026
Spain Spain
Not yet recruiting
05.06.2026
The Netherlands The Netherlands
Not yet recruiting
05.06.2026

Trial locations

Investigated Drugs:

Lepodisiran is an experimental medicine being tested to see if it can lower the amount of a protein called Lp(a) in the blood. High levels of Lp(a) are linked to a higher risk of heart disease. In this study, participants receive Lepodisiran as a liquid that is injected just under the skin. The goal is to find out whether the medicine can reduce the buildup of plaque in the coronary arteries of adults who already have heart disease or who are at risk for a first heart‑related event.

Cardiovascular Diseases – A group of conditions that affect the heart and blood vessels, including problems with blood flow and vessel walls. Over time, these conditions can lead to the buildup of material inside arteries, making them narrower and less flexible. As the vessels change, the heart may have to work harder to pump blood through the body. This can cause gradual changes in heart size and function. The condition often progresses silently until noticeable changes in circulation occur.
Atherosclerosis – A disease where fatty deposits build up on the inner walls of arteries, forming plaques. The plaques can grow larger, causing the arteries to become stiff and narrowed. As the narrowing worsens, blood flow to organs and tissues can be reduced. The disease typically advances over many years, with plaques gradually changing in size and composition. This process can affect any major artery in the body.
Lipoprotein(a) – A blood protein that carries cholesterol and is inherited in many people. Higher levels tend to increase over a lifetime, contributing to the formation of arterial plaques. As concentrations rise, the risk of plaque buildup in arteries may grow. The condition usually persists without obvious symptoms, but the elevated protein can influence the progression of arterial disease.

Trial ID:
2025-524858-34-00
Protocol code:
J3L-MC-EZEJ
Trial Phase:
Therapeutic confirmatory (Phase III)

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