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Efficacy and safety of inclisiran as monotherapy in patients with primary hypercholesterolemia not receiving lipid-lowering therapy.

A Double-blind, Randomized, Placebo- and Active-Comparator Controlled Study to Evaluate the Efficacy of Inclisiran as Monotherapy in Patients with Primary Hypercholesterolemia Not Receiving Lipid-Lowering Therapy (VictORION-Mono)

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2022-001109-29-HU
Enrollment
300
Registered
2022-10-18
Start date
2022-12-06
Completion date
Unknown
Last updated
2024-08-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Primary Hypercholesterolemia MedDRA version: 20.0 Level: PT Classification code 10077965 Term: Primary hypercholesterolaemia System Organ Class: 10010331 - Congenital, familial and genetic disorders

Interventions

Sponsors

Novartis Pharma AG
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Participants eligible for inclusion in this study must meet all of the following criteria at screening: 1. Signed informed consent must be obtained prior to participation in the study 2. Adults = 18 to = 75 years of age 3. Fasting LDL-C value of = 100 mg/dL (equivalent to 2.59 mmol/L) but =65 years) yes F.1.3.1 Number of subjects for this age range 30

Exclusion criteria

Exclusion criteria: Key Exclusion Criteria: ? Use of any LLT within 90 days of screening including statins, ezetimibe, bempedoic acid, psyllium preparations, fibrates, bile-acid sequestrants, PCSK9 monoclonal antibodies, red yeast rice, niacin > 200 mg/day, omega-3 fatty acids [docosahexaenoic acid (DHA) and/or eicosapentaenoic acid (EPA), with a total dose > 1000 mg/day], or any drug with unknown ingredients taken for the purpose of lipid-lowering, including over-the-counter or herbal therapies ? Use of systemic cyclosporine or tacrolimus, systemic steroids, vitamin A derivatives or retinal derivatives for the treatment of dermatologic conditions (vitamin A in a multivitamin preparation is permitted), or antiviral therapies (protease inhibitors or direct acting antivirals) within 30 days of screening ? Participants on medications that are known to induce changes in lipids and lipoproteins (including but not limited to anticoagulants, loop diuretics, thiazide diuretics, beta blockers, amiodarone, estrogens, selective estrogen receptor modulators, androgens, anabolic steroids, and anticonvulsants) unless they are on a stable dose of such medications for at least 30 days prior to screening and have no planned dose change or treatment discontinuation during the study duration ? History of ASCVD (including acute coronary syndrome, history of myocardial infarction, stable or unstable angina, coronary or other arterial revascularization, stroke, transient ischemic attack, and peripheral artery disease including aortic aneurysm) ? Diabetes mellitus or fasting plasma glucose (FPG) at screening = 7.0 mmol/L (equivalent to 126 mg/dL) or glycated hemoglobin (HbA1c) = 6.5% (equivalent to 7.8 mmol/L or 140 mg/dL) ? Secondary hypercholesterolemia, e.g., hypothyroidism [thyroid stimulating hormone (TSH) above the upper limit of normal (ULN)] or nephrotic syndrome at screening

Design outcomes

Primary

MeasureTime frame
Main Objective: To demonstrate the superiority of inclisiran as monotherapy, compared with placebo, in reducing low-density lipoprotein cholesterol (LDL-C) as measured by percentage change from baseline to Day 150 & To demonstrate the superiority of inclisiran as monotherapy, compared with ezetimibe, in reducing LDL-C as measured by percentage change from baseline to Day 150;Secondary Objective: To assess the efficacy of inclisiran as monotherapy, compared to ezetimibe and placebo, on absolute change in LDL-C, percentage change in Proprotein Convertase Subtilisin/Kexin type 9 (PCSK9), non-high-density lipoprotein cholesterol (non-HDL-C), total cholesterol (TC)/high -density lipoprotein cholesterol (HDL-C) ratio, apolipoprotein B (Apo B), Apo B/apolipoprotein A-1 (Apo A-1) ratio and lipoprotein (a) (Lp(a)) from baseline to Day 150. To assess the safety and tolerability of inclisiran as monotherapy, compared to placebo and ezetimibe.;Primary end point(s): Percentage change in LDL-C from baseline to Day 150; Percentage change in LDL-C from baseline to Day 150;Timepoint(s) of evaluation of this end point: Day 150

Secondary

MeasureTime frame
Secondary end point(s): Absolute change in LDL-C, percentage change in PCSK9, non-HDL-C, TC/HDL-C ratio, Apo B, Apo B/Apo A-1 ratio and Lp (a) from baseline to Day 150. Incidence of TEAEs and SAEs, safety laboratory values at each visit.;Timepoint(s) of evaluation of this end point: Day 150

Countries

Colombia, Germany, Hungary, Mexico, Spain, United States

Contacts

Public ContactPublic Information Desk

Novartis Hungary Kft.

infoph.hungary@novartis.com00 36 1 457-6500

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026