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Olpasiran Trials of Cardiovascular Events and Lipoprotein(a) Reduction - Coronary Computed Tomography Angiography Trial

A Double-blind, Randomized, Placebo-controlled, Multi-center Study Evaluating the Safety, Tolerability, and Effect of Olpasiran on Coronary Artery Plaque Burden Assessed by Coronary Computed Tomography Angiography in Participants With Stable Atherosclerotic Cardiovascular Disease and Elevated Lipoprotein(a)

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCT2051250217
Enrollment
406
Registered
2026-02-05
Start date
2026-03-23
Completion date
Unknown
Last updated
2026-06-29

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

Conditions

Cardiovascular Disease

Interventions

Experimental: Olpasiran Participants will receive olpasiran subcutaneously (SC) once every 12 weeks (Q12W). Interventions: Drug: Olpasiran Placebo Comparator: Placebo Participants will receive pla

Sponsors

Matsumoto Hiroki
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Age 35 to = 200 nmol/L during screening. 3. Angiographic evidence of coronary artery disease in at least one major epicardial vessel on screening CCTA. 4. History of myocardial infarction (presumed type 1 event due to plaque rupture/erosion) and/or coronary revascularization by percutaneous coronary intervention.

Exclusion criteria

Exclusion criteria: 1. History of coronary artery bypass graft (CABG). 2. Moderate to severe renal dysfunction. 3. Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) > 3 x upper limit of normal (ULN), or total bilirubin (TBL) > 2 x ULN during screening. 4. History of hemorrhagic stroke. 5. History of major bleeding disorder. 6. Planned cardiac surgery or arterial revascularization. 7. Severe heart failure. 8. Current, recent, or planned lipoprotein apheresis. 9. Previously received ribonucleic acid therapy specifically targeting Lp(a).

Design outcomes

Primary

MeasureTime frame
1. Change in NCP Volume from Baseline to Week 72 [Time Frame: Baseline to Week 72]

Secondary

MeasureTime frame
1. Change in Low Attenuation Plaque Volume from Baseline to Week 72 [Time Frame: Baseline to Week 72] 2. Change in Total Plaque Volume from Baseline to Week 72 [Time Frame: Baseline to Week 72] 3. Change in Calcified Plaque Volume from Baseline to Week 72 [Time Frame: Baseline to Week72] 4. Number of Participants with Treatment-emergent Adverse Events (TEAEs) [Time Frame: Up to Week 74]

Countries

Australia, Canada, China, Denmark, France, Germany, Italy, Japan, Netherlands, Spain, United States

Contacts

Public ContactContact Local

Amgen K.K.

clinicaltrials_japan@amgen.com+81-80-7217-8592

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026