Primary Hypercholesterolemia or Mixed Hyperlipidemia
Conditions
Brief summary
This Phase III clinical trial aims to assess the efficacy and safety of QLC7401 monotherapy in adults with non-familial primary hypercholesterolemia or mixed dyslipidemia who are not receiving lipid-lowering therapy. Participants will be randomly assigned to receive subcutaneous injections of either QLC7401 or a placebo according to the study schedule.
Interventions
QLC7401 Injection
Placebo matching QLC7401 in appearance and administration.
Sponsors
Study design
Eligibility
Inclusion criteria
* Aged ≥18 years. * Fasting low density lipoprotein cholesterol (LDL-C) ≥2.6 mmol/L and \<4.9 mmol/L at screening. * Atherosclerotic cardiovascular disease (ASCVD) risk stratification as low or intermediate risk per Chinese guidelines. * Not currently on lipid-lowering therapy. * estimated Glomerular Filtration Rate (eGFR) \>30 mL/min/1.73 m². * Willing to provide informed consent.
Exclusion criteria
* History of AAtherosclerotic cardiovascular disease (ASCVD)(e.g., myocardial infarction, stroke). * Familial hypercholesterolemia. * Uncontrolled hypertension (Systolic Blood Pressure ≥160 mmHg or (Diastolic Blood Pressure ≥100 mmHg). * Poorly controlled type 2 diabetes (Glycated Haemoglobin A1c \>8.0%). * Use of prohibited lipid-lowering drugs within specified washout periods. * Significant liver or kidney disease. * Pregnancy or lactation. * Other conditions deemed unsuitable by investigator.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percent Change in Low Density Lipoprotein Cholesterol (LDL-C) from Baseline | From baseline to Day 330 |
Secondary
| Measure | Time frame |
|---|---|
| Time-adjusted Percent Change in Low Density Lipoprotein Cholesterol (LDL-C) | Day 90 to Day 360 |
| Change in concentration of Proprotein Convertase Subtilisin/Kexin type 9 (PCSK9) from Baseline | From baseline to Day 360 |
| Incidence of Treatment-Emergent Adverse Events (TEAEs) | From baseline to Day 360 |