atherosclerotic cardiovascular disease heart and blood vessel disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -Subject has provided informed consent prior to initiation of any study specific activities/procedures. -Age 18 to 80 years -Fasting Lp(a) > 150 nmol/L during screening by central laboratory (approximately corresponds to > 60 mg/dL: note that molarity determines eligibility) -Atherosclerotic cardiovascular disease based on 1 of the following: • History of coronary revascularization with percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) • Diagnosis of coronary artery disease with or without prior myocardial infarction • Diagnosis of atherosclerotic cerebrovascular disease • Diagnosis of peripheral arterial disease -For subjects receiving lipid-altering therapy (not required to participate in this study), lipid-altering therapy, including statin dose, must remain stable per local guidelines for >= 4 weeks prior to and during screening
Exclusion criteria
Exclusion criteria: Disease Related -Severe renal dysfunction, defined as an estimated glomerular filtration rate (eGFR) 3 x upper limit of normal (ULN), or total bilirubin (TBL) > 2 x ULN during screening -Inherited or other bleeding disorders -Recent major cardiovascular event (myocardial infarction, unstable angina, PCI, CABG, or stroke) within 6 months prior to day 1 -Planned cardiac surgery, PCI or carotid stenting, or planned major non-cardiac surgery during the study period Other Medical Conditions -Malignancy (except non-melanoma skin cancers, cervical in-situ carcinoma, breast ductal carcinoma in situ, or stage 1 prostate carcinoma) within the last 5 years prior to day 1 -Moderate to severe heart failure (New York Heart Association (NYHA) Functional Classification III or IV at day 1) or last known left ventricular ejection fraction = 160 mmHg or an average diastolic blood pressure of >= 100 mmHg at rest -Fasting triglycerides >= 400 mg/dL (4.5 mmol/L) during screening -Type 1 diabetes or poorly controlled (HbA1c >= 8.5%) type 2 diabetes mellitus as determined by central laboratory at screening Refer to page 31 of the protocol for more information.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| • Percent change in Lp(a) from baseline at week 36 | — |
Secondary
| Measure | Time frame |
|---|---|
| • Percentage change from baseline in: - Lp(a) at week 48 - LDL-C at week 36 and week 48 - ApoB at week 36 and week 48 • PK parameters for olpasiran including, but not limited to, maximum observed concentration (Cmax), and the area under the concentration time curve (AUC) | — |
Countries
Netherlands