PCSK 9 Inhibitor Added to High-Intensity Statin Therapy to Prevent Cardiovascular Events in Patients With ACS After PCI
NCT05457582 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1212
Last updated 2025-06-13
Summary
The primary objective was to evaluate the effect of PCSK 9 Inhibitor (initiated within 4 h from PCI for the culprit lesion) with high-intensity statin treatment, compared to placebo with high-intensity statin treatment, on cardiovascular events (including cardiovascular death, myocardial infarction, stroke, re-hospitalization due to acute coronary syndromes or heart failure, or any ischemia-driven coronary revascularization) in patients with acute coronary syndrome and multiple lesions. Alirocumab was used before June 10, 2025; Tafolecimab has been used from June 10, 2025 onward.
Conditions
- Acute Coronary Syndrome
- Hyperlipidemias
- Percutaneous Coronary Intervention
- Cardiovascular Events
Interventions
- DRUG
-
Placebo plus high-intensity statin
Administered subcutaneously using a spring-based prefilled 1.0 mL autoinjector/pen, Q2W, and oral administration of rosuvastatin (20 mg, once daily).
- DRUG
-
PCSK 9 Inhibitor plus high-intensity statin
Administered subcutaneously using a spring-based prefilled 1.0 mL autoinjector/pen, Q2W, and oral administration of rosuvastatin (20 mg, once daily).
Sponsors & Collaborators
-
National Natural Science Foundation of China
collaborator OTHER_GOV -
Nanjing Medical University
collaborator OTHER -
Nanjing First Hospital, Nanjing Medical University
lead OTHER
Principal Investigators
-
Shao-Liang Chen, MD, PhD · Nanjing First Hospital, Nanjing Medical University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-03-30
- Primary Completion
- 2026-09-30
- Completion
- 2030-09-30
Countries
- China
Study Locations
More Related Trials
-
Acute Myocardial Infarction and Unstable Angina Patients With PCSK9 Inhibitor Usage Study
NCT04730648 ·Status: UNKNOWN ·Phase: NA
-
PCSK9 Inhibitors in the Progression of Aortic Stenosis
NCT03051360 ·Status: UNKNOWN ·Phase: PHASE2
-
Intensive Lipid Lowering Treatment in Non-ST-elevation Acute Coronary Syndrome (NSTE-ACS) Patients
NCT01040936 ·Status: UNKNOWN ·Phase: PHASE4
-
Effects of Intensive Statin Treatment on Left Ventricular Function
NCT01936103 ·Status: UNKNOWN ·Phase: PHASE4
-
Intensive Statin Treatment for STEMI Patients Undergoing Primary PCI
NCT01033058 ·Status: UNKNOWN ·Phase: PHASE4
-
Effect of PCSK9 Inhibitors on Calcific Aortic Valve Stenosis
NCT04968509 ·Status: RECRUITING ·Phase: PHASE3
-
The Clinical Effect of Intensive Statin Therapy in STEMI Patients Before Emergency PCI
NCT01334671 ·Status: UNKNOWN ·Phase: PHASE3
-
Effect of PCSK9 Inhibitors on Coronary Atherosclerotic Plaques Derived From Optical Coherence Tomography
NCT06520904 ·Status: RECRUITING ·Phase: PHASE4
-
Protective Effect of Early High Dose stATins On Cardiovascular and Renal Events in Acute Coronary Syndrome
NCT04087200 ·Status: RECRUITING
-
A Multicenter, Prospective, Randomized Controlled Trial to Evaluate the Efficacy of PCSK-9 Inhibitors in Delaying the Progression of Calcified Aortic Valve Disease
NCT06996223 ·Status: NOT_YET_RECRUITING ·Phase: EARLY_PHASE1
-
Retrospective Analysis of the Effect of In-hospital Initiation of PCSK9i on Clinical Outcomes in Chinese ACS Patients
NCT06567418 ·Status: RECRUITING
-
Further Cardiovascular Outcomes Research With PCSK9 Inhibition in Subjects With High Risk Coronary Artery Disease (FORWARD)
NCT04087915 ·Status: UNKNOWN
-
The Effect on EPCs by Statin Loading in "All Comers" With an ACS
NCT02957162 ·Status: COMPLETED ·Phase: PHASE4
-
A Study of PCSK9 Inhibitor AK102 in Patients With Hypercholesterolemia
NCT04358432 ·Status: COMPLETED ·Phase: PHASE2
-
Impact of PCSK9 Inhibitors on Coronary Plaque Composition and Vulnerability Assessed by Optical Coherence Tomography
NCT04851769 ·Status: COMPLETED ·Phase: PHASE4
-
Multicenter Real-World Cohort Study Evaluating the Impact of Early Intensive Lipid-Lowering Therapy on the Prognosis of Acute Coronary Syndrome Patients(ELITE-ACS)
NCT06738758 ·Status: RECRUITING
-
Effectiveness of Statins on Lipid Goal Attainment and Lipid Parameters in PCI Patients
NCT02561845 ·Status: WITHDRAWN
-
Single Dose PCSK9 Inhibitor to Improve Cardiovascular Outcomes After PCI: A Pilot Study
NCT07084259 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Effects of Short-term Intensive Statin Therapy on Lipid Levels
NCT07344610 ·Status: RECRUITING
-
Clinical Trial of PCSK9 Inhibitor and Statin Treatment for Carotid Artery Stenosis
NCT07036991 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Efficacy of High Dose atorvaSTATIN Loading Before Primary Percutaneous Coronary Intervention in ST Elevation Myocardial Infarction (STATIN STEMI)
NCT00808717 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of Evolocumab Added to Moderate-Intensity Statin Therapy on LDL-C Lowering and Cardiovascular Adverse Events in Patients With Acute Coronary Syndrome
NCT04100434 ·Status: UNKNOWN ·Phase: PHASE4
-
Lipid-lowering Therapy for Secondary Prevention in Patients Undergoing Elective Percutaneous Coronary Intervention (PCI)
NCT01190072 ·Status: TERMINATED
-
Effect of PCSK9 Inhibitor on Retinal Microvessels in Patients With Coronary Heart Disease After Intensive Lipid-lowering Therapy
NCT05802108 ·Status: UNKNOWN ·Phase: PHASE4
-
Effective Dose of Statin Post PCI
NCT04923152 ·Status: COMPLETED ·Phase: NA