Trial Outcomes & Findings for Efficacy and Safety of Inclisiran as Monotherapy in Chinese Adults With Low or Moderate ASCVD Risk and Elevated Low-density Lipoprotein Cholesterol. (NCT NCT05888103)

NCT ID: NCT05888103

Last Updated: 2026-01-13

Results Overview

Low-density lipoprotein cholesterol is a type of lipoprotein in the blood. Lipoproteins are particles made of lipids(fats) and proteins that carry fats through the bloodstream. Because of their structure, fats can't move through the blood on their own. So, lipoproteins carry fats to various cells in the body.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

207 participants

Primary outcome timeframe

Baseline, Day 150

Results posted on

2026-01-13

Participant Flow

Participant milestones

Participant milestones
Measure
Inclisiran - Inclisiran
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 1, 90, and 270, and with matching placebo s.c administered on Day 180
Placebo- Inclisiran
Placebo s.c administered on Days 1 and 90 and Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 180 and 270
Overall Study
STARTED
103
104
Overall Study
Completed extension part study
98
101
Overall Study
COMPLETED
100
101
Overall Study
NOT COMPLETED
3
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Inclisiran - Inclisiran
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 1, 90, and 270, and with matching placebo s.c administered on Day 180
Placebo- Inclisiran
Placebo s.c administered on Days 1 and 90 and Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 180 and 270
Overall Study
Participant decision
3
3

Baseline Characteristics

Efficacy and Safety of Inclisiran as Monotherapy in Chinese Adults With Low or Moderate ASCVD Risk and Elevated Low-density Lipoprotein Cholesterol.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Inclisiran - Inclisiran
n=103 Participants
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 1, 90, and 270, and with matching placebo s.c administered on Day 180
Placebo- Inclisiran
n=104 Participants
Placebo s.c administered on Days 1 and 90 and Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 180 and 270
Total
n=207 Participants
Total of all reporting groups
Age, Continuous
48.0 years
STANDARD_DEVIATION 9.97 • n=9 Participants
47.7 years
STANDARD_DEVIATION 10.63 • n=6 Participants
47.9 years
STANDARD_DEVIATION 10.28 • n=9 Participants
Sex: Female, Male
Female
58 Participants
n=9 Participants
63 Participants
n=6 Participants
121 Participants
n=9 Participants
Sex: Female, Male
Male
45 Participants
n=9 Participants
41 Participants
n=6 Participants
86 Participants
n=9 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=9 Participants
0 Participants
n=6 Participants
0 Participants
n=9 Participants
Race (NIH/OMB)
Asian
103 Participants
n=9 Participants
104 Participants
n=6 Participants
207 Participants
n=9 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=9 Participants
0 Participants
n=6 Participants
0 Participants
n=9 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=9 Participants
0 Participants
n=6 Participants
0 Participants
n=9 Participants
Race (NIH/OMB)
White
0 Participants
n=9 Participants
0 Participants
n=6 Participants
0 Participants
n=9 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=9 Participants
0 Participants
n=6 Participants
0 Participants
n=9 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=9 Participants
0 Participants
n=6 Participants
0 Participants
n=9 Participants

PRIMARY outcome

Timeframe: Baseline, Day 150

Population: Full analysis set - all treated participants

Low-density lipoprotein cholesterol is a type of lipoprotein in the blood. Lipoproteins are particles made of lipids(fats) and proteins that carry fats through the bloodstream. Because of their structure, fats can't move through the blood on their own. So, lipoproteins carry fats to various cells in the body.

Outcome measures

Outcome measures
Measure
Inclisiran - Inclisiran
n=103 Participants
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 1, 90, and 270, and with matching placebo s.c administered on Day 180
Placebo- Inclisiran
n=104 Participants
Placebo s.c administered on Days 1 and 90 and Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 180 and 270
Percentage Change in Low-density Lipoprotein Cholesterol (LDL-C) (mg/dL) From Baseline at Day 150 - Core Analysis: Core Part
-45.87 % change in LDL-C
Interval -49.33 to -42.42
1.62 % change in LDL-C
Interval -1.77 to 5.02

SECONDARY outcome

Timeframe: Baseline, Day 150

Population: Full analysis set - all treated participants

Low-density lipoprotein cholesterol is a type of lipoprotein in the blood. Lipoproteins are particles made of lipids(fats) and proteins that carry fats through the bloodstream. Because of their structure, fats can't move through the blood on their own. So, lipoproteins carry fats to various cells in the body.

Outcome measures

Outcome measures
Measure
Inclisiran - Inclisiran
n=103 Participants
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 1, 90, and 270, and with matching placebo s.c administered on Day 180
Placebo- Inclisiran
n=104 Participants
Placebo s.c administered on Days 1 and 90 and Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 180 and 270
Absolute Change in LDL-C (mg/dL) From Baseline at Day 150 - Core Analysis: Core Part
-69.05 mg/dL
Interval -73.95 to -64.15
0.68 mg/dL
Interval -4.13 to 5.49

SECONDARY outcome

Timeframe: Baseline, Day 150

Population: Full analysis set - all treated participants

Inclisiran is a double-stranded small interfering ribonucleic acid (siRNA) that causes degradation of protein convertase subtilisin/kexin type 9 (PCSK9) messenger RNA (mRNA) leading to the reduction of PCSK9 protein. The percentage change from baseline in PCSK9 at Day 150 was assessed.

Outcome measures

Outcome measures
Measure
Inclisiran - Inclisiran
n=103 Participants
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 1, 90, and 270, and with matching placebo s.c administered on Day 180
Placebo- Inclisiran
n=104 Participants
Placebo s.c administered on Days 1 and 90 and Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 180 and 270
Percentage Change in Proprotein Convertase Subtilisin/Kexin Type 9 (PCSK9) (ng/mL) From Baseline at Day 150 - Core Analysis: Core Part
-71.95 % change in PCSK9
Interval -77.68 to -66.22
5.88 % change in PCSK9
Interval 0.24 to 11.52

SECONDARY outcome

Timeframe: Baseline, Day 150

Population: Full analysis set - all treated participants

Inclisiran is a double-stranded small interfering ribonucleic acid (siRNA) that causes degradation of protein convertase subtilisin/kexin type 9 (PCSK9) messenger RNA (mRNA) leading to the reduction of PCSK9 protein.

Outcome measures

Outcome measures
Measure
Inclisiran - Inclisiran
n=103 Participants
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 1, 90, and 270, and with matching placebo s.c administered on Day 180
Placebo- Inclisiran
n=104 Participants
Placebo s.c administered on Days 1 and 90 and Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 180 and 270
Absolute Change in PCSK9 (ng/mL) From Baseline at Day 150 - Core Analysis: Core Part
-217.14 ng/mL
Interval -230.15 to -204.13
9.47 ng/mL
Interval -3.24 to 22.17

SECONDARY outcome

Timeframe: Baseline, Day 150

Population: Full analysis set - all treated participants

Total cholesterol is a measure of all the cholesterol in the blood. It includes low-density lipoprotein (LDL), high-density lipoprotein (HDL) and a portion of triglycerides.

Outcome measures

Outcome measures
Measure
Inclisiran - Inclisiran
n=103 Participants
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 1, 90, and 270, and with matching placebo s.c administered on Day 180
Placebo- Inclisiran
n=104 Participants
Placebo s.c administered on Days 1 and 90 and Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 180 and 270
Percentage Change in Total Cholesterol (mg/dL) From Baseline at Day 150 - Core Analysis: Core Part
-29.88 % change in total cholesterol
Interval -32.32 to -27.43
1.61 % change in total cholesterol
Interval -0.78 to 4.01

SECONDARY outcome

Timeframe: Baseline, Day 150

Population: Full analysis set - all treated participants

Total cholesterol is a measure of all the cholesterol in the blood. It includes low-density lipoprotein (LDL), high-density lipoprotein (HDL) and a portion of triglycerides.

Outcome measures

Outcome measures
Measure
Inclisiran - Inclisiran
n=103 Participants
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 1, 90, and 270, and with matching placebo s.c administered on Day 180
Placebo- Inclisiran
n=104 Participants
Placebo s.c administered on Days 1 and 90 and Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 180 and 270
Absolute Change in Total Cholesterol (mg/dL) From Baseline at Day 150 - Core Analysis: Core Part
-68.82 mg/dL
Interval -74.37 to -63.28
2.64 mg/dL
Interval -2.8 to 8.09

SECONDARY outcome

Timeframe: Baseline, Day 150

Population: Full analysis set - all treated participants

HDL-C stands for high-density lipoprotein cholesterol, often referred to as the "good" cholesterol. This is because HDL cholesterol helps remove other forms of cholesterol from the bloodstream. It picks up excess cholesterol in the blood and carries it back to the liver, where it is broken down and flushed out of the body.

Outcome measures

Outcome measures
Measure
Inclisiran - Inclisiran
n=103 Participants
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 1, 90, and 270, and with matching placebo s.c administered on Day 180
Placebo- Inclisiran
n=104 Participants
Placebo s.c administered on Days 1 and 90 and Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 180 and 270
Percentage Change in High-density Lipoprotein Cholesterol (HDL-C) (mg/dL) From Baseline at Day 150 - Core Analysis: Core Part
12.24 % change in HDL-C
Interval 7.62 to 16.86
9.30 % change in HDL-C
Interval 4.74 to 13.86

SECONDARY outcome

Timeframe: Baseline, Day 150

Population: Full analysis set - all treated participants

HDL-C stands for high-density lipoprotein cholesterol, often referred to as the "good" cholesterol. This is because HDL cholesterol helps remove other forms of cholesterol from the bloodstream. It picks up excess cholesterol in the blood and carries it back to the liver, where it is broken down and flushed out of the body.

Outcome measures

Outcome measures
Measure
Inclisiran - Inclisiran
n=103 Participants
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 1, 90, and 270, and with matching placebo s.c administered on Day 180
Placebo- Inclisiran
n=104 Participants
Placebo s.c administered on Days 1 and 90 and Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 180 and 270
Absolute Change in HDL-C (mg/dL) From Baseline at Day 150 - Core Analysis: Core Part
4.66 mg/dL
Interval 2.8 to 6.52
3.60 mg/dL
Interval 1.76 to 5.43

SECONDARY outcome

Timeframe: Baseline, Day 150

Population: Full analysis set - all treated participants

Non-HDL cholesterol is a measure of all the "bad" types of cholesterol in the blood, excluding HDL cholesterol. It is calculated by subtracting HDL cholesterol from total cholesterol. Non-HDL cholesterol includes all the types of cholesterol other than HDL cholesterol, and higher levels of non-HDL cholesterol can increase the risk of cardiovascular disease.

Outcome measures

Outcome measures
Measure
Inclisiran - Inclisiran
n=103 Participants
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 1, 90, and 270, and with matching placebo s.c administered on Day 180
Placebo- Inclisiran
n=104 Participants
Placebo s.c administered on Days 1 and 90 and Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 180 and 270
Percentage Change in Non-HDL-C (mg/dL) From Baseline at Day 150 - Core Analysis: Core Part
-40.71 % change in non-HDL-C
Interval -43.57 to -37.85
-0.14 % change in non-HDL-C
Interval -2.93 to 2.66

SECONDARY outcome

Timeframe: Baseline, Day 150

Population: Full analysis set - all treated participants

Non-HDL cholesterol is a measure of all the "bad" types of cholesterol in the blood, excluding HDL cholesterol. It is calculated by subtracting HDL cholesterol from total cholesterol. Non-HDL cholesterol includes all the types of cholesterol other than HDL cholesterol, and higher levels of non-HDL cholesterol can increase the risk of cardiovascular disease.

Outcome measures

Outcome measures
Measure
Inclisiran - Inclisiran
n=103 Participants
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 1, 90, and 270, and with matching placebo s.c administered on Day 180
Placebo- Inclisiran
n=104 Participants
Placebo s.c administered on Days 1 and 90 and Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 180 and 270
Absolute Change in Non-HDL-C (mg/dL) From Baseline at Day 150 - Core Analysis: Core Part
-73.48 mg/dL
Interval -78.63 to -68.33
-1.14 mg/dL
Interval -6.19 to 3.91

SECONDARY outcome

Timeframe: Baseline, Day 150

Population: Full analysis set - all treated participants

Apolipoprotein B (ApoB) is a protein that helps carry fat and cholesterol through the body. It is encoded by the APOB gene. ApoB attaches to negative types of cholesterol that cause plaque buildup in blood vessels, which can lead to damage and heart disease.

Outcome measures

Outcome measures
Measure
Inclisiran - Inclisiran
n=103 Participants
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 1, 90, and 270, and with matching placebo s.c administered on Day 180
Placebo- Inclisiran
n=104 Participants
Placebo s.c administered on Days 1 and 90 and Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 180 and 270
Percentage Change in Apolipoprotein B (ApoB) (mg/dL) From Baseline at Day 150 - Core Analysis: Core Part
-36.63 % change in apolipoprotein B
Interval -39.4 to -33.86
0.21 % change in apolipoprotein B
Interval -2.5 to 2.93

SECONDARY outcome

Timeframe: Baseline, Day 150

Population: Full analysis set - all treated participants

Apolipoprotein B (ApoB) is a protein that helps carry fat and cholesterol through the body. It is encoded by the APOB gene. ApoB attaches to negative types of cholesterol that cause plaque buildup in blood vessels, which can lead to damage and heart disease.

Outcome measures

Outcome measures
Measure
Inclisiran - Inclisiran
n=103 Participants
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 1, 90, and 270, and with matching placebo s.c administered on Day 180
Placebo- Inclisiran
n=104 Participants
Placebo s.c administered on Days 1 and 90 and Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 180 and 270
Absolute Change in ApoB (mg/dL) From Baseline at Day 150 - Core Analysis: Core Part
-42.64 mg/dL
Interval -45.78 to -39.49
-0.76 mg/dL
Interval -3.85 to 2.32

SECONDARY outcome

Timeframe: Baseline, Day 150

Population: Full analysis set - all treated participants

Apolipoprotein A1 (ApoA1) is the primary protein associated with high-density lipoprotein (HDL) particles, and plays a central role in reverse cholesterol transport. HDL cholesterol (HDL-C) and ApoA1 concentrations are inversely related to the risk for coronary artery disease (CAD).

Outcome measures

Outcome measures
Measure
Inclisiran - Inclisiran
n=103 Participants
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 1, 90, and 270, and with matching placebo s.c administered on Day 180
Placebo- Inclisiran
n=104 Participants
Placebo s.c administered on Days 1 and 90 and Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 180 and 270
Percentage Change in Apolipoprotein A-1 (ApoA-1) (mg/dL) From Baseline at Day 150 - Core Analysis: Core Part
5.11 % change in apolipoprotein A-1
Interval 2.34 to 7.88
3.06 % change in apolipoprotein A-1
Interval 0.33 to 5.79

SECONDARY outcome

Timeframe: Baseline, Day 150

Population: Full analysis set - all treated participants

Apolipoprotein A1 (ApoA1) is the primary protein associated with high-density lipoprotein (HDL) particles, and plays a central role in reverse cholesterol transport. HDL cholesterol (HDL-C) and ApoA1 concentrations are inversely related to the risk for coronary artery disease (CAD).

Outcome measures

Outcome measures
Measure
Inclisiran - Inclisiran
n=103 Participants
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 1, 90, and 270, and with matching placebo s.c administered on Day 180
Placebo- Inclisiran
n=104 Participants
Placebo s.c administered on Days 1 and 90 and Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 180 and 270
Absolute Change in ApoA-1 (mg/dL) From Baseline at Day 150 - Core Analysis: Core Part
6.44 mg/dL
Interval 2.72 to 10.16
3.31 mg/dL
Interval -0.35 to 6.98

SECONDARY outcome

Timeframe: Baseline, Day 150

Population: Full analysis set - all treated participants

Often referred to as Lp(a), lipoprotein (a) is a type of lipoprotein that is genetically inherited and in high levels is a common independent risk factor for heart disease.

Outcome measures

Outcome measures
Measure
Inclisiran - Inclisiran
n=103 Participants
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 1, 90, and 270, and with matching placebo s.c administered on Day 180
Placebo- Inclisiran
n=104 Participants
Placebo s.c administered on Days 1 and 90 and Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 180 and 270
Percentage Change in Lipoprotein (a) (Lp(a)) (Nmol/L) From Baseline at Day 150 - Core Analysis: Core Part
-23.84 % change in lipoprotein (a)
Interval -31.2 to -16.48
6.43 % change in lipoprotein (a)
Interval -0.77 to 13.62

SECONDARY outcome

Timeframe: Baseline, Day 150

Population: Full analysis set - all treated participants

Often referred to as Lp(a), lipoprotein (a) is a type of lipoprotein that is genetically inherited and in high levels is a common independent risk factor for heart disease.

Outcome measures

Outcome measures
Measure
Inclisiran - Inclisiran
n=103 Participants
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 1, 90, and 270, and with matching placebo s.c administered on Day 180
Placebo- Inclisiran
n=104 Participants
Placebo s.c administered on Days 1 and 90 and Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 180 and 270
Absolute Change in Log-transformed Lp(a) (Nmol/L) From Baseline at Day 150 - Core Analysis: Core Part
0.68 nmol/L
Interval 0.63 to 0.74
1.01 nmol/L
Interval 0.93 to 1.09

SECONDARY outcome

Timeframe: Baseline, Day 150

Population: Full analysis set - all treated participants

Triglycerides are fats from the food we eat. Most of the fats we eat (like butter) are in triglyceride form. Extra calories, alcohol and sugar in the body turn into triglycerides. The body stores them in fat cells throughout the body.

Outcome measures

Outcome measures
Measure
Inclisiran - Inclisiran
n=103 Participants
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 1, 90, and 270, and with matching placebo s.c administered on Day 180
Placebo- Inclisiran
n=104 Participants
Placebo s.c administered on Days 1 and 90 and Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 180 and 270
Percentage Change in Triglyceride (mg/dL) From Baseline at Day 150 - Core Analysis: Core Part
3.49 % change in Triglyceride
Interval -4.44 to 11.43
0.48 % change in Triglyceride
Interval -7.01 to 7.97

SECONDARY outcome

Timeframe: Baseline, Day 150

Population: Full analysis set - all treated participants

Triglycerides are fats from the food we eat. Most of the fats we eat (like butter) are in triglyceride form. Extra calories, alcohol and sugar in the body turn into triglycerides. The body stores them in fat cells throughout the body.

Outcome measures

Outcome measures
Measure
Inclisiran - Inclisiran
n=103 Participants
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 1, 90, and 270, and with matching placebo s.c administered on Day 180
Placebo- Inclisiran
n=104 Participants
Placebo s.c administered on Days 1 and 90 and Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 180 and 270
Absolute Change in Triglyceride (mg/dL) From Baseline at Day 150 - Core Analysis: Core Part
-15.32 mg/dL
Interval -31.86 to 1.22
-7.36 mg/dL
Interval -23.67 to 8.94

SECONDARY outcome

Timeframe: Baseline, Day 330

Population: Full analysis set - all treated participants in the Inclisiran - Inclisiran group

Low-density lipoprotein cholesterol is a type of lipoprotein in the blood. Lipoproteins are particles made of lipids(fats) and proteins that carry fats through the bloodstream. Because of their structure, fats can't move through the blood on their own. So, lipoproteins carry fats to various cells in the body.

Outcome measures

Outcome measures
Measure
Inclisiran - Inclisiran
n=103 Participants
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 1, 90, and 270, and with matching placebo s.c administered on Day 180
Placebo- Inclisiran
Placebo s.c administered on Days 1 and 90 and Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 180 and 270
Percentage Change in LDL-C (mg/dL) From Baseline at Day 330 - Final Analysis: Core Part + Extension Part
-45.45 % change in LDL-C
Interval -48.57 to -42.34

SECONDARY outcome

Timeframe: Baseline, Day 330

Population: Full analysis set - all treated participants in the Inclisiran - Inclisiran group

Low-density lipoprotein cholesterol is a type of lipoprotein in the blood. Lipoproteins are particles made of lipids(fats) and proteins that carry fats through the bloodstream. Because of their structure, fats can't move through the blood on their own. So, lipoproteins carry fats to various cells in the body.

Outcome measures

Outcome measures
Measure
Inclisiran - Inclisiran
n=103 Participants
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 1, 90, and 270, and with matching placebo s.c administered on Day 180
Placebo- Inclisiran
Placebo s.c administered on Days 1 and 90 and Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 180 and 270
Absolute Change in LDL-C (mg/dL) From Baseline at Day 330 - Final Analysis: Core Part + Extension Part
-67.55 mg/dL
Interval -72.39 to -62.72

SECONDARY outcome

Timeframe: Core part, from treatment start (Day 1) to Day 150

Population: Safety set - all treated participants in the core part

An adverse event (AE) is any untoward medical occurrence (e.g. any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a subject or clinical investigation subject

Outcome measures

Outcome measures
Measure
Inclisiran - Inclisiran
n=103 Participants
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 1, 90, and 270, and with matching placebo s.c administered on Day 180
Placebo- Inclisiran
n=104 Participants
Placebo s.c administered on Days 1 and 90 and Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 180 and 270
Number of Participants With Adverse Events (AEs) During Core Part
Adverse events (AEs)
73 Participants
70 Participants
Number of Participants With Adverse Events (AEs) During Core Part
-Adverse events Treatment-related
14 Participants
4 Participants
Number of Participants With Adverse Events (AEs) During Core Part
Serious adverse events (SAEs)
5 Participants
3 Participants
Number of Participants With Adverse Events (AEs) During Core Part
-SAEs Treatment-related
0 Participants
0 Participants
Number of Participants With Adverse Events (AEs) During Core Part
Fatal SAEs
0 Participants
0 Participants
Number of Participants With Adverse Events (AEs) During Core Part
-Fatal SAEs Treatment-related
0 Participants
0 Participants
Number of Participants With Adverse Events (AEs) During Core Part
AEs leading to treatment discontinuation
0 Participants
0 Participants
Number of Participants With Adverse Events (AEs) During Core Part
-Treatment-related
0 Participants
0 Participants
Number of Participants With Adverse Events (AEs) During Core Part
AEs requiring additional therapy
52 Participants
50 Participants

SECONDARY outcome

Timeframe: Extension part, from Day 181, up to Day 360

Population: Final analysis - all treated participants in the extension part

An adverse event (AE) is any untoward medical occurrence (e.g. any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a subject or clinical investigation subject

Outcome measures

Outcome measures
Measure
Inclisiran - Inclisiran
n=100 Participants
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 1, 90, and 270, and with matching placebo s.c administered on Day 180
Placebo- Inclisiran
n=101 Participants
Placebo s.c administered on Days 1 and 90 and Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 180 and 270
Number of Participants With Adverse Events (AEs) During Extension Part
-Adverse events Treatment-related
9 Participants
15 Participants
Number of Participants With Adverse Events (AEs) During Extension Part
Serious adverse events (SAEs)
1 Participants
2 Participants
Number of Participants With Adverse Events (AEs) During Extension Part
-SAEs Treatment-related
0 Participants
0 Participants
Number of Participants With Adverse Events (AEs) During Extension Part
Fatal SAEs
0 Participants
0 Participants
Number of Participants With Adverse Events (AEs) During Extension Part
-Fatal SAEs Treatment-related
0 Participants
0 Participants
Number of Participants With Adverse Events (AEs) During Extension Part
AEs leading to treatment discontinuation
0 Participants
0 Participants
Number of Participants With Adverse Events (AEs) During Extension Part
-Treatment-related
0 Participants
0 Participants
Number of Participants With Adverse Events (AEs) During Extension Part
AEs requiring additional therapy
36 Participants
28 Participants
Number of Participants With Adverse Events (AEs) During Extension Part
Adverse events (AEs)
52 Participants
47 Participants

SECONDARY outcome

Timeframe: AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days

Population: Final analysis - all treated participants (Core + Extension part)

An adverse event (AE) is any untoward medical occurrence (e.g. any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a subject or clinical investigation subject

Outcome measures

Outcome measures
Measure
Inclisiran - Inclisiran
n=103 Participants
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 1, 90, and 270, and with matching placebo s.c administered on Day 180
Placebo- Inclisiran
n=104 Participants
Placebo s.c administered on Days 1 and 90 and Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran) s.c administered on Days 180 and 270
Number of Participants With Adverse Events (AEs) - Cumulative Data (Core + Extension Part)
Adverse events
85 Participants
81 Participants
Number of Participants With Adverse Events (AEs) - Cumulative Data (Core + Extension Part)
-Adverse events Treatment-related
18 Participants
18 Participants
Number of Participants With Adverse Events (AEs) - Cumulative Data (Core + Extension Part)
SAEs
6 Participants
5 Participants
Number of Participants With Adverse Events (AEs) - Cumulative Data (Core + Extension Part)
-SAEs Treatment-related
0 Participants
0 Participants
Number of Participants With Adverse Events (AEs) - Cumulative Data (Core + Extension Part)
Fatal SAEs
0 Participants
0 Participants
Number of Participants With Adverse Events (AEs) - Cumulative Data (Core + Extension Part)
-Fatal SAEs Treatment-related
0 Participants
0 Participants
Number of Participants With Adverse Events (AEs) - Cumulative Data (Core + Extension Part)
AEs leading to treatment discontinuation
0 Participants
0 Participants
Number of Participants With Adverse Events (AEs) - Cumulative Data (Core + Extension Part)
-Treatment-related
0 Participants
0 Participants
Number of Participants With Adverse Events (AEs) - Cumulative Data (Core + Extension Part)
AEs requiring additional therapy
65 Participants
63 Participants

Adverse Events

Inclisiran - Inclisiran: Core Part

Serious events: 5 serious events
Other events: 40 other events
Deaths: 0 deaths

Placebo - Inclisiran: Core Part

Serious events: 3 serious events
Other events: 27 other events
Deaths: 0 deaths

Inclisiran - Inclisiran: Extension Part

Serious events: 1 serious events
Other events: 25 other events
Deaths: 0 deaths

Placebo - Inclisiran: Extension Part

Serious events: 2 serious events
Other events: 20 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Inclisiran - Inclisiran: Core Part
n=103 participants at risk
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran): core part
Placebo - Inclisiran: Core Part
n=104 participants at risk
Placebo - inclisiran: core part
Inclisiran - Inclisiran: Extension Part
n=100 participants at risk
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran): extension part
Placebo - Inclisiran: Extension Part
n=101 participants at risk
Placebo - inclisiran: extension part
Cardiac disorders
Acute coronary syndrome
0.97%
1/103 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/104 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/100 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/101 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
Ear and labyrinth disorders
Vertigo
0.00%
0/103 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/104 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/100 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.99%
1/101 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
Ear and labyrinth disorders
Vertigo positional
0.97%
1/103 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/104 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/100 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/101 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
Gastrointestinal disorders
Haemorrhoids
0.00%
0/103 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.96%
1/104 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/100 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/101 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
Gastrointestinal disorders
Inguinal hernia
0.00%
0/103 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/104 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
1.0%
1/100 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/101 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
Infections and infestations
Appendicitis
0.00%
0/103 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/104 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/100 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.99%
1/101 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
Infections and infestations
Bronchitis
0.00%
0/103 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.96%
1/104 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/100 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/101 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
Infections and infestations
COVID-19
0.00%
0/103 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.96%
1/104 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/100 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/101 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
0.97%
1/103 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/104 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/100 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/101 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
Musculoskeletal and connective tissue disorders
Rotator cuff syndrome
0.97%
1/103 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/104 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/100 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/101 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Thyroid cancer
0.97%
1/103 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/104 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/100 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/101 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
Nervous system disorders
Cerebrovascular accident
0.97%
1/103 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/104 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/100 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/101 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
Nervous system disorders
Cervical radiculopathy
0.97%
1/103 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/104 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/100 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
0.00%
0/101 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days

Other adverse events

Other adverse events
Measure
Inclisiran - Inclisiran: Core Part
n=103 participants at risk
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran): core part
Placebo - Inclisiran: Core Part
n=104 participants at risk
Placebo - inclisiran: core part
Inclisiran - Inclisiran: Extension Part
n=100 participants at risk
Inclisiran sodium 300 mg (equivalent to 284 mg inclisiran): extension part
Placebo - Inclisiran: Extension Part
n=101 participants at risk
Placebo - inclisiran: extension part
Infections and infestations
Upper respiratory tract infection
24.3%
25/103 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
16.3%
17/104 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
14.0%
14/100 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
8.9%
9/101 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
Investigations
Alanine aminotransferase increased
5.8%
6/103 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
2.9%
3/104 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
5.0%
5/100 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
4.0%
4/101 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
Investigations
Blood creatine phosphokinase increased
6.8%
7/103 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
5.8%
6/104 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
6.0%
6/100 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
6.9%
7/101 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
Investigations
Blood glucose increased
9.7%
10/103 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
6.7%
7/104 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
4.0%
4/100 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days
3.0%
3/101 • AEs are reported from first dose of study treatment until end of study treatment plus 30 days after the last study visit (or 90 days after the last administration of study drug, whichever is longer) up to a maximum timeframe of approximately 360 days

Additional Information

Study Director

Novartis Pharmaceuticals

Phone: + 1 862 778 8300

Results disclosure agreements

  • Principal investigator is a sponsor employee The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER