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ASCVDPhase 3ORION-11NCT03400800

Inclisiran for Subjects With ASCVD or ASCVD-Risk Equivalents and Elevated Low-density Lipoprotein Cholesterol

A Phase 3 study testing Inclisiran Sodium in people with ASCVD and Risk Factor, Cardiovascular, run by The Medicines Company at 70 sites in 7 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This is a Phase III, placebo-controlled, double-blind, randomized study in participants with ASCVD or ASCVD-Risk equivalents and elevated LDL-C despite maximum tolerated dose of LDL-C lowering therapies to evaluate the efficacy, safety, and tolerability of subcutaneous (SC) inclisiran injection(s). Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Inclisiran Sodium
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,617 participants
Where
70 sitesin 7 countries
Study dates
1 Nov 2017to 27 Aug 2019
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participants may be included if they meet all of the following inclusion criteria prior to randomization:
  • Male or female participants ≥18 years of age.
  • History of ASCVD (coronary heart disease [CHD], cardiovascular disease [CVD], or peripheral arterial disease [PAD]).
  • Serum LDL-C ≥1.8 millimole (mmol)/liter (L) (≥70 mg/dL).
  • Fasting triglyceride <4.52 mmol/L (<400 mg/dL) at screening.
  • Calculated glomerular filtration rate >30 mL/min by estimated glomerular filtration rate (eGFR) using standardized clinical methodology
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  • Participants on statins should be receiving a maximally tolerated dose.
  • Participants not receiving statins must have documented evidence of intolerance to all doses of at least 2 different statins.
  • Subjects on lipid-lower therapies (such as a statin and/or ezetimibe) should be on a stable dose for ≥30 days before screening with no planned medication or dose change during study participation.
  • Subjects were willing and able to give informed consent before initiation of any study-related procedures and willing to comply with all required study procedures

Who cannot join

  • Participants will be excluded from the study if any of the following exclusion criteria apply prior to randomization:
  • New York Heart Association (NYHA) class IV heart failure.
  • Uncontrolled cardiac arrhythmia.
  • Uncontrolled severe hypertension.
  • Active liver disease.
  • Females who are pregnant or nursing, or who are of childbearing potential and unwilling to use at least 2 methods of highly effective contraception (failure rate less than 1% per year) (for example, combined oral contraceptives, barrier methods, approved contraceptive implant, long-term injectable contraception, or intrauterine device) for the entire duration of the study. Exemptions from this criterion:
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  • Women >2 years postmenopausal (defined as 1 year or longer since last menstrual period) and more than 55 years of age.
  • Postmenopausal women (as defined above) and less than 55 years of age with a negative pregnancy test within 24 hours of randomization.
  • Women who are surgically sterilized at least 3 months prior to enrollment.
  • Males who are unwilling to use an acceptable method of birth control during the entire study period (such as condom with spermicide).
  • Treatment with other investigational products or devices within 30 days or 5 half-lives of the screening visit, whichever is longer.
  • Treatment (within 90 days of screening) with monoclonal antibodies directed towards PCSK9.
  • The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

Trial locations and contacts

70 sites in 7 countries.

70 sites in 7 countries

United Kingdom23 sites
  • Research Site - 11044-028

    Bollington, SK10 5JH

  • Research Site - 11044-026

    Bury, BL9 ONJ

  • Research Site - 11044-007

    Cardiff, CF15 9SS

  • Research Site - 11044-024

    Cheadle Hulme, SK8 5LL

  • Research Site - 11044-014

    Chorley, Lancashire, PR7 7NA

  • Research Site - 11044-027

    Davyhulme, Manchester, M41 7WJ

  • Research Site - 11044-010

    Derby, S40 4AA

  • Research Site - 11044-006

    Edgbaston, Birmingham, B15 2SQ

  • Research Site - 11044-009

    Exeter, Devon, EX2 5DW

  • Research Site - 11044-001

    Glasgow, G20 0SP

  • Research Site - 11044-008

    Hexham, NE46 1QJ

  • Research Site - 11044-012

    Liskeard, Cornwall, PL14 3XA

  • Research Site - 11044-020

    Macclesfield, SK11 6JL

  • Research Site - 11044-025

    Manchester, M14 6WP

  • Research Site - 11044-005

    Manchester, M15 6SX

  • Research Site - 11044-029

    Manchester, M20 2RN

  • Research Site - 11044-019

    Plymouth, Devon, PL5 3JB

  • Research Site - 11044-003

    Reading, RG2 0TG

  • Research Site - 11044-022

    Sale, Cheshire, M33 2RH

  • Research Site - 11044-023

    Sale, Cheshire, M33 4BR

  • Research Site - 11044-002

    Stockton, TS19 8PE

  • Research Site - 11044-021

    Timperley, Cheshire, WA14 5PF

  • Research Site - 11044-004

    Waterloo, Liverpool, L22 0LG

Other trials in United Kingdom

Poland19 sites
  • Research Site 11048-016

    Brzozów, Podkarpackie Voivodeship, 36-200

  • Research Site 11048-018

    Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-079

  • Research Site 11048-011

    Bydgoszcz, 85-231

  • Research Site 11048-004

    Gdansk, 80-382

  • Research Site 11048-017

    Gdansk, 80-542

  • Research Site 11048-005

    Gdynia, 81-537

  • Research Site 11048-007

    Katowice, 04-040

  • Research Site 11048-012

    Katowice, 40-648

  • Research Site 11048-014

    Krakow, 31-216

  • Research Site 11048-003

    Krakow, 31-501

  • Research Site 11048-008

    Lublin, 20-709

  • Research Site 11048-001

    Poznan, 60-702

  • Research Site 11048-019

    Ruda Śląska, Silesian Voivodeship, 41-709

  • Research Site 11048-013

    Rzeszów, 35-055

  • Research Site 11048-015

    Tarnów, 33-100

  • Research Site 11048-009

    Warsaw, 04-628

  • Research Site 11048-006

    Warszawice, 01-192

  • Research Site 11048-002

    Wroclaw, 50-381

  • Research Site 11048-010

    Wroclaw, 51-314

Other trials in Poland

Ukraine9 sites
  • Research Site - 11380-005

    Cherkasy, 18009

  • Research Site - 11380-008

    Kharkiv, 61444

  • Research Site - 11380-004

    Kiev, 3115

  • Research Site - 11380-009

    Kiev, 3115

  • Research Site - 11380-001

    Kyiv, 2002

  • Research Site - 11380-002

    Kyiv, 3037

  • Research Site - 11380-003

    Kyiv, 3049

  • Research Site - 11380-007

    Lviv, 79060

  • Research Site - 11380-006

    Uzhhorod, 8800

Other trials in Ukraine

South Africa8 sites
  • Research Site 11027-003

    Bloemfontein, Free State, 9301

  • Research Site 11027-001

    Cape Town, Western Cape, 7500

  • Research Site 11027-013

    Cape Town, Western Cape, 7646

  • Research Site 11027-005

    Johannesburg, Gauteng, 1619

  • Research Site 11027-007

    Kuils River, Western Cape, 7130

  • Research Site 11027-006

    Pretoria, 184

  • Research Site 11027-004

    Somerset West, Western Cape, 7130

  • Research Site 11027-011

    Welkom, 9459

Other trials in South Africa

Germany5 sites
  • Research Site 11049-006

    Berlin, 12567

  • Research Site 11049-002

    Bochum, 44787

  • Research Site 11049-003

    Frankfurt, 60313

  • Research Site 11049-007

    Heidelberg, 69120

  • Research Site 11049-001

    Leipzig, 4103

Other trials in Germany

Hungary4 sites
  • Research Site 11036-001

    Budapest, 1036

  • Research Site 11036-004

    Debrecen, 4025

  • Research Site 11036-002

    Hatvan, 3000

  • Research Site 11036-003

    Zalaegerszeg, 8900

Other trials in Hungary

Czechia2 sites
  • Research Site 11420-002

    Chomutov, 43001

  • Research Site 11420-003

    Uherské Hradiště, 68601

Other trials in Czechia

About this study

Official title: A Placebo-Controlled, Double-Blind, Randomized Trial to Evaluate the Effect of 300 mg of Inclisiran Sodium Given as Subcutaneous Injections in Subjects With Atherosclerotic Cardiovascular Disease (ASCVD) or ACSVD Risk-Equivalents and Elevated Low-Density Lipoprotein Cholesterol (LDL-C)

This is a Phase III, placebo-controlled, double-blind, randomized study in participants with ASCVD or ASCVD-Risk equivalents and elevated LDL-C despite maximum tolerated dose of LDL-C lowering therapies to evaluate the efficacy, safety, and tolerability of subcutaneous (SC) inclisiran injection(s). The study will be an international multicenter study (non-United States).

Being tested
Inclisiran Sodium, Placebo
Keywords
Inclisiran sodium, ASCVD, LDL-C
Medical subject headings
Hypercholesterolemia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Inclisiran SodiumDrug

    Inclisiran is a small interfering ribonucleic acid (RNA) that inhibits PCSK9 synthesis.

  • PlaceboDrug

    Also called Saline Solution

    Placebo will be supplied as sterile normal saline (0.9% sodium chloride in water for injection).

Study groups in NCT03400800
Study groupRoleWhat they receive
InclisiranExperimentalInclisiran sodium 300 milligrams (mg) (equivalent to 284 mg inclisiran) in 1.5 milliliters (mL) will be administered as a SC injection on Day 1, Day 90, and then every 6 months.
Receives: Drug: Inclisiran Sodium
Saline SolutionPlacebo comparatorPlacebo (1.5 mL) will be administered as a SC injection of saline solution on Day 1, Day 90, and then every 6 months.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage Change in LDL-C From Baseline to Day 510

    Measured: Baseline, Day 510

  2. Time-adjusted Percent Change in LDL-C Levels From Baseline After Day 90 and up to Day 540

    Measured: Baseline, Day 90 to Day 540

Secondary outcomes (6)
  1. Absolute Change In LDL-C From Baseline To Day 510

    Measured: Baseline, Day 510

  2. Time-adjusted Absolute Change in LDL-C From Baseline After Day 90 and up to Day 540

    Measured: Baseline, Day 90 to Day 540

  3. Percentage Change in Proprotein Convertase Subtilisin/Kexin Type 9 (PCSK9) From Baseline to Day 510

    Measured: Baseline, Day 510

  4. Percentage Change in Total Cholesterol From Baseline to Day 510

    Measured: Baseline, Day 510

  5. Percentage Change in Apolipoprotein B (ApoB) From Baseline to Day 510

    Measured: Baseline, Day 510

  6. Percentage Change in Non-HDL-C From Baseline to Day 510

    Measured: Baseline, Day 510

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Jan 2018
  2. Study start1 Nov 2017
  3. Primary completion31 Jul 2019
  4. Study completion27 Aug 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Care provider
Enrolment
1,617 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03400800
Sponsor's protocol ID
MDCO-PCS-17-08
Acronym
ORION-11
Status last verified
Aug 2020
First submitted
9 Jan 2018
Last updated
21 Aug 2020
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Landmesser U, Ray KK, Raal FJ, Garcia Conde L, Han J, Koenig W, Leiter LA, Schwartz GG, Wright RS; on behalf of the ORION Investigators. Inclisiran in Patients with CKD: Post Hoc Pooled Analysis of Three Phase 3 Trials. J Am Soc Nephrol. 2026 Jul 1;37(7):1497-1506. doi: 10.1681/ASN.0000001006. Epub 2026 Jan 28.

    PubMed 41604274
  • Wright RS, Ray KK, Landmesser U, Koenig W, Raal FJ, Leiter LA, Conde LG, Han J, Schwartz GG. Effects of Inclisiran in Patients With Atherosclerotic Cardiovascular Disease: A Pooled Analysis of the ORION-10 and ORION-11 Randomized Trials. Mayo Clin Proc. 2024 Jul 5:S0025-6196(24)00167-8. doi: 10.1016/j.mayocp.2024.03.025. Online ahead of print.

    PubMed 39093262
  • Leiter LA, Raal FJ, Schwartz GG, Koenig W, Ray KK, Landmesser U, Han J, Conde LG, Wright RS. Inclisiran in individuals with diabetes or obesity: Post hoc pooled analyses of the ORION-9, ORION-10 and ORION-11 Phase 3 randomized trials. Diabetes Obes Metab. 2024 Aug;26(8):3223-3237. doi: 10.1111/dom.15650. Epub 2024 May 17.

    PubMed 38757725
  • Dutta S, Shah R, Singhal S, Singh S, Piparva K, Katoch CDS. A systematic review and meta-analysis of tolerability, cardiac safety and efficacy of inclisiran for the therapy of hyperlipidemic patients. Expert Opin Drug Saf. 2024 Feb;23(2):187-198. doi: 10.1080/14740338.2023.2293201. Epub 2023 Dec 19.

    PubMed 38063346
  • Ray KK, Wright RS. Plain language summary of results from ORION-10 and ORION-11: two studies to learn how well inclisiran works in people with high cholesterol. Future Cardiol. 2023 Mar;19(4):175-184. doi: 10.2217/fca-2022-0133. Epub 2023 Jun 6.

    PubMed 37282500
  • Ray KK, Wright RS, Kallend D, Koenig W, Leiter LA, Raal FJ, Bisch JA, Richardson T, Jaros M, Wijngaard PLJ, Kastelein JJP; ORION-10 and ORION-11 Investigators. Two Phase 3 Trials of Inclisiran in Patients with Elevated LDL Cholesterol. N Engl J Med. 2020 Apr 16;382(16):1507-1519. doi: 10.1056/NEJMoa1912387. Epub 2020 Mar 18.

    PubMed 32187462

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Inclisiran Sodium in people with ASCVD and Risk Factor, Cardiovascular, run by The Medicines Company at 70 sites in 7 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 21 Aug 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 70 sites in United Kingdom, Poland, Ukraine, South Africa, Germany and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 21 Aug 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage Change in LDL-C From Baseline to Day 510 (time frame: Baseline, Day 510). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03400800, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Aug 2020.

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