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Coronary Heart DiseasePhase 4V-INVINCIBLENCT06941792

Inclisiran Effectiveness in China: a Pragmatic Randomized Trial

A Phase 4 study testing inclisiran sodium injection in people with Coronary Heart Disease, run by Novartis Pharmaceuticals at 19 sites in China.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The current study will be conducted to evaluate the real-world effectiveness of inclisiran relative to standard of care (SoC) in Chinese patients with coronary heart disease (CHD), not only with the low-density lipoprotein cholesterol (LDL-C) change in 1 year, but also the LDL-C Test on Target for 1 year. Read more about this study

Who is it for?
Ages 18 to 99 years
Conditions the study is for
Coronary Heart Disease
What is being tested?
inclisiran sodium injection
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,590 participants
Where
19 sitesChina
Study dates
17 Jun 2025to 30 Apr 2027
Phase
Phase 4
Are there results?
Not yet: the study is under way

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 to 99 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Signed informed consent must be obtained prior to participation in the study
  • Documented diagnosis of CHD prior to screening, including acute coronary syndrome (ACS) and chronic coronary syndrome (CCS)
  • Aged ≥18 years at randomization
  • Despite maximally tolerated statin therapy for ≥4weeks stable using prior to screening, LDL-C result at screening not at goal (≥1.8 mmol/L).
  • The maximum tolerated dose of statins also includes patients with statin intolerance or contraindication.

Who cannot join

  • Received inclisiran during the 2 years prior to the screening.
  • Received proprotein convertase subtilisin-kexin type 9 (PCSK9) mabs during the 3 months prior to screening.
  • Participating in an interventional trial at enrollment
  • Having severe liver disorder (Child-Pugh class C)
  • Any other condition that may put the participant at significant risk if the participant participate in the current study, according to investigator's (or delegate's) judgment.
  • Other protocol-defined inclusion/exclusion criteria may apply.

Trial locations and contacts

19 sites in 1 country.

19 sites in 1 country

China19 sites
  • Novartis Investigative Site

    Anqing, Anhui, 246003

  • Novartis Investigative Site

    Baotou, Inner Mongolia, 014010

  • Novartis Investigative Site

    Beijing, Beijing Municipality, 102218

  • Novartis Investigative Site

    Chengdu, Sichuan, 610031

  • Novartis Investigative Site

    Chongqing, Chongqing Municipality, 400010

  • Novartis Investigative Site

    Hangzhou, Zhejiang, 310007

  • Novartis Investigative Site

    Jiamusi, Heilongjiang, 154002

  • Novartis Investigative Site

    Jinhua, Zhejiang, 321000

  • Novartis Investigative Site

    Jining, Shandong, 272000

  • Novartis Investigative Site

    Longyan, Fujian, 364099

  • Novartis Investigative Site

    Ningbo, Zhejiang, 315000

  • Novartis Investigative Site

    Shanghai, Shanghai Municipality, 200065

  • Novartis Investigative Site

    Shenyang, Liaoning, 110016

  • Novartis Investigative Site

    Shenyang, Liaoning, 121100

  • Novartis Investigated Site

    Taiyuan, Shanxi, 030000

  • Novartis Investigative Site

    Ürümqi, Xinjiang Uygur Autonomous Region, 830054

  • Novartis Investigative Site

    Weifang, Shandong, 261000

  • Novartis Investigative Site

    Wenzhou, Zhejiang, 325000

  • Novartis Investigative Site

    Zhengzhou, Henan, 451400

Other trials in China

About this study

Official title: Effectiveness of Inclisiran for Patients With Coronary Heart Disease in China: a Multicenter, Standard of Care-Controlled Pragmatic Randomized Trial

The current study will be conducted to evaluate the real-world effectiveness of inclisiran relative to standard of care (SoC) in Chinese patients with coronary heart disease (CHD), not only with the low-density lipoprotein cholesterol (LDL-C) change in 1 year, but also the LDL-C Test on Target for 1 year. This study further aims to assess the adherence, treatment patterns and satisfaction, and safety of inclisiran among Chinese patients.

Read the detailed description

The study is a multicenter, randomized, parallel, open-label, pragmatic trial, to assess the effectiveness of inclisiran in the real-world compared to SoC, in patients with CHD in China who did not achieve LDL-C goal despite maximally tolerated statin therapy for ≥4weeks stable using. CHD patients include patients with acute coronary syndrome and patients with chronic coronary syndrome.

After granting informed consent, being screened, and confirmed eligible for the study, participants will be randomized to 2 arms (inclisiran or SoC) in a 1:1 ratio.

Following the randomization, participants start inclisiran or SoC adaptation (which means switching to or adding on another/other lipid-lowering therapies (LLT[s]). This start date is defined as Day 0.

During follow-up, each participant will follow routine care, and the results of LDL-C tests will be collected for each Visit (every 3 months), with an allowable window of ±1.5 months. Each patient will be followed up until his/her end of study (EOS), which is the earliest of the end of follow-up period (Visit 4: approximately 12 months following Day 0), lost to follow-up, consent withdrawal, death, and participating in another interventional trial.

Being tested
inclisiran sodium injection, Standard of Care
Keywords
Inclisiran, effectiveness, lipid-lowering, low-density lipoprotein cholesterol Test on Target
Medical subject headings
Coronary Disease

What participants receive

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

  • inclisiran sodium injectionDrug

    After randomization, patients in the inclisiran group will receive inclisiran sodium injection

  • Standard of CareCombination product

    After randomization switching to or adding on another/other lipid-lowering therapies

Study groups in NCT06941792
Study groupRoleWhat they receive
inclisiran groupExperimentalpatients in the inclisiran group will receive inclisiran (may or may not plus cholesterol absorption inhibitor at the discretion of the treating physician).
Receives: Drug: inclisiran sodium injection
Standard of Care groupActive comparatorPatients in the SoC group will switch to/add on another/other LLT(s) at the discretion of the treating physician, as long as it is not inclisiran or an investigational drug.
Receives: Combination Product: Standard of Care

What is being measured

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

  1. The percentage change in low-density lipoprotein cholesterol (LDL-C) level from baseline at 12 months, for the inclisiran group versus the standard of care (SoC) group

    To evaluate the real-world effectiveness of inclisiran, on the change in LDL-C levels at Month 12, compared with SoC, in Chinese patients with coronary heart disease (CHD)

    Measured: 12 months

Secondary outcomes (25)
  1. The proportion of participants with the 1-year LDL-C Test on Target ≥75%, for the inclisiran group versus the SoC group

    To evaluate the real-world effectiveness of inclisiran, on the LDL-C Test on Target at Month 12, compared with SoC, in Chinese patients with CHD

    Measured: 12 months

  2. The percentage change in LDL-C level from baseline at 3 months, 6 months, and 9 months, for the inclisiran group versus the SoC group

    To evaluate the effectiveness of inclisiran on the change in LDL-C levels at Month 3, Month 6, and Month 9, compared with SoC

    Measured: At Month 3, Month 6 and Month 9

  3. The proportion of participants with LDL-C <1.8 mmol/L at 12 months, for the inclisiran group versus the SoC group

    To evaluate the effectiveness of inclisiran on LDL-C at goal at Month 12

    Measured: 12 months

  4. To describe LDL-C Test on Target value during the 12 months after baseline, for the inclisiran group and the SoC group.

    To evaluate the real-world effectiveness of inclisiran, on LDL-C Test on Target at 1 year, compared with the SoC group.

    Measured: 12 months

  5. The percentage change in levels of total cholesterol, triglyceride, HDL-C, Lp(a), ApoA, and ApoB, from baseline at 3 months, 6 months, 9 months, and 12 months, for the inclisiran group versus the SoC group

    To evaluate the effectiveness of inclisiran on the change in other parameters of the lipid profile at Month 3, Month 6, Month 9, and Month 12, compared with SoC

    Measured: At Month 3, Month 6, Month 9, and Month 12

  6. Area under the curve (AUC) of LDL-C level versus time (from 0 months to 12 months), for the inclisiran group versus the SoC group

    To evaluate the accumulated LDL-C in the inclisiran group and the SoC group

    Measured: Baseline, 12 months

  7. The proportion of participants with PDCinclisiran≥80% in the inclisiran group and the proportion of participants with PDCnon-statin≥80% in the SoC group, at 3 months, 6 months, 9 months, and 12 months

    To estimate the adherence to inclisiran and other non-statin lipid-lowering therapies (LLTs), as measured by the proportion of days covered (PDC), using prescription data

    Measured: At Month 3, Month 6, Month 9, and Month 12

  8. The average number of days covered, of inclisiran in the inclisiran group and of non-statin lipid-lowering therapies (LLTs) in the SoC group, at 3 months, 6 months, 9 months, and 12 months

    To estimate the adherence to inclisiran and other non-statin lipid-lowering therapies (LLTs), as measured by the proportion of days covered (PDC), using prescription data

    Measured: At Month 3, Month 6, Month 9, and Month 12

  9. The average PDCinclisiran in the inclisiran group and the average PDCnon-statin in the SoC group, at 3 months, 6 months, 9 months, and 12 months

    To estimate the adherence to inclisiran and other non-statin lipid-lowering therapies (LLTs), as measured by the proportion of days covered (PDC), using prescription data

    Measured: At Month 3, Month 6, Month 9, and Month 12

  10. Age at randomization and age at first diagnosis of CHD

    To describe the demographics and clinical characteristics of the inclisiran group and the SoC group.

    Measured: 12 months

  11. Sex

    To describe the demographics and clinical characteristics of the inclisiran group and the SoC group

    Measured: 12 months

  12. Temperature

    To describe the demographics and clinical characteristics of the inclisiran group and the SoC group

    Measured: 12 months

  13. Respiratory rate

    To describe the vital signs characteristics of inclisiran group and the SoC group. It will be measured manually or with an electrocardiogram monitor.

    Measured: 12 months

  14. Blood pressure

    To describe the demographics and clinical characteristics of the inclisiran group and the SoC group

    Measured: 12 months

  15. Heart rate

    To describe the demographics and clinical characteristics of the inclisiran group and the SoC group

    Measured: 12 months

  16. Previous lipid-lowering therapies (LLTs), through Adherence Assessment Questionnaire (AAQ)

    The AAQ is a generic instrument for assessing non-adherence (NA) in chronic conditions, consists of 11 items in total. Ten of these items are phrased as statements and use a 4-point Likert scale, offering the response options: Strongly agree, Generally agree, Generally disagree, and Strongly disagree. Each item is scored from 1 to 4, with a higher score indicating a greater likelihood of non-adherence.

    Measured: 12 months

  17. Previous lipid-lowering therapies (LLTs), through Adherence Barriers Questionnaire (ABQ)

    The ABQ consists of 16 items, each addressing a specific adherence barrier. All items are formulated as statements. A 4-point Likert scale is used, deliberately omitting a neutral response option to encourage decisive answers. The available response options are: Strongly agree, Generally agree, Generally disagree, and Strongly disagree. Each response is assigned a value from 1 to 4 or 4 to 1, depending on the wording of the item, ensuring that a higher score reflects a stronger influence of a specific barrier on the patient's perception. The total score ranges from 16 (minimum) to 64 (maximum).Based on patient responses, both a general ABQ score and item- or subscale-specific scores can be calculated, indicating the number and strength of adherence barriers experienced by a patient.

    Measured: 12 months

  18. Dose, frequency, and treatment duration of inclisiran in the inclisiran group and of other LLTs in the SoC group

    To describe the treatment patterns of inclisiran and other LLTs

    Measured: 12 months

  19. LDL-C variability in the inclisiran group by average successive variability (ASV), coefficient of variation (CV), and variation independent of mean (VIM)

    To evaluate LDL-C variability in the inclisiran group

    Measured: 12 months

  20. Subsequent LLTs for participants who discontinued/switched the assigned treatment

    To describe the treatment patterns of inclisiran and other LLTs

    Measured: 12 months

  21. Concomitant lipid lowering treatments

    To describe the treatment patterns of inclisiran and other LLTs

    Measured: 12 months

  22. Treatment satisfaction from Treatment Satisfaction Questionnaire for Medication (TSQM)

    This scale includes four dimensions: drug treatment effectiveness, adverse reactions, convenience, and overall satisfaction. Whether the patient has experienced adverse drug reactions is scored using "yes" and "no"; The adverse reaction dimension is evaluated using a Likert-5 scale, with scores ranging from 1 to 5 indicating "extremely dissatisfied" to "not dissatisfied at all"; The effectiveness, convenience, and overall satisfaction are rated on a Likert-7 scale, with scores ranging from 1 to 7 indicating "extremely dissatisfied" and "extremely satisfied", respectively. The standard score for each dimension is 100 points, and the higher the score, the higher the patient's satisfaction with drug treatment.

    Measured: At Month 6 and Month 12

  23. The average PDCinclisiran in the inclisiran group and the average PDCnon-statin in the SoC group, from patient questionnaire data, at 3 months, 6 months, 9 months, and 12 months

    To assess treatment satisfaction and adherence by questionnaires

    Measured: At Month 3, Month 6, Month 9, and Month 12

  24. Incidence of adverse events (AEs), serious adverse events (SAEs)

    To evaluate the safety of Inclisiran

    Measured: 12 months

  25. Number of participants with relevant medical history

    To describe the demographics and clinical characteristics of the inclisiran group and the SoC group

    Measured: 12 months

Timeline

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

  1. First posted24 Apr 2025
  2. Study start17 Jun 2025
  3. Primary completion30 Apr 2027 (estimated)
  4. Study completion30 Apr 2027 (estimated)

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
1,590 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06941792
Sponsor's protocol ID
CKJX839A1CN06
Acronym
V-INVINCIBLE
Status last verified
May 2026
First submitted
6 Mar 2025
Last updated
29 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com.

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing inclisiran sodium injection in people with Coronary Heart Disease, run by Novartis Pharmaceuticals at 19 sites in China.

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 5 inclusion and 6 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: under way, not looking for participants, as of the sponsor's last update on 29 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 19 sites in China. 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. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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?

The percentage change in low-density lipoprotein cholesterol (LDL-C) level from baseline at 12 months, for the inclisiran group versus the standard of care (SoC) group (time frame: 12 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 29 May 2026.

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