Atherosclerotic Vascular DiseaseINSPIRENCT06958315
Inclisiran (Leqvio®) in Patients With Atherosclerotic Vascular Disease and/or Heterozygous Familial Hypercholesterolemia Treated in Spain: the INSPIRE Study
An observational study of Atherosclerotic Vascular Disease and Heterozygous Familial Hypercholesterolemia, run by Novartis Pharmaceuticals at 20 sites in Spain.
Trial summary
This study aims to address several key questions regarding the use of inclisiran in real-world clinical practice in Spain. Read more about this study
- Who is it for?
- Ages 18 to 99 years
- Conditions the study is for
- Atherosclerotic Vascular Disease, Heterozygous Familial Hypercholesterolemia
- What is being tested?
- Inclisiran
- How many people
- 219 participants
- Where
- 20 sitesSpain
- Study dates
- 16 Jun 2025to 1 May 2027
- Phase
- Observational
- 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
Study population: Adults (≥18 years) with a confirmed clinical indication for inclisiran.
Who may be able to join
- Aged ≥ 18 years.
- Written signed informed consent form (ICF).
- Patients with a confirmed clinical indication for inclisiran who have received the first dose of inclisiran, following clinical judgement, at least 2 months prior to the inclusion in the study.
- Available assessment of LDL-C levels (mg/dL) within 6 months before inclisiran initiation. The measurement of LDL-C levels must be done after one month of stable LLT and without any modification from the testing up to inclisiran initiation.
- Statin-intolerant patients are eligible if they had documented side effects on ≥2 statins, including one at the lowest dose.
Who cannot join
- 1. Participating in a clinical trial of a treatment that could modify LDL-C levels during the observational period of the study.
Trial locations and contacts
20 sites in 1 country.
20 sites in 1 country
Spain20 sites
Novartis Investigative Site
Andújar, Jaen, 23740
Novartis Investigative Site
Burgos, 09006
Novartis Investigative Site
Cadiz, Andalusia, 11009
Novartis Investigative Site
Córdoba, 14004
Novartis Investigative Site
Fuerteventura, 35600
Novartis Investigative Site
Granada, Andalusia, 18014
Novartis Investigative Site
Huelva, Andalusia, 21005
Novartis Investigative Site
Jaén, Andalusia, 23007
Novartis Investigative Site
Las Palmas GC, 35010
Novartis Investigative Site
León, 24080
Novartis Investigative Site
Logroño, La Rioja, 26006
Novartis Investigative Site
Málaga, 29010
Novartis Investigative Site
Mallorca, Balearic Islands, 07198
Novartis Investigative Site
Marbella, Andalusia, 29600
Novartis Investigative Site
Puerto Real, Cadiz, 11510
Novartis Investigative Site
Salamanca, 37007
Novartis Investigative Site
San Cristóbal de La Laguna, Santa Cruz De Tenerife, 38320
Novartis Investigative Site
Santander, Cantabria, 39008
Novartis Investigative Site
Seville, 41009
Novartis Investigative Site
Seville, 41013
About this study
Official title: An Observational Prospective Study to Assess the Effectiveness of Inclisiran(Leqvio®)in Patients With Atherosclerotic Vascular Disease and/or Heterozygous Familial Hypercholesterolemia Treated in Spanish Clinical Practice:the INSPIRE Study
This study aims to address several key questions regarding the use of inclisiran in real-world clinical practice in Spain.
Read the detailed description
The objective of the study is to determine the proportion of Atherosclerotic cardiovascular disease (ASCVD) and/or Heterozygous Familial Hypercholesterolemia (HeFH) patients reaching low-density lipoprotein-cholesterol (LDL-C) goals according to their cardiovascular risk at 12 months after the initiation of inclisiran treatment.
The study also aims to evaluate changes in LDL-C levels, safety profile, adherence and persistence to inclisiran treatment, use of concomitant lipid-lowering therapy (LLT), and patient satisfaction with inclisiran among other variables collected in clinical practice.
This is a non-interventional, prospective, multicentric, and nationwide study that will be conducted in routine clinical practice in Spain. This study will consist of three visits, coinciding with those conducted as part of the patients' routine follow-up, without interfering with the clinical practice of the participating centers. A blood test to assess LDL-C levels will be conducted at 3, 6, 9 and 12 months after inclisiran initiation, according to clinical practice.
- Being tested
- Inclisiran
- Keywords
- inclisiran, Leqvio®, atherosclerotic vascular disease, heterozygous familial hypercholesterolemia, Spanish clinical practice, Spain, INSPIRE, LDL-C goal attaiment
- Medical subject headings
- Atherosclerosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
InclisiranOther
Also called KJX839 Leqvio
This is an observational study, there is no treatment allocation.
| Study group | Role | What they receive |
|---|---|---|
| Inclisiran | Adults (≥18 years) with a confirmed clinical indication for inclisiran. Receives: Other: Inclisiran |
What is being measured
The primary outcome is the main question the study is designed to answer.
LDL-C levels - 12 months
Proportion of participants reaching guideline-established low densitiy lipoprotein-Cholesterol (LDL-C) targets according to their Cardiovascular (CV) risk
- LDL-C <55 mg/dL for ASCVD participants.
- LDL-C <70 mg/dL for HeHF patients.
Measured: 12 months following the initiation of inclisiran treatment.
Secondary outcomes (13)
LDL-C levels - 6 months
Proportion of participants reaching guideline-established LDL-C targets according to their CV risk
- LDL-C <55 mg/dL for ASCVD participants.
- LDL-C <70 mg/dL for HeHF patients.
Measured: 6 months following the initiation of inclisiran treatment
non-HLDL-C levels
Proportion of participants with hypertriglyceridemia (triglycerides >400 mg/dL) reaching guideline-established non-HDL-C targets according to their CV risk
- Non-HDL-C <85 mg/dL for ASCVD patients.
- Non-HDL-C <100 mg/dL for HeHF patients.
Measured: 6 and 12 months following the initiation of inclisiran treatment
Changes from baseline in LDL-C
Change from baseline to mean LDL-C in PCSK9i naïve patients and patients pre-treated with PCSK9i, separately.
Measured: Baseline, 3, 6, 9 and 12 months following the initiation of inclisiran treatment
Frequency of AEs
Incidence of AEs including, number of cardiovascular events, revascularizations, emergency visits, and hospitalizations qualifying and reported as AEs.
Measured: From inclisiran initiation up to 12 months post-initiation
Adherence rate to the concomitant LLT treatment
Number of participants with a Morisky Medication Adjerence Slace (MMAS) of over 80%To describe the utilization and adherence to concomitant LLT during inclisiran treatment.
Measured: From 1st visit up to 12 months after inclisiran initiation
Proportion of participants adhering to the prescribed inclisiran dosing schedule
To evaluate treatment adherence to inclisiran during the study period.
Measured: From 1st visit up to 12 months after inclisiran initiation
Inclisiran reasons for non-persistence
Number of participants by reasons for non- persistence
Measured: From 1st visit up to 12 months after inclisiran initiation
Lp(a)
Proportion of participants with Lp(a) ≥50 mg/dL (≥125 nmol/L), ≥70 mg/dL (≥175 nmol/L), ≥90 mg/dL (≥225 nmol/L).
Measured: When available, from baseline up to 12 months after inclisiran initiation
Changes in Lp(a)
To describe changes in Lp(a) at any time after inclisiran treatment, only in patients tested by clinical judgment.
Measured: From inclisiran initiation up to 12 months post-initiation
Patient satisfaction with inclisiran, score on TSQM-II
Treatment Satisfaction Questionnaire for Medication II evaluates satisfaction with treatment effectiveness, side effects, convenience, and global satisfaction. The TSQM-II consists of 11 items, each with 7 response options. Scores for each domain are calculated by averaging responses, transformed to a 0-100 scale, where higher scores indicate greater satisfaction
Measured: 3 and at 12 months after treatment initiation.
Specialty of the health care profesional prescribing inclisiran
To describe prescribing specialty.
Measured: From 1st visit up to 12 months after inclisiran initiation
HCP who administers inclisiran
To describe, HCP that administer inclisiran
Measured: From 1st visit up to 12 months after inclisiran initiation
Site of treatment administration for each dose
To describe site of treatment administration (primary, secondary or tertiary hospital, primary care center)
Measured: From 1st visit up to 12 months after inclisiran initiation
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 May 2025
- Study start16 Jun 2025
- Primary completion1 May 2027 (estimated)
- Study completion1 May 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Atherosclerotic Vascular DiseaseStudies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 219 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06958315
- Sponsor's protocol ID
- CKJX839A1ES03
- Acronym
- INSPIRE
- Status last verified
- Aug 2026
- First submitted
- 25 Apr 2025
- Last updated
- 7 Aug 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
Study at a glance
From the registry record, last updated by the sponsor on 7 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Observational Prospective Study to Assess the Effectiveness of Inclisiran(Leqvio®)in Patients With Atherosclerotic Vascular Disease and/or Heterozygous Familial Hypercholesterolemia Treated in Spanish Clinical Practice:the INSPIRE Study
- ClinicalTrials.gov ID
- NCT06958315
- Acronym / sponsor ID
- INSPIRE / CKJX839A1ES03
- Keywords
- inclisiran, Leqvio®, atherosclerotic vascular disease, heterozygous familial hypercholesterolemia, Spanish clinical practice, Spain, INSPIRE, LDL-C goal attaiment
- Study type
- Observational
- Recruitment status
- Active, not recruiting
- Enrolment
- 219 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 16 Jun 2025 (actual)
- Primary completion
- 1 May 2027 (estimated)
- Study completion
- 1 May 2027 (estimated)
- First posted
- 6 May 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aims to address several key questions regarding the use of inclisiran in real-world clinical practice in Spain.
Detailed description
The objective of the study is to determine the proportion of Atherosclerotic cardiovascular disease (ASCVD) and/or Heterozygous Familial Hypercholesterolemia (HeFH) patients reaching low-density lipoprotein-cholesterol (LDL-C) goals according to their cardiovascular risk at 12 months after the initiation of inclisiran treatment.
The study also aims to evaluate changes in LDL-C levels, safety profile, adherence and persistence to inclisiran treatment, use of concomitant lipid-lowering therapy (LLT), and patient satisfaction with inclisiran among other variables collected in clinical practice.
This is a non-interventional, prospective, multicentric, and nationwide study that will be conducted in routine clinical practice in Spain. This study will consist of three visits, coinciding with those conducted as part of the patients' routine follow-up, without interfering with the clinical practice of the participating centers. A blood test to assess LDL-C levels will be conducted at 3, 6, 9 and 12 months after inclisiran initiation, according to clinical practice.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Inclisiran | – | Other: InclisiranAdults (≥18 years) with a confirmed clinical indication for inclisiran. |
Who may qualify
- Ages
- 18 to 99 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Adults (≥18 years) with a confirmed clinical indication for inclisiran.
Key inclusion criteria (5 listed)
- Aged ≥ 18 years.
- Written signed informed consent form (ICF).
- Patients with a confirmed clinical indication for inclisiran who have received the first dose of inclisiran, following clinical judgement, at least 2 months prior to the inclusion in the study.
- Available assessment of LDL-C levels (mg/dL) within 6 months before inclisiran initiation. The measurement of LDL-C levels must be done after one month of stable LLT and without any modification from the testing up to inclisiran initiation.
- Statin-intolerant patients are eligible if they had documented side effects on ≥2 statins, including one at the lowest dose.
Key exclusion criteria (1 listed)
- 1. Participating in a clinical trial of a treatment that could modify LDL-C levels during the observational period of the study.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| InclisiranAlso: KJX839 LeqvioThis is an observational study, there is no treatment allocation. | Other | Inclisiran |
Primary outcome
LDL-C levels - 12 months
Time frame: 12 months following the initiation of inclisiran treatment.
Proportion of participants reaching guideline-established low densitiy lipoprotein-Cholesterol (LDL-C) targets according to their Cardiovascular (CV) risk * LDL-C <55 mg/dL for ASCVD participants. * LDL-C <70 mg/dL for HeHF patients.
13 secondary outcomes
LDL-C levels - 6 months
Time frame: 6 months following the initiation of inclisiran treatment
non-HLDL-C levels
Time frame: 6 and 12 months following the initiation of inclisiran treatment
Changes from baseline in LDL-C
Time frame: Baseline, 3, 6, 9 and 12 months following the initiation of inclisiran treatment
Frequency of AEs
Time frame: From inclisiran initiation up to 12 months post-initiation
Adherence rate to the concomitant LLT treatment
Time frame: From 1st visit up to 12 months after inclisiran initiation
Proportion of participants adhering to the prescribed inclisiran dosing schedule
Time frame: From 1st visit up to 12 months after inclisiran initiation
Inclisiran reasons for non-persistence
Time frame: From 1st visit up to 12 months after inclisiran initiation
Lp(a)
Time frame: When available, from baseline up to 12 months after inclisiran initiation
Changes in Lp(a)
Time frame: From inclisiran initiation up to 12 months post-initiation
Patient satisfaction with inclisiran, score on TSQM-II
Time frame: 3 and at 12 months after treatment initiation.
Specialty of the health care profesional prescribing inclisiran
Time frame: From 1st visit up to 12 months after inclisiran initiation
HCP who administers inclisiran
Time frame: From 1st visit up to 12 months after inclisiran initiation
Site of treatment administration for each dose
Time frame: From 1st visit up to 12 months after inclisiran initiation
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Aug 2026.
- Individual participant dataSharing planned: 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
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
20 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Atherosclerotic Vascular Disease and Heterozygous Familial Hypercholesterolemia, run by Novartis Pharmaceuticals at 20 sites in Spain.
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 1 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 7 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 20 sites in Spain. 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.
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?
LDL-C levels - 12 months (time frame: 12 months following the initiation of inclisiran treatment.). 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 7 Aug 2026.