Inclisiran to prevent heart and limb events after coronary or peripheral artery procedures
Official title: Evaluation of Inclisiran Versus Placebo for the Prevention of Major Adverse Cardiovascular and Limb Events in Patients Undergoing Percutaneous Coronary Intervention or Peripheral Endovascular Intervention (V-INTERVENTION)
Run by Duke University · NCT06909565 · Data updated 2026-11-12
This trial will try a twice-yearly inclisiran injection in adults who just had coronary or peripheral artery procedures to see if it lowers the chance of major heart or limb events.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 6000 (estimated) |
| Sponsor | Duke University Academic / other |
| Locations | 149 sites (Alexander City, Alabama and 148 other locations) |
| Status | Recruiting |
| Started | July 23, 2025 |
| Main results expected | October 2029 |
| Study ends | December 2029 |
| Registry record updated | October 29, 2026 |
| Trial ID | NCT06909565 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18 or older who have undergone a successful percutaneous coronary intervention or lower extremity peripheral endovascular intervention for symptomatic CAD or PAD and can receive the first dose within 14 days are the intended participants.
✕Probably not a fit
Patients with serious liver or metabolic disease, end-stage kidney disease, active cancer, prior inclisiran treatment, planned future PCI/PVI, or planned use of open-label PCSK9 inhibitors are unlikely to benefit from enrolling.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
V-INTERVENTION (CKJX839D1US04R) is a pragmatic, randomized, double-blind, placebo-controlled, multicenter, event-driven Phase 4 trial enrolling about 6,000 adults after successful elective or urgent PCI or lower extremity PVI. Participants are randomized 1:1 to receive 300 mg inclisiran subcutaneously on Day 1 (or within 14 days of the procedure), at Month 3, and every six months thereafter, or matching placebo, with stratification by coronary versus peripheral procedure. The trial collects major adverse cardiovascular and limb events in a real-world clinical setting to determine clinical benefit beyond LDL-C lowering. The design is intended to reflect typical US practice and to inform practical implementation of inclisiran therapy.
Why it matters
Potential benefit: If successful, inclisiran could reduce the risk of heart attacks, strokes, and limb complications after revascularization in high-risk patients.
How similar studies have gone: Previous ORION program trials demonstrated robust and durable LDL-C lowering with inclisiran and supported regulatory approval as an adjunct to statins, but randomized evidence specifically showing reduction in major cardiovascular or limb events remains limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Signed informed consent must be obtained prior to participation in the study. * Males or females ≥ 18 years of age * Within 14 days of a successful percutaneous coronary intervention (PCI) or peripheral endovascular intervention (PVI) for symptomatic CAD or lower extremity PAD * Patients undergoing planned staged interventions are eligible for randomization only after the last planned intervention Exclusion Criteria: * Planned future PCI or PVI * Current or planned use of an open-label PCSK9 inhibitor during the study * Any prior treatment with inclisiran * Active or planned participation in another clinical study involving investigational drugs or devices during the study * Any serious liver disease, metabolic disease, neoplasm, end-stage kidney disease, or other condition in the opinion of the investigator that would inhibit trial participation or confound trial results * Any other reason why, in the opinion of the investigator, the participant would not be suitable for study participation including safety considerations and the ability to adhere to protocol activities * Patients taking prohibited therapies as listed in Section 6.6.3 * Pregnant or breast-feeding women
Where it's running
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Advanced Cardiovascular LLC
Alexander City, Alabama, United States Recruiting -
Cardiology, PC
Birmingham, Alabama, United States Recruiting -
Heart Center Research, LLC
Huntsville, Alabama, United States Recruiting -
IMS Cardiology
Avondale, Arizona, United States Recruiting -
Cardiology Associates Research Group
Jonesboro, Arkansas, United States Recruiting -
Arkansas Cardiology
Little Rock, Arkansas, United States Recruiting
Show 44 more locations
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Arkansas Heart Hospital
Little Rock, Arkansas, United States Recruiting -
Pacific Oaks Medical Group
Beverly Hills, California, United States Recruiting -
Cardiovascular Institute of San Diego
Chula Vista, California, United States Recruiting -
John Muir Medical Center - Concord Campus
Concord, California, United States Recruiting -
Thrive Clinical Research Group
Glendora, California, United States Recruiting -
Radin Cardiovascular Medical Group, Inc
Newport Beach, California, United States Recruiting -
Amicis Research
Northridge, California, United States Recruiting -
Valley Clinical Trials, LLC - Flourish Research
Northridge, California, United States Recruiting -
Riverside Community Hospital
Riverside, California, United States Recruiting -
Kaiser Permanente - San Diego
San Diego, California, United States Recruiting -
San Diego Cardiac Center
San Diego, California, United States Recruiting -
Sutter Health Heart and Vascular
San Francisco, California, United States Recruiting -
Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center
Torrance, California, United States Recruiting -
The Heart Medical Group
Van Nuys, California, United States Recruiting -
FOMAT - West Coast Research Center
Ventura, California, United States Recruiting -
Interventional Cardiology Medical Group
West Hills, California, United States Recruiting -
University of Colorado Anschutz Medical Campus
Aurora, Colorado, United States Recruiting -
Aurora Denver Cardiology Associates - Englewood
Englewood, Colorado, United States Recruiting -
ClinRe 001-001
Thornton, Colorado, United States Recruiting -
Bridgeport Hospital
Bridgeport, Connecticut, United States Recruiting -
Nuvance Health- Danbury Hospital
Danbury, Connecticut, United States Recruiting -
Cardiology Associates of Fairfield County
Stamford, Connecticut, United States Recruiting -
BayCare Medical Group
Clearwater, Florida, United States Recruiting -
Clearwater Cardiovascular Consultants
Clearwater, Florida, United States Recruiting -
Pioneer Clinical Studies
Coral Gables, Florida, United States Recruiting -
Arrow Clinical Trails
Daytona Beach, Florida, United States Recruiting -
Cardiology Research Associates
Daytona Beach, Florida, United States Recruiting -
UF Health Jacksonville
Jacksonville, Florida, United States Recruiting -
First Coast Cardiovascular Institute, PA
Jacksonville, Florida, United States Recruiting -
Clearwater Cardiovascular and Interventional Consultants- Bardmoor
Largo, Florida, United States Recruiting -
Inpatient Research Clinic, LLC
Miami Lakes, Florida, United States Recruiting -
Cardiovascular Institute of Northwest Florida
Panama City, Florida, United States Recruiting -
Gulf Coast Heart and Vascular
Panama City, Florida, United States Recruiting -
Charlotte Heart & Vascular Center, PA
Port Charlotte, Florida, United States Recruiting -
Tampa Cardiovascular Interventions and Research
Tampa, Florida, United States Recruiting -
Northeast Georgia Heart Center, PC
Gainesville, Georgia, United States Recruiting -
Atlanta Heart Specialists LLC
Tucker, Georgia, United States Recruiting -
University of Illinois Chicago
Chicago, Illinois, United States Recruiting -
Advocate Aurora Lutheran General Hospital
Park Ridge, Illinois, United States Recruiting -
OSF Multi-Specialty Group
Peoria, Illinois, United States Recruiting -
OSF HealthCare Cardiovascular Institute
Rockford, Illinois, United States Recruiting -
Midwest Cardiovascular Research and Education Foundation
Elkhart, Indiana, United States Recruiting -
Heart Center of Lake County
Merrillville, Indiana, United States Recruiting -
Reid Physician Associates
Richmond, Indiana, United States Recruiting
+99 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Principal investigator: Schuyler Jones, MD — Duke Clinical Research Institute
- Study coordinator: Robin Barron-Nelson, RN, MSN
- Email: robin.barron-nelson@duke.edu
- Phone: 321-946-2747
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.