Clinical trial Recruiting at 145 sites Phase 4 Interventional Ages 18 and up

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.

More Percutaneous Coronary Intervention trials

Quick facts

PhasePhase 4
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment6000 (estimated)
SponsorDuke University
Academic / other
Locations149 sites (Alexander City, Alabama and 148 other locations)
StatusRecruiting
StartedJuly 23, 2025
Main results expectedOctober 2029
Study endsDecember 2029
Registry record updatedOctober 29, 2026
Trial IDNCT06909565 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.