Lowering Lipoprotein(a) to Slow Aortic Valve Stenosis Progression
Official title: A Randomized Double-blind, Placebo-controlled, Multicenter Trial Assessing the Impact of Lipoprotein(a) Lowering With Pelacarsen (TQJ230) on the Progression of Calcific Aortic Valve Stenosis [Lp(a)FRONTIERS CAVS]
Run by Novartis · NCT05646381 · Data updated 2026-11-12
This study is testing if a monthly injection of a new drug can help slow down the worsening of aortic valve narrowing in adults aged 50 to 80 who have high lipoprotein(a) levels.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 50 Years to 80 Years |
| Sex | All |
| Enrollment | 502 (estimated) |
| Sponsor | Novartis Industry-sponsored |
| Locations | 140 sites (Huntsville, Alabama and 139 other locations) |
| Status | Recruiting |
| Started | March 7, 2024 |
| Main results expected | March 12, 2030 |
| Study ends | March 12, 2030 |
| Registry record updated | June 23, 2026 |
| Trial ID | NCT05646381 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are men and women aged 50 to 80 with mild to moderate calcific aortic valve stenosis and elevated lipoprotein(a) levels.
✕Probably not a fit
Patients with severe calcific aortic valve stenosis or uncontrolled hypertension may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial evaluates the effectiveness and safety of pelacarsen (TQJ230), administered subcutaneously once a month, in slowing the progression of calcific aortic valve stenosis compared to a placebo. Participants will be adults aged 50 to 80 with elevated lipoprotein(a) levels and mild to moderate aortic stenosis. The study aims to determine if lowering lipoprotein(a) can positively impact the condition's progression. The trial is interventional and is conducted across multiple centers.
Why it matters
Potential benefit: If successful, this treatment could significantly slow the progression of aortic valve stenosis, improving patient outcomes and quality of life.
How similar studies have gone: While the approach of targeting lipoprotein(a) is relatively novel, similar studies have shown promise in cardiovascular interventions.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Male and female ≥50 to \<80 years of age at Screening Part II * Lp(a) ≥175 nmol/L at the screening visit, measured at the Central laboratory * Mild or moderate calcific aortic valve stenosis * At the randomization visit, participant must be optimally treated for existing CV risk factors Exclusion Criteria: * Severe calcific aortic valve stenosis * Uncontrolled hypertension * History of malignancy of any organ system * History of hemorrhagic stroke or other major bleeding * Platelet count ≤ LLN * Active liver disease or hepatic dysfunction * Significant kidney disease * Pregnant or nursing women Other protocol-defined inclusion/exclusion criteria may apply
Where it's running
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Heart Center Research Llc
Huntsville, Alabama, United States Recruiting -
Cardiovascular Res Found
Beverly Hills, California, United States Recruiting -
National Heart Institute
Beverly Hills, California, United States Recruiting -
Flourish Clinical Resrch Covin
Covina, California, United States Recruiting -
Valley Clinical Trials
Northridge, California, United States Recruiting -
Stanford University Medical Center
Palo Alto, California, United States Recruiting
Show 44 more locations
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University Of California San Diego
San Diego, California, United States Recruiting -
UC San Francisco Medical Center
San Francisco, California, United States Recruiting -
Nova Clinical Research LLC
Bradenton, Florida, United States Recruiting -
Flourish Res Acq LLC North Miami
Miami, Florida, United States Recruiting -
Inpatient Research Clinical LLC
Miami Lakes, Florida, United States Recruiting -
Midwest Heart and Vascular Spec
Overland Park, Kansas, United States Recruiting -
Tufts Medical Center
Boston, Massachusetts, United States Recruiting -
Massachusetts General Hospital
Boston, Massachusetts, United States Recruiting -
Massachusetts General Hospital
Boston, Massachusetts, United States Recruiting -
Brigham and Womens Hosp Harvard Med School
Boston, Massachusetts, United States Recruiting -
Brigham and Womens Hosp Harvard Med School
Boston, Massachusetts, United States Recruiting -
Henry Ford Hospital
Detroit, Michigan, United States Recruiting -
Henry Ford Hospital
Detroit, Michigan, United States Recruiting -
AA Medical Research Center
Flint, Michigan, United States Recruiting -
William Beaumont Hospital
Royal Oak, Michigan, United States Recruiting -
University Of Minnesota
Minneapolis, Minnesota, United States Recruiting -
Overlook Medical Center
Summit, New Jersey, United States Recruiting -
Capital Cardiology Associates
Albany, New York, United States Recruiting -
Icahn School of Med at Mt Sinai
New York, New York, United States Recruiting -
Strong Memorial Hospital
Rochester, New York, United States Recruiting -
Wake Forest University Baptist Medical Center
Winston-Salem, North Carolina, United States Recruiting -
Lindner Ctr At The Christ Hosp
Cincinnati, Ohio, United States Recruiting -
Perelman School of Medicine
Philadelphia, Pennsylvania, United States Recruiting -
Texas Heart Institute
Houston, Texas, United States Recruiting -
Orion Medical
Houston, Texas, United States Recruiting -
Virginia Heart
Falls Church, Virginia, United States Recruiting -
Carient Heart and Vascular
Manassas, Virginia, United States Recruiting -
Novartis Investigative Site
Innsbruck, Tyrol, Austria Recruiting -
Novartis Investigative Site
Vienna, Austria Recruiting -
Novartis Investigative Site
Vienna, Austria Recruiting -
Novartis Investigative Site
Vienna, Austria Recruiting -
Novartis Investigative Site
Genk, Limburg, Belgium Recruiting -
Novartis Investigative Site
Yvoir, Namur, Belgium Recruiting -
Novartis Investigative Site
Aalst, Oost Vlaanderen, Belgium Recruiting -
Novartis Investigative Site
Kortrijk, West-Vlaanderen, Belgium Recruiting -
Novartis Investigative Site
Roeselare, West-Vlaanderen, Belgium Recruiting -
Novartis Investigative Site
Cambridge, Ontario, Canada Recruiting -
Novartis Investigative Site
North York, Ontario, Canada Recruiting -
Novartis Investigative Site
Ottawa, Ontario, Canada Recruiting -
Novartis Investigative Site
Montreal, Quebec, Canada Recruiting -
Novartis Investigative Site
Montreal, Quebec, Canada Recruiting -
Novartis Investigative Site
Montreal, Quebec, Canada Recruiting -
Novartis Investigative Site
Québec, Quebec, Canada Recruiting -
Novartis Investigative Site
Hradec Králové, Czechia Recruiting
+90 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Novartis Pharmaceuticals
- Email: novartis.email@novartis.com
- Phone: 1-888-669-6682
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Exercise and nutrition support before and after TAVI for older adults with aortic stenosis
This trial tests whether a personalized exercise program plus protein and iron supplements before and after a transcatheter valve replacement can help older adults with aortic stenosis recover better than standard care.
-
Association Between Aortic Valve Area Changes and Pulmonary Congestion After TAVI
This study tests whether improvements in aortic valve opening after TAVI relate to reductions in lung congestion measured by ultrasound in adults with severe aortic stenosis.
-
Systematic 14-day ambulatory heart monitoring after TAVI
After TAVI, patients with certain heart conduction abnormalities will try 14 days of wearable ECG monitoring to see if it lowers the chances of sudden death, symptomatic heart rhythm problems, or stroke within a year compared to standard follow-up.
-
Echo-AVCS: Drawing AI-powered clues from heart scans to confirm severe aortic stenosis
This study tests an AI-based echocardiography score to help confirm severe aortic stenosis in adults who are also getting CT calcium scoring.
-
TAVI without on-site heart surgery: can selected centers do it safely?
This trial tests whether transcatheter aortic valve implantation can be done safely in certain hospitals that don’t have on-site cardiac surgery, for patients with severe aortic stenosis who are appropriately selected.
-
Willem AI for early detection of aortic stenosis from a 12‑lead ECG
This project will test whether the Willem AI can detect aortic stenosis from routine 12‑lead ECGs in adults.
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.