Clinical trial Recruiting at 130 sites Phase 2 Interventional Ages 50 to 80

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.

More Aortic Stenosis trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages50 Years to 80 Years
SexAll
Enrollment502 (estimated)
SponsorNovartis
Industry-sponsored
Locations140 sites (Huntsville, Alabama and 139 other locations)
StatusRecruiting
StartedMarch 7, 2024
Main results expectedMarch 12, 2030
Study endsMarch 12, 2030
Registry record updatedJune 23, 2026
Trial IDNCT05646381 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

  • 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
  • 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

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.