Muvalaplin to lower major heart and stroke events in adults with high lipoprotein(a)
Official title: A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study to Investigate the Effect of Muvalaplin on the Reduction of Major Adverse Cardiovascular Events in Adults With Elevated Lipoprotein(a) Who Have Had a Prior Atherosclerotic Cardiovascular Event or Are at Risk for a First Atherosclerotic Cardiovascular Event
Run by Eli Lilly and Company · NCT07157774 · Data updated 2026-11-12
This study tests whether muvalaplin can lower the chance of heart attack, stroke, or other major cardiovascular events in adults with high lipoprotein(a) who have or are at risk for cardiovascular disease.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 10450 (estimated) |
| Sponsor | Eli Lilly and Company Industry-sponsored |
| Locations | 804 sites (Birmingham, Alabama and 803 other locations) |
| Status | Recruiting |
| Started | September 2, 2025 |
| Main results expected | March 2031 |
| Study ends | March 2031 |
| Registry record updated | September 24, 2026 |
| Trial ID | NCT07157774 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with Lp(a) ≥175 nmol/L who have had an ASCVD event within the last 10 years or who have high-risk features for a first event (such as documented CAD, carotid stenosis, PAD, a high coronary artery calcium score, or diabetes with reduced kidney function) are ideal candidates.
✕Probably not a fit
People with Lp(a) below 175 nmol/L, those who had a major cardiovascular event or surgery within 90 days, or those planning such procedures are unlikely to benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This phase 3, randomized, placebo-controlled trial will enroll adults with Lp(a) ≥175 nmol/L who either have had an ASCVD event within the past 10 years or are at high risk for a first event. Participants will be randomized to receive muvalaplin or placebo and followed with regular visits to track major cardiovascular events and safety. The primary comparison is the rate of major adverse cardiovascular events between the muvalaplin and placebo groups over the follow-up period. Eli Lilly is sponsoring the multicenter trial with enrollment at several clinical sites in Arizona.
Why it matters
Potential benefit: If successful, muvalaplin could reduce heart attacks, strokes, and other major cardiovascular events in people with elevated Lp(a).
How similar studies have gone: Other Lp(a)-lowering therapies have produced large Lp(a) reductions, but proof that lowering Lp(a) reduces heart attacks and strokes is not yet established, making this phase 3 outcome trial important.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria:
* Have Lp(a) ≥175 nanomoles per liter (nmol/L)
* Meet one of the following criteria:
* Have had a prior atherosclerotic cardiovascular disease (ASCVD) event (such as heart attack, stroke, or procedure to restore blood flow to the heart or other parts of the body) within 10 years prior to screening
* Are at risk for a first ASCVD event, defined as one or more of the following:
* Documented coronary artery disease (CAD), carotid stenosis, or peripheral artery disease (PAD) without a history of ASCVD event
* A high coronary artery calcium (CAC) score
* Reduced kidney function with diabetes
* Combination(s) of high risk factors
Exclusion Criteria:
* Have experienced a major cardiovascular event or surgery, such as heart attack, stroke, or procedure to restore blood flow to the heart or other parts of the body, within 90 days prior to screening or occurring between screening and randomization
* Are planning or expected to undergo a procedure to restore blood flow in the arteries or a major heart surgery during the study
* Have uncontrolled high blood pressure
* Have New York Heart Association (NYHA) class III or IV heart failure
* Have undergone a procedure to remove cholesterol from the blood within 90 days of screening, or have a planned procedure during the study
* Have severe kidney impairment
* Have had cancer within 5 years prior to screening
Where it's running
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Prime Medical Group, LLC dba Gilbert Center for Family Medicine, LLC
Gilbert, Arizona, United States Recruiting -
Onyx Clinical Research
Phoenix, Arizona, United States Recruiting -
Clinical Research Institute of Arizona (CRI) - Sun City West
Sun City West, Arizona, United States Recruiting -
Southwest Kidney Institute - Surprise
Surprise, Arizona, United States Recruiting -
Pima Heart
Tucson, Arizona, United States Recruiting -
Eclipse Clinical Research
Tucson, Arizona, United States Recruiting
Show 44 more locations
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National Heart Institute
Beverly Hills, California, United States Recruiting -
John Muir Medical Center - Concord Campus
Concord, California, United States Recruiting -
Neighborhood Healthcare Institute of Health
Escondido, California, United States Recruiting -
Ark Clinical Research - Fountain Valley
Fountain Valley, California, United States Recruiting -
Care Access - Huntington Beach
Huntington Beach, California, United States Recruiting -
The Cardiovascular Center
Redding, California, United States Recruiting -
UCLA South Bay Endocrinology
Torrance, California, United States Recruiting -
University of Colorado Anschutz Medical Campus
Aurora, Colorado, United States Recruiting -
Legacy Clinical Trials
Colorado Springs, Colorado, United States Recruiting -
Cardiology Associates of Fairfield County, P.C.
Stamford, Connecticut, United States Recruiting -
Chase Medical Research, LLC
Waterbury, Connecticut, United States Recruiting -
Excel Medical Clinical Trials
Boca Raton, Florida, United States Recruiting -
American Research Institute
Cutler Bay, Florida, United States Recruiting -
K2 Medical Research - Daytona Beach
Daytona Beach, Florida, United States Recruiting -
Arrow Clinical Trials
Daytona Beach, Florida, United States Recruiting -
Soffer Health Institute
Hollywood, Florida, United States Recruiting -
Jacksonville Center for Clinical Research
Jacksonville, Florida, United States Recruiting -
K2 MEDICAL Research THE VILLAGES
Lady Lake, Florida, United States Recruiting -
K2 Medical Research - Maitland
Maitland, Florida, United States Recruiting -
K2 Medical Research ORLANDO
Maitland, Florida, United States Recruiting -
Dade Florida Clinical Research Center
Miami, Florida, United States Recruiting -
Onhealth Research Center
Miami, Florida, United States Recruiting -
Advanced Research for Health Improvement, LLC
Naples, Florida, United States Recruiting -
Renstar Medical Research
Ocala, Florida, United States Recruiting -
Care Access - Tamarac
Tamarac, Florida, United States Recruiting -
Care Access - Tampa
Tampa, Florida, United States Recruiting -
Southeastern Clinical Research Institute
Augusta, Georgia, United States Recruiting -
Masters of Clinical Research
Augusta, Georgia, United States Recruiting -
Center for Advanced Research & Education
Gainesville, Georgia, United States Recruiting -
North Georgia Clinical Research
Woodstock, Georgia, United States Recruiting -
Elite Clinical Trials
Blackfoot, Idaho, United States Recruiting -
High Desert Heart & Vascular
Meridian, Idaho, United States Recruiting -
Elite Clinical Trials
Rexburg, Idaho, United States Recruiting -
Great Lakes Clinical Trials - Ravenswood
Chicago, Illinois, United States Recruiting -
Clinical Investigation Specialists
Gurnee, Illinois, United States Recruiting -
AMR Clinical
Niles, Illinois, United States Recruiting -
IU Health Bloomington
Bloomington, Indiana, United States Recruiting -
Indiana University Health Methodist Hospital
Indianapolis, Indiana, United States Recruiting -
Tulane University School of Medicine
New Orleans, Louisiana, United States Recruiting -
MaineHealth Cardiology
Scarborough, Maine, United States Recruiting -
Ascension Saint Agnes Heart Care
Baltimore, Maryland, United States Recruiting -
Metropolitan Cardiovascular Consultants
Beltsville, Maryland, United States Recruiting -
Flourish Research - Bowie
Bowie, Maryland, United States Recruiting -
Johns Hopkins University
Columbia, Maryland, United States Recruiting
+754 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Trial questions or participation questions: 1-877-CTLILLY (1-877-285-4559) or
- Email: LillyTrials@Lilly.com
- Phone: 1-317-615-4559
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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.