Clinical trial Recruiting at 716 sites Phase 3 Interventional Ages 18 and up

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.

More Atherosclerotic Cardiovascular Disease (ASCVD) trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment10450 (estimated)
SponsorEli Lilly and Company
Industry-sponsored
Locations804 sites (Birmingham, Alabama and 803 other locations)
StatusRecruiting
StartedSeptember 2, 2025
Main results expectedMarch 2031
Study endsMarch 2031
Registry record updatedSeptember 24, 2026
Trial IDNCT07157774 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

  • 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
  • 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
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    Aurora, Colorado, United States
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  • Legacy Clinical Trials
    Colorado Springs, Colorado, United States
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    Stamford, Connecticut, United States
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    Waterbury, Connecticut, United States
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  • Excel Medical Clinical Trials
    Boca Raton, Florida, United States
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    Cutler Bay, Florida, United States
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    Daytona Beach, Florida, United States
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    Daytona Beach, Florida, United States
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    Hollywood, Florida, United States
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  • Jacksonville Center for Clinical Research
    Jacksonville, Florida, United States
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  • 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
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  • Advanced Research for Health Improvement, LLC
    Naples, Florida, United States
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  • Renstar Medical Research
    Ocala, Florida, United States
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  • 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
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  • High Desert Heart & Vascular
    Meridian, Idaho, United States
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  • Elite Clinical Trials
    Rexburg, Idaho, United States
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  • Great Lakes Clinical Trials - Ravenswood
    Chicago, Illinois, United States
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  • Clinical Investigation Specialists
    Gurnee, Illinois, United States
    Recruiting
  • AMR Clinical
    Niles, Illinois, United States
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  • 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

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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.