Clinical trial Recruiting at 240 sites Phase 3 Interventional Ages 50 to 105

Olpasiran to prevent a first major coronary event in people with high Lp(a)

Official title: A Double-blind, Randomized, Placebo-controlled, Multicenter Study Assessing Olpasiran Use to Prevent First Major Cardiovascular Events in Participants With Elevated Lipoprotein(a)

Run by Amgen · NCT07136012 · Data updated 2026-11-12

This trial tests whether olpasiran can lower the chance of a first heart attack, death from coronary heart disease, or urgent coronary revascularization in people age 50 and older with very high lipoprotein(a).

More Cardiovascular Disease trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages50 Years to 105 Years
SexAll
Enrollment11000 (estimated)
SponsorAmgen
Industry-sponsored
Locations252 sites (Alexander City, Alabama and 251 other locations)
StatusRecruiting
StartedAugust 22, 2025
Main results expectedOctober 20, 2031
Study endsOctober 20, 2031
Registry record updatedAugust 21, 2026
Trial IDNCT07136012 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults age 50 or older with Lp(a) ≥200 nmol/L who have multiple atherosclerotic cardiovascular risk factors or evidence of atherosclerosis but no prior heart attack, stroke, or revascularization and no major bleeding disorder.

Probably not a fit

People with prior atherothrombotic events, prior or planned arterial revascularization, major bleeding disorders, or normal/low Lp(a) are unlikely to benefit from this trial's intervention or are excluded.

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 interventional trial randomizes people with elevated Lp(a) and multiple cardiovascular risk factors or evidence of atherosclerosis to receive olpasiran or placebo and follows them for a first major coronary event (CHD death, myocardial infarction, or urgent coronary revascularization). Eligible participants are age 50 or older with Lp(a) ≥200 nmol/L and no prior acute atherothrombotic events or planned arterial revascularization. The study compares event rates between the olpasiran and placebo groups to determine whether lowering Lp(a) translates into fewer first major coronary events. The trial is conducted at U.S. clinical sites including centers in Alabama.

Why it matters

Potential benefit: If successful, olpasiran could reduce the risk of a first major coronary event in people with markedly elevated Lp(a).

How similar studies have gone: Earlier olpasiran trials have shown large and sustained reductions in Lp(a) levels, but cardiovascular outcome benefit has not yet been proven in completed outcome trials.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age ≥50 years
* Lp(a)≥ 200 nmol/L during screening
* Multiple atherosclerotic cardiovascular disease risk factors, and/or evidence of atherosclerosis

Exclusion Criteria:

* Prior acute atherothrombotic event (myocardial infarction, stroke, transient ischemic attack, acute limb ischemia)
* Prior or planned arterial revascularization
* History of major bleeding disorder

Where it's running

  • Advanced Cardiovascular LLC
    Alexander City, Alabama, United States
    Recruiting
  • University of Alabama Birmingham Saint Vincents Birmingham
    Birmingham, Alabama, United States
    Recruiting
  • Birmingham Clinical Research
    Birmingham, Alabama, United States
    Recruiting
  • Alliance For Multispecialty Research - Daphne
    Daphne, Alabama, United States
    Recruiting
  • Eastern Shore Research Institute
    Fairhope, Alabama, United States
    Recruiting
  • Heart Center Research LLC
    Huntsville, Alabama, United States
    Recruiting
Show 44 more locations
  • CB Flock Research Corporation
    Mobile, Alabama, United States
    Recruiting
  • Phoenix Clinical
    Phoenix, Arizona, United States
    Recruiting
  • Elite Clinical Studies LLC
    Phoenix, Arizona, United States
    Recruiting
  • Hero Clinical Research
    Phoenix, Arizona, United States
    Recruiting
  • HonorHealth Research Institute
    Scottsdale, Arizona, United States
    Recruiting
  • Eclipse Clinical Research
    Tucson, Arizona, United States
    Recruiting
  • Lynn Institute of the Ozarks
    Little Rock, Arkansas, United States
    Recruiting
  • National Heart Institute
    Beverly Hills, California, United States
    Recruiting
  • 310 Clinical Research
    Inglewood, California, United States
    Recruiting
  • University of California San Diego
    La Jolla, California, United States
    Recruiting
  • InvivoCure
    Los Angeles, California, United States
    Recruiting
  • Valley Clinical Trials
    Northridge, California, United States
    Recruiting
  • Clinical Trials Research - Sacramento
    Roseville, California, United States
    Recruiting
  • Alliance Clinical Research
    San Diego, California, United States
    Recruiting
  • Encompass Clinical Research
    Spring Valley, California, United States
    Recruiting
  • Stanford Health Care
    Stanford, California, United States
    Recruiting
  • Manshadi Heart Institute
    Stockton, California, United States
    Recruiting
  • Blue Coast Cardiology
    Vista, California, United States
    Recruiting
  • Diablo Clinical Research
    Walnut Creek, California, United States
    Recruiting
  • Focus Clinical Research
    West Hills, California, United States
    Recruiting
  • Interventional Cardiology Medical Group
    West Hills, California, United States
    Recruiting
  • UCHealth Memorial Central
    Colorado Springs, Colorado, United States
    Recruiting
  • South Denver Cardiology Associates
    Littleton, Colorado, United States
    Recruiting
  • Gandelman Cardiology, PC
    Greenwich, Connecticut, United States
    Recruiting
  • ClinTrial Hamden
    Hamden, Connecticut, United States
    Recruiting
  • Chase Medical Research LLC
    Waterbury, Connecticut, United States
    Recruiting
  • Excel Medical Clinical Trials
    Boca Raton, Florida, United States
    Recruiting
  • Clearwater Cardiovascular Consultants
    Clearwater, Florida, United States
    Recruiting
  • Jacksonville Center for Clinical Research
    Jacksonville, Florida, United States
    Recruiting
  • East Coast Institute for Research, LLC
    Lake City, Florida, United States
    Recruiting
  • Columbus Clinical Services LLC
    Miami, Florida, United States
    Recruiting
  • Kendall South Medical Center
    Miami, Florida, United States
    Recruiting
  • Inpatient Research Clinic, LLC
    Miami Lakes, Florida, United States
    Recruiting
  • Panax Clinical Research
    Miami Lakes, Florida, United States
    Recruiting
  • Indago Research and Health Center
    Miami Lakes, Florida, United States
    Recruiting
  • Eminat, LLC
    Miramar, Florida, United States
    Recruiting
  • Suncoast Clinical Research Inc
    New Port Richey, Florida, United States
    Recruiting
  • Ocala Cardiovascular Research
    Ocala, Florida, United States
    Recruiting
  • Ocala Research Institute, Inc
    Ocala, Florida, United States
    Recruiting
  • Ormond Beach Clinical Research
    Ormond Beach, Florida, United States
    Recruiting
  • Baptist Health Care
    Pensacola, Florida, United States
    Recruiting
  • Denali Health Plant City
    Plant City, Florida, United States
    Recruiting
  • Clinical Site Partners Orlando dba Flourish Research
    Winter Park, Florida, United States
    Recruiting
  • Emory University Hospital
    Atlanta, Georgia, United States
    Recruiting

+202 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.