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).
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 50 Years to 105 Years |
| Sex | All |
| Enrollment | 11000 (estimated) |
| Sponsor | Amgen Industry-sponsored |
| Locations | 252 sites (Alexander City, Alabama and 251 other locations) |
| Status | Recruiting |
| Started | August 22, 2025 |
| Main results expected | October 20, 2031 |
| Study ends | October 20, 2031 |
| Registry record updated | August 21, 2026 |
| Trial ID | NCT07136012 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
- Study coordinator: Amgen Call Center
- Email: medinfo@amgen.com
- Phone: 866-572-6436
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Cardio-Metabolic Clinic care for adults with type 2 diabetes and cardiovascular disease
This trial tests whether a specialized Cardio-Metabolic Clinic can improve heart function and overall health for adults with type 2 diabetes and cardiovascular disease compared with usual care.
-
Petrelintide for weight loss in people with overweight/obesity and heart disease
This study tests whether petrelintide helps people with overweight or obesity and cardiovascular disease lose weight when added to a reduced-calorie diet and more physical activity, compared with a placebo.
-
VERVE-102 for adults with or at high risk for heart disease
This study tests whether VERVE-102 can lower bad cholesterol (LDL-C) compared with a placebo in adults with plaque buildup or high risk for it.
-
Clazakizumab for adults with high hsCRP at risk for a heart event
This study tests whether clazakizumab can lower inflammation and reduce cardiovascular risk in adults with high hsCRP and existing risk factors.
-
Improving Care for underserved older Black patients with cardiovascular and other chronic conditions
This study tests a culturally tailored approach to patient-centered care for older African American patients with cardiovascular disease and other conditions who receive care at a community hospital.
-
4D MRI parameters linked to cardiovascular and cancer disease outcomes
This study tests whether 4D MRI measurements can predict how cardiovascular diseases and cancer will progress in adults undergoing routine cardiac MRI at a single Korean hospital.
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.