Novartis study CKJX839D12302
A randomized, double-blind, placebo-controlled multicenter study to evaluate the effect of inclisiran on preventing major adverse cardiovascular events in high-risk primary prevention patients (VICTORION-1 PREVENT)
Overview / Background
This study started enrolling in Autumn 2023 and has now enrolled 14,000 participants in over 45 countries
At Wansford research, we screened 34 patients and 31 patients were enrolled ( randomised to either the study treatment Inclisiran or placebo on a 50:50 % chance split)
Our site target was 20 patients so we were please to recruit 50% above target mainly from our own patients but we also extended the study into a deprived and more diverse population at Boroughbury medical practice in Central Peterborough .
The aim of the study is to find out if the study treatment, called inclisiran, can help prevent cardiovascular events (such as heart attacks , strokes and death) in adults who are at cardiovascular risk but have not had a major cardiovascular event and have high cholesterol despite existing therapies such as statins. This is often referred to as “primary prevention”.
Having raised LDL-cholesterol (also known as “bad” cholesterol) in your blood can lead to LDL-cholesterol build up inside your artery walls, creating a thick and fatty deposit (or plaque) that can reduce blood flow. Blocked arteries can lead to important cardiovascular events, such as heart attack, stroke, or cardiovascular-related death.
Inclisiran has been studied in people with existing cardiovascular disease in multiple clinical trials to assess inclisiran’ s ability to reduce LDL-cholesterol and is now available to prescribe in the UK to patients who have heart disease and existing treatments have not lowered cholesterol to target levels. https://www.heartuk.org.uk/getting-treatment/inclisiran
This study will help understand if a reduction in LDL-cholesterol with inclisiran in primary prevention patients will also help prevent heart attacks and strokes from occurring and so help the NHS to assess if the drug could be used more widely in the future . The most common risk/side effect of study medication administration is injection site reactions (local skin reactions at the injection site), occurring in less than 10% of patient. No serious reactions have been seen so far.
Process
What happens at study visits?
1. Initial screening of medical assessment and blood tests to check CVD risk is greater than 20%.
2.Baseline visit where study treatment is given by Research nurse.
3. Regular followup visits:. A further injection is given at 3 months followed by six monthly injections of either inclisiran or placebo.
The Study team take a fasting blood sample at every visit . Patients are reimbursed for travel costs and a small allowance for breakfast after having a fasting blood test.
Additional Information
Mechanism of action -
The following video describes the novel mechanism of action inclisiran
https://www.youtube.com/watch?v=UWcccXJONI8&ab_channel=NEJMGroup
Participant Requirements
Get Involved
Would you like to participate in this upcoming study?
Click below to send us your details and a member of the team will be in touch.