ClinicalTrials.gg
Active, not recruitingNCT05030428VICTORION-2PUpdated Aug 25, 2026

Study of Inclisiran to Prevent Cardiovascular (CV) Events in Participants With Established Cardiovascular Disease

A Phase 3 interventional study of Inclisiran sodium 300 mg and Placebo in Atherosclerotic Cardiovascular Disease, sponsored by Novartis Pharmaceuticals. Active, not recruiting at 983 sites in 50 countries. Open to participants aged 40 Years to 100 Years. Per ClinicalTrials.gov, last updated 2026-08-25.

Sponsored by Novartis Pharmaceuticals (part of Novartis) · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
17,004
Allocation
Randomized
Ages
40 Years to 100 Years
Sex
All
01

Study summary

Study CKJX839B12302 is a pivotal Phase III trial to evaluate the benefits of inclisiran on major adverse cardiovascular (MACE) events in participants with established cardiovascular disease (CVD).

Read the detailed description

Purpose of this study is to test the hypothesis that treatment with inclisiran sodium 300 mg s.c. administered on Day 1, Month 3 (Day 90), and every 6 months thereafter taken in addition to well-tolerated high-intensity statin therapy in participants with established ASCVD will significantly reduce the risk of 3-Point-Major Adverse Cardiovascular Events (3P-MACE) defined as a composite of CV death, non-fatal myocardial infarction (MI) and non-fatal ischemic stroke. This will be compared to placebo in adjunct to well-tolerated high-intensity statin therapy.

02

Conditions studied

  • Atherosclerotic Cardiovascular Disease

Keywords

  • Atherosclerotic cardiovascular disease
  • Hypercholesterolemia
  • Dyslipidemia
  • high cholesterol
  • Hyperlipidemia
  • Inclisiran
  • siRNA
  • KJX839
03

In context

Atherosclerosis

1,517 studies on the registry are indexed under Atherosclerosis; 224 are open to participants now.

This study's enrollment of 17,004 is above the median of 100 across 879 interventional studies indexed under Atherosclerosis.

Browse Atherosclerosis studies →

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,718 studies on the registry; 221 are open to participants now.

Of its 585 completed or terminated interventional studies of FDA-regulated products, 438 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Fasting LDL-C ≥ 70 mg/dL at randomization visit
  2. Stable (greater than or equal to 4 weeks) and well-tolerated lipid-lowering regimen (including e.g. with or without Ezetimibe) that must include a high-intensity statin therapy with either atorvastatin greater than or equal to 40 mg QD or rosuvastatin greater than or equal to 20 mg QD
  3. Established CV disease defined as ANY of the following three conditions

    1. Spontaneous Myocardial infarction ≥ 4 weeks from screening visit
    2. History of ischemic stroke occurred ≥ 4 weeks prior to the Screening visit
    3. Symptomatic peripheral arterial disease (PAD) evidenced by either intermittent claudication with ankle brachial index (ABI) \< 0.85, prior peripheral arterial revascularization procedure, or, amputation due to atherosclerotic disease.

Exclusion criteria

Exclusion Criteria:

  1. Acute coronary syndrome, stroke, peripheral arterial revascularization procedure or amputation due to atherosclerotic disease \< 4 weeks before screening visit
  2. Treatment with PCSK9 inhibitors (e.g. evolocumab, alirocumab) within 90 days or planned use post first study visit
  3. Planned or expected cardiac, cerebrovascular or peripheral artery surgery or re-vascularization within the 6 months after the first study visit
  4. Heart failure class III or IV
  5. Active liver disease defined as any known current infectious, neoplastic, or metabolic pathology of the liver
  6. Previous exposure to inclisiran or any other non-mAb PCSK9-targeted therapy, either as an or marketed drug within 2 years
  7. Severe concomitant non-CV disease that is expected to reduce to less than 5 years
  8. History of that required surgery radiation therapy and/or systemic therapy during the 3 years prior to the first study visit
  9. Pregnant or nursing (lactating) women

Other protocol-defined inclusion/exclusion criteria may apply.

Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
17,004 participants (actual)

Study arms

  • Experimental
    Inclisiran sodium

    Subcutaneous injection

    Drug: Inclisiran sodium 300 mg

  • Placebo comparator
    Placebo

    Subcutaneous injection

    Drug: Placebo

Interventions

  • Subcutaneously injected on Day 1, Month 3 (Day 90) and every 6 months thereafter until EOS visit

  • DrugPlacebo

    Subcutaneously injected on Day 1, Month 3 (Day 90) and every 6 months thereafter until EOS visit

06

What researchers measure

Primary outcomes

  1. Time to First Occurrence of 3P-MACE (3-Point Major Adverse Cardiovascular Events)

    3P-MACE is a confirmed composite endpoint which includes cardiovascular death, non-fatal myocardial infarction and non-fatal ischemic stroke.

    Time frame: From randomization to total follow-up time (up to 72 months)

Secondary outcomes

  1. Time to Occurrence of Cardiovascular (CV) Death

    CV death is defined as death due to cardiovascular events

    Time frame: From randomization to total follow-up time (up to 72 months)

  2. Time to First Occurrence of 4P-MACE (4-Point Major Adverse Cardiovascular Events)

    A composite 4P- MACE is defined as CV death, non-fatal MI, non-fatal ischemic stroke and urgent coronary revascularization.

    Time frame: From randomization to total follow-up time (up to 72 months)

  3. Time to first occurrence of Major Limb Adverse Events (MALE)

    Major Limb Adverse Events including acute lower limb ischemia, lower limb amputation due to ischemia, or urgent lower limb revascularization for ischemia

    Time frame: From randomization to total follow-up time (up to 72 months)

  4. Time to occurrence of all-cause death

    All-Cause death is defined as: all deaths from randomization until up to 72 months

    Time frame: From randomization to total follow-up time (up to 72 months)

07

Study locations

983 sites

Showing the first 100 of 983 sites across 50 countries. Choose a country and city above to see the rest.

08

References and documents

Publications

  • Steg PG, Goodman SG, Jukema JW, Martens P, Zirlik A, Bhatt DL, Menon V, Szarek M, Lesogor A, Stratz C, O'Donoghue F, Mena-Madrazo J, Shao Q, Liu K, Mehran R; VICTORION-2 Prevent Investigators. Design of VICTORION-2 Prevent: A randomized double-blind, placebo-controlled trial, assessing the impact of inclisiran on major adverse cardiovascular events in patients with established cardiovascular disease. Am Heart J. 2026 Oct;300:107493. doi: 10.1016/j.ahj.2026.107493. Epub 2026 May 26. PubMed 42203164 ↗

Individual participant data

Plan to share: Yes — Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Nov 2021 (actual). Primary completion is estimated for May 2027, 65 months after the start.

Of 36 industry-sponsored phase 3 interventional studies under Atherosclerosis, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 21 and three quarters within 51. This study's planned 65 months is above that.

Counting every sponsor, half of 53 studies reached it within 35 months; a quarter within 21 and three quarters within 63.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 17, 2021
First posted
Sep 1, 2021
StartActual
Nov 23, 2021
Primary completionEst.
May 10, 2027
CompletionEst.
May 10, 2027
Last update
Aug 25, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 25, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05030428
Responsible party
Sponsor
First posted
Sep 1, 2021
Start date
Nov 23, 2021
Primary completion
May 10, 2027 (estimated)
Completion
May 10, 2027 (estimated)
Last update
Aug 25, 2026

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drug tested here: Inclisiran

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