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Active, not recruitingNCT05399992VICTORION REALUpdated Sep 24, 2026

Study Evaluating LDL-C Change and Adherence to Inclisiran Lipid-lowering Therapy in ASCVD

An observational study in Primary Hypercholesterolemia and Mixed Dyslipidemia, sponsored by Novartis Pharmaceuticals. Active, not recruiting at 38 sites in 8 countries. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2026-09-24.

Sponsored by Novartis Pharmaceuticals · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
847
Ages
18 Years to 100 Years
Sex
All
01

Study summary

This observational prospective study aims to evaluate the LDL-C change and adherence to inclisiran in combination with other lipid lowering therapies or lipid lowering treatments (LLTs) under conditions of routine clinical practice.

Read the detailed description

Patients will be enrolled over a period of 23 months, and followed for up to 24 months to assess for study outcomes.

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Conditions studied

  • Primary Hypercholesterolemia
  • Mixed Dyslipidemia

Keywords

  • primary hypercholesterolemia
  • mixed dyslipidemia
  • real-world study
  • inclisiran
  • lipid-lowering therapy
  • LLT
  • ASCVD
03

In context

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,673 studies on the registry; 228 are open to participants now.

Of its 576 completed or terminated interventional studies of FDA-regulated products, 431 (75%) have results posted.

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

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Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study population will consist of adult participants with an underlying diagnosis of Atherosclerotic Cardiovascular Disease (ASCVD), ASCVD risk equivalent (ASCVD RE), or Heterozygous familial hypercholesterolemia (HeFH) and elevated levels of Low density lipoprotein - Cholesterol (LDL-C)

Inclusion criteria

  1. Participants who are 18 years or older
  2. Participants with hypercholesterolemia having a diagnosis of ASCVD, ASCVD RE or HeFH
  3. Participants who are not at LDL-C goal as per their CV risk according to respective clinical guidelines
  4. Participants who per physician's criteria need to optimize their LLT
  5. Participants who provide written informed consent to participate in the study
  6. Participants who initiate inclisiran under conditions per local label and have LDL-C values available at baseline or within 3 months before treatment initiation.

Exclusion criteria

Exclusion Criteria:

  1. Participants that have received inclisiran previously
  2. Participants participating in a clinical trial with investigational product 3 Participants switching from previous PCSK9 mab treatment (within 90 days prior to Index date)
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
847 participants (actual)
Patient registry
No

Groups and cohorts

  • Inclisiran cohort

    Participants prescribed inclisiran alone or with other LLTs as per approved label

    Other: Inclisiran

Interventions

  • OtherInclisiran

    Prospective observational study. There is no treatment allocation. Patients who are eligible to receive inclisiran will be enrolled into this study.

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What researchers measure

Primary outcomes

  1. Percentage change in LDL-C from baseline to 10 months

    Percentage change in Low density lipoprotein - Cholesterol (LDL-C)

    Time frame: Baseline, 10 months

Secondary outcomes

  1. Percentage change in LDL-C from baseline

    Percentage change in LDL-C from baseline is collected

    Time frame: Baseline, month 4, month 16, month 22

  2. Percentage change in LDL-C from baseline by ≥50%

    Percentage change in LDL-C from baseline by ≥50%

    Time frame: Month 4, month 10, month 16, month 22

  3. Percentage change in LDL-C from baseline by ≥30%

    Percentage change in LDL-C from baseline by ≥30%

    Time frame: Month 4, month 10, month 16, month 22

  4. Proportion of participants achieving LDL-C<55 mg/dL

    Proportion of participants achieving LDL-C\<55 mg/dL

    Time frame: Proportion of participants achieving LDL-C<55 mg/dL Month 4, month 10, month 16 and month 22

  5. Proportion of participants achieving LDL-C<70 mg/dL

    Proportion of participants achieving LDL-C\<70 mg/dL

    Time frame: Month 4, month 10, month 16 and month 22

  6. Time-averaged percentage change in LDL-C from baseline

    Time-averaged percentage change in LDL-C from baseline

    Time frame: Baseline, month 4, month 10, month 16 and month 22

  7. Proportion of participants achieving ≥50% reduction in LDL- C at month 10 and maintaining this at 16, 22 and 24 months

    Proportion of participants achieving ≥50% reduction in LDL C at month 10 and maintaining this at 16, 22 and 24 months

    Time frame: Month 10, month 16, month 22 and month 24

  8. Proportion of participants achieving ≥30% reduction in LDL C from baseline to 10 months and maintaining until 24 months

    Proportion of participants achieving ≥30% reduction in LDL C from baseline to 10 months and maintaining until 24 months

    Time frame: Baseline, month 10, month 24

  9. Proportion of participants achieving <55 mg/dL and <70 mg/dL in LDL-C at 10 months and maintaining until 24 months

    Proportion of participants achieving \<55 mg/dL and \<70 mg/dL in LDL-C at 10 months and maintaining until 24 months

    Time frame: Month 10 and month 24

  10. Inclisiran cohort : Percentage of days covered by inclisiran

    Inclisiran cohort : Percentage of days covered by inclisiran

    Time frame: 12 months and 24 months

  11. Inclisiran cohort : Mean PDC

    Mean Proportion of Days Covered (PDC) for inclisiran cohort is collected

    Time frame: 12 months and 24 months

  12. Inclisiran cohort : Proportion of participants with a PDC ≥ 80%

    Proportion of participants with a PDC ≥ 80% (sensitivity: 90%/100%)

    Time frame: 12 months and 24 months

  13. Proportion of participants remaining on initial baseline therapy

    Proportion of patients remaining on initial baseline therapy in the inclisiran cohort

    Time frame: Baseline, month 12 and month 24

  14. Time to discontinuation of any newly initiated therapies

    Time to discontinuation of any newly initiated therapies

    Time frame: Month 12 and month 24

  15. Time to discontinuation of any newly initiated therapies by specific LLT

    Time to discontinuation of any newly initiated therapies by specific LLT

    Time frame: Month 12 and month 24

  16. Change from baseline in scores from the TSQM (modified) instrument

    The 14-item Treatment Satisfaction Questionnaire for Medication (TSQM) version 1.4 is an instrument to assess patients' satisfaction with medication, providing scores on four scales - side effects, effectiveness, convenience and global satisfaction. TSQM V1.4 has a score range of 0 to 100 with with higher scores indicating higher patient satisfaction with medication.

    Time frame: Baseline, month 12 and month 24

  17. Descriptive adherence data based on Adherence AAQ

    Adherence Assessment Questionnaires (AAQ) measures the degree of identified non-adherence to LLT therapy. AAQ has a score range from 0 (not adherent at all) to 100 (absolute adherent).

    Time frame: Month 12 and month 24

  18. Descriptive adherence data based on ABQ

    Adherence Barriers Questionnaire (ABQ) is an instrument for identifying specific barriers to medication-related adherence. ABQ is a descriptive analysis. The number and proportion of patients affected by each barrier will be reported for inclisiran participants.

    Time frame: Month 12 and month 24

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Study locations

38 sites
  • Novartis Investigative Site
    Feldkirch, 6807, Austria
  • Novartis Investigative Site
    Graz, 8036, Austria
  • Novartis Investigative Site
    Linz, 4021, Austria
  • Novartis Investigative Site
    Sankt Veit im Pongau, 5621, Austria
  • Novartis Investigative Site
    Vienna, 1090, Austria
  • Novartis Investigative Site
    Vienna, 1180, Austria
  • Novartis Investigative Site
    Shenzhen, Guangdong 518000, China
  • Novartis Investigative Site
    Holon, Gush Dan 5845997, Israel
  • Novartis Investigative Site
    Petah Tikva, 4941492, Israel
  • Novartis Investigative Site
    Tel Aviv, 6801296, Israel
  • Novartis Investigative Site
    Kuala Lumpur, Kuala Lumpur 50470, Malaysia
  • Novartis Investigative Site
    Kuala Lumpur, 50400, Malaysia
  • Novartis Investigative Site
    Riyadh, Saudi 11643, Saudi Arabia
  • Novartis Investigative Site
    Jeddah, 23311, Saudi Arabia
  • Novartis Investigative Site
    Tabuk, 47512, Saudi Arabia
  • Novartis Investigative Site
    Fribourg, CH 1708, Switzerland
  • Novartis Investigative Site
    Basel, 4031, Switzerland
  • Novartis Investigative Site
    Geneva, 1211, Switzerland
  • Novartis Investigative Site
    Lausanne, 1011, Switzerland
  • Novartis Investigative Site
    Olten, 4600, Switzerland
  • Novartis Investigative Site
    Sankt Gallen, 9007, Switzerland
  • Novartis Investigative Site
    Zurich, 8032, Switzerland
  • Novartis Investigative Site
    Zurich, 8091, Switzerland
  • Novartis Investigative Site
    Dubai, United Arab Emirates, United Arab Emirates
  • Novartis Investigative Site
    Abu Dhabi, United Arab Emirates
  • Novartis Investigative Site
    Al Ain City, United Arab Emirates
  • Novartis Investigative Site
    Dubai, United Arab Emirates
  • Novartis Investigative Site
    High Wycombe, Buckinghamshire HP11 2TR, United Kingdom
  • Novartis Investigative Site
    Louth, Lincolnshire LN11 7QU, United Kingdom
  • Novartis Investigative Site
    Sunderland, Tyne and Wear SR4 7TP, United Kingdom
  • Novartis Investigative Site
    Belfast, BT16 1RH, United Kingdom
  • Novartis Investigative Site
    Bromwich, B71 4HJ, United Kingdom
  • Novartis Investigative Site
    Burton-on-Trent, DE13 0RB, United Kingdom
  • Novartis Investigative Site
    Hull, HU3 2RW, United Kingdom
  • Novartis Investigative Site
    Lancaster, LA1 4RP, United Kingdom
  • Novartis Investigative Site
    Liverpool, L7 8XP, United Kingdom
  • Novartis Investigative Site
    London, NW3 2QG, United Kingdom
  • Novartis Investigative Site
    Middlesex, UB9 6JH, United Kingdom
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05399992
Lead sponsor
Novartis Pharmaceuticals
Responsible party
Sponsor
First posted
Jun 1, 2022
Start date
Sep 12, 2022
Primary completion
Oct 5, 2026 (estimated)
Completion
Oct 5, 2026 (estimated)
Last update
Sep 24, 2026

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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

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