ClinicalTrials.gg
RecruitingNCT05712200LILAC-TIMI 76Updated Jul 13, 2026

Study to evaLuate the effIcacy and Safety of abeLacimab in High-risk Patients With Atrial Fibrillation Who Have Been Deemed Unsuitable for Oral antiCoagulation (LILAC-TIMI 76)

A Phase 3 interventional study of Abelacimab and Placebo in Atrial Fibrillation (AF), sponsored by Anthos Therapeutics, Inc.. Recruiting at 789 sites in 35 countries. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2026-07-13.

Sponsored by Anthos Therapeutics, Inc. · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Dec 2022; still recruiting 3 years 10 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
2,500
Allocation
Randomized
Ages
65 Years and older
Sex
All
01

Study summary

A study to evaluate the effect of abelacimab relative to placebo on the rate of ischemic stroke or systemic embolism (SE) in patients with Atrial Fibrillation (AF) who have been deemed by their responsible physicians or by their own decision to be unsuitable for oral anticoagulation therapy.

Read the detailed description

Patients enrolled in the study are randomized in a 1:1 ratio to receive abelacimab 150 mg SC or matching placebo once monthly. The study is comprised of 3 periods: 1) screening period of up to 60 days, 2) an event-driven, double-blind treatment period (abelacimab 150 mg SC or matching placebo) completed after at least 111 patients have experienced an adjudicated primary endpoint event, and 3) EoT visit in core part followed by either (i) a 30-day follow-up period (EoS for core part) OR (ii) an optional OLE beginning at the EoT visit for eligible patients to receive open-label abelacimab treatment. The optional extension will only be offered to patients following regulatory and ethics approval in participating countries.

02

Conditions studied

  • Atrial Fibrillation (AF)

Browse trials for

Keywords

  • abelacimab
  • randomized
  • placebo-controlled
  • double-blind
  • endpoint evaluation
  • atrial fibrillation
03

In context

Atrial Fibrillation

4,009 studies on the registry are indexed under Atrial Fibrillation; 961 are open to participants now.

This study's planned enrollment of 2,500 is above the median of 150 across 2,476 interventional studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

Anthos Therapeutics, Inc. is the lead sponsor of 6 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
65 Years and older
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

  • Patient is able to understand and has provided written to participate in the trial
  • Diagnosed Atrial Fibrillation (AF) or atrial flutter (documented on an (ECG) or monitor recording)
  • Age 65-74 and a CHA2DS2VASc ≥4 OR age ≥75 and a CHA2DS2VASc ≥3
  • Patient is judged by the responsible physician to be unsuitable for oral anticoagulation because the risks outweigh the benefits or the patient is unwilling to take oral anticoagulation AND this determination was made prior to and independent of the study
  • At least 1 bleeding risk factor such as severe renal insufficiency, planned daily use of antiplatelet medication for the duration of the trial, history of bleeding from a critical area, or other conditions associated with increased risk of bleeding such as chronic nonsteroidal anti-inflammatory drug (NSAID) use, frailty or multiple falls
  • Patient is judged by the responsible physician to be unsuitable for left atrial appendage (LAA) closure or occlusion device, an approved device is not available, or the patient is unwilling to undergo the procedure AND this determination was made prior to and independent of the study

Exclusion criteria

Exclusion Criteria:

  • AF due to an ongoing acute reversible cause (e.g., cardiac surgery, pulmonary embolism (PE), untreated hyperthyroidism, alcohol use)
  • Patients who within 60 days prior to randomization (1) received a vitamin K antagonists (VKA) (e.g., warfarin, phenprocoumon, acenocoumarol) or a direct oral anticoagulant (DOAC) such as, dabigatran, rivaroxaban, apixaban, or edoxaban or (2) were newly diagnosed with AF
  • Patients with an intracranial or intraocular bleed within the 3 months prior to screening or any history of spontaneous intracerebral hemorrhage at any time in the absence of antithrombotic treatment
  • Any stroke within 14 days before randomization or (TIA) within 3 days before randomization
  • Mechanical heart valve or valve disease that is expected to require mechanical valve replacement intervention (surgical or invasive) during the course of the study
  • Patients on dialysis at screening or who are planned to start dialysis within 6 months

Other protocol defined Inclusion/Exclusion criteria may apply

Terms in these criteria, in plain language(3)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
2,500 participants (estimated)

Study arms

  • Experimental
    Abelacimab (MAA868)

    Patients will be randomized in a 1:1 ratio to receive abelacimab 150 mg subcutaneous (SC) or matching placebo once monthly.

    Biological: Abelacimab

  • Placebo comparator
    Placebo

    Patients will be randomized in a 1:1 ratio to receive abelacimab 150 mg subcutaneous (SC) or matching placebo once monthly.

    Drug: Placebo

Interventions

  • BiologicalAbelacimab

    Abelacimab provided as liquid in vial (150 mg/mL)

    Also known as: MAA868

  • DrugPlacebo

    Dosage Formulation: Liquid (in vial) Dose Strength: Placebo to Abelacimab

06

What researchers measure

Primary outcomes

  1. Efficacy: Time to first event of ischemic stroke or systemic embolism (SE)

    Undetermined strokes will be counted as ischemic strokes

    Time frame: Up to 30 months

  2. Safety: Time to first occurrence of Bleeding Academic Research Consortium (BARC) type 3c/5 bleeding

    Time frame: Up to 30 months

Secondary outcomes

  1. Efficacy: Time to first event of ischemic stroke, systemic embolism (SE), myocardial infarctions (MI), venous thromboembolism (VTE), or acute limb ischemia

    Abelacimab versus placebo with regard to the composite of ischemic stroke, SE, MI, VTE, or acute limb ischemia

    Time frame: Up to 30 months

  2. Efficacy: Time to first event of ischemic stroke, systemic embolism (SE), or Bleeding Academic Research Consortium (BARC) type 3c/5 bleeding event

    Time frame: Up to 30 months

  3. Efficacy: Cardiovascular (CV) mortality

    Time frame: Up to 30 months

  4. Efficacy: All-cause mortality

    Time frame: Up to 30 months

  5. Time to first event of ischemic stroke, systemic embolism (SE), myocardial infarctions (MI), venous thromboembolism (VTE), acute limb ischemia, or International Society on Thrombosis and Haemostasis (ISTH) major bleeding

    Abelacimab versus placebo with regard to net clinical outcome defined as the composite of ischemic stroke, SE, MI, VTE, acute limb ischemia, or International Society on Thrombosis and Haemostasis (ISTH) major bleeding

    Time frame: Up to 30 months

07

Study locations

645 of 789 sites recruiting
  • Anthos Investigative Site 1040
    Birmingham, Alabama 35205, United States
    Recruiting
    • Ashley Gilmore · Contactagilmore@uabmc.edu
    • Alain Bouchard, Dr. · Principal investigator
  • Anthos Investigational site 9939
    Birmingham, Alabama 35233, United States
    Recruiting
    • Fadi Hage · Principal investigator
  • Anthos Investigative Site 9947
    Birmingham, Alabama 35243, United States
    Not yet recruiting
  • Anthos Investigative Site 1041
    Mobile, Alabama 36608, United States
    Recruiting
  • Anthos Investigative Site 1089
    Gilbert, Arizona 85296, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Anthos Investigative Site 1099
    Peoria, Arizona 85381, United States
    Recruiting
  • Anthos Investigative Site 9906
    Phoenix, Arizona 85018, United States
    Recruiting
  • Anthos Investigative Site 9927
    Yuma, Arizona 85365, United States
    Recruiting
  • Anthos Investigative Site 9929
    Huntington Beach, California 92648, United States
    Recruiting
  • Anthos Investigative Site 9959
    Imperial, California 92251, United States
    Recruiting
  • Anthos Investigative Site 9921
    Lancaster, California 93534, United States
    Recruiting
  • Anthos Investigative Site 1078
    Loma Linda, California 92357, United States
    Recruiting
  • Anthos Investigative Site 1077
    Los Angeles, California 90022, United States
    Recruiting
  • Anthos Investigative Site 1015
    Northridge, California 91325, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Anthos Investigational site 9821
    Orange, California 92868, United States
    Recruiting
  • Anthos Investigative Site 1070
    Redding, California 96001, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Anthos Investigative Site 1071
    San Dimas, California 91773, United States
    Recruiting
  • Anthos Investigative Site 1076
    Santa Ana, California 92704, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Anthos Investigative Site 9938
    Santa Rosa, California 95405, United States
    Recruiting
  • Anthos Investigative Site 9908
    South Gate, California 90280, United States
    Recruiting
  • Anthos Investigative Site 9907
    Vista, California 92081, United States
    Recruiting
  • Anthos Investigative Site 1095
    Aurora, Colorado 80045, United States
    Recruiting
  • Anthos Investigative Site 1049
    Denver, Colorado 80218, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Anthos Investigative Site 9922
    Golden, Colorado 80228, United States
    Recruiting
  • Anthos Investigative Site 1012
    Stamford, Connecticut 06905, United States
    Recruiting
  • Anthos Investigative Site 9934
    Altamonte Springs, Florida 32714, United States
    Recruiting
  • Anthos Investigative Site 1013
    Boca Raton, Florida 33486, United States
    Recruiting
  • Anthos Investigational site 9810
    Bradenton, Florida 34209, United States
    Recruiting
  • Anthos Investigational site 9818
    Clearwater, Florida 33756, United States
    Recruiting
  • Anthos Investigative Site 1025
    Clearwater, Florida 33756, United States
    Recruiting
  • Anthos Investigative Site 1022
    Clearwater, Florida 33777, United States
    Recruiting
  • Anthos Investigative Site 1019
    Daytona Beach, Florida 32114, United States
    Recruiting
  • Anthos Investigative Site 9936
    Hialeah, Florida 33012, United States
    Recruiting
  • Anthos Investigative Site 9804
    Hollywood, Florida 33020, United States
    Recruiting
    • Ariel Soffer · Principal investigator
  • Anthos Investigative Site 1083
    Hollywood, Florida 33024, United States
    Recruiting
  • Anthos Investigational site 9808
    Jacksonville, Florida 32209, United States
    Recruiting
  • Anthos Investigative Site 1008
    Jacksonville, Florida 32216, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Anthos Investigational site 9813
    Jacksonville, Florida 32256, United States
    Recruiting
  • Anthos Investigational site 9828
    Jacksonville, Florida 32256, United States
    Recruiting
  • Anthos Investigative Site 9904
    Lake Mary, Florida 32746, United States
    Recruiting
  • Anthos Investigative Site 1093
    Lutz, Florida 33558, United States
    Recruiting
  • Anthos Investigative Site 9933
    Miami, Florida 33145, United States
    Recruiting
  • Anthos Investigational site 9823
    Miami Lakes, Florida 33014, United States
    Recruiting
  • Anthos Investigative Site 1072
    Miami Lakes, Florida 33016, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Anthos Investigative Site 9944
    Ocala, Florida 34471, United States
    Recruiting
  • Anthos Investigative Site 9940
    Ocala, Florida 34474, United States
    Recruiting
  • Anthos Investigative Site 1067
    Ormond Beach, Florida 32117, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Anthis Investigational site 9811
    Pensacola, Florida 32503, United States
    Recruiting
  • Anthos Investigational site9830
    Pensacola, Florida 32504, United States
    Recruiting
  • Anthos Investigational site 9802
    Port Orange, Florida 32117, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Anthos Investigative Site 1026
    Safety Harbor, Florida 34695, United States
    Recruiting
  • Anthos Investigative Site 1002
    Saint Augustine, Florida 32086, United States
    Recruiting
  • Anthos Investigative Site 1004
    Saint Augustine, Florida 32086, United States
    Recruiting
  • Anthos Investigative Site 1044
    Tamarac, Florida 33321, United States
    Recruiting
  • Anthos Investigative Site 1088
    Tamarac, Florida 33321, United States
    Recruiting
  • Anthos Investigative Site 1046
    Tampa, Florida 33625, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Anthos Investigative Site 9911
    The Villages, Florida 32162, United States
    Recruiting
  • Anthos Investigative Site 1052
    Lithonia, Georgia 30058, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Anthos Investigative Site 1033
    Macon, Georgia 31201, United States
    Recruiting
  • Anthos Investigative Site 1042
    Norcross, Georgia 30092, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Anthos Investigative Site 1003
    Suwanee, Georgia 30024, United States
    Recruiting
  • Anthos Investigative Site 9953
    Tucker, Georgia 30084, United States
    Recruiting
  • Anthos Investigative Site 1030
    Park Ridge, Illinois 60068, United States
    Recruiting
  • Anthos Investigative Site 9932
    Rockford, Illinois 61107, United States
    Recruiting
  • Anthos Investigative Site 9925
    Winfield, Illinois 60190, United States
    Recruiting
  • Anthos Investigative Site 9915
    Evansville, Indiana 47714, United States
    Recruiting
  • Anthos Investigative Site 1098
    Merrillville, Indiana 46410, United States
    Recruiting
  • Anthos Investigative Site 9956
    West Des Moines, Iowa 50266, United States
    Recruiting
  • Anthos Investigative Site 9958
    Hutchinson, Kansas 67502, United States
    Recruiting
  • Anthos Investigative Site 1016
    Wichita, Kansas 67207, United States
    Recruiting
  • Anthos Investigative Site 1006
    Alexandria, Louisiana 71301, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Anthos Investigational site 9968
    Eunice, Louisiana 70535, United States
    Recruiting
  • Anthos Investigative Site 1043
    Shreveport, Louisiana 71103, United States
    Recruiting
  • Anthos Investigational site 9803
    West Monroe, Louisiana 71291, United States
    Recruiting
  • Anthos Investigative Site 1054
    Bangor, Maine 04401, United States
    Recruiting
  • Anthos Investigational site 9961
    Baltimore, Maryland 21201, United States
    Recruiting
  • Anthos Investigative Site 1039
    Baltimore, Maryland 21218, United States
    Recruiting
  • Anthos Investigative Site 9957
    Baltimore, Maryland 21229, United States
    Recruiting
    • Jeffrey Cole · Principal investigator
  • Anthos Investigational site 9965
    Baltimore, Maryland 21287, United States
    Recruiting
    • Nino Isakadze · Principal investigator
  • Anthos Investigative Site 1023
    Lanham, Maryland 20746, United States
    Recruiting
  • Anthos Investigational site 9962
    Rockville, Maryland 20850, United States
    Recruiting
  • Anthos Investigative Site 1028
    Rockville, Maryland 20850, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Anthos Investigational site 9969
    Salisbury, Maryland 21804, United States
    Recruiting
  • Anthos Investigative Site 1082
    Boston, Massachusetts 02124, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Anthos Investigative Site 9918
    Boston, Massachusetts 02215, United States
    Recruiting
  • Anthos Investigational site 9812
    Fall River, Massachusetts 02721, United States
    Recruiting
  • Anthos Investigational site 9819
    Lansing, Michigan 48910, United States
    Recruiting
  • Anthos Investigative Site 1021
    Lansing, Michigan 48912, United States
    Recruiting
  • Anthos Investigative Site 9946
    Petoskey, Michigan 49770, United States
    Recruiting
  • Anthos Investigative Site 1059
    Southgate, Michigan 48195, United States
    Recruiting
  • Anthos Investigative Site 1017
    Tupelo, Mississippi 38801, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Anthos Investigative Site 1080
    Kansa City, Missouri 64151, United States
    Recruiting
  • Anthos Investigative Site 9948
    Kansas City, Missouri 64114, United States
    Recruiting
  • Anthos Investigational site 9966
    St Louis, Missouri 63110, United States
    Recruiting
  • Anthos Investigational site 9825
    St Louis, Missouri 63136, United States
    Recruiting
  • Anthos Investigative Site 1066
    Lincoln, Nebraska 68506, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Anthos Investigative Site 1036
    Las Vegas, Nevada 89119, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Anthos Investigative Site 9914
    Las Vegas, Nevada 89123, United States
    Recruiting
    • Seobin Kim · Contactskim@azcrf.org
    • Sanjay Malhotra · Principal investigator
  • Anthos Investigational Site 9807
    Elmer, New Jersey 08318, United States
    Recruiting
  • Anthos Investigative Site 1094
    Englewood, New Jersey 07631, United States
    Withdrawn

    Not enrolling at this site — choose another above.

Showing the first 100 of 789 sites across 35 countries. Choose a country and city above to see the rest.

08

References and documents

Publications

  • Nolte CH. Factor XI inhibitors - Rising stars in anti-thrombotic therapy? J Neurol Sci. 2024 Sep 15;464:123157. doi: 10.1016/j.jns.2024.123157. Epub 2024 Jul 29. PubMed 39094433 ↗

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

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05712200
Lead sponsor
Anthos Therapeutics, Inc.
Responsible party
Sponsor
First posted
Feb 3, 2023
Start date
Dec 27, 2022
Primary completion
Dec 30, 2027 (estimated)
Completion
Dec 30, 2027 (estimated)
Last update
Jul 13, 2026

Study contacts

Anthos Therapeutics a Novartis Company
Contact
novartis.email@novartis.com
1-888-669-6682

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

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.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Abelacimab

Start the discussion