ClinicalTrials.gg
RecruitingNCT07036991TRIP-CASUpdated Aug 7, 2026

A Cohort Study Comparing PCSK9 Inhibitor Plus Statin With Statin Monotherapy for Carotid Artery Stenosis

An observational study in Carotid Artery Stenosis, sponsored by Changhai Hospital. Recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-07.

Sponsored by Changhai Hospital · Observational

From the registry’s dates

  • Started Sep 2025; still recruiting 1 year 2 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
406
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 70 studies in Carotid Stenosis with a site in China — 32 open to participants now, 36 under way, 1 of them phase 3. Carotid Stenosis · China.

Planned enrollment
12th of 34
406 · median 200
Started
2025
with 7 others
Observational
34 of 70
19 open now
Primary completion
2027-06
later than 22 of 35 live
Registered
61st of 70
by date

Among the 70 studies in Carotid Stenosis with a site in China, this one is the 12th largest by planned enrollment of the 34 observational ones that give a count, is one of 8 that started in 2025, is one of 34 observational ones, reaches primary completion later than 22 of the 35 other live ones, and was the 61st registered.

Carotid Stenosis

364 studies on the registry are indexed under Carotid Stenosis; 85 are open to participants now.

Browse Carotid Stenosis studies →

Open to participants now

32 of the 70 studies in Carotid Stenosis with a site in China are open now. Recruiting first, the newest first:

26 more — sign in →

All 32 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

Who these studies take

Of the 60 Carotid Stenosis studies recruiting now, 38 (63%) set no upper age limit and none (0%) stop at 75 or younger; 4 take children under 18; 4 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 70 studies in Carotid Stenosis with a site in China, or all of them as a file.
02

Study summary

A multicenter cohort study

Read the detailed description

The trial is to evaluate the effect of ultra-intensive lipid-lowering therapy (PCSK9 inhibitor + rosuvastatin or atorvastatin, with/without ezetimibe) versus conventional lipid-lowering therapy (rosuvastatin or atorvastatin, with/without ezetimibe) on changes in atherosclerotic burden in patients with carotid artery stenosis.

03

Conditions studied

  • Carotid Artery Stenosis

Browse trials for

Keywords

  • CAS
  • Carotid Artery Stenosis
04

Who can participate

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

Study population

For patients with mild to moderate carotid artery stenosis, those who are confirmed to meet the clinical inclusion and exclusion criteria and whose carotid artery plaque burden rate is confirmed to be ≥ 30% through carotid artery ultrasound examination can be registered.

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

Clinical inclusion criteria:

  1. Age ≥ 18 years.
  2. Asymptomatic mild-to-moderate carotid artery stenosis confirmed by CTA, MRA, ultrasound, or DSA, with no anticipated need for surgical intervention.
  3. Modified Rankin Scale (mRS) score ≤ 2
  4. Signed form obtained from the subject

Ultrasound Inclusion Criteria:

Carotid ultrasound showing a plaque burden rate ≥30% at the most stenotic cross-sectional site of the carotid artery (common carotid artery or proximal C1 segment of the internal carotid artery).

Exclusion criteria

Exclusion Criteria:

  1. Non-atherosclerotic carotid stenosis, including arterial dissection, Takayasu arteritis, radiation-induced vasculopathy, fibromuscular dysplasia, neurofibromatosis, suspected vasospasm, or recanalized vascular embolism.
  2. Known cardioembolic sources: mitral stenosis, mechanical heart valve, infective endocarditis, intracardiac thrombus/vegetation, myocardial infarction within 3 months, dilated cardiomyopathy, chronic/paroxysmal atrial fibrillation. (Confound ASCVD outcome assessment.)
  3. History of cerebrovascular, coronary, or peripheral arterial endovascular intervention within 30 days before enrollment or anticipated surgery within the next 6 months.
  4. History of ischemic stroke, (TIA), or intracranial hemorrhage (parenchymal, subarachnoid, subdural, or epidural) before enrollment.
  5. Pre-existing intracranial tumor, cerebral aneurysm, or arteriovenous malformation.
  6. History of thromboembolic diseases (pulmonary embolism, mesenteric embolism, lower limb arterial embolism) or coronary atherosclerotic heart disease.
  7. Severe neurological deficits impairing independent living; diagnosed dementia/psychiatric disorders interfering with follow-up; or \<3 years due to other conditions.
  8. Severe/unstable comorbidities: Severe heart failure ( Class III/IV or \<30%), Renal failure (serum creatinine >264 μmol/L or \<0.6 mL/s), Severe hepatic dysfunction (/AST >3× ), CK >5× upper limit of normal, Active .
  9. Use of PCSK9 inhibitors or CETP inhibitors within 24 weeks before enrollment.
  10. The subjects have taken strong inhibitor drugs of cytochrome P-450 3A4 (including: adagrasib, atazanavir, ceritinib, clarithromycin, darunavir, idelalisib, indinavir, itraconazole, ketoconazole, levonorgestrel, lonafarnib, lopinavir, mifepristone, nefazodone, nelfinavir, nirmatrelvir/ritonavir, Viekira Pak (ombitasvir, paritaprevir, and ritonavir tablets), mbitasvir/paritaprevir/ritonavir and dasabuvir, posaconazole, co-formulations containing ritonavir and ritonavir itself, saquinavir, erythromycin, tucatinib, voriconazole) within one month before randomization, or may require such drugs during the study period.
  11. Pregnancy or lactation.
  12. Concurrent participation in another trial that may affect outcome assessment.
  13. Other situations that the investigator believes may cause significant harm to the subjects if they participate in this trial.
  14. Situations where the investigator believes there are other vascular lesions that may lead to short - term ischemic events and surgeries.
Terms in these criteria, in plain language(9)

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.

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.

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.

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.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

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

Observational model
Cohort
Time perspective
Prospective
Enrollment
406 participants (estimated)
Target follow-up
1 Year
Patient registry
Yes

Groups and cohorts

  • Exposure Group: PCSK9 Inhibitor + Statin ± Ezetimibe Group

    PCSK9 inhibitor (biweekly injections) + rosuvastatin/atorvastatin ± ezetimibe, initiated on randomization day

    Drug: PCSK9 inhibitor (biweekly injections) + Rosuvastatin/Atorvastatin ± Ezetimibe

  • Non-exposed Group: Statin ± Ezetimibe Group

    Rosuvastatin/atorvastatin ± ezetimibe, continued or initiated on randomization day

    Drug: Rosuvastatin/Atorvastatin ± Ezetimibe

Interventions

  • DrugPCSK9 inhibitor (biweekly injections) + Rosuvastatin/Atorvastatin ± Ezetimibe

    PCSK9 inhibitor (biweekly injections) + rosuvastatin/atorvastatin ± ezetimibe

  • DrugRosuvastatin/Atorvastatin ± Ezetimibe

    Rosuvastatin/atorvastatin ± ezetimibe

06

What researchers measure

Primary outcomes

  1. Change in plaque burden rate at the most stenotic carotid site at 180±7 days

    Time frame: 180±7 days

Secondary outcomes

  1. Lipid profile (TG/TC/LDL-C/HDL-C), liver function (ALT, AST), CK at 30±3 days

    Time frame: 30±3 days

  2. Lipid profile: TG/TC/LDL-C/HDL-C; liver function: ALT, AST, CK at 180±7 days

    Time frame: 180±7 days

  3. Plaque burden rate at the most stenotic cross-sectional site of the carotid artery at 180±7 days

    Time frame: 180±7 days

  4. Plaque diameter stenosis at 180±7 days

    Time frame: 180±7 days

  5. Plaque dimensions (length × thickness) at 180±7 days

    Time frame: 180±7 days

  6. Plaque stability (hypoechoic regions, fibrous cap integrity, ulceration, plaque score) at 180±7 days

    Time frame: 180±7 days

  7. mRS score at 180±7 days

    Time frame: 180±7 days

  8. Time to first major vascular event within 180±7 days (stroke/TIA, angina, myocardial infarction, symptomatic peripheral vascular disease)

    Time frame: within 180±7 days

  9. mRS score at 365±30 days

    Time frame: 365±30 days

  10. Time to first major vascular event within 365±30 days (stroke/TIA, angina, myocardial infarction, symptomatic peripheral vascular disease)

    Time frame: within 365±30 days

Other outcomes

  1. Deaths within 180±7 days after enrolment

    Time frame: within 180±7 days after enrolment

  2. SAEs within 180±7 days after enrolment

    Time frame: within 180±7 days after enrolment

  3. ALT/AST >2× upper limit, CK >3× upper limit within 180±7 days after enrolment

    Time frame: within 180±7 days after enrolment

  4. Deaths within 365±30 days after enrolment

    Time frame: within 365±30 days after enrolment

  5. SAEs within 365±30 days after enrolment

    Time frame: within 365±30 days after enrolment

  6. ALT/AST >2× upper limit, CK >3× upper limit within 365±30 days after enrolment

    Time frame: within 365±30 days after enrolment

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Researchers need to submit a formal data sharing application to the TRIP-CAS Steering Committee and obtain the approval of the Steering Committee.

Supporting information: Study protocol, Statistical analysis plan

Time frame: Data sharing will be available from 12 months after the publication of the main results.

Access criteria: The data sharing will be only for the purposes of health and medical research and within the constraints of the consent under which the data were originally gathered. The Custodian of the Collection will not consider any Proposals for data sharing that unblind, or potentially unblind, randomised comparisons in active / ongoing trials. Requesters should be employees of a recognised academic institution, health service organisation, commercial research organisation or from the pharmaceutical industry. Requesters must have experience in medical research. 4.Requesters must be able to demonstrate through their peer review publications in the area of interest their ability to carry out the proposed use of the requested dataset from a Collection. 5.The Requesters must not have a conflict of interest that may potentially influence their interpretation of any analyses.

Data sharing details ↗ · www.ocin.org.cn

No publications or documents are linked to this record.

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 Sep 2025 (actual). Primary completion is estimated for Jun 2027, 20 months after the start.

Of 79 non-industry observational studies under Carotid Stenosis, half reached primary completion within 50 months of starting (the median), counting those still running; a quarter within 26 and three quarters within 104. This study's planned 20 months is below that.

Counting every sponsor, half of 87 studies reached it within 50 months; a quarter within 30 and three quarters within 104.

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

Registered
May 29, 2025
First posted
Jun 25, 2025
StartActual
Sep 5, 2025
Primary completionEst.
Jun 1, 2027
CompletionEst.
Jun 1, 2027
Last update
Aug 7, 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 7, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07036991
Lead sponsor
Changhai Hospital
Responsible party
Sponsor
First posted
Jun 25, 2025
Start date
Sep 5, 2025
Primary completion
Jun 1, 2027 (estimated)
Completion
Jun 1, 2027 (estimated)
Last update
Aug 7, 2026

Study contacts

Qiang Li, MD, PhD
Contact
lqeimm@126.com
+86-13818803656
Yanhong Yan, MD, PhD
Contact
egyanhong@163.com
+86-18862195803
Jianmin Liu
principal investigator · Changhai Hospital
Pinjing Hui, MD, PhD
principal investigator · The First Affiliated Hospital of Soochow University

Oversight

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

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