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LY3819469

Phase 3

Lipoprotein Disorder | RNA therapy | Metabolic |Eli Lilly and Company|Trials Updated: Oct 8, 2026

LY3819469 development status

Highest phase Phase 3 (NCT06292013)
Phase scored for LLYPhase 2
Registered trials 7 across 1 sponsor since Jun 2021

LY3819469 target and mechanism

ModalityRNA therapy

Also known as Lepodisiran Sodium, Lepodisiran

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials3
Total Enrollment17,872

FDA Designations

No designations recorded

LY3819469 clinical trials

LY3819469 · 3 trials · 6 indications

Phase 3 2Phase 2 1
NCT07613294A Study to See if Lepodisiran Can Reduce Plaque in Coronary Arteries of Adults With Elevated Lp(a) Who Have Had Heart Events or Are at High RiskAtherosclerosis
RECRUITING252 Analytics
NCT06292013A Study to Investigate the Effect of Lepodisiran on the Reduction of Major Adverse Cardiovascular Events in Adults With Elevated Lipoprotein(a) - ACCLAIM-Lp(a)Atherosclerotic Cardiovascular Disease (ASCVD)
ACTIVE NOT_RECRUITING17,300 Analytics
PHASE3RECRUITING
A Study to See if Lepodisiran Can Reduce Plaque in Coronary Arteries of Adults With Elevated Lp(a) Who Have Had Heart Events or Are at High Risk
AtherosclerosisUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Investigate the Effect of Lepodisiran on the Reduction of Major Adverse Cardiovascular Events in Adults With Elevated Lipoprotein(a) - ACCLAIM-Lp(a)
Atherosclerotic Cardiovascular Disease (ASCVD)Unlock trial analytics

Study Endpoints

Primary Endpoints

Percent Change from Baseline in Noncalcified Plaque (NCP) Volume
Baseline, Week 104
Time to First Occurrence of Any Component of the Major Adverse Cardiac Event (MACE)-4 Composite Endpoint
Baseline up to End of Study (About 4.5 Years)

Time to first event in a MACE-4 composite endpoint, comprised of cardiovascular death, nonfatal myocardial infarction, nonfatal ischemic stroke, and urgent coronary revascularization.

Percent Change From Baseline in Time Averaged Lipoprotein(a) [Lp(a)] Over Days 60-180
Baseline, Days 60 - 180

LPa levels were assessed using Immuno turbidimetric method. Percent change is calculated as: Percent Change=\[(Lp(a) at Time Point-Lp(a) at Baseline)/Lp(a) at Baseline\]×100 Least squares (LS) mean was determined using mixed model repeated measures (MMRM) model with log(Lp(a)) - log(Baseline) = log(Baseline) + Treatment + Time + Treatment\*Time (Type III sum of squares) as post-baseline measures. Result presented is after back-transformation. Variance-Covariance structure = Unstructured. Analyses included all participants having non-missing baseline and at least one non-missing post-baseline value of the response variable.

Secondary Endpoints

Percent Change from Baseline in Mean Fat Attenuation Index (FAI) Score
Baseline, Week 104
Percent Change from Baseline in Lp(a) Level
Baseline through Week 104
Percentage of Participants Reporting Strongly Agree or Agree on the Subcutaneous Administration Assessment Questionnaire (SQAAQ) Version 3.0 Items
Week 26, Week 78
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
LepodisiranEXPERIMENTALParticipants will receive lepodisiran subcutaneously (SC)
PlaceboPLACEBO_COMPARATORParticipants will receive placebo SC
Lepodisiran SodiumEXPERIMENTALLepodisiran sodium administered subcutaneously (SC).
16 mg LY3819469EXPERIMENTALParticipants received 16 milligrams (mg) of LY3819469 on day 1 and day 180, administered as a subcutaneous (SC) injection.
96 mg LY3819469EXPERIMENTALParticipants received 96 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
400 mg LY3819469EXPERIMENTALParticipants received 400 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
400 mg LY3819469 + PlaceboEXPERIMENTALParticipants received 400 mg of LY3819469 on day 1 and placebo on day 180, administered as a SC injection.

Interventions

NameTypeDescription
LepodisiranDRUGAdministered SC
PlaceboDRUGAdministered SC
Lepodisiran SodiumDRUGAdministered SC
LY3819469DRUGAdministered SC
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Eligibility Criteria

Age Range45 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites58

Inclusion Criteria: * Have an Lp(a) ≥175 nmol/L * Have established cardiovascular (CV) disease or are at risk for a first CV event * Have angiographic evidence of coronary artery disease on screening CCTA * If taking lipid-lowering medications, inclusive of statins or prescription strength niacin a...

Countries:United StatesAustraliaCzechiaHungaryNetherlandsSpainUnited KingdomArgentinaAustriaBelgiumBrazilCanadaChinaDenmarkFranceGermanyGreeceIndiaIsraelItalyJapanMexicoPolandPuerto RicoRomaniaSlovakiaSouth KoreaTaiwan
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Recent Changes (Last 90 Days)

LOWOct 8, 2026NCT07613294lastUpdatePostDate: changed
LOWOct 8, 2026NCT06292013lastUpdatePostDate: changed
LOWOct 8, 2026NCT07613294lastUpdatePostDate: changed
LOWOct 8, 2026NCT06292013lastUpdatePostDate: changed
LOWSep 24, 2026NCT06292013lastUpdatePostDate: changed
LOWSep 24, 2026NCT06292013lastUpdatePostDate: changed
LOWSep 22, 2026NCT07613294lastUpdatePostDate: changed
LOWSep 22, 2026NCT07613294lastUpdatePostDate: changed
LOWSep 8, 2026NCT07613294lastUpdatePostDate: changed
LOWSep 8, 2026NCT07613294lastUpdatePostDate: changed
LOWAug 24, 2026NCT06292013lastUpdatePostDate: changed
LOWAug 24, 2026NCT06292013lastUpdatePostDate: changed
LOWAug 21, 2026NCT07613294lastUpdatePostDate: changed
LOWAug 21, 2026NCT07613294lastUpdatePostDate: changed
LOWAug 7, 2026NCT07613294lastUpdatePostDate: changed
LOWAug 7, 2026NCT07613294lastUpdatePostDate: changed
MEDIUMJul 28, 2026NCT07613294primaryCompletionDate: changed
MEDIUMJul 28, 2026NCT07613294primaryCompletionDate: changed

Frequently asked questions about LY3819469

What is LY3819469?

LY3819469 is an investigational RNA therapy being developed by Eli Lilly and Company for lipoprotein disorders. It is designed to address elevated lipoprotein(a), also called Lp(a), a lipid-related risk factor. The drug is in Phase 2 clinical development and has been studied in a completed trial of 320 participants.

What is LY3819469 used for?

LY3819469 is being developed for lipoprotein disorders, specifically for participants with elevated lipoprotein(a), or Lp(a). It is an investigational RNA therapy and has not been approved for any use. The completed Phase 2 trial enrolled adults aged 40 years and older with elevated Lp(a).

Who is developing LY3819469?

LY3819469 is being developed by Eli Lilly and Company, which trades under the ticker LLY. Lilly is the sponsor of the clinical program evaluating this RNA therapy in lipoprotein disorders, including the completed Phase 2 study in participants with elevated lipoprotein(a).

What phase is LY3819469 in?

LY3819469 is in Phase 2 clinical development. One Phase 2 trial has been completed, and no active trials are currently listed. The drug remains investigational and has not been approved by the FDA or any other regulatory agency for the treatment of lipoprotein disorders or elevated lipoprotein(a).

What clinical trials is LY3819469 in?

LY3819469 has been studied in the Phase 2 trial NCT05565742, titled A Study of LY3819469 in Participants With Elevated Lipoprotein(a) [Lp(a)]. The trial was completed, randomized, double-blind, and placebo-controlled, enrolling 320 participants aged 40 years and older across the United States, Argentina, China, Denmark, Germany, Japan, Mexico, the Netherlands, Romania, and Spain.