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Muvalaplin

Phase 3

Elevated Lp(a) | Small molecule | Cardiovascular |Eli Lilly and Company|Trials Updated: Sep 24, 2026

Muvalaplin development status

Highest phase Phase 3
Registered trials 6 across 1 sponsor since Jul 2020

Muvalaplin target and mechanism

Molecular targetLPA
ModalitySmall molecule

Also known as LY3473329

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials3
Total Enrollment10,730

FDA Designations

No designations recorded

Muvalaplin clinical trials

Muvalaplin · 3 trials · 4 indications

Phase 3 1Phase 2 1Phase 1 1
NCT07157774Assessing the Impact of Muvalaplin on Major Cardiovascular Events in Adults With Elevated Lipoprotein(a)Elevated Lp(a)
RECRUITING10,450 Analytics
PHASE3RECRUITING
Assessing the Impact of Muvalaplin on Major Cardiovascular Events in Adults With Elevated Lipoprotein(a)
Elevated Lp(a)Unlock trial analytics

Study Endpoints

Primary Endpoints

Time to First Occurrence of Any Component of the Major Adverse Cardiac Event (MACE)-4 Composite Endpoint
Baseline up to End of Study (About 5.25 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 Lp(a) - Assessed Via Intact Lp(a) Assay
Baseline, Week 12

Least Squares Mean (LS Mean) was calculated using a Mixed Model for Repeated Measures (MMRM): Log (Actual Measurement/Baseline) = Log (Baseline) + Country + Treatment + Time + Treatment\*Time.

Percent Change From Baseline in Lp(a) - Assessed Via Apo(a) Assay
Baseline, Week 12

LS Mean was calculated using a MMRM: Log (Actual Measurement/Baseline) = Log (Baseline) + Country + Treatment + Time + Treatment\*Time.

Pharmacokinetics (PK): Area under the concentration versus time curve from time zero to infinity (AUC0-∞) of LY3473329
Predose up to 34 days postdose

PK: AUC0-∞ of LY3473329

PK: Area under the concentration versus time curve from time zero to last time point (AUC0-tlast) of LY3473329
Predose up to 34 days postdose

PK: AUC0-tlast of LY3473329

PK: Maximum observed concentration (Cmax) of LY3473329
Predose up to 34 days postdose

PK: Cmax of LY3473329

Secondary Endpoints

Percent Change from Baseline in Lipoprotein(a) (Lp(a)) at Week 4
Baseline, Week 4
Time to First Occurrence of Any Component of the MACE-3 Composite Endpoint
Baseline up to End of Study (About 5.25 Years)
Time to First Occurrence of Any Component of the Modified MACE-3 Composite Endpoint
Baseline up to End of Study (About 5.25 Years)
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
MuvalaplinEXPERIMENTALParticipants will receive muvalaplin orally.
PlaceboPLACEBO_COMPARATORParticipants will receive placebo orally.
10 mg LY3473329EXPERIMENTALParticipants received 10 milligrams (mg) of LY3473329 administered orally once daily (QD) over a 12-week treatment period.
60 mg LY3473329EXPERIMENTALParticipants received 60 mg of LY3473329 administered orally QD over a 12-week treatment period.
240 mg LY3473329EXPERIMENTALParticipants received 240 mg of LY3473329 administered orally QD over a 12-week treatment period.
LY3473329 (Control)EXPERIMENTALLY3473329 administered orally to participants with normal renal function
LY3473329 (Mild Renal Impairment)EXPERIMENTALLY3473329 administered orally to participants with mild renal impairment
LY3473329 (Moderate Renal Impairment)EXPERIMENTALLY3473329 administered orally to participants with moderate renal impairment
LY3473329 (Severe Renal Impairment)EXPERIMENTALLY3473329 administered orally to participants with severe renal impairment
LY3473329 (End-Stage Renal Disease)EXPERIMENTALLY3473329 administered orally to participants with end-stage renal disease

Interventions

NameTypeDescription
MuvalaplinDRUGAdministered orally
PlaceboDRUGAdministered orally
LY3473329DRUGAdministered orally
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites804

Inclusion Criteria: * Have Lp(a) ≥175 nanomoles per liter (nmol/L) * Meet one of the following criteria: * Have had a prior atherosclerotic cardiovascular disease (ASCVD) event (such as heart attack, stroke, or procedure to restore blood flow to the heart or other parts of the body) within 10 ye...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilCanadaChinaCzechiaDenmarkFranceGermanyGreeceHungaryIndiaItalyJapanMexicoNetherlandsPolandPuerto RicoRomaniaSingaporeSlovakiaSouth KoreaSpainTaiwanUnited Kingdom
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Recent Changes (Last 90 Days)

LOWSep 24, 2026NCT07157774lastUpdatePostDate: changed
LOWSep 24, 2026NCT07157774lastUpdatePostDate: changed
LOWSep 4, 2026NCT07157774lastUpdatePostDate: changed
LOWSep 4, 2026NCT07157774lastUpdatePostDate: changed
LOWAug 21, 2026NCT07157774lastUpdatePostDate: changed
LOWAug 21, 2026NCT07157774lastUpdatePostDate: changed
LOWAug 7, 2026NCT07157774lastUpdatePostDate: changed
LOWAug 7, 2026NCT07157774lastUpdatePostDate: changed

Frequently asked questions about Muvalaplin

What is Muvalaplin used for?

Muvalaplin is an investigational small molecule being developed for elevated lipoprotein(a), or Lp(a), a cardiovascular risk factor. It is being studied in adults with elevated Lp(a) and atherosclerotic cardiovascular disease (ASCVD) to assess its impact on major cardiovascular events.

What does Muvalaplin target?

Muvalaplin targets LPA, the gene that encodes apolipoprotein(a), a component of lipoprotein(a). By targeting LPA, the drug is designed to lower elevated Lp(a) levels, which are associated with increased cardiovascular risk.

Who makes Muvalaplin?

Muvalaplin is being developed by Eli Lilly and Company, a pharmaceutical company traded on the stock exchange under the ticker symbol LLY.

What phase is Muvalaplin in?

Muvalaplin is in Phase 3 clinical development. It is an investigational drug and has not been approved by regulatory authorities. The ongoing Phase 3 trial is currently recruiting participants.

What clinical trials is Muvalaplin in?

Muvalaplin is being evaluated in a Phase 3 trial with the identifier NCT07157774. This randomized, double-blind, placebo-controlled study is assessing the impact of Muvalaplin on major cardiovascular events in adults with elevated Lp(a) and atherosclerotic cardiovascular disease. The trial plans to enroll approximately 10,450 participants across multiple countries.

Is Muvalaplin the same as any other drug?

Muvalaplin is the sole name provided for this investigational drug. No alternative names or brand names have been associated with it in the available information.