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NNC0385-0434 A

Phase 2

Atherosclerotic Cardiovascular Disease | Small molecule | Other |Novo Nordisk A/S|Last Updated: Jun 8, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment267
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04992065A Research Study Looking at How NNC0385-0434 Tablets Work to Lower Blood Cholesterol in People With Heart Disease or a High Risk of Heart DiseasePHASE2 COMPLETED 267Aug 3, 2021Jun 20, 2022Jun 8, 202544 United States, Belgium +5
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Study Endpoints
Primary Endpoints
Percentage Change in Low-density Lipoprotein (LDL)-Cholesterol
Baseline (week 0), week 12

Percentage change in LDL-cholesterol (LDL-C) (measured in milligrams per deciliter \[mg/dL\]) at week 12 is presented. Data is reported for the on-treatment period. The on-treatment period is the time period where participants were considered exposed to trial product. The observation period starts at the date of first dose of trial product and ends at the first date of any of the following: The follow-up visit or the last date on randomised treatment regimen + 58 days or the end-date for the 'in-trial' observation period. The in-trial period is defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.

Secondary Endpoints
Percentage Change in Total Cholesterol
Baseline (week 0), week 12
Percentage Change in High Density Lipoprotein (HDL)-Cholesterol
Baseline (week 0), week 12
Percentage Change in Very Low Density Lipoprotein (VLDL)-Cholesterol
Baseline (week 0), week 12
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Oral NNC0385-0434 15 mg once-daily (OD)EXPERIMENTAL15 mg NNC0385-0434 co-formulated with 500 mg Salcaprozate sodium (SNAC) tablet once daily
Oral placebo (NNC0385-0434 15 mg)PLACEBO_COMPARATOR15 MG placebo administered as tablets (without SNAC) once daily
Oral NNC0385-0434 40 mg ODEXPERIMENTAL40 mg study drug co-formulated with 500 mg SNAC tablet once daily
Oral placebo (NNC0385-0434 40 mg)PLACEBO_COMPARATORplacebo administered as tablets (without SNAC) once daily
Oral NNC0385-0434 100 mgEXPERIMENTAL100 mg NNC0385-0434 co-formulated with 500 mg SNAC tablet once daily (51 participants)
Oral placebo (NNC0385-0434 100 mg)PLACEBO_COMPARATORplacebo administered as tablets (without SNAC) once daily
Subcutaneous evolocumab 140 mg Q2WACTIVE_COMPARATOR140 mg evolocumab Subcutaneous (s.c.) injections every 2 weeks (51 participants). The s.c. evolocumab arm is open-label to limit unnecessary injections
Interventions
NameTypeDescription
NNC0385-0434 A 15 mgDRUG15 mg administered as one oral tablet once daily in the morning in a fasting state. The tablet should be taken at least 30 min before the first food, beverage or other oral medications of the day. The tablet can be taken with up to half a glass of water (approximately 120 mL/ 4 fluid ounces).
NNC0385-0434 A 40 mgDRUG40 mg administered as one oral tablet once daily in the morning in a fasting state. The tablet should be taken at least 30 min before the first food, beverage or other oral medications of the day. The tablet can be taken with up to half a glass of water (approximately 120 mL/ 4 fluid ounces).
Placebo I A (for NNC0385-0434 A 15 mg)OTHERPlacebo administered as 1 tablet once daily in the morning in a fasting state. The tablet should be taken at least 30 min before the first food, beverage or other oral medications of the day. The tablet can be taken with up to half a glass of water (approximately 120 mL/ 4 fluid ounces). placebo tablets are sized match to the active arm within dose level
NNC0385-0434 A 100 mgDRUG100 mg administered as one oral tablet once daily in the morning in a fasting state. The tablet should be taken at least 30 min before the first food, beverage or other oral medications of the day. The tablet can be taken with up to half a glass of water (approximately 120 mL/ 4 fluid ounces).
Placebo I A (for NNC0385-0434 A 40 mg)OTHERPlacebo administered as one tablet once daily in the morning in a fasting state. The tablet should be taken at least 30 min before the first food, beverage or other oral medications of the day. The tablet can be taken with up to half a glass of water (approximately 120 mL/ 4 fluid ounces). placebo tablets are sized match to the active arm within dose level
Placebo II A (for NNC0385-0434 A 100 mg)OTHERPlacebo administered as one tablet once daily in the morning in a fasting state. The tablet should be taken at least 30 min before the first food, beverage or other oral medications of the day. The tablet can be taken with up to half a glass of water (approximately 120 mL/ 4 fluid ounces). placebo tablets are sized match to the active arm within dose level
Evolocumab 140 mg/mL, Repatha®DRUGEvery 2 weeks subcutaneous (s.c.) injection of 140 mg into areas of the abdomen, thigh, or upper arm that are not tender, bruised, red, or indurated. Administered using a pre-filled SureClick® autoinjector (single-use). Dose volume: 1 mL
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Eligibility Criteria
Age Range40 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites44

Inclusion Criteria: * Males or females of non-childbearing potential. * Established atherosclerotic cardiovascular disease (ASCVD) (criteria a) or ASCVD risk (criteria b): 1. Age 40 years or older at the time of signing informed consent and history of ASCVD 2. Age above 50 years at the time of...

Countries:United StatesBelgiumGermanyGreeceJapanNetherlandsPoland
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