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Ziltivekimab

Phase 3

Heart Failure | Small molecule | Cardiovascular |Novo Nordisk A/S|Last Updated: Jul 7, 2026

Success Probability
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Market & Valuation
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment5,579
FDA Designations
No designations recorded
Clinical trial landscape

Ziltivekimab · 8 trials · 11 indications

Phase 3 5Phase 2 2Phase 1 1
NCT07276282Effects of Ziltivekimab on Coronary Atherosclerotic Burden in Patients With Acute Myocardial InfarctionCoronary Artery Disease
RECRUITING332 Analytics
NCT07301034A Research Study to Look at the Effect of Ziltivekimab on Plaque in the Blood Vessels of the Heart, Compared to Placebo, in People With a Heart AttackMyocardial Infarction
RECRUITING332 Analytics
NCT06118281ARTEMIS - A Research Study to Look at How Ziltivekimab Works Compared to Placebo in People With a Heart AttackCardiovascular Risk
RECRUITING10,000 Analytics
NCT06200207A Research Study Looking Into How Ziltivekimab Works Compared to Placebo in Participants With Heart Failure and InflammationHeart Failure
RECRUITING680 Analytics
NCT05636176A Research Study to Look at How Ziltivekimab Works Compared to Placebo in People With Heart Failure and InflammationHeart Failure
ACTIVE NOT_RECRUITING4,899 Analytics
PHASE3RECRUITING
Effects of Ziltivekimab on Coronary Atherosclerotic Burden in Patients With Acute Myocardial Infarction
Coronary Artery DiseaseUnlock trial analytics
PHASE3RECRUITING
A Research Study to Look at the Effect of Ziltivekimab on Plaque in the Blood Vessels of the Heart, Compared to Placebo, in People With a Heart Attack
Myocardial InfarctionUnlock trial analytics
PHASE3RECRUITING
ARTEMIS - A Research Study to Look at How Ziltivekimab Works Compared to Placebo in People With a Heart Attack
Cardiovascular RiskUnlock trial analytics
PHASE3RECRUITING
A Research Study Looking Into How Ziltivekimab Works Compared to Placebo in Participants With Heart Failure and Inflammation
Heart FailureUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Research Study to Look at How Ziltivekimab Works Compared to Placebo in People With Heart Failure and Inflammation
Heart FailureUnlock trial analytics
Study Endpoints
Primary Endpoints
Change in percent atheroma volume
From randomization (week 0) to end-of-study (52-week)

Change in percent atheroma volume (PAV) as determined by greyscale intravascular ultrasound (IVUS) in matched regions of interest. Theoretical change is between -100% to +100%. Typical range around -2% to +2%. A lower (more negative) change in PAV is better.

Change in percent atheroma volume (PAV) as determined by greyscale intravascular ultrasound (IVUS) in matched regions of interest
From randomisation (week 0) to end-of-study (52-week)

Percentage (%).

Time to first occurrence of a 3-component major adverse cardiovascular event (MACE) endpoint comprising: Cardiovascular (CV) death, Non-fatal myocardial infarction (MI), Non-fatal stroke
From randomisation (month 0) to end-of-study (up to 25 months)

Measured in months.

Change in Kansas City Cardiomyopathy Questionnaire (KCCQ) clinical summary score (KCCQ-CSS)
From randomisation (month 0) to end-of-treatment (month 12)

Measured as score (score on scale; range; 0-100). The KCCQ is a disease-specific health status instrument composed of 23 items that quantify the domains of physical limitation, symptoms, self-efficacy, social limitation, and health-related quality of life limitation from heart failure. The overall summary score and all domains have been independently demonstrated to be valid, reliable, and responsive to clinical change. CSS scores range from 0 to 100 and lower scores represent more severe symptoms and/or limitations and scores of 100 indicate no symptoms, no limitations, and excellent quality of life.

Time to First Occurrence of a Composite Heart Failure Endpoint Consisting of: Cardiovascular (CV) Death, Heart Failure (HF) Hospitalisation or Urgent HF Visit
From randomisation (month 0) to end of study (up to 48 months)

Measured in months.

Percent Change in High-sensitivity C-reactive Protein (Hs-CRP) Levels From Baseline (Average of All Hs-CRP Values Prior to the Administration of Study Drug) to the End of Treatment (Average of Week 10 and Week 12)
Baseline (day 1), end of treatment (average of week 10 and week 12)

Percent change in hs-CRP levels from baseline (average of the hs-CRP value prior to the administration of study drug) to the end of treatment (average of Week 10 and Week 12) is presented. Baseline was defined as the average of all hs-CRP values prior to the first administration of study drug at day 1 and end of treatment was defined as the average of hs-CRP values at week 10 and week 12.

Percent Change From Baseline in High-sensitivity C-reactive Protein (Hs-CRP) Levels
Baseline (average of the hs-CRP value prior to randomization and day 1), week 13

Percent change from baseline in hs-CRP levels at week 13 are presented.

Area under the ziltivekimab plasma concentration-time curve in a 4-week dosing interval, multiple doses [MD] (AUCτ,MD)
During 3rd dosing interval (week 8 to week 12)

Nanograms per millilitre\*days (ng/mL\*days)

Secondary Endpoints
Maximum lipid core burden index
From randomisation (week 0) to end-of-study (52-week)
Minimal fibrous cap thickness
From randomisation (week 0) to end-of-study (52-week)
Change in maximum lipid core burden index (LCBI) in any 4-mm segment(maxLCBI4mm) as determined by Near-infrared spectroscopy (NIRS) in matched regions of interest
From randomisation (week 0) to end-of-study (52-week)
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Ziltivekimab ArmEXPERIMENTALParticipants will receive Ziltivekimab subcutaneously once per month
Placebo ArmPLACEBO_COMPARATORParticipants will receive placebo subcutaneously once per month
Ziltivekimab dose level 1 + standard of care (SOC)EXPERIMENTALParticipants receive dose level 1 of ziltivekimab along with standard of care (SOC) subcutaneously once monthly for 12 months.
Placebo + SOCPLACEBO_COMPARATORParticipants receive a placebo along with standard of care (SOC) subcutaneously once monthly for 12 months.
ZiltivekimabEXPERIMENTALParticipants will receive an initial loading dose of ziltivekimab Dose 1 subcutaneously (s.c.) as early as possible after invasive procedure, and latest within 36 hours of hospitalisation for ST-elevation myocardial infarction (STEMI) and within 48 hours of hospitalisation for non-ST-elevation myocardial infarction (NSTEMI), followed by ziltivekimab Dose 2 s.c. once-monthly during the treatment period (estimated up to 2 years) added to standard of care.
Placebo ziltivekimabEXPERIMENTALParticipants will receive placebo matched to ziltivekimab at an initial loading dose subcutaneously (s.c.) as early as possible after invasive procedure, and latest within 36 hours of hospitalisation for STEMI and latest within 48 hours of hospitalisation for NSTEMI, followed by placebo matched to ziltivekimab s.c. once-monthly during the treatment period (estimated up to 2 years) added to standard of care.
PlaceboPLACEBO_COMPARATORParticipants will receive placebo matched to ziltivekimab administered s.c. once-monthly and added to standard of care for 12 months.
Ziltivekimab 15 mgEXPERIMENTALParticipants will receive ziltivekimab 15 mg for 12 weeks.
Ziltivekimab 30 mgEXPERIMENTALParticipants will receive ziltivekimab 30 mg for 12 weeks.
Placebo (ziltivekimab)PLACEBO_COMPARATORParticipants will receive placebo (ziltivekimab) for 12 weeks.
Ziltivekimab 7.5 mgEXPERIMENTAL -
Interventions
NameTypeDescription
ZiltivekimabDRUGZiltivekimab is administered subcutaneously (i.e., under the skin) once per month added to standard of care.
PlaceboDRUGPlacebo is administered subcutaneously (i.e., under the skin) once per month added to standard of care.
Ziltivekimab PlaceboDRUGParticipants will receive placebo matched to ziltivekimab subcutaneously.
Placebo (ziltivekimab)DRUGAdministered s.c. once every 4 weeks for 12 weeks
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Eligibility Criteria
Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Key Inclusion Criteria: * Informed consent obtained before any study-related activities. * Age 18 years or above at the time of providing informed consent. * Acute myocardial infarction, with at least one coronary segment (culprit lesion) treated with PCI. * At least two major native coronary arter...

Countries:SwitzerlandAustriaDenmarkItalyNetherlandsSpainUnited StatesArgentinaAustraliaBrazilBulgariaCanadaChinaCzechiaFranceGermanyGreeceIndiaIsraelJapanMalaysiaMexicoPolandSouth KoreaTurkey (Türkiye)United KingdomPortugalBelgiumBosnia and HerzegovinaColombiaCroatiaEstoniaFinlandHungaryIrelandLatviaLithuaniaNorth MacedoniaNorwayRomaniaSerbiaSingaporeSlovakiaSloveniaSouth AfricaTaiwanThailand
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Recent Changes (Last 90 Days)
MEDIUMJul 7, 2026NCT05636176Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMJul 7, 2026NCT05636176Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMJun 6, 2026NCT04626505TRIAL_REMOVED: changed
MEDIUMJun 6, 2026NCT04626505TRIAL_REMOVED: changed
MEDIUMJun 6, 2026NCT04626505TRIAL_REMOVED: changed
MEDIUMJun 6, 2026NCT04626505TRIAL_REMOVED: changed
MEDIUMJun 6, 2026NCT04626505TRIAL_REMOVED: changed
MEDIUMJun 6, 2026NCT04626505TRIAL_REMOVED: changed
LOWMay 26, 2026NCT05636176primaryCompletionDate: changed
LOWMay 26, 2026NCT07276282Status: NOT_YET_RECRUITING → RECRUITING
LOWMay 26, 2026NCT06200207primaryCompletionDate: changed
MEDIUMMay 26, 2026NCT06118281primaryCompletionDate: changed
LOWMay 26, 2026NCT07301034primaryCompletionDate: changed
LOWMay 24, 2026NCT06200207studyFirstPostDate: changed
LOWMay 24, 2026NCT05636176studyFirstPostDate: changed
LOWMay 24, 2026NCT07301034studyFirstPostDate: changed
LOWMay 24, 2026NCT06118281studyFirstPostDate: changed
LOWMay 24, 2026NCT07276282studyFirstPostDate: changed