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Pelacarsen

Phase 3

Acute Coronary Syndrome (ACS) | Small molecule | Cardiovascular |Novartis AG|Last Updated: Sep 4, 2026

Target and mechanism

Molecular targetLPA
Target classAntisense Inhibitor
ModalitySmall molecule

Also known as Pelacarsen (TQJ230) 80mg, Pelacarsen (TQJ230)

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment240

FDA Designations

No designations recorded

Clinical trial landscape

Pelacarsen · 7 trials · 7 indications

Phase 3 5Phase 2 1Phase 1 1
NCT07625306Lp(a) Lowering Study of Pelacarsen (TQJ230) in Patients in the US With Elevated Lp(a) and Recent ACS (STEMI/NSTEMI) - Lp(a)FRONTIERS PEARLAcute Coronary Syndrome (ACS)
NOT YET_RECRUITING240 Analytics
NCT07517263An Open Label Extension (OLE) Study (Following Completion of CTQJ230A12301) to Evaluate Long-term Safety and Tolerability of Pelacarsen (TQJ230)Cardiovascular Disease and Lipoprotein(a)
RECRUITING5,700 Analytics
NCT06875973Pelacarsen Roll-over Extension ProgramAtherosclerotic Cardiovascular Disease
RECRUITING599 Analytics
NCT06813911Lp(a) Lowering Study of Pelacarsen (TQJ230) With Background Inclisiran in Participants With Elevated Lp(a) and Established ASCVDAtherosclerotic Cardiovascular Disease (ASCVD)
RECRUITING340 Analytics
NCT05900141An Open Label Extension (OLE) Study to Evaluate Long-term Safety and Tolerability of Pelacarsen (TQJ230)Hyperlipoproteinemia (a)
ACTIVE NOT_RECRUITING41 Analytics
PHASE3NOT YET_RECRUITING
Lp(a) Lowering Study of Pelacarsen (TQJ230) in Patients in the US With Elevated Lp(a) and Recent ACS (STEMI/NSTEMI) - Lp(a)FRONTIERS PEARL
Acute Coronary Syndrome (ACS)Unlock trial analytics
PHASE3RECRUITING
An Open Label Extension (OLE) Study (Following Completion of CTQJ230A12301) to Evaluate Long-term Safety and Tolerability of Pelacarsen (TQJ230)
Cardiovascular Disease and Lipoprotein(a)Unlock trial analytics
PHASE3RECRUITING
Pelacarsen Roll-over Extension Program
Atherosclerotic Cardiovascular DiseaseUnlock trial analytics
PHASE3RECRUITING
Lp(a) Lowering Study of Pelacarsen (TQJ230) With Background Inclisiran in Participants With Elevated Lp(a) and Established ASCVD
Atherosclerotic Cardiovascular Disease (ASCVD)Unlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
An Open Label Extension (OLE) Study to Evaluate Long-term Safety and Tolerability of Pelacarsen (TQJ230)
Hyperlipoproteinemia (a)Unlock trial analytics

Study Endpoints

Primary Endpoints

Change in log-transformed Lp(a) concentration
Baseline, Day 180

Change in log-transformed Lipoprotein A (Lp(a)) concentration from baseline to Day 180

Number of participants with Adverse events
Up to 36 months

Number of participants with Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs), TEAEs of special interest, including abnormal laboratory evaluations and vital signs. Number of participants discontinuing due to treatment emergent adverse events (TEAEs) or treatment emergent serious adverse events (TESAEs) will also be presented.

Incidence of Adverse events (AEs) or serious adverse events (SAEs)
Up to 48 months

Evaluate long-term safety and tolerability of pelacarsen (TQJ230) in participants with elevated Lp(a) and established atherosclerotic cardiovascular disease who have completed the parent study

Change in log transformed lipoprotein A (Lp(a)) concentration
Baseline, 6 Months

To evaluate the efficacy of Pelacarsen compared to placebo, in reducing Lp(a) levels at Month 6 in ASCVD participants who have elevated Lp(a), and who are on background inclisiran for elevated LDL-C

Incidence of Adverse events (AEs) or serious adverse events (SAEs), including changes in laboratory evaluations, vital signs qualifying and reported as AEs.
60 months

Evaluate long-term safety and tolerability of pelacarsen (TQJ230) in participants with elevated Lp(a) and established cardiovascular disease who have competed the parent study

Duration of drug exposure
60 months

Duration of drug exposure will be collected

Change in peak aortic jet velocity
36 months

To demonstrate the superiority of pelacarsen (TQJ230) vs. placebo in slowing the progression of calcific aortic valve stenosis by evaluating the change from baseline to month 36 in peak aortic jet velocity by echocardiography

Change in aortic valve calcium score
36 months

To demonstrate the superiority of pelacarsen (TQJ230) vs. placebo in slowing the progression of calcific aortic valve stenosis by evaluating the change from baseline to month 36 in aortic valve calcium score by computed tomography

Pharmacokinetic parameters of pelacarsen: Cmax
Day 1 (0 hour (pre-dose) 0.5 hour, 1 hour, 1.5 hour, 2 hour, 3 hour, 4 hour, 6 hour, 8 hour, 12 hour), Day 2, Day 3, Day 4, Day 8, Day 30 and Day 60

The maximum (peak) observed drug concentration in after single-dose administration (mass x volume-1). To assess the PK properties of plasma pelacarsen after a single s.c. injection in participants with mild HI (Child-Pugh classification) as compared to matched healthy participants with normal hepatic function.

Pharmacokinetic parameters of pelacarsen: AUClast
Day 1 (0 hour (pre-dose) 0.5 hour, 1 hour, 1.5 hour, 2 hour, 3 hour, 4 hour, 6 hour, 8 hour, 12 hour), Day 2, Day 3, Day 4, Day 8, Day 30 and Day 60

The area under the concentration-time curve (AUC) from time zero to the last measurable concentration sampling time (mass x time x volume-1). To assess the PK properties of plasma pelacarsen after a single s.c. injection in participants with mild HI (Child-Pugh classification) as compared to matched healthy participants with normal hepatic function.

Pharmacokinetic parameters of pelacarsen: AUCinf
Day 1 (0 hour (pre-dose) 0.5 hour, 1 hour, 1.5 hour, 2 hour, 3 hour, 4 hour, 6 hour, 8 hour, 12 hour), Day 2, Day 3, Day 4, Day 8, Day 30 and Day 60

The AUC from time zero to infinity (mass x time x volume-1). To assess the PK properties of plasma pelacarsen after a single s.c. injection in participants with mild HI (Child-Pugh classification) as compared to matched healthy participants with normal hepatic function.

Secondary Endpoints

Proportion of participants with Lp(a) < 105 nmol/L
Day 180 and Day 540
Proportion of participants with TEAEs, TESAEs,TEAEs or TESAEs leading to study drug discontinuation and TEAEs of special interest
22 months
Summary of observed values for Glomerular Filtration Rate (GFR)
Up to 18 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PelacarsenEXPERIMENTALPelacarsen (TQJ230) 80 mg s.c. QM
PlaceboPLACEBO_COMPARATORCorresponding placebo s.c. QM
Pelacarsen (TQJ230)EXPERIMENTALopen-label pelacarsen 80mg
Pelacarsen (TQJ230) 80mgEXPERIMENTALPelacarsen (TQJ230) 80 mg prefilled syringe injected monthly, administered subcutaneously
Matching placeboPLACEBO_COMPARATORPlacebo to match pelacarsen (TQJ230) prefilled syringe injected monthly, administered subcutaneously
Mild hepatic impairment patientsEXPERIMENTALParticipants with mild hepatic impairment
Healthy participantsEXPERIMENTALMatched healthy participants with normal hepatic function

Interventions

NameTypeDescription
PelacarsenDRUGPelacarsen 80 mg subcutaneously (s.c.) once a month (QM)
PlaceboDRUGPlacebo subcutaneously (s.c.) once a month (QM)
Pelacarsen (TQJ230)DRUGpelacarsen 80mg s.c. monthly
InclisiranDRUGAll participants will be administered two loading doses of inclisiran as background treatment at Run-in 1 and Run-in 2, separated by 3 months, according to the approved label. After that inclisiran will be administered every 6 months, i.e., Month 5 and Month 11.
Pelacarsen (TQJ230) 80mgDRUGPelacarsen (TQJ230) 80mg
Matching placeboDRUGMatching placebo
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Eligibility Criteria

Age Range18 Years to 79 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Lp(a) ≥ 150 nmol/L * Within 10 days of hospitalization for ACS event and meets all of the following criteria: * Clinical syndrome consistent with spontaneous cardiac ischemia * Diagnosis of ACS: ST-elevation myocardial infarction (STEMI) or non-ST-elevation myocardial infarcti...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilBulgariaCanadaChinaColombiaCzechiaDenmarkFranceGermanyGreeceHong KongHungaryIcelandIndiaIsraelItalyJapanMexicoNetherlandsNorwayPolandPortugalPuerto RicoRomaniaRussiaSlovakiaSloveniaSouth AfricaSouth KoreaSpainSwedenSwitzerlandTaiwanTurkey (Türkiye)United Kingdom
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Recent Changes (Last 90 Days)

LOWSep 4, 2026NCT07517263lastUpdatePostDate: changed
LOWAug 7, 2026NCT06813911lastUpdatePostDate: changed
LOWAug 7, 2026NCT06813911lastUpdatePostDate: changed
LOWJul 30, 2026NCT07517263lastUpdatePostDate: changed
LOWJul 30, 2026NCT07517263lastUpdatePostDate: changed
LOWJul 29, 2026NCT06875973lastUpdatePostDate: changed
LOWJul 29, 2026NCT06875973lastUpdatePostDate: changed
LOWJul 14, 2026NCT06813911lastUpdatePostDate: changed
LOWJul 14, 2026NCT06813911lastUpdatePostDate: changed
LOWJul 8, 2026NCT07517263lastUpdatePostDate: changed
LOWJul 8, 2026NCT07517263lastUpdatePostDate: changed
LOWJun 23, 2026NCT05646381lastUpdatePostDate: changed
LOWJun 23, 2026NCT05646381lastUpdatePostDate: changed
LOWJun 18, 2026NCT06813911lastUpdatePostDate: changed
LOWJun 18, 2026NCT06813911lastUpdatePostDate: changed
LOWJun 18, 2026NCT06813911lastUpdatePostDate: changed
LOWJun 18, 2026NCT06813911lastUpdatePostDate: changed
LOWJun 11, 2026NCT06875973lastUpdatePostDate: changed
LOWJun 11, 2026NCT06875973lastUpdatePostDate: changed
LOWJun 10, 2026NCT07517263lastUpdatePostDate: changed

Frequently asked questions about Pelacarsen

What is Pelacarsen used for?

Pelacarsen is an investigational drug being studied for cardiovascular conditions including Acute Coronary Syndrome, Hepatic Impairment, Hyperlipoproteinemia (a), Atherosclerotic Cardiovascular Disease, Cardiovascular Disease with elevated Lipoprotein(a), and Aortic Stenosis. It is currently in Phase 3 clinical development and has not been approved by the FDA.

What does Pelacarsen target?

Pelacarsen is an antisense oligonucleotide (ASO), a class of drugs that targets genetic material. It is being studied to reduce levels of lipoprotein(a), a risk factor for cardiovascular disease. The drug is designed to interfere with the production of this protein in the liver.

Who makes Pelacarsen?

Pelacarsen is being developed by Novartis AG, a multinational pharmaceutical company traded on the New York Stock Exchange under the ticker symbol NVS. Novartis is conducting clinical trials to evaluate the drug's safety and efficacy for cardiovascular indications.

What phase is Pelacarsen in?

Pelacarsen is currently in Phase 3 clinical development. It is an investigational drug, meaning it has not yet received regulatory approval. The company is conducting late-stage trials to assess its long-term safety and tolerability in patients with cardiovascular conditions.

What clinical trials is Pelacarsen in?

Pelacarsen is being studied in several clinical trials, including NCT05026996, a completed Phase 1 study in hepatic impairment; NCT05900141, an active Phase 3 open-label extension; NCT06875973, a recruiting Phase 3 roll-over extension; and NCT07517263, a recruiting Phase 3 open-label extension with an enrollment of 5,700 participants.

Is Pelacarsen the same as TQJ230?

Yes, Pelacarsen is also known as TQJ230. In clinical trial records, the drug is referred to as Pelacarsen (TQJ230), and some studies list it as Pelacarsen (TQJ230) 80mg. These names refer to the same investigational compound being developed by Novartis.