Inclisiran Effectiveness in China: a Pragmatic Randomized Trial
V-INVINCIBLE
Effectiveness of Inclisiran for Patients With Coronary Heart Disease in China: a Multicenter, Standard of Care-Controlled Pragmatic Randomized Trial
1 other identifier
interventional
1,590
1 country
19
Brief Summary
The current study will be conducted to evaluate the real-world effectiveness of inclisiran relative to standard of care (SoC) in Chinese patients with coronary heart disease (CHD), not only with the low-density lipoprotein cholesterol (LDL-C) change in 1 year, but also the LDL-C Test on Target for 1 year. This study further aims to assess the adherence, treatment patterns and satisfaction, and safety of inclisiran among Chinese patients.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Jun 2025
Shorter than P25 for phase_4
19 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 6, 2025
CompletedFirst Posted
Study publicly available on registry
April 24, 2025
CompletedStudy Start
First participant enrolled
June 17, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 30, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
January 30, 2026
CompletedJanuary 26, 2026
January 1, 2026
8 months
March 6, 2025
January 23, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The percentage change in low-density lipoprotein cholesterol (LDL-C) level from baseline at 12 months, for the inclisiran group versus the standard of care (SoC) group
To evaluate the real-world effectiveness of inclisiran, on the change in LDL-C levels at Month 12, compared with SoC, in Chinese patients with coronary heart disease (CHD)
12 months
Secondary Outcomes (25)
The proportion of participants with the 1-year LDL-C Test on Target ≥75%, for the inclisiran group versus the SoC group
12 months
The percentage change in LDL-C level from baseline at 3 months, 6 months, and 9 months, for the inclisiran group versus the SoC group
At Month 3, Month 6 and Month 9
The proportion of participants with LDL-C <1.8 mmol/L at 12 months, for the inclisiran group versus the SoC group
12 months
To describe LDL-C Test on Target value during the 12 months after baseline, for the inclisiran group and the SoC group.
12 months
The percentage change in levels of total cholesterol, triglyceride, HDL-C, Lp(a), ApoA, and ApoB, from baseline at 3 months, 6 months, 9 months, and 12 months, for the inclisiran group versus the SoC group
At Month 3, Month 6, Month 9, and Month 12
- +20 more secondary outcomes
Study Arms (2)
inclisiran group
EXPERIMENTALpatients in the inclisiran group will receive inclisiran (may or may not plus cholesterol absorption inhibitor at the discretion of the treating physician).
Standard of Care group
ACTIVE COMPARATORPatients in the SoC group will switch to/add on another/other LLT(s) at the discretion of the treating physician, as long as it is not inclisiran or an investigational drug.
Interventions
After randomization, patients in the inclisiran group will receive inclisiran sodium injection
After randomization switching to or adding on another/other lipid-lowering therapies
Eligibility Criteria
You may qualify if:
- Signed informed consent must be obtained prior to participation in the study
- Documented diagnosis of CHD prior to screening, including acute coronary syndrome (ACS) and chronic coronary syndrome (CCS)
- Aged ≥18 years at randomization
- Despite maximally tolerated statin therapy for ≥4weeks stable using prior to screening, LDL-C result at screening not at goal (≥1.8 mmol/L).
- The maximum tolerated dose of statins also includes patients with statin intolerance or contraindication.
You may not qualify if:
- Received inclisiran during the 2 years prior to the screening.
- Received proprotein convertase subtilisin-kexin type 9 (PCSK9) mabs during the 3 months prior to screening.
- Participating in an interventional trial at enrollment
- Having severe liver disorder (Child-Pugh class C)
- Any other condition that may put the participant at significant risk if the participant participate in the current study, according to investigator's (or delegate's) judgment.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (19)
Novartis Investigative Site
Anqing, Anhui, 246003, China
Novartis Investigative Site
Beijing, Beijing Municipality, 102218, China
Novartis Investigative Site
Chongqing, Chongqing Municipality, 400010, China
Novartis Investigative Site
Longyan, Fujian, 364099, China
Novartis Investigative Site
Jiamusi, Heilongjiang, 154002, China
Novartis Investigative Site
Zhengzhou, Henan, 451400, China
Novartis Investigative Site
Baotou, Inner Mongolia, 014010, China
Novartis Investigative Site
Shenyang, Liaoning, 110016, China
Novartis Investigative Site
Shenyang, Liaoning, 121100, China
Novartis Investigative Site
Jining, Shandong, 272000, China
Novartis Investigative Site
Weifang, Shandong, 261000, China
Novartis Investigative Site
Shanghai, Shanghai Municipality, 200065, China
Novartis Investigated Site
Taiyuan, Shanxi, 030000, China
Novartis Investigative Site
Chengdu, Sichuan, 610031, China
Novartis Investigative Site
Ürümqi, Xinjiang Uygur Autonomous Region, 830054, China
Novartis Investigative Site
Hangzhou, Zhejiang, 310007, China
Novartis Investigative Site
Jinhua, Zhejiang, 321000, China
Novartis Investigative Site
Ningbo, Zhejiang, 315000, China
Novartis Investigative Site
Wenzhou, Zhejiang, 325000, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Novartis Pharmaceuticals
Novartis Pharmaceuticals
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 6, 2025
First Posted
April 24, 2025
Study Start
June 17, 2025
Primary Completion
January 30, 2026
Study Completion
January 30, 2026
Last Updated
January 26, 2026
Record last verified: 2026-01
Data Sharing
- IPD Sharing
- Will share
Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com.