ASCVD における SoC と比較した Inclisiran Plus Standard of Care (SoC) 脂質低下療法の有効性とアドヒアランスを評価する研究 (VICTORION REAL)
VICTORION REAL: 原発性高コレステロール血症または混合性脂質異常症の患者を対象に、標準治療単独と比較した、インクリシランと標準治療の脂質低下治療の有効性とアドヒアランスを評価するための国際前向き現実世界研究
This observational prospective study aims to evaluate the LDL-C change and adherence to inclisiran in combination with other lipid lowering therapies or lipid lowering treatments (LLTs) under conditions of routine clinical practice.
調査の概要
状態
状態
条件
条件
介入・治療
介入・治療
詳細な説明
Patients will be enrolled over a period of 23 months, and followed for up to 24 months to assess for study outcomes.
研究の種類
研究の種類
入学 (実際)
入学
連絡先と場所
研究場所
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Abu Dhabi、アラブ首長国連邦
- Novartis Investigative Site
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Al Ain City、アラブ首長国連邦
- Novartis Investigative Site
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Dubai、アラブ首長国連邦
- Novartis Investigative Site
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United Arab Emirates
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Dubai、United Arab Emirates、アラブ首長国連邦
- Novartis Investigative Site
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Belfast、イギリス、BT16 1RH
- Novartis Investigative Site
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Bromwich、イギリス、B71 4HJ
- Novartis Investigative Site
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Burton-on-Trent、イギリス、DE13 0RB
- Novartis Investigative Site
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Hull、イギリス、HU3 2RW
- Novartis Investigative Site
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Lancaster、イギリス、LA1 4RP
- Novartis Investigative Site
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Liverpool、イギリス、L7 8XP
- Novartis Investigative Site
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London、イギリス、NW3 2QG
- Novartis Investigative Site
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Middlesex、イギリス、UB9 6JH
- Novartis Investigative Site
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Buckinghamshire
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High Wycombe、Buckinghamshire、イギリス、HP11 2TR
- Novartis Investigative Site
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Lincolnshire
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Louth、Lincolnshire、イギリス、LN11 7QU
- Novartis Investigative Site
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Tyne and Wear
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Sunderland、Tyne and Wear、イギリス、SR4 7TP
- Novartis Investigative Site
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Petah Tikva、イスラエル、4941492
- Novartis Investigative Site
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Tel Aviv、イスラエル、6801296
- Novartis Investigative Site
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Gush Dan
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Holon、Gush Dan、イスラエル、5845997
- Novartis Investigative Site
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Feldkirch、オーストリア、6807
- Novartis Investigative Site
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Graz、オーストリア、8036
- Novartis Investigative Site
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Linz、オーストリア、4021
- Novartis Investigative Site
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Sankt Veit im Pongau、オーストリア、5621
- Novartis Investigative Site
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Vienna、オーストリア、1090
- Novartis Investigative Site
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Vienna、オーストリア、1180
- Novartis Investigative Site
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Jeddah、サウジアラビア、23311
- Novartis Investigative Site
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Tabuk、サウジアラビア、47512
- Novartis Investigative Site
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Saudi
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Riyadh、Saudi、サウジアラビア、11643
- Novartis Investigative Site
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Basel、スイス、4031
- Novartis Investigative Site
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Geneva、スイス、1211
- Novartis Investigative Site
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Lausanne、スイス、1011
- Novartis Investigative Site
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Olten、スイス、4600
- Novartis Investigative Site
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Sankt Gallen、スイス、9007
- Novartis Investigative Site
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Zurich、スイス、8091
- Novartis Investigative Site
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Zurich、スイス、8032
- Novartis Investigative Site
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CH
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Fribourg、CH、スイス、1708
- Novartis Investigative Site
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Kuala Lumpur、マレーシア、50400
- Novartis Investigative Site
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Kuala Lumpur
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Kuala Lumpur、Kuala Lumpur、マレーシア、50470
- Novartis Investigative Site
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Guangdong
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Shenzhen、Guangdong、中国、518000
- Novartis Investigative Site
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参加基準
適格基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
サンプリング方法
調査対象母集団
The study population will consist of adult participants with an underlying diagnosis of Atherosclerotic Cardiovascular Disease (ASCVD), ASCVD risk equivalent (ASCVD RE), or Heterozygous familial hypercholesterolemia (HeFH) and elevated levels of Low density lipoprotein - Cholesterol (LDL-C)
説明
Inclusion Criteria:
- Participants who are 18 years or older
- Participants with hypercholesterolemia having a diagnosis of ASCVD, ASCVD RE or HeFH
- Participants who are not at LDL-C goal as per their CV risk according to respective clinical guidelines
- Participants who per physician's criteria need to optimize their LLT
- Participants who provide written informed consent to participate in the study
- Participants who initiate inclisiran under conditions per local label and have LDL-C values available at baseline or within 3 months before treatment initiation.
Exclusion Criteria:
- Participants that have received inclisiran previously
- Participants participating in a clinical trial with investigational product 3 Participants switching from previous PCSK9 mab treatment (within 90 days prior to Index date)
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 観測モデル:COHORT
- 時間の展望:PROSPECTIVE
グループ/コホートの数
コホートと介入
グループ/コホートグループ/コホート |
介入・治療介入・治療 |
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Inclisiran cohort
Participants prescribed inclisiran alone or with other LLTs as per approved label |
Prospective observational study. There is no treatment allocation. Patients who are eligible to receive inclisiran will be enrolled into this study. |
この研究は何を測定していますか?
主要な結果の測定
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Percentage change in LDL-C from baseline to 10 months
時間枠:Baseline, 10 months
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Percentage change in Low density lipoprotein - Cholesterol (LDL-C) |
Baseline, 10 months
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二次結果の測定
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Percentage change in LDL-C from baseline
時間枠:Baseline, month 4, month 16, month 22
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Percentage change in LDL-C from baseline is collected |
Baseline, month 4, month 16, month 22
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Percentage change in LDL-C from baseline by ≥50%
時間枠:Month 4, month 10, month 16, month 22
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Percentage change in LDL-C from baseline by ≥50% |
Month 4, month 10, month 16, month 22
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Percentage change in LDL-C from baseline by ≥30%
時間枠:Month 4, month 10, month 16, month 22
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Percentage change in LDL-C from baseline by ≥30% |
Month 4, month 10, month 16, month 22
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Proportion of participants achieving LDL-C<55 mg/dL
時間枠:Proportion of participants achieving LDL-C<55 mg/dL Month 4, month 10, month 16 and month 22
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Proportion of participants achieving LDL-C<55 mg/dL |
Proportion of participants achieving LDL-C<55 mg/dL Month 4, month 10, month 16 and month 22
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Proportion of participants achieving LDL-C<70 mg/dL
時間枠:Month 4, month 10, month 16 and month 22
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Proportion of participants achieving LDL-C<70 mg/dL |
Month 4, month 10, month 16 and month 22
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Time-averaged percentage change in LDL-C from baseline
時間枠:Baseline, month 4, month 10, month 16 and month 22
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Time-averaged percentage change in LDL-C from baseline |
Baseline, month 4, month 10, month 16 and month 22
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Proportion of participants achieving ≥50% reduction in LDL- C at month 10 and maintaining this at 16, 22 and 24 months
時間枠:Month 10, month 16, month 22 and month 24
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Proportion of participants achieving ≥50% reduction in LDL C at month 10 and maintaining this at 16, 22 and 24 months |
Month 10, month 16, month 22 and month 24
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Proportion of participants achieving ≥30% reduction in LDL C from baseline to 10 months and maintaining until 24 months
時間枠:Baseline, month 10, month 24
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Proportion of participants achieving ≥30% reduction in LDL C from baseline to 10 months and maintaining until 24 months |
Baseline, month 10, month 24
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Proportion of participants achieving <55 mg/dL and <70 mg/dL in LDL-C at 10 months and maintaining until 24 months
時間枠:Month 10 and month 24
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Proportion of participants achieving <55 mg/dL and <70 mg/dL in LDL-C at 10 months and maintaining until 24 months |
Month 10 and month 24
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Inclisiran cohort : Percentage of days covered by inclisiran
時間枠:12 months and 24 months
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Inclisiran cohort : Percentage of days covered by inclisiran |
12 months and 24 months
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Inclisiran cohort : Mean PDC
時間枠:12 months and 24 months
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Mean Proportion of Days Covered (PDC) for inclisiran cohort is collected |
12 months and 24 months
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Inclisiran cohort : Proportion of participants with a PDC ≥ 80%
時間枠:12 months and 24 months
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Proportion of participants with a PDC ≥ 80% (sensitivity: 90%/100%) |
12 months and 24 months
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Proportion of participants remaining on initial baseline therapy
時間枠:Baseline, month 12 and month 24
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Proportion of patients remaining on initial baseline therapy in the inclisiran cohort |
Baseline, month 12 and month 24
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Time to discontinuation of any newly initiated therapies
時間枠:Month 12 and month 24
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Time to discontinuation of any newly initiated therapies |
Month 12 and month 24
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Time to discontinuation of any newly initiated therapies by specific LLT
時間枠:Month 12 and month 24
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Time to discontinuation of any newly initiated therapies by specific LLT |
Month 12 and month 24
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Change from baseline in scores from the TSQM (modified) instrument
時間枠:Baseline, month 12 and month 24
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The 14-item Treatment Satisfaction Questionnaire for Medication (TSQM) version 1.4 is an instrument to assess patients' satisfaction with medication, providing scores on four scales - side effects, effectiveness, convenience and global satisfaction. TSQM V1.4 has a score range of 0 to 100 with with higher scores indicating higher patient satisfaction with medication. |
Baseline, month 12 and month 24
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Descriptive adherence data based on Adherence AAQ
時間枠:Month 12 and month 24
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Adherence Assessment Questionnaires (AAQ) measures the degree of identified non-adherence to LLT therapy. AAQ has a score range from 0 (not adherent at all) to 100 (absolute adherent). |
Month 12 and month 24
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Descriptive adherence data based on ABQ
時間枠:Month 12 and month 24
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Adherence Barriers Questionnaire (ABQ) is an instrument for identifying specific barriers to medication-related adherence. ABQ is a descriptive analysis. The number and proportion of patients affected by each barrier will be reported for inclisiran participants. |
Month 12 and month 24
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協力者と研究者
捜査官
捜査官
- スタディディレクター:Novartis Pharmaceuticals、Novartis Pharmaceuticals
研究記録日
主要日程の研究
研究開始 (実際)
研究開始
一次修了 (推定)
一次修了
研究の完了 (推定)
研究の完了
試験登録日
最初に提出
最初に提出
QC基準を満たした最初の提出物
QC基準を満たした最初の提出物
最初の投稿 (実際)
最初の投稿
学習記録の更新
投稿された最後の更新 (実際)
投稿された最後の更新
QC基準を満たした最後の更新が送信されました
QC基準を満たした最後の更新が送信されました
最終確認日
最終確認日
詳しくは
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