Pelacarsen
drug drugOn this page
Also known as AKCEA-APO(a)-LRxIonis-apo(a)-lrxISIS 681257ISIS-681257 FREE ACID
Summary
Pelacarsen (CHEMBL4298202) is a phase-3 clinical-stage oligonucleotide; indicated across 6 conditions including hyperlipoproteinemia and cardiovascular disorder.
At a glance
- Status: Max clinical phase 3 (not approved)
- Modality: Oligonucleotide
- Indications: 6 conditions
- Clinical trials: 14
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL4298202 |
| Name | Pelacarsen |
| Type | Oligonucleotide |
| Max phase | 3 |
Also known as: AKCEA-APO(a)-LRx, Ionis-apo(a)-lrx, ISIS 681257, ISIS-681257 FREE ACID, Pelacarsen, PELACARSEN
Targets
Targets
No target linkage available.
Bioactivity
No ChEMBL bioactivity rows at pChembl ≥ 5 (expected for biologics / antibodies).
Target pathways
No target-pathway data for this drug (no mapped target genes).
Indications & clinical
Indications
6 diseases in clinical trials (phase 1–3, investigational — not approved indications). Highest ChEMBL trial phase per disease; a non-cancer approved use is occasionally logged at phase 3 here.
| Disease (in trials) | Phase | MONDO | EFO |
|---|---|---|---|
| hyperlipoproteinemia | 3 | MONDO:0037748 | MONDO:0037748 |
| cardiovascular disorder | 2 | MONDO:0004995 | EFO:0000319 |
| aortic valve stenosis | 2 | MONDO:0042981 | HP:0001650 |
| kidney disorder | 1 | MONDO:0005240 | EFO:0003086 |
| liver disorder | 1 | MONDO:0005154 | EFO:0001421 |
| coronary artery disorder | 1 | MONDO:0005010 | EFO:0001645 |
Clinical trials
Total trials: 14.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE1 | 6 |
| PHASE3 | 4 |
| PHASE2 | 2 |
| Not specified | 2 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT05900141 | PHASE3 | ACTIVE_NOT_RECRUITING | An Open Label Extension (OLE) Study to Evaluate Long-term Safety and Tolerability of Pelacarsen (TQJ230) |
| NCT06813911 | PHASE3 | RECRUITING | Lp(a) Lowering Study of Pelacarsen (TQJ230) With Background Inclisiran in Participants With Elevated Lp(a) and Established ASCVD |
| NCT06875973 | PHASE3 | RECRUITING | Pelacarsen Roll-over Extension Program |
| NCT07517263 | PHASE3 | RECRUITING | An Open Label Extension (OLE) Study (Following Completion of CTQJ230A12301) to Evaluate Long-term Safety and Tolerability of Pelacarsen (TQJ230) |
| NCT05646381 | PHASE2 | RECRUITING | A Multicenter Trial Assessing the Impact of Lipoprotein(a) Lowering With Pelacarsen (TQJ230) on the Progression of Calcific Aortic Valve Stenosis |
| NCT03070782 | PHASE2 | COMPLETED | Phase 2 Study of ISIS 681257 (AKCEA-APO(a)-LRx) in Participants With Hyperlipoproteinemia(a) and Cardiovascular Disease |
| NCT02414594 | PHASE1 | COMPLETED | Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of IONIS APO(a)-LRx in Healthy Volunteers With Elevated Lipoprotein(a) |
| NCT03392051 | PHASE1 | COMPLETED | Drug-drug Interaction Study to Evaluate the Effect of ISIS 681257 on Clopidogrel |
| NCT03426033 | PHASE1 | COMPLETED | Drug-drug Interaction Study to Evaluate the Effect of ISIS 681257 on Warfarin |
| NCT03506854 | PHASE1 | COMPLETED | Study of ISIS 681257 in Patients With Renal Impairment Compared to Healthy Patients |
| NCT05026996 | PHASE1 | COMPLETED | Study to Assess the Pharmacokinetics of Pelacarsen (TQJ230) in Participants With Mild Hepatic Impairment Compared to Matched Healthy Participants |
| NCT05337878 | PHASE1 | COMPLETED | A Study to Assess Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Pelacarsen (ISIS 681257) in Healthy Japanese Participants |
| NCT07000695 | Not specified | AVAILABLE | Managed Access Programs for TQJ230, Pelacarsen |
| NCT04993664 | Not specified | WITHDRAWN | Influence of Pelacarsen on Patients After Myocardial Infarction With High Lp(a) Values (PEMILA) |
Clinical evidence (CIViC)
No CIViC predictive evidence (expected for non-precision-medicine drugs).
Pharmacology
Pharmacogenomics
No PharmGKB pharmacogenomic data curated for this drug.
Related molecules
Related molecules
No competitor molecules sharing a primary target (ChEMBL phase ≥2 or PubChem drug-class).
Related Atlas pages
- In clinical trials for: hyperlipoproteinemia, cardiovascular disorder, aortic valve stenosis