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Pelacarsen Fails Phase 3, Novartis Misses Cardiovascular Endpoint

9/10/2026

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Story summary
  • Novartis announced its cholesterol drug pelacarsen failed to reduce cardiovascular events in a Phase 3 trial.
  • The Lp(a)HORIZON Phase 3 trial enrolled more than 8,300 patients with cardiovascular disease.
  • Pelacarsen lowered lipoprotein(a) levels by up to 80% but missed the primary endpoint.
  • Novartis shares fell about 3% in extended trading; Ionis dropped 10% and Amgen about 5%.
  • Novartis CMO Shreeram Aradhye said full data will be presented at a future medical congress.