Two RNA-targeted therapies for lipid and Lp(a) lowering

Olezarsen vs pelacarsen: trial pipelines compared

A side-by-side view of the olezarsen and pelacarsen clinical trial pipelines, built from live ClinicalTrials.gov data and refreshed daily. ClinicalTrials.gov lists 8 phase 2–4 trials for olezarsen and 10 for pelacarsen. Add up to three more drugs to widen the comparison.

olezarsen (8) vs pelacarsen (10)10 active20172032
olezarsenpelacarsen
Key
Actual date
Anticipated
Forecast to primary completion
RecruitingActive, not recruitingNot yet recruitingCompleted
'17
'19
'21
'23
'25
'27
'29
'31
olezarsen
BALANCEP3
A Study of Olezarsen (ISIS 678354) Administered to Participants With Severe HypertriglyceridemiaP3
A Study of Olezarsen (Formerly Known as AKCEA-APOCIII-LRx) in Participants With Familial Chylomicronemia Syndrome (FCS)P3
A Study of Olezarsen (Formerly Known as AKCEA-APOCIII-LRX) Administered to Adults With Familial Chylomicronemia Syndrome (FCS) Previously Treated With VolanesorsenP3
A Study of Olezarsen (Formerly Known as AKCEA-APOCIII-LRx) in Adults With Hypertriglyceridemia and Atherosclerotic Cardiovascular Disease (Established or at Increased Risk for), and/or With Severe HypertriglyceridemiaP2
A Study of Olezarsen Administered Subcutaneously to Participants With Severe HypertriglyceridemiaP3
A Study of Olezarsen (ISIS 678354) in Participants With Hypertriglyceridemia and Atherosclerotic Cardiovascular Disease, or With Severe HypertriglyceridemiaP3
CORE-OLE: A Study of Olezarsen (ISIS 678354) Administered Subcutaneously to Participants With Severe Hypertriglyceridemia (SHTG)P3
pelacarsen
Phase 2 Study of ISIS 681257 (AKCEA-APO(a)-LRx) in Participants With Hyperlipoproteinemia(a) and Cardiovascular DiseaseP2
Lp(a)HORIZONP3
A Multicenter Trial Assessing the Impact of Lipoprotein(a) Lowering With Pelacarsen (TQJ230) on the Rate of Weekly Lipoprotein Apheresis Sessions in Patients With Hyperlipoproteinemia(a) and Established Cardiovascular Disease in GermanyP3
OLEP3
A Multicenter Trial Assessing the Impact of Lipoprotein(a) Lowering With Pelacarsen (TQJ230) on the Progression of Calcific Aortic Valve StenosisP2
Lp(a) Lowering Study of Pelacarsen (TQJ230) in US Black/African American and Hispanic Participants With Elevated Lp(a) and Established ASCVDP3
ADD-VANTAGEP3
Pelacarsen Roll-over Extension ProgramP3
An Open Label Extension (OLE) Study (Following Completion of CTQJ230A12301) to Evaluate Long-term Safety and Tolerability of Pelacarsen (TQJ230)P3
Lp(a) Lowering Study of Pelacarsen (TQJ230) in Patients in the US With Elevated Lp(a) and Recent ACS (STEMI/NSTEMI) - Lp(a)FRONTIERS PEARLP3

Upcoming readouts

9 ahead · 2 drugs

Select a trial to load its full ClinicalTrials.gov record.

Head to head

Registered phase 2–4 trial activity for each drug, computed from live ClinicalTrials.gov data.

olezarsen (Tryngolza)Lipid & Lp(a) therapies
8

Phase 2–4 trials

7

Phase 3 trials

0

Actively recruiting

Mar 2027

Next phase 3 readout

pelacarsenLipid & Lp(a) therapies
10

Phase 2–4 trials

8

Phase 3 trials

4

Actively recruiting

Feb 2028

Next phase 3 readout

Key trials across both drugs

Top 16 registered phase 2–4 trials across olezarsen and pelacarsen, ordered by phase and status. Each links to its full ClinicalTrials.gov record.

DrugTrialTitlePhaseStatusPrimary completion
pelacarsenNCT06813911ADD-VANTAGE: Lp(a) Lowering Study of Pelacarsen (TQJ230) With Background Inclisiran in Participants With Elev…Phase 3RecruitingFeb 2028
pelacarsenNCT07517263An Open Label Extension (OLE) Study (Following Completion of CTQJ230A12301) to Evaluate Long-ter…Phase 3RecruitingJan 2030
pelacarsenNCT06875973Pelacarsen Roll-over Extension ProgramPhase 3RecruitingDec 2030
pelacarsenNCT04023552Lp(a)HORIZON: Assessing the Impact of Lipoprotein (a) Lowering With Pelacarsen (TQJ230) on Major Cardiovascula…Phase 3Active, not recruitingJun 2026
olezarsenNCT05681351CORE-OLE: A Study of Olezarsen (ISIS 678354) Administered Subcutaneously to Participants With Se…Phase 3Active, not recruitingMar 2027
olezarsenNCT05185843A Study of Olezarsen (Formerly Known as AKCEA-APOCIII-LRX) Administered to Adults With Familial …Phase 3Active, not recruitingJun 2027
olezarsenNCT05130450A Study of Olezarsen (Formerly Known as AKCEA-APOCIII-LRx) in Participants With Familial Chylomi…Phase 3Active, not recruitingFeb 2028
pelacarsenNCT05900141OLE: An Open Label Extension (OLE) Study to Evaluate Long-term Safety and Tolerability of Pelacarsen …Phase 3Active, not recruitingAug 2028
pelacarsenNCT07625306Lp(a) Lowering Study of Pelacarsen (TQJ230) in Patients in the US With Elevated Lp(a) and Recent…Phase 3Not yet recruitingDec 2028
olezarsenNCT04568434BALANCE: A Study of Olezarsen (Formerly Known as AKCEA-APOCIII-LRx) Administered to Patients With Familia…Phase 3CompletedJul 2023
olezarsenNCT05610280A Study of Olezarsen (ISIS 678354) in Participants With Hypertriglyceridemia and Atherosclerotic…Phase 3CompletedAug 2024
olezarsenNCT05079919A Study of Olezarsen (ISIS 678354) Administered to Participants With Severe HypertriglyceridemiaPhase 3CompletedOct 2024
olezarsenNCT05552326A Study of Olezarsen Administered Subcutaneously to Participants With Severe Hypertriglyceridemi…Phase 3CompletedDec 2024
pelacarsenNCT05305664A Multicenter Trial Assessing the Impact of Lipoprotein(a) Lowering With Pelacarsen (TQJ230) on …Phase 3CompletedJan 2025
pelacarsenNCT06267560Lp(a) Lowering Study of Pelacarsen (TQJ230) in US Black/African American and Hispanic Participan…Phase 3CompletedMar 2026
pelacarsenNCT05646381A Multicenter Trial Assessing the Impact of Lipoprotein(a) Lowering With Pelacarsen (TQJ230) on …Phase 2RecruitingMar 2030

FAQ

How do the olezarsen and pelacarsen clinical pipelines compare?
ClinicalTrials.gov currently lists 8 phase 2–4 trials for olezarsen and 10 for pelacarsen. The timeline above plots both side by side and refreshes daily.
Where does this data come from?
All trial data is sourced from ClinicalTrials.gov (CTGov) and refreshed on this page daily. ComplyRx does not add efficacy or superiority claims; the comparison shows registered trial activity only.
Can I add more drugs to the comparison?
Yes. The tool above compares up to five drugs on one timeline, with PNG and PDF export. Add any competitor in the search box.
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