Atherosclerotic cardiovascular disease

ASCVD · CVRM · 6 drugs · 6 indications

Coronary artery disease, stroke, peripheral artery disease.
Competitive Landscape (6 drugs)
DrugCompanyMechanismModalityRouteStage
PelacarsenNVSLp(a) reductionAntisense oligonucleotideSCPHASE3
MariTideAMGNGLP-1 agonist / GIP antagonist (bispecific)Antibody-peptide conjugateSCPHASE3
OlpasiranAMGNsiRNA targeting LPA (Lp(a))siRNASCPHASE3
BrilintaAZNP2Y12 inhibitorSmall moleculeORALAPPROVED
RepathaAMGNPCSK9 inhibitor (monoclonal antibody)Monoclonal antibodySCAPPROVED
PraluentREGNPCSK9 inhibitor (monoclonal antibody)Monoclonal antibodySCAPPROVED
Indications (6)
ASCVD CV risk reduction (ODYSSEY Outcomes)
Praluent APPROVED
ASCVD outcomes
MariTide PHASE3
Hyperlipidemia (primary prevention)
Repatha PHASE3
Hyperlipidemia (secondary prevention)
Repatha APPROVED
Acute coronary syndrome
Brilinta APPROVED
Elevated Lp(a) with ASCVD
Pelacarsen PHASE3Olpasiran PHASE3
Upcoming Catalysts
MariTide - Obesity - Ph2 Part 2 - Maintenance/Quarterly Dosing DataCLINICAL
AMGNH1 2026
Repatha - Primary Prevention - VESALIUS-CV Subgroups at ACCCLINICAL
AMGNMarch 2026
Pelacarsen - Lp(a) CV Prevention - Ph3 - Topline (HORIZON)CLINICAL
NVSH1 2026
MariTide - T2D + Obesity - Ph3 - Topline (MARITIME-2)CLINICAL
AMGNEarly 2027
MariTide - Obesity - Ph3 - Topline (MARITIME-1)CLINICAL
AMGNEarly 2027
MariTide - Obesity - BLA FilingREGULATORY
AMGN2027-2028
Olpasiran - Elevated Lp(a) - OCEAN(a)-Outcomes CVOTCLINICAL
AMGN2027+
MariTide - HFpEF - Ph3 - Outcomes (MARITIME-HF)CLINICAL
AMGN2028+
Data from Supabase · Updated 2026-03-24