Asset profile

Ziltivekimab

Monoclonal antibody

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Negativelead readout

Evidence outlook · lead readout

ZEUS (NCT05021835) · Cardiovascular Risk, Chronic Kidney Disease, Inflammation

The lead readout missed its primary endpoint. The grade and rationale below record what the trial was designed to show and what it found.

ZEUS (NCT05021835): The study is a large randomized, quadruple-blind, placebo-controlled trial with 6,385 participants and a hard clinical primary endpoint measuring cardiovascular death, non-fatal heart attack, or non-fatal stroke. Registry results were not posted at the time of grading; the key result shown was recovered from the cited external source.

Caveat: this result is taken from a company announcement or a news report of one, not from the trial registry or a peer-reviewed publication. Treat the figures as the sponsor's own statement, not as independently verified evidence.

Also in development:Atherosclerotic Cardiovascular Disease · Phase 3Heart Failure · Phase 3

How the evidence outlook works ↗

Competitive landscape

162 competitors in this universe: 0 direct rivals (same mechanism and indication), 0 same-class, 162 same-indication; 50 further along in development.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Ziltivekimab: this drugPhase 3Monoclonal antibodyInterleukin-6
Alirocumab (Praluent)ApprovedMonoclonal antibodyPCSK9
Atrasentan (Vanrafia)ApprovedSmall moleculeEndothelin A receptor
Avacopan (Tavneos)ApprovedSmall moleculeComplement C5a receptor 1 (C5aR1/CD88)
Baxdrostat (Baxfendy)ApprovedSmall moleculeAldosterone synthase (CYP11B2)
Bempedoic Acid (Nexletol)ApprovedSmall moleculeAdenosine Triphosphate-Citrate Lyase Inhibitor, ATP citrate lyase
Bempedoic Acid / EzetimibeApprovedSmall moleculeATP citrate lyase (ACLY, bempedoic acid) and NPC1L1 (ezetimibe)
Budesonide (targeted-Release) (TARPEYO / Nefecon)ApprovedSmall moleculeGlucocorticoid receptor
Canagliflozin (Invokana)ApprovedSmall moleculeSGLT2
Cangrelor (Kengreal)ApprovedSmall moleculeP2Y12 receptor
Colchicine (cardiovascular) (Lodoco)ApprovedSmall moleculeMicrotubule/inflammasome (tubulin)
Dapagliflozin (Farxiga / Forxiga)ApprovedSmall moleculeSGLT2
Daprodustat (Jesduvroq)ApprovedSmall moleculeHIF prolyl hydroxylase (HIF-PH1/2/3)
Difelikefalin (Korsuva)ApprovedPeptideKappa-opioid receptor (agonist, peripherally restricted)
Dulaglutide (Trulicity)ApprovedPeptideGLP-1 receptor
Empagliflozin (Jardiance)ApprovedSmall moleculeSGLT2

…and 147 more. Research shows the complete landscape.

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Research adds each competitor's evidence grade and sourced trial results, aligned per race, so you can see who actually has the data.

Upcoming events

(3 total)

Estimated primary-completion dates from ClinicalTrials.gov. These are registry estimates, never confirmed readout dates; they can move as trials progress.

2027 (1)
January 2027 (1)
Phase 3Cardiovascular Risk, Acute Myocardial Infarction (AMI)Active not recruiting
Est. primary completion 2027-01-29 · NCT06118281 · CT.gov ↗
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2028 (2)
September 2028 (1)
Phase 3Atherosclerotic Cardiovascular DiseaseRecruiting
Est. primary completion 2028-09-01 · NCT07276282 · CT.gov ↗
What to watch
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November 2028 (1)
Phase 3Myocardial InfarctionRecruiting
Est. primary completion 2028-11-14 · NCT07301034 · CT.gov ↗
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See the full readout calendar ↗

All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.

Phase 3 (7)
Phase 2 (2)
Phase 1 (2)
Appears in other studies (1)