Relationships Between Plasma PCSK9 Levels, LDL-cholesterol Concentrations and Lipoprotein (a) Levels in Familial Hypercholesterolemia
1 other identifier
observational
348
1 country
1
Brief Summary
Familial hypercholesterolemia (FH) is an autosomal codominant single gene disorder caused by mutations in the LDL receptor gene (LDLR) that disrupt the normal clearance of LDL particles from the plasma. Heterozygous patients (HeFH) present a two- to three-fold raise in plasma LDL-cholesterol (LDL-C) concentrations and coronary artery disease occurs earlier among HeFH carrying negative-receptor (NR) mutations as compared with HeFH subjects carrying defective-receptor (DR) variants. Proprotein convertase subtilisin/kexin type 9 (PCSK9) regulates LDL-C levels by binding to LDLR and by enhancing its intracellular degradation. The objective of this study is to examine to what extent variations in LDL-C and Lipoprotein (Lp) (a) concentrations are related to PCSK9 levels in a large French-Canadian cohort of HeFH subjects. The primary hypothesis is that that PCSK9 levels have a significant impact on LDL-C concentration variability and are associated with Lp(a) levels.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jan 2014
Shorter than P25 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2014
CompletedFirst Submitted
Initial submission to the registry
August 22, 2014
CompletedFirst Posted
Study publicly available on registry
August 26, 2014
CompletedAugust 26, 2014
August 1, 2014
3 months
August 22, 2014
August 22, 2014
Conditions
Outcome Measures
Primary Outcomes (1)
Impact of PCSK9 on LDL-C concentrations
Week 1
Secondary Outcomes (1)
Impact of PCSK9 on Lp(a) concentrations
Week 1
Study Arms (2)
Controls
Familial hypercholesterolemia
Eligibility Criteria
community sample
You may qualify if:
- Subjects with familial hypercholesterolemia:
- Aged between 18-65 years
- Carrier of a mutation in the LDL receptor gene
- Controls:
- Aged between 18-60 years
- HDL-cholesterol \> 1.1 mmol/L
- Triglycerides \< 1.7 mmol/L
- Fasting blood glucose \<6.1 mmol/L
- Normal blood pressure (\<130/85)
You may not qualify if:
- Subjects with a previous history of cardiovascular disease
- Subjects with Type 2 diabetes
- Were pregnant or nursing;
- Subjects with a history of cancer
- Subjects with acute liver disease, hepatic dysfunction, or persistent elevations of serum transaminases
- Subjects with a secondary hyperlipidemia due to any cause
- History of alcohol or drug abuse within the past 2 years
- hormonal treatment
- Subjects who are in a situation or have any condition that, in the opinion of the investigator, may interfere with optimal participation in the study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Laval Universitylead
Study Sites (1)
Institute of Nutrition and Functional Foods (INAF)
Québec, Quebec, G1V 0A6, Canada
Related Publications (1)
Drouin-Chartier JP, Hogue JC, Tremblay AJ, Bergeron J, Lamarche B, Couture P. The elevation of plasma concentrations of apoB-48-containing lipoproteins in familial hypercholesterolemia is independent of PCSK9 levels. Lipids Health Dis. 2017 Jun 15;16(1):119. doi: 10.1186/s12944-017-0502-x.
PMID: 28619117DERIVED
Biospecimen
Plasma
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Patrick Couture, MD, FRCP, PhD
Laval University
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD, FRCP, PhD
Study Record Dates
First Submitted
August 22, 2014
First Posted
August 26, 2014
Study Start
January 1, 2014
Primary Completion
April 1, 2014
Study Completion
April 1, 2014
Last Updated
August 26, 2014
Record last verified: 2014-08