NCT06626126

Brief Summary

This multicenter randomized trial is designed to assess the efficacy of lipid-lowering therapy in patients undergoing percutaneous coronary intervention, comparing an Apolipoprotein B-targeted approach with a Low-Density Lipoprotein Cholesterol (LDL-C)-targeted approach. The primary outcomes are to evaluate the proportion of patients achieving lipid-lowering treatment goals at the 1-year follow-up between the two treatment strategies: Apolipoprotein B-based therapy versus LDL-C-based therapy.

Trial Health

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Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,448

participants targeted

Target at P75+ for not_applicable

Timeline
33mo left

Started Jan 2025

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
not yet recruiting

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 Progress34%
Jan 2025Jan 2029

First Submitted

Initial submission to the registry

October 1, 2024

Completed
2 days until next milestone

First Posted

Study publicly available on registry

October 3, 2024

Completed
3 months until next milestone

Study Start

First participant enrolled

January 1, 2025

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2028

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2029

Last Updated

October 16, 2024

Status Verified

September 1, 2024

Enrollment Period

3 years

First QC Date

October 1, 2024

Last Update Submit

October 13, 2024

Conditions

Keywords

ApoB-guidedLLTPCICoronary artery diseaselipid lowering therapy

Outcome Measures

Primary Outcomes (1)

  • Efficacy of lipid-lowering therapy predicated on target Apolipoprotein B or target Low-Density Lipoprotein Cholesterol (LDL-C) levels

    To evaluate the therapeutic efficacy of lipid-lowering therapy predicated on target Apolipoprotein B or target Low-Density Lipoprotein Cholesterol (LDL-C) levels at the one-year follow-up in patients undergoing percutaneous coronary intervention (PCI). Specifically, the primary objective is to conduct a comparative analysis of the achievement rates of lipid-lowering therapeutic targets at the one-year in PCI patients between two cohorts: one receiving therapy tailored to Apolipoprotein B targets versus another receiving treatment based on LDL-C targets.

    1 year

Secondary Outcomes (1)

  • Effectiveness of lipid-lowering therapies guided by Apolipoprotein B or LDL-C target levels at the one-year follow-up in post-PCI patients, with a particular focus on comparing the incidence of major adverse cardiovascular events (MACE)

    1 year

Study Arms (2)

LDL-C guided-LLT

ACTIVE COMPARATOR

Patients in this group will receive treatment regimens adjusted accordingly to meet the LDL-C targets.

Other: LDL-C-guided-LLT

ApoB-guided-LLT

EXPERIMENTAL

Patients in this group will receive treatment regimens adjusted accordingly to meet the Apolipoprotein B targets.

Other: ApoB-guided-LLT

Interventions

Patients in this group will receive treatment regimens adjusted accordingly to meet the Apolipoprotein B targets

ApoB-guided-LLT

Patients in this group will receive treatment regimens adjusted accordingly to meet the LDL-C targets.

LDL-C guided-LLT

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients aged 18 years or older.
  • Patients undergoing percutaneous coronary intervention (PCI) with drug-eluting stents (DES).
  • Patients who agree to participate and provide informed consent.

You may not qualify if:

  • Inability to Provide Informed Consent: Patients who are unable or unwilling to provide consent.
  • Limited life expectancy: patients with a life expectancy of less than 12 months due to other non-cardiac conditions.
  • Liver Disease: patients with cirrhosis or significant liver dysfunction.
  • Patients with contraindication to statin or other lipid-lowering therapy.
  • Any condition that may interfere with the study process, including treatment adherence or follow-up appointments (e.g., dementia, alcohol abuse, severe debilitation, long distances required for follow-up, etc.).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University Medical Center Ho Chi Minh City

Ho Chi Minh City, 700000, Vietnam

Location

MeSH Terms

Conditions

Lipid Metabolism DisordersCoronary Artery Disease

Condition Hierarchy (Ancestors)

Metabolic DiseasesNutritional and Metabolic DiseasesCoronary DiseaseMyocardial IschemiaHeart DiseasesCardiovascular DiseasesArteriosclerosisArterial Occlusive DiseasesVascular Diseases

Central Study Contacts

Vu Hoang Vu, Ph.D M.D

CONTACT

Bao Thien Duong, M.D

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Head of Interventional Cardiology Department, PhD MD

Study Record Dates

First Submitted

October 1, 2024

First Posted

October 3, 2024

Study Start

January 1, 2025

Primary Completion (Estimated)

January 1, 2028

Study Completion (Estimated)

January 1, 2029

Last Updated

October 16, 2024

Record last verified: 2024-09

Data Sharing

IPD Sharing
Will not share

Locations