- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03110432
Prospective German Very High Cardiovascular Risk Patients Dyslipidemia Treatment Indication Registry (PERI-DYS)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The study is purely observational, and will document data from the patient charts only. Treatment of patients will not be changed by this study, and all clinical decisions (including on frequency of visits) will be upon the discretion of the physician. No blood samples must be taken solely for the purpose of the study.
The registry will include two types of centers: 1) office-based cardiologists and 2) specialized lipid ambulances (outpatient departments).
Data on patient disease and treatment history will be collected a first documentation (retrospectively).
The documentation time is 3 years per patient. After the baseline visit, patients are followed-up every 6 ± 2months (last visit at month 36). This interval is considered narrow enough not to miss important events (safety reporting, cardiovascular events, hospitalizations).
Patients with stable (maintenance) lipid-lowering therapy (including those with existing PCSK9i therapy) or those with any therapy changes (including newly initiated PCSK9i treatment) will be documented in this study. Compared to the former group with stable drug treatment, the latter group will likely have major LDL-C changes during the first few weeks, which will be accounted for by (retrospective) monthly documentation in the first 3 months (data will be documented at the 6-month visit.
The documentation periods will be substantially longer than in the controlled studies of the PCSK9i (endpoints were as early as 3 months), and thus will provide much-needed information about the long-term effects on LDL-C and other lipid parameters, safety, and drug retention rates. Longer follow-up periods would likely be compromised by high rates of (administrative) discontinuation rates.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
-
-
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Leipzig, Germany
- Klinik und Poliklinik für Kardiologie, Universitätsklinikum
-
Tübingen, Germany
- Innere Medizin IV - Diabetologie, Endokrinologie und Nephrologie am Universitaetsklinikum
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Villingen-Schwenningen, Germany
- Nephrologisches Zentrum
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
• with familial, homozygous hypercholesterolemia, in whom pharmaceutical and diet options for lipid lowering have proved insufficient, or
- with confirmed familial, heterozygous hypercholesterolemia under consideration of the total familial risk, or
with heterozygous familial or non- familial hypercholesterolemia or mixed dyslipidemia with
- therapy refractory course
- maximal dietary and pharmaceutical lipid lowering therapy - in any case documented over a 12-month period
- unsatisfactorily lowered LDL-C value (and thus with an indication for LDL apheresis)
- confirmed vascular disease
- other risk factors for cardiovascular events
Exclusion Criteria:
- Concurrent participation of the patient in a clinical randomised study.
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Standard lipid lowering therapy
Statins, ezetimibe, nicotinic acid, fibrates, cholestagel, omega-3 fatty acids (and any combinations of these agents)
|
drug use according to the respective product labelling
Other Names:
|
PCSK9 Inhibitor [EPC]
Evolocumab or alirocumab.
|
drug use according to the respective product labelling
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
LDL cholesterol goal achievement
Time Frame: 3 years
|
< 70 mg/dl
|
3 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
LDL cholesterol reduction
Time Frame: up top 3 years
|
Compared to baseline
|
up top 3 years
|
Number of treatment changes
Time Frame: up to 3 years
|
During the follow-up period
|
up to 3 years
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in quality of life
Time Frame: up to 3 years
|
by EuroQol 5 dimensions
|
up to 3 years
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: David Pittrow, MD, PhD, GWT-TUD GmbH, Germany
- Study Chair: Andreas Birkenfeld, MD, PhD, Innere Medizin IV - Diabetologie, Endokrinologie und Nephrologie am Universitaetsklinikum Tuebingen, Germany
- Study Chair: Bernd Hohenstein, MD, PhD, Nephrologisches Zentrum Villingen-Schwenningen, Germany
- Study Chair: Ulrich Laufs, MD, PhD, Klinik für Innere Medizin III, Universität des Saarlandes, Germany
- Study Chair: Volker JJ Schettler, MD, PhD, Nephrologisches Zentrum Göttingen GbR, Germany
- Study Chair: Elisabeth Steinhagen-Thiessen, MD, PhD, Lipid Clinic, Charité Universitaetsmedizin, Berlin, Germany
- Study Chair: Klaus G Parhofer, MD, PhD, Ludwig Maximilian University, Medizinische Klinik und Poliklinik IV, Muenchen, Germany
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Metabolic Diseases
- Lipid Metabolism Disorders
- Dyslipidemias
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Vasodilator Agents
- Enzyme Inhibitors
- Antimetabolites
- Protease Inhibitors
- Micronutrients
- Anticholesteremic Agents
- Hypolipidemic Agents
- Lipid Regulating Agents
- Vitamins
- Serine Proteinase Inhibitors
- Vitamin B Complex
- Nicotinic Acids
- Niacin
- Colesevelam Hydrochloride
- Ezetimibe
- PCSK9 Inhibitors
Other Study ID Numbers
- PERI-DYS
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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