atherosclerosis desead MedDRA version: 20.0 Level: SOC Classification code 10007541 Term: Cardiac disorders System Organ Class: 10007541 - Cardiac disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: asymptomatic patients with mono or bilateral carotid stenosis =50% and LDL-C values ¿¿=100 mg / dL despite LLT Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 80 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 20
Exclusion criteria
Exclusion criteria: <18 years, known intolerance to evolocumab, previous or current therapy with PCSK9 inhibitors, previous stroke or TIA, total carotid occlusion, failure to sign informed consent. Other exclusion criteria are: major active infection or major haematological, renal, hepatic or endocrine disease, tumor disease with a life expectancy of less than 24 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: to evaluate the morphological stabilization of the carotid plaque and its regression after 6 and 12 months of therapy with evolocumab;Secondary Objective: to evaluate the morphological stabilization of the carotid plaque and its regression after 6 and 12 months of therapy with evolocumab;Primary end point(s): Superiority of evolocumab added to ongoing LLT versus ongoing LLT in determining morphological stabilization and regression of carotid plaque at 6 and 12 months, respectively;Timepoint(s) of evaluation of this end point: 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Absolute and percentage change in LDL cholesterol (LDL-C) levels in the two groups at 12 months of follow-up Cerebrovascular and cardiac adverse events at 12 and 24 months;Timepoint(s) of evaluation of this end point: 12 months | — |
Countries
Italy
Contacts
A.O. Ordine Mauriziano di Torino