Atherosclerosis, Heterozygous Familial Hypercholesterolemia
Conditions
Brief summary
The effects of pactimibe versus placebo on the progression of atherosclerosis in the carotid arteries will be assessed using standard ultrasound techniques.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Confirmed diagnosis of heterozygous familial hypercholesterolemia * Ambulatory male (40 to 75 years, inclusive) or female (45 to 75 years, inclusive) subjects * Calculated LDL-C level greater than or equal to 100 mg/dL (or 2.5 mmol/L) and triglycerides less than 500 mg/dL (5.65 mmol/L) while on usual and stable lipid-lowering therapy
Exclusion criteria
* Breast feeding or lactating women * Previous organ transplantation * High-grade stenosis (\>75%) or the occlusion of any segment of either carotid artery * History of carotid endarterectomy, or insertion of carotid artery stent or are scheduled to have either of these procedures
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To demonstrate the effect of pactimibe versus placebo, when added to usual medical care, on the intima-media thickness (IMT) of the carotid arteries in subjects with heterozygous familial hypercholesterolemia (HeFH) and carotid atherosclerosis. | — |
Secondary
| Measure | Time frame |
|---|---|
| - on the incidence and the time to first occurrence of | — |
| cardiovascular events, | — |
| - on inflammatory and oxidative markers, such as serum | — |
| To assess the effects of pactimibe versus placebo, when added to usual medical care: | — |
| interleukin 6 (IL-6), plasma myeloperoxidase (MPO) and | — |
| serum nitrotyrosine. | — |
| To compare the safety of pactimibe versus placebo, when added to usual medical care, particularly with respect to the incidence of clincal and laboratory adverse events. | — |
| high-sensitivity C-reactive protein (hsCRP), plasma | — |
Countries
Canada, Israel, Netherlands, Norway, South Africa, Spain, Sweden, United Kingdom, United States