Familial hypercholesterolemia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Males or females; 2. Aged 8-14 years; 3. Heterozygous Familial hypercholesterolemia defined as: a. Molecular diagnosis of FH AND LDL-cholesterol above 95th percentile for age and sex (LDL-C> 3.88 mmol/L) despite a lipid-lowering diet for at least 3 months; OR b. LDL-cholesterol above 95th percentile for age and sex (LDL-C> 3.88 mmol/L) despite a lipid-lowering diet for at least 3 months; AND c. One parent with either a clinical or molecular diagnosis of FH.
Exclusion criteria
Exclusion criteria: 1. Homozygous familial hypercholesterolemia; 2. Diseases that cause a secondary increase in LDL-C, such as diabetes mellitus, anorexia nervosa and renal, hepatic or thyroid disease; 3. Length below the 3rd percentile for age and sex; 4. Weight-compared-to-length above the 97th percentile for age and sex; 5. Serious illness in the previous three months; 6. Major surgery in the previous three months; 7. Partial ileal bypass or any gastrointestinal disease that might interfere with drug absorption; 8. Plasma triglycerides above 4.0 mmol/l; 9. Hypertension (systolic > 160 mm Hg or diastolic > 100 mm Hg); 10. Psychological disorders that might interfere with adherence to the protocol; 11. Pregnancy at baseline; 12. History of allergy or sensitivity to ezetimibe; 13. Liver function tests, ASAT or ALAT, must be < 1.5 times the upper limit of normal (ULN) using the central laboratory reference range; 14. CK levels must be <1.5 times the ULN using the central laboratory reference range.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary endpoint will be the efficacy towards LDL-C levels and the safety of 10 mg ezetimibe. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoint will be the effect of 10 mg ezetimibe on inflammatory markers and plant sterols in plasma. | — |
Contacts
Academic Medical Center (AMC), Department of Cardiology, F4- 109, P.O. Box 22660