Actively Recruiting

Age: 18Years - 50Years
All Genders
ID05783804

Plaque Reversal With Early, Aggressive Lipid Lowering Therapy

Led by Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) · Updated on 2025-10-02

60

Participants Needed

1

Research Sites

17 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are studying whether plaques in young patients with familial hypercholesterolemia, specifically those under 50 years old, respond to early and intensive lipid lowering therapy. The goal is to see if this approach can lead to significant plaque reduction and slow coronary artery disease progression. This observational study focuses on adults diagnosed with this genetic condition who have elevated LDL cholesterol levels. The study does not involve specific treatment interventions but observes the effects of aggressive lipid lowering therapy already prescribed to participants. It will monitor changes in coronary artery disease over 40 weeks, focusing on plaque progression and characteristics. Researchers will assess both calcified and non-calcified plaques, as well as high-risk plaque counts and changes in pericoronary adipose tissue. Participants will undergo evaluations at the start and after 40 weeks, including imaging studies to measure plaque and tissue changes. The main outcome is the progression of coronary artery disease, with secondary outcomes examining detailed plaque features. The study is led by the Academisch Medisch Centrum - Universiteit van Amsterdam and will continue until April 2027, involving adults aged 18 to 50 with familial hypercholesterolemia and elevated LDL cholesterol.

CONDITIONS

Brief Title

Plaque Reversal With Early, Aggressive Lipid Lowering Therapy

Who Can Participate

Age: 18Years - 50Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosed with heterozygous familial hypercholesterolemia
  • Adult between 18 and 50 years old
  • LDL cholesterol levels above 100 mg/dl (>2.6 mmol/L) at inclusion
Not Eligible

You will not qualify if you...

  • Renal insufficiency, defined as eGFR < 30 ml/min
  • History of atherosclerotic cardiovascular events
  • Atrial fibrillation
  • Any other treatment or clinically relevant condition that could interfere with the conduct or interpretation of the study in the opinion of the investigator
  • Inability or unwillingness to comply with the protocol requirements, or deemed by investigator to be unfit for the study

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Monitoring

Duration - 40 weeks

Participants are observed to assess progression of coronary artery disease and plaque characteristics over time.

Regular assessments during the 40-week period

Trial Site Locations

Total: 1 location

1

Amsterdam UMC, location AMC

Amsterdam, North Holland, Netherlands, 1105 AZ

Actively Recruiting

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Research Team

E

Erik SG Stroes, MD, PhD

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

0

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