MEMOGAL: Study to Evaluate Changes in Cognitive Function in Patients Treated With PCSK9 Inhibitors
Study Details
Study Description
Brief Summary
The main objective will be to evaluate the changes in the cognitive function in naive patients treated with PCSK9 inhibitors (Alirocumab and Evolocumab) by using the Montreal Cognitive Assesment questionnaire (MOCA).
The secondary objectives will be: 1) To evaluate the levels of LDL-cholesterol changes from the beginning to the end of the study 2) To evaluate changes in Quality of Life among the EuroQol EQ-5D-3L questionnaire (it will also be associated to the cognitive function) 3) Assesment of direct costs in medications and outpatients consultations related with the health procedures.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Uncontrolled patients with hypercholesterolemia Patients that meet criteria inclusions and they have just started to take Alirocumab or Evolocumab |
Drug: PCSK9 inhibitor
Patients are included after PCSK9 inhibitors prescription , at the first dispensation
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Outcome Measures
Primary Outcome Measures
- Changes in cognitive function [24 to 36 months]
Assesment by Montreal Cognitive Assessment questionnaire (MOCA). Minimum value is 0 and maximum value is 30. A higher or equal value to 26 points will be considered normal.
Secondary Outcome Measures
- LDL-cholesterol values [24 to 36 months]
LDL-cholesterol changes will be assessed during the study by routine sample tests (mg/dL)
- Changes in Quality of life [24 to 36 months]
By using the questionnaire called EuroQol EQ-5D-3L assessment. It has 2 parts, the first one has 5 questions with 3 possible answers (5 dimensions and 3 levels), so each health status has a rate called EVA from 1,0000 (the highest value) to - 0,5095 (the worst health status). The second part is a visual self-assessment between 0 (the worst health status) and 100 (the best health status). https://euroqol.org/
- Direct costs [24 to 36 months]
Direct costs related with treatments and consultations (€)
Other Outcome Measures
- Total Cholesterol [24 to 36 months]
Total cholesterol evolution during the study in mg/dL
- Lp(a) [24 to 36 months]
Lp(a) evolution during the study in mg/dL
- Cost-effectiveness [24 to 36 months]
€/QUALY
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients 18 years old or over
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To start with the first funded dose of PCSK9 inhibitors ( LDL > 100 mg/dL)
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Maximum dose or statin intolerance
Exclusion Criteria:
- Diagnosis of any disease related with cognitive deterioration
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Hospital de Virxen da Xunqueira de Cee | Cee | A Coruña | Spain | |
2 | Hospital Arquiteto Marcide de Ferrol | Ferrol | A Coruña | Spain | |
3 | Hospital del Barbanza | Ribeira | A Coruña | Spain | |
4 | Hospital Clínico Universitario de Santiago de Compostela | Santiago De Compostela | A Coruña | Spain | |
5 | Hospital Público da Mariña de Burela | Burela | Lugo | Spain | |
6 | Hospital de Monforte | Monforte De Lemos | Lugo | Spain | |
7 | Hospital do Barco de Valdeorras | O Barco De Valdeorras | Ourense | Spain | |
8 | Hospital Alvaro Cunqueiro de Vigo | Vigo | Pontevedra | Spain | |
9 | Complejo Hospitalario Universitario de A Coruña | A Coruña | Spain | 15706 | |
10 | Hospital Lucus-Augusti de Lugo | Lugo | Spain | ||
11 | Complejo Hospitalario Universitario de Ourense | Ourense | Spain | ||
12 | Complexo Hospitalario Universitario de Pontevedra | Pontevedra | Spain |
Sponsors and Collaborators
- Jose Seijas Amigo
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
- Banach M, Rizzo M, Nikolic D, Howard G, Howard V, Mikhailidis D. Intensive LDL-cholesterol lowering therapy and neurocognitive function. Pharmacol Ther. 2017 Feb;170:181-191. doi: 10.1016/j.pharmthera.2016.11.001. Epub 2016 Nov 16. Review.
- Giugliano RP, Mach F, Zavitz K, Kurtz C, Im K, Kanevsky E, Schneider J, Wang H, Keech A, Pedersen TR, Sabatine MS, Sever PS, Robinson JG, Honarpour N, Wasserman SM, Ott BR; EBBINGHAUS Investigators. Cognitive Function in a Randomized Trial of Evolocumab. N Engl J Med. 2017 Aug 17;377(7):633-643. doi: 10.1056/NEJMoa1701131.
- Kołodziejczak M, Navarese EP. Role of PCSK9 antibodies in cardiovascular disease: Critical considerations of mortality and neurocognitive findings from the current literature. Atherosclerosis. 2016 Apr;247:189-92. doi: 10.1016/j.atherosclerosis.2016.02.011. Epub 2016 Feb 15. Review.
- Lipinski MJ, Benedetto U, Escarcega RO, Biondi-Zoccai G, Lhermusier T, Baker NC, Torguson R, Brewer HB Jr, Waksman R. The impact of proprotein convertase subtilisin-kexin type 9 serine protease inhibitors on lipid levels and outcomes in patients with primary hypercholesterolaemia: a network meta-analysis. Eur Heart J. 2016 Feb 7;37(6):536-45. doi: 10.1093/eurheartj/ehv563. Epub 2015 Nov 17. Review.
- Paquette M, Saavedra YGL, Poirier J, Théroux L, Dea D, Baass A, Dufour R. Loss-of-Function PCSK9 Mutations Are Not Associated With Alzheimer Disease. J Geriatr Psychiatry Neurol. 2018 Mar;31(2):90-96. doi: 10.1177/0891988718764330. Epub 2018 Mar 21.
- Robinson JG, Rosenson RS, Farnier M, Chaudhari U, Sasiela WJ, Merlet L, Miller K, Kastelein JJ. Safety of Very Low Low-Density Lipoprotein Cholesterol Levels With Alirocumab: Pooled Data From Randomized Trials. J Am Coll Cardiol. 2017 Feb 7;69(5):471-482. doi: 10.1016/j.jacc.2016.11.037.
- Sabatine MS, Giugliano RP, Keech AC, Honarpour N, Wiviott SD, Murphy SA, Kuder JF, Wang H, Liu T, Wasserman SM, Sever PS, Pedersen TR; FOURIER Steering Committee and Investigators. Evolocumab and Clinical Outcomes in Patients with Cardiovascular Disease. N Engl J Med. 2017 May 4;376(18):1713-1722. doi: 10.1056/NEJMoa1615664. Epub 2017 Mar 17.
- Schwartz GG, Steg PG, Szarek M, Bhatt DL, Bittner VA, Diaz R, Edelberg JM, Goodman SG, Hanotin C, Harrington RA, Jukema JW, Lecorps G, Mahaffey KW, Moryusef A, Pordy R, Quintero K, Roe MT, Sasiela WJ, Tamby JF, Tricoci P, White HD, Zeiher AM; ODYSSEY OUTCOMES Committees and Investigators. Alirocumab and Cardiovascular Outcomes after Acute Coronary Syndrome. N Engl J Med. 2018 Nov 29;379(22):2097-2107. doi: 10.1056/NEJMoa1801174. Epub 2018 Nov 7.
- Seijas-Amigo J, Gayoso-Rey M, Mauriz-Montero MJ, Suarez-Artime P, Casas-Martinez A, Dominguez-Guerra M, Gonzalez-Freire L, Estany-Gestal A; e investigadores MEMOGAL. Impact of the COVID-19 pandemic in the lipid control of the patients that start PCSK9 inhibitors. Clin Investig Arterioscler. 2022 Feb 3. pii: S0214-9168(22)00018-3. doi: 10.1016/j.arteri.2022.01.003. [Epub ahead of print] English, Spanish.
- Seijas-Amigo J, Rodríguez-Penas D, Estany-Gestal A, Suárez-Artime P, Santamaría-Cadavid M, González-Juanatey JR. Observational multicentre prospective study to assess changes in cognitive function in patients treated with PCSK9i. Study protocol. Farm Hosp. 2021 Mar 5;45(3):150-154. doi: 10.7399/fh.11569.
- Shibata N, Ohnuma T, Higashi S, Higashi M, Usui C, Ohkubo T, Watanabe T, Kawashima R, Kitajima A, Ueki A, Nagao M, Arai H. No genetic association between PCSK9 polymorphisms and Alzheimer's disease and plasma cholesterol level in Japanese patients. Psychiatr Genet. 2005 Dec;15(4):239.
- Xue-Shan Z, Juan P, Qi W, Zhong R, Li-Hong P, Zhi-Han T, Zhi-Sheng J, Gui-Xue W, Lu-Shan L. Imbalanced cholesterol metabolism in Alzheimer's disease. Clin Chim Acta. 2016 May 1;456:107-114. doi: 10.1016/j.cca.2016.02.024. Epub 2016 Mar 2. Review.
- JSA-ALI-2019-01
- 2019/653
- PMID: 33941059