HDL Acute Lipid Optimization in Homozygous Familial Hypercholesterolemia
Study Details
Study Description
Brief Summary
Assess the effect on coronary atheroma of serial infusions of autologous selectively delipidated HDL/preβ enriched plasma following use of HDL Therapeutics PDS-2™ System
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
The PDS-2™ System is intended to reduce coronary atheroma in patients with Homozygous Familial Hypercholesterolemia (HoFH). Subjects will receive serial infusions of autologous selectively delipidated HDL/preβ enriched plasma following use of HDL Therapeutics' PDS-2 System.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: HDL Therapeutics PDS-2™ System Serial infusions of autologous selectively delipidated HDL/preβ enriched plasma following use of HDL Therapeutics PDS-2™ System |
Device: HDL Therapeutics PDS-2 System
Delipidation of plasma HDL to reduce coronary atheroma
|
Outcome Measures
Primary Outcome Measures
- Change in coronary atheroma [2 months]
Assessed by coronary imaging in study coronary artery segments following serial infusions of autologous selectively delipidated HDL/preβ enriched plasma following use of HDL Therapeutics PDS-2™ System as compared to baseline
Eligibility Criteria
Criteria
Key Inclusion Criteria:
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Clinical diagnosis of Homozygous Familial Hypercholesterolemia (HoFH) due to a defect in the LDL receptor, or the identification of a defect in apoB-100, or a gain of function of PCSK9, or a genetic defect resulting in the HoFH clinical phenotype
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No other condition that would preclude the subject from successfully completing the series of plasmapheresis visits in the investigator's opinion
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At least one (1) coronary artery study segment will be identified for each subject and all will remain constant throughout the study. The qualifying study segment(s) will have 20% to 40% stenosis.
Key Exclusion Criteria:
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Planned change in current lipid lowering therapy
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Use of oral anticoagulants, unless the dose has been stable for 4 weeks
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LDL or plasma apheresis within 1 week prior to enrollment and through 8-week primary endpoint
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New York Heart Association (NYHA) class III or IV or last known left ventricular ejection fraction < 30%
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Myocardial infarction, unstable angina, percutaneous coronary intervention (PCI), coronary artery bypass graft (CABG) or stroke within 3 months of enrollment
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Cedars-Sinai Medical Center (CSMC) | Los Angeles | California | United States | 90048 |
Sponsors and Collaborators
- HDL Therapeutics
- MedStar Heart and Vascular Institute
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- HALO-FH