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NCT05695937Completed

Brazilian Cardioprotective Diet, Phytosterols and Krill Oil in Patients With Familial Hypercholesterolemia

Effect of the Adapted Brazilian Cardioprotective Diet Supplemented With Phytosterols and/or Krill Oil in Patients With Familial Hypercholesterolemia: DICA-HF Pilot Study

Source: ClinicalTrials.gov · Last updated 30 Dec 2025

Brief summary (registry, in English)

The main objective of this pilot study is to evaluate the effects of the Brazilian Cardioprotective Diet (DICA Br) supplemented or not with phytosterols and/or krill oil in patients with a probable or definitive diagnosis of familial hypercholesterolemia (FH) identified by the Dutch Lipid Clinic Network (Dutch MEDPED) criteria. In addition, the following will be considered secondary objectives: to perform participants´ complete sequencing of the exome; to evaluate the effects of the interventions on lipid profile; to identify subclasses of low-density lipoprotein (LDL) and high-density lipoprotein (HDL) cholesterol; to perform untargeted lipidomic analyses; to evaluate the frequency of mild, moderate and severe adverse events according to study groups; and to evaluate both implementation components and adherence rates to the protocol, aiming to design a larger randomized trial. In this pilot study, between 48 and 76 individuals will be randomly enrolled into four groups: 1) DICA Br adapted to FH (DICA-HF) + phytosterol placebo + krill oil placebo (control group); 2) DICA-HF + 2g/day of phytosterol + krill oil placebo; 3) DICA-HF + phytosterol placebo + 2g/day of krill oil; and 4) DICA-HF + 2g/day of phytosterol + 2g/day of krill oil. Primary outcomes will be LDL-cholesterol for groups phytosterol vs. placebo and lipoprotein(a) for groups krill oil vs. placebo after 120 days of follow up. World Health Organization Universal Trial Number (WHO-UTN): U1111-1296-7102

Status (registry)
Completed
Study type
Interventional
Enrollment
58 (actual)
First submitted
13 Jan 2023
Start date
22 May 2023
Primary completion date
29 Dec 2023
Lead sponsor
Hospital do Coracao
NCT number
NCT05695937

What you commit to

  • Study type: Interventional
  • Participants enrolled: 58
  • From 22 May 2023 to the primary completion date, 29 Dec 2023
  • 9 sites in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Chronic use of anti-inflammatory, anticonvulsant and immunosuppressive drugs;
  • Use of PCSK9 inhibitors (alirocumab and evolocumab);

Other illness

  • Diagnosis of hypercholesterolemia due to a secondary cause (hypothyroidism, nephrotic syndrome, etc.);
  • Food allergies (food, dyes, preservatives);
  • HIV positive in treatment/AIDS;
  • Chronic inflammatory diseases;
  • Liver disease or chronic kidney disease on dialysis;
  • Cancer under treatment or life expectancy \< 6 months;
  • Episode of acute coronary syndrome in the last 60 days;

Other

  • "Possible" diagnosis of FH according to the Dutch MEDPED criteria;
  • Fasting triglycerides ≥ 500mg/dL;
  • Contraindication to the use of phytosterols (for example: diagnosis of sitosterolemia);
  • Chemical dependency/alcoholism;
  • Pregnancy or lactation;
  • Wheelchair users unable to undergo anthropometric assessment;
  • Body mass index ≥40kg/m²;
  • Use of dietary supplements that may interfere with the outcomes of interest;
  • Participation in other randomized clinical trials;
  • Refusal to participate in the study.

Who the study is looking for

  • Adult participants (age ≥20 years);
  • Definitive (certainty) or probable diagnosis of FH by the Dutch MEDPED criteria;
  • Using one of the following treatment regimens for ≥ 6 weeks: simvastatin 40 mg; lovastatin 40 mg; pravastatin 80 mg; atorvastatin 20 mg; rosuvastatin 10 mg; pitavastatin 4 mg; fluvastatin 80 mg; atorvastatin 40 - 80 mg; rosuvastatin 20 - 40 mg; atorvastatin 40 - 80 mg + ezetimibe 10mg; rosuvastatin 20 - 40 mg + ezetimibe 10mg; or simvastatin 40mg + ezetimibe 10mg.

Age in the registry: 20 years to 80 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (9)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Hospital Sao Jose
Coordinator of this site? Confirm its status
CriciúmaBrazilUnknown status
Hospital das Clinicas da Universidade Federal de Goias
Coordinator of this site? Confirm its status
GoiâniaBrazilUnknown status
Universidade Regional do Noroeste do Estado do Rio Grande do Sul
Coordinator of this site? Confirm its status
IjuíBrazilUnknown status
Instituto Nacional de Cardiologia
Coordinator of this site? Confirm its status
Rio de JaneiroBrazilUnknown status
Hospital Ana Nery
Coordinator of this site? Confirm its status
SalvadorBrazilUnknown status
Universidade Feevale
Coordinator of this site? Confirm its status
São LeopoldoBrazilUnknown status
Hcor
Coordinator of this site? Confirm its status
São PauloBrazilUnknown status
Instituto Dante Pazzanese de Cardiologia
Coordinator of this site? Confirm its status
São PauloBrazilUnknown status
INCOR
Coordinator of this site? Confirm its status
São PauloBrazilUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.