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NCT05825612Not yet recruiting

EPIRUS FH Reverse Cascade Screening

Reverse Cascade Screening for Familial Hypercholesterolemia in Children and Adolescents in Northwest Greece

Source: ClinicalTrials.gov · Last updated 24 Apr 2023 · Not updated for over 12 months - ask the site whether it is still open

Brief summary (registry, in English)

Familial hypercholesterolemia (FH) is the most common inherited metabolic disorder resulting in marked elevations in low-density lipoprotein cholesterol (LDL-C). If left untreated, lifelong exposure to elevated LDL-C leads to a substantially increased risk of premature cardiovascular disease as compared to the general population. Although FH adverse cardiovascular outcomes are potentially preventable through early identification of FH individuals and initiation of effective treatment, available evidence shows that FH is under-diagnosed and under-treated. Childhood is the optimal period for FH screening, because due to minimal dietary and hormonal influences, LDL-C levels reflect predominantly the genetic component in children and are well suited to discriminate FH from other causes of elevated LDL-C. If FH remains untreated in this latent stage of the disease, individuals show a 10-fold increase of cardiovascular risk during early and middle adulthood. In this context, an effective approach for detecting FH would be a screening during childhood or in young adolescents in combination with reverse cascade screening of first-degree relatives of FH individuals. EPIRUS-FH registry is a model program of reverse cascade screening for FH in children and adolescents in Northwest Greece that aims to increase public and physician awareness, strengthen the national registry of familial hypercholesterolemia (HELLAS-FH) and constitute the core for a national FH registry in children and adolescents in Greece.

Status (registry)
Not yet recruiting
Study type
Observational
Enrollment
1000 (estimated)
First submitted
11 Apr 2023
Start date
May 2023
Primary completion date
May 2033
Lead sponsor
Hellenic Atherosclerosis Society
NCT number
NCT05825612

What you commit to

  • Study type: Observational
  • Planned participants: 1000
  • From May 2023 to the primary completion date, May 2033
  • No sites listed in no 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.

Other illness

  • Any clinically significant disorder recognized at the time of the preliminary assessment, which in the judgment of the investigator would disqualify patient's participation in the study.

Other

  • Refusal to sign the consent form and disagreement with the terms of participation.

Who the study is looking for

  • LDL-C \>160 mg/dL on two seperate measurements 3 months apart
  • LDL-C \>130 mg/dL + family history of premature coronary artery disease or hypercholesterolemia in one parent
  • Children and adolescents on cholesterol-lowering medication

Age in the registry: 4 years to 16 years · Sex: All · Accepts healthy volunteers

Full criteria on ClinicalTrials.gov

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