"Detection and Follow-up of Coronary Lesions in HeFH (DESTINY-FH Study)"

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age30-60
SponsorAssistance Publique - Hôpitaux de Paris

About this trial

This multicenter, non-randomized interventional study aims to assess coronary artery disease progression over 5 years in patients with genetically confirmed heterozygous familial hypercholesterolemia (HeFH), using coronary computed tomography angiography (CCTA).

The primary endpoint is the visual evaluation of coronary stenosis using CAD-RADS v2.0, identifying changes between baseline (2018-2022) and study inclusion. The study will enroll 300 patients (100 protected, 200 non-protected) from La Pitié-Salpêtrière hospital and Saint Antoine Hospital (Paris). Participation lasts up to one week. Total study duration is 2 years, with extended follow-up through routine care data over 10 years.

Eligibility criteria

Qualifiers

Patients with heterozygous familial hypercholesterolemia

Aged 30 to 60 years.

Patients who underwent a CAC score and a coronary CT angiogram at least 5 years ago, exclusively at the same imaging center (ICT de la Pitié Salpetrière).

Patient asymptomatic for exertional chest pain at the time of CCTA

Disqualifiers

Patient under guardianship, or unable to give consent

Pregnancy, breast-feeding

Technical contraindication: weight > 250 kg

Simultaneous participation in other interventional research involving the human body, or period of exclusion following previous research involving the human body still in progress.

Trial design

Treatments tested in this trial

  • Coronary computed tomography angiography

Treatment groups

300 Participants
are divided into 1 treatment group