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(H.E.L.P.)Apheresis Therapy to Compare the Reduction of LDL (Low Density Lipoprotein) Cholesterol (FUTURA)

Primary Purpose

Hypercholesterolemia

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Secura then Futura
Futura then Secura
Sponsored by
B. Braun Medical Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Hypercholesterolemia focused on measuring Heparin, Extracorporeal, Low Density Lipo-Protein (LDL) Cholesterol, Apheresis, Device

Eligibility Criteria

25 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subject is between 25 and 70 years of age (inclusive) at the time of randomization.
  • Subject is an appropriate candidate for H.E.L.P. apheresis treatment for hypercholesterolemia according to current Plasmat® Secura approval criteria.
  • Subject has received a minimum of two consecutive bi-monthly* H.E.L.P. apheresis treatments using the Plasmat® Secura apheresis system >30 days prior to the screening visit.
  • Subject is willing to maintain cholesterol lowering dietary and drug therapies as prescribed through the course of the study.
  • Subject is willing and able to provide written informed consent and Health Insurance Portability and Accountability Act (HIPAA) Waiver.
  • Sterile, post-menopausal, or using acceptable birth control for the duration of the study. Acceptable birth control is defined as having a vasectomized, postmenopausal, or sterile partner; the ongoing use of approved hormonal contraceptives, barrier method, or an intrauterine device; or abstinence.

    • Every 14 days (±2 days)

Exclusion Criteria:

  • A History of a known sensitivity to heparin or ethylene oxide.
  • A history of hemorrhagic diathesis, bleeding/clotting disorder, thrombocytopenia (defined as platelet count < 150 x109/L), or for whom the use of heparin would cause excessive or uncontrolled anticoagulation or for whom adequate anticoagulation cannot be safely achieved (ie., hemophilia, recent surgery, acute internal bleeding, gastrointestinal ulcers).
  • Females who are pregnant or lactating.
  • Subjects< 106 lbs. or <48.2 kg in body weight; or whose weight is >1.5 times their ideal weight.
  • Certain cardiac impairments such as congestive heart failure, major arrhythmia, or diastolic blood pressure greater than 100 mm/Hg on two separate occasions at least 24 hours apart.
  • Renal insufficiency defined as creatinine greater >2.0 mg/dlL or is dependent upon renal dialysis.
  • Untreated hypothyroidism; uncontrolled diabetes mellitus; or fasting triglycerides >500 mg/dL.
  • Serious systemic disease (e.g., advanced neoplasms, and acute hepatitis) including Immune system suppression or compromise, that could preclude survival to study completion.
  • History of stroke within 6 months of the screening visit.
  • Received thrombolytic treatment < 7 days of screening.visit.
  • Taken or requires a prohibited treatment < 30 days prior to the Screening Visit, or requires a prohibited treatment at anytime during the course of the study.
  • Neutropenia (neutrophil count < 0.5 x109/L).
  • History of liver disease or serum ALT and/or AST > 2X upper limit of normal range.
  • History of dementia.
  • History of anemia (value outside the lower normal range).
  • acetyl salicylic acid (ASA) > 325 mg/day.
  • Subject currently enrolled in another investigational study (does not apply to PMS for Secura device).
  • Subject with any other medical condition that in the opinion of the investigator might put the subject at risk or interfere with his/her participation.
  • Subject is unwilling or unable to comply with the protocol or to cooperate fully with the investigator or site personnel.

Sites / Locations

  • Hartford Hospital
  • University of Kansas Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Other

Other

Arm Label

A (Secura then Futura)

B (Futura then Secura)

Arm Description

The Group Randomized first to the approved Plasmat® Secura apheresis system and then to the Plasmat® Futura apheresis system.

The Group Randomized first to the approved Plasmat® Futura apheresis system and then to the Plasmat® Secura apheresis system.

Outcomes

Primary Outcome Measures

Percent Change in Pre- and Post-treatment Reductions of Low-density Lipoprotein Cholesterol (LDL-C) Levels Between the Approved H.E.L.P. System and the Modified H.E.L.P. System.
Percent Change of the Pre and Post Treatment Value
The primary study endpoint is the change in percent measurements of the pre-to-post apheresis LDL measurements. Blood samples for LDL-cholesterol determination will be obtained before and after each treatment. The pooled difference between the pre- and post-treatment LDL level for each apheresis machine will be reported as the primary endpoint for the system performance.

Secondary Outcome Measures

Clinical Lab Profiles (Pre- and Post-Treatment)
Changes in pre- and post-treatment levels of total cholesterol, high-density lipoprotein cholesterol (HDL-C), total triglycerides, lipoprotein (a), fibrinogen, and C-reactive protein.
Device Parameters
Comparison of plasma flow rate recorded with both systems before treatment, after 500 mL of plasma treated, and at the end of each treatment session.

Full Information

First Posted
September 5, 2007
Last Updated
August 17, 2018
Sponsor
B. Braun Medical Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00526058
Brief Title
(H.E.L.P.)Apheresis Therapy to Compare the Reduction of LDL (Low Density Lipoprotein) Cholesterol
Acronym
FUTURA
Official Title
Randomized Multicenter Crossover Study to Compare the Plasmat® Futura Heparin Induced Extracorporeal Lower Density Lipo-Protein (LDL) Precipitation (H.E.L.P.) Apheresis System to the Approved Secura System in the Reduction of LDL-c in Patients With Hypercholesterolemia
Study Type
Interventional

2. Study Status

Record Verification Date
August 2018
Overall Recruitment Status
Completed
Study Start Date
August 2007 (undefined)
Primary Completion Date
October 2008 (Actual)
Study Completion Date
December 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
B. Braun Medical Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objective of the study is to demonstrate that the performance of the modified Plasmat® Futura H.E.L.P. Apheresis System is non-inferior to the current FDA approved Plasmat® Secura H.E.L.P Apheresis System for use under the approved indication of the acute reduction of LDL-cholesterol from the plasma in populations for whom diet has been ineffective and maximum drug therapy has either been ineffective or not tolerated.
Detailed Description
The primary study endpoint is the change in percent measurements of the pre-to-post apheresis LDL measurements between the approved H.E.L.P. system and the modified H.E.L.P. system. The secondary study endpoints are clinical lab profiles and device parameters analyzed at specific time points throughout the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypercholesterolemia
Keywords
Heparin, Extracorporeal, Low Density Lipo-Protein (LDL) Cholesterol, Apheresis, Device

7. Study Design

Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
18 (Actual)

8. Arms, Groups, and Interventions

Arm Title
A (Secura then Futura)
Arm Type
Other
Arm Description
The Group Randomized first to the approved Plasmat® Secura apheresis system and then to the Plasmat® Futura apheresis system.
Arm Title
B (Futura then Secura)
Arm Type
Other
Arm Description
The Group Randomized first to the approved Plasmat® Futura apheresis system and then to the Plasmat® Secura apheresis system.
Intervention Type
Device
Intervention Name(s)
Secura then Futura
Intervention Description
Randomized to 6 bi-monthly H.E.L.P. therapy treatments with the Plasmat® Secura apheresis system and then cross over to receive 6 bi-monthly treatments with the Plasmat® Futura apheresis system.
Intervention Type
Device
Intervention Name(s)
Futura then Secura
Intervention Description
Randomized to 6 bi-monthly H.E L.P. therapy treatments with the Plasmat® Futura apheresis system and then cross over to receive 6 bi-monthly treatments with the Plasmat® Secura apheresis system.
Primary Outcome Measure Information:
Title
Percent Change in Pre- and Post-treatment Reductions of Low-density Lipoprotein Cholesterol (LDL-C) Levels Between the Approved H.E.L.P. System and the Modified H.E.L.P. System.
Time Frame
Blood samples for LDL-cholesterol determination will be obtained before and after each treatment from week 0 to week 24..
Title
Percent Change of the Pre and Post Treatment Value
Description
The primary study endpoint is the change in percent measurements of the pre-to-post apheresis LDL measurements. Blood samples for LDL-cholesterol determination will be obtained before and after each treatment. The pooled difference between the pre- and post-treatment LDL level for each apheresis machine will be reported as the primary endpoint for the system performance.
Time Frame
Assessment based on LDL-C values obtained pre-and post-treatment, analyzed from week 0 to week 24.
Secondary Outcome Measure Information:
Title
Clinical Lab Profiles (Pre- and Post-Treatment)
Description
Changes in pre- and post-treatment levels of total cholesterol, high-density lipoprotein cholesterol (HDL-C), total triglycerides, lipoprotein (a), fibrinogen, and C-reactive protein.
Time Frame
Analyzed at specific time points throughout the study from week 0 to week 24.
Title
Device Parameters
Description
Comparison of plasma flow rate recorded with both systems before treatment, after 500 mL of plasma treated, and at the end of each treatment session.
Time Frame
Analyzed at specific time points throughout the study from week 0 to week 24.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
25 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject is between 25 and 70 years of age (inclusive) at the time of randomization. Subject is an appropriate candidate for H.E.L.P. apheresis treatment for hypercholesterolemia according to current Plasmat® Secura approval criteria. Subject has received a minimum of two consecutive bi-monthly* H.E.L.P. apheresis treatments using the Plasmat® Secura apheresis system >30 days prior to the screening visit. Subject is willing to maintain cholesterol lowering dietary and drug therapies as prescribed through the course of the study. Subject is willing and able to provide written informed consent and Health Insurance Portability and Accountability Act (HIPAA) Waiver. Sterile, post-menopausal, or using acceptable birth control for the duration of the study. Acceptable birth control is defined as having a vasectomized, postmenopausal, or sterile partner; the ongoing use of approved hormonal contraceptives, barrier method, or an intrauterine device; or abstinence. Every 14 days (±2 days) Exclusion Criteria: A History of a known sensitivity to heparin or ethylene oxide. A history of hemorrhagic diathesis, bleeding/clotting disorder, thrombocytopenia (defined as platelet count < 150 x109/L), or for whom the use of heparin would cause excessive or uncontrolled anticoagulation or for whom adequate anticoagulation cannot be safely achieved (ie., hemophilia, recent surgery, acute internal bleeding, gastrointestinal ulcers). Females who are pregnant or lactating. Subjects< 106 lbs. or <48.2 kg in body weight; or whose weight is >1.5 times their ideal weight. Certain cardiac impairments such as congestive heart failure, major arrhythmia, or diastolic blood pressure greater than 100 mm/Hg on two separate occasions at least 24 hours apart. Renal insufficiency defined as creatinine greater >2.0 mg/dlL or is dependent upon renal dialysis. Untreated hypothyroidism; uncontrolled diabetes mellitus; or fasting triglycerides >500 mg/dL. Serious systemic disease (e.g., advanced neoplasms, and acute hepatitis) including Immune system suppression or compromise, that could preclude survival to study completion. History of stroke within 6 months of the screening visit. Received thrombolytic treatment < 7 days of screening.visit. Taken or requires a prohibited treatment < 30 days prior to the Screening Visit, or requires a prohibited treatment at anytime during the course of the study. Neutropenia (neutrophil count < 0.5 x109/L). History of liver disease or serum ALT and/or AST > 2X upper limit of normal range. History of dementia. History of anemia (value outside the lower normal range). acetyl salicylic acid (ASA) > 325 mg/day. Subject currently enrolled in another investigational study (does not apply to PMS for Secura device). Subject with any other medical condition that in the opinion of the investigator might put the subject at risk or interfere with his/her participation. Subject is unwilling or unable to comply with the protocol or to cooperate fully with the investigator or site personnel.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Patrick Moriarty, M.D.
Organizational Affiliation
University of Kansas Medical Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Paul Thompson, M.D.
Organizational Affiliation
Hartford Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Hartford Hospital
City
Hartford
State/Province
Connecticut
ZIP/Postal Code
06102
Country
United States
Facility Name
University of Kansas Medical Center
City
Kansas City
State/Province
Kansas
ZIP/Postal Code
66160
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
12518963
Citation
Julius U, Metzler W, Pietzsch J, Fassbender T, Klingel R. Intraindividual comparison of two extracorporeal LDL apheresis methods: lipidfiltration and HELP. Int J Artif Organs. 2002 Dec;25(12):1180-8. doi: 10.1177/039139880202501210.
Results Reference
background
PubMed Identifier
11778925
Citation
Susca M. Heparin-Induced extracorporeal low-density lipoprotein precipitation futura, a new modification of HELP apheresis: technique and first clinical results. Ther Apher. 2001 Oct;5(5):387-93. doi: 10.1046/j.1526-0968.2001.00371.x.
Results Reference
background
PubMed Identifier
11778924
Citation
Schettler V, Monazahian M, Wieland E, Thomssen R, Muller GA. Effect of heparin-induced extracorporeal low-density lipoprotein precipitation (HELP) apheresis on hepatitis C plasma virus load. Ther Apher. 2001 Oct;5(5):384-6. doi: 10.1046/j.1526-0968.2001.00374.x.
Results Reference
background
PubMed Identifier
11583732
Citation
Moriarty PM, Gibson CA, Shih J, Matias MS. C-reactive protein and other markers of inflammation among patients undergoing HELP LDL apheresis. Atherosclerosis. 2001 Oct;158(2):495-8. doi: 10.1016/s0021-9150(01)00633-5.
Results Reference
background

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(H.E.L.P.)Apheresis Therapy to Compare the Reduction of LDL (Low Density Lipoprotein) Cholesterol

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