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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A (Secura then Futura) | Other | The Group Randomized first to the approved Plasmat® Secura apheresis system and then to the Plasmat® Futura apheresis system. |
|
| B (Futura then Secura) | Other | The Group Randomized first to the approved Plasmat® Futura apheresis system and then to the Plasmat® Secura apheresis system. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Secura then Futura | Device | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| 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. | Blood samples for LDL-cholesterol determination will be obtained before and after each treatment from week 0 to week 24.. | |
| 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. | Assessment based on LDL-C values obtained pre-and post-treatment, analyzed from week 0 to week 24. |
| Measure | Description | Time Frame |
|---|---|---|
| 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. | Analyzed at specific time points throughout the study from week 0 to week 24. |
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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.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Patrick Moriarty, M.D. | University of Kansas Medical Center | Principal Investigator |
| Paul Thompson, M.D. | Hartford Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hartford Hospital | Hartford | Connecticut | 06102 | United States | ||
| University of Kansas Medical Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 12518963 | Background | 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. | |
| 11778925 | Background | 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. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Secura | Randomized first to the approved Plasmat® Secura apheresis system then Plasmat® Futura apheresis system. |
| FG001 | Futura | Randomized first to the approved Plasmat® Futura apheresis system then Plasmat® Secura apheresis system. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period: First Intervention |
| |||||||||||||
| Period: Second Intervention |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Secura | Randomized first to the approved Plasmat® Secura apheresis system then Plasmat® Futura apheresis system. |
| BG001 | Futura | Randomized first to the approved Plasmat® Futura apheresis system then Plasmat® Secura apheresis system. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | 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. | Posted | Mean | 90% Confidence Interval | percent change | Blood samples for LDL-cholesterol determination will be obtained before and after each treatment from week 0 to week 24.. |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Secura | Randomized first to the approved Plasmat® Secura apheresis system then Plasmat® Futura apheresis system. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anemia | Blood and lymphatic system disorders |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Kevin Minnich, Manager Clinical Affairs/Safety Officer | B. Braun Medical Inc. | 610-596-2358 | kevin.minnich@bbraun.com |
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| ID | Term |
|---|---|
| D006937 | Hypercholesterolemia |
| ID | Term |
|---|---|
| D006949 | Hyperlipidemias |
| D050171 | Dyslipidemias |
| D052439 | Lipid Metabolism Disorders |
| D008659 | Metabolic Diseases |
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| Futura then Secura | Device | 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. |
|
| 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. |
| Analyzed at specific time points throughout the study from week 0 to week 24. |
| Kansas City |
| Kansas |
| 66160 |
| United States |
| 11778924 | Background | 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. |
| 11583732 | Background | 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. |
| NOT COMPLETED |
|
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
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| Units | Counts |
|---|---|
| Participants |
|
|
| Primary | 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. | Posted | Mean | Standard Deviation | percent change | Assessment based on LDL-C values obtained pre-and post-treatment, analyzed from week 0 to week 24. |
|
|
|
|
| Secondary | 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. | Data for all 18 subjects; regardless of treatment sequence | Posted | Mean | 90% Confidence Interval | percent change | Analyzed at specific time points throughout the study from week 0 to week 24. |
|
|
|
| Secondary | 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. | Data for all 18 subjects; regardless of treatment sequence | Posted | Mean | Standard Deviation | flow rate (mL/min) | Analyzed at specific time points throughout the study from week 0 to week 24. |
|
|
|
| 4 |
| 18 |
| 15 |
| 18 |
| EG001 | Futura | Randomized first to the approved Plasmat® Futura apheresis system then Plasmat® Secura apheresis system. | 1 | 18 | 17 | 18 |
| Bacteremia | Blood and lymphatic system disorders |
|
| Hyperkalemia | Endocrine disorders |
|
| Atrial Flutter | Cardiac disorders |
|
| Myocardial Ischemia | Cardiac disorders |
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| Atrial Flutter | Cardiac disorders |
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| Myocardial Ischaemia | Cardiac disorders |
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| abdominal tenderness | Gastrointestinal disorders |
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| diverticulum | Gastrointestinal disorders |
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| epigastric discomfort | Gastrointestinal disorders |
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| gastritis | Gastrointestinal disorders |
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| melaena | Gastrointestinal disorders |
|
| nausea | Gastrointestinal disorders |
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| stomach discomfort | Gastrointestinal disorders |
|
| fatigue | General disorders |
|
| malaise | General disorders |
|
| bacteraemia | Infections and infestations |
|
| bacterial infection | Infections and infestations |
|
| bronchitis | Infections and infestations |
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| sinusitis | Infections and infestations |
|
| urinary tract infection | Infections and infestations |
|
| arteriovenous fistula occlusion | Injury, poisoning and procedural complications |
|
| arteriovenous fistula site complication | Injury, poisoning and procedural complications |
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| arteriovenous fistula site haemorrhage | Injury, poisoning and procedural complications |
|
| device breakage | Injury, poisoning and procedural complications |
|
| device failure | Injury, poisoning and procedural complications |
|
| device malfunction | Injury, poisoning and procedural complications |
|
| device occlusion | Injury, poisoning and procedural complications |
|
| medical device complication | Injury, poisoning and procedural complications |
|
| road traffic accident | Injury, poisoning and procedural complications |
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| breath sounds abnormal | Investigations |
|
| serum ferritin decreased | Investigations |
|
| hyperkalaemia | Metabolism and nutrition disorders |
|
| joint swelling | Musculoskeletal and connective tissue disorders |
|
| musculoskeletal pain | Musculoskeletal and connective tissue disorders |
|
| myalgia | Musculoskeletal and connective tissue disorders |
|
| pain in extremity | Musculoskeletal and connective tissue disorders |
|
| skin cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
| dizziness | Nervous system disorders |
|
| sciatica | Nervous system disorders |
|
| cough | Respiratory, thoracic and mediastinal disorders |
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| nasal mucosal disorder | Respiratory, thoracic and mediastinal disorders |
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| nasal oedema | Respiratory, thoracic and mediastinal disorders |
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| pharyngolaryngeal pain | Respiratory, thoracic and mediastinal disorders |
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| throat tightness | Respiratory, thoracic and mediastinal disorders |
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| wheezing | Respiratory, thoracic and mediastinal disorders |
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| hyperhidrosis | Skin and subcutaneous tissue disorders |
|
| rash | Skin and subcutaneous tissue disorders |
|
| hypotension | Vascular disorders |
|
The Site may publish its own results of the FUTURA Trial after a cooperative publication or 12 months after Sponsor's final evaluation of all the FUTURA Trial data from all sites, whichever occurs first. At least 90 days prior to submitting a manuscript to a publisher or other outside persons or prior to any public presentation, a copy of the abstract, manuscript, or presentation will be provided to Sponsor for review and comment. Sponsor shall have said 90 day period to respond w/ comment.
| D009750 |
| Nutritional and Metabolic Diseases |
| HDL-C |
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| VLDL-C |
|
| Lipoprotein (a) |
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| Fibrinogen |
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| C-Reactive Protein |
|
| Start of Session; Session 3 |
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| Start of Session; Session 4 |
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| Start of Session; Session 5 |
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| Start of Session; Session 6 |
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| After 500mL; Session 1 |
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| After 500mL; Session 2 |
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| After 500mL; Session 3 |
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| After 500mL; Session 4 |
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| After 500mL; Session 5 |
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| After 500mL; Session 6 |
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| End of session; Session 1 |
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| End of session; Session 2 |
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| End of session; Session 3 |
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| End of session; Session 4 |
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| End of session; Session 5 |
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| End of session; Session 6 |
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