ClinicalTrials.gg
TerminatedNCT01782027Updated Sep 19, 2024

Mendelian Reverse Cholesterol Transport Study

An interventional study of 3H-cholesterol bound to albumin in Cholesterol, HDL, Lipid Metabolism, Inborn Errors and Tangier Disease, sponsored by University of Pennsylvania. Terminated at 1 site in United States. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-09-19.

Sponsored by University of Pennsylvania · Not applicable, Interventional, and Basic science

Why this study was terminated
Lack of funding
Phase
Not applicable
Study type
Interventional
Enrollment
17
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 11 studies in Lipid Metabolism, Inborn Errors with a site in United States — 1 open to participants now, 2 under way, 1 of them phase 3. Lipid Metabolism, Inborn Errors · United States.

Started
2012
the only one that year
No phase
Only one
of the 11
Registered
6th of 11
by date
Lead sponsor
1 of 11
University of Pennsylvania

Among the 11 studies in Lipid Metabolism, Inborn Errors with a site in United States, this one is the only one that started in 2012, is the only one with no phase, and was the 6th registered.

Lipid Metabolism, Inborn Errors

24 studies on the registry are indexed under Lipid Metabolism, Inborn Errors; 3 are open to participants now.

Browse Lipid Metabolism, Inborn Errors studies →

Open to participants now

1 of the 11 studies in Lipid Metabolism, Inborn Errors with a site in United States is open now. Recruiting first, the newest first:

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 2 Lipid Metabolism, Inborn Errors studies recruiting now, 0 (0%) set no upper age limit and 2 (100%) stop at 75 or younger; 2 take children under 18; 0 take healthy volunteers.

This study: 18 Years to 75 Years · all sexes · healthy volunteers too.

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02

Study summary

The purpose of this study is to investigate the use of radiolabeled particulate cholesterol administered intravenously in association with albumin, as a method to study reverse cholesterol transport (RCT) in people carrying mutations in genes known to affect high density lipoprotein (HDL) metabolism by analyzing changes in the tracer activity in total plasma, lipoproteins fractions and feces.

Read the detailed description

The study will use 3H-cholesterol bound to albumin (particulate cholesterol) to assess the ability of HDL to transport cholesterol from the periphery to the liver to be eliminated. This process is called reverse cholesterol transport (RCT) and is one of the main mechanisms by which HDL protect against atherosclerotic cardiovascular disease. Mutations in some of the genes affecting HDL metabolism, may results in changes in RCT. The validation of a method assessing RCT is important for the development of new drugs which affect RCT and may result in useful treatments for atherosclerosis.

Subjects carrying mutations in genes known to affect HDL metabolism and healthy controls will be enrolled in the study. Changes in the tracer activity in total plasma, lipoproteins fractions and feces will be analyzed following the intravenous administration of radiolabeled particulate cholesterol.

03

Conditions studied

  • Cholesterol, HDL
  • Lipid Metabolism, Inborn Errors
  • Tangier Disease
  • LCAT Deficiency
  • Cholesteryl Ester Transfer Protein (CETP) Deficiency

Keywords

  • healthy controls
  • Tangier Disease
  • Adenosine triphosphate-binding cassette transporter 1 (ABCA1)
  • apoA-I
  • LCAT deficiency
  • Scavenger receptor BI (SRBI) deficiency
  • CETP deficiency
04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Men and women between the ages of 18 and 75
  2. Subjects must be:

    1. Carriers of functional mutations of genes encoding proteins affecting HDL metabolism;
    2. Healthy control subjects with HDL cholesterol levels within the normal range of the lab where screening tests are run, or at the discretion of the investigator, and matched for gender, race, age (± 5 years) to the patients.
  3. Negative screening pregnancy test if female of child bearing potential (females of must be following a medically accepted form of )
  4. Subjects must be able to comprehend and willing to provide a signed IRB approved Form.
  5. Subjects must be willing and able to comply with all study-related procedures.

Exclusion criteria

Exclusion Criteria:

  1. Known cardiovascular disease, including coronary disease, cerebrovascular disease, or peripheral vascular disease (control subjects only)
  2. History of diabetes mellitus or fasting glucose > 126 mg/dL at the screening visit (control subjects only).
  3. Any current, unstable endocrine disease as assessed by collection of medical history during screening. Subjects with rare Mendelian disorders with thyroid disease that is well controlled by stable treatment may be considered for enrollment at the discretion of the principal investigator
  4. History of previous , other than basal cell or squamous cell carcinoma of the skin, from which the patient has been disease free for less than 5 years as assessed by collection of medical history during screening
  5. Current diagnosis of anemia as assessed by collection of medical history during screening or less than 10 g/dL as evaluated during safety lab at screening
  6. History of kidney disease or chronic renal insufficiency, as defined as estimated (eGFR) \< 60 ml/min/1.73m2 in control subjects and patients with other disorders of HDL metabolism and eGFR \< 30 ml/min/1.73m2 in subjects with Lecithin-Cholesterol Acyltransferase (LCAT) deficiency.
  7. Any active rheumatologic, pulmonary, or dermatologic disease or inflammatory condition as assessed by collection of medical history during screening, and judged by the investigator to be a major condition.
  8. Sustained uncontrolled hypertension (Systolic >160 mm Hg and/or Diastolic BP >100 mmHg) at screening. Blood pressure may be re-tested twice after initial assessment in the supine position at five minute intervals (for a total of 3 blood pressure assessments). The pressure elevation is considered sustained if either the systolic or the diastolic pressure values are outside the stated limits for all three assessments
  9. Use of warfarin, or any known coagulopathy and /or elevated /partial thromboplastin time (PT/PTT) >1.5 x (ULN)
  10. Self-reported history of (HIV) positive
  11. History of previous organ transplantation, as assessed by collection of medical history during screening
  12. Clinical evidence of liver disease or liver injury as indicated by abnormal liver function tests such as (ALT) or aspartate transaminase (AST) > 1.5x ULN, or self-reported history of positive or test result
  13. Any surgical procedure that occurred within the previous 3 months of the screening visit, as assessed by collection of medical history during screening, and judged by the investigator to be a major procedure.
  14. History of drug abuse (\< 1 year), as assessed by collection of medical history during screening procedures
  15. Regular abuse of alcoholic beverages (> 2 drinks/day), as assessed by collection of medical history during screening procedures
  16. Self-reported participation in an drug study within 6 weeks prior to the screening visit
  17. Serious or unstable medical or psychological conditions that, in the opinion of the investigator, would compromise the subject's safety or successful participation in the study will be excluded.
  18. Use of lipid lowering drugs expected to affect RCT (e.g. fibrates) within the 6 weeks prior to dosing or during the study, as assessed by collection of medical history during screening and concomitant medication checks at each study visit. Use of statins (stable dose for at least 30 days) is permitted.
  19. Male subjects who plan to conceive a child within 3 months of the conclusion of the study.
  20. Women who are pregnant or lactating or who are planning to become pregnant
Terms in these criteria, in plain language(13)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
17 participants (actual)

Study arms

  • Experimental
    3H-cholesterol

    Drug: 3H-cholesterol bound to albumin

Interventions

  • Drug3H-cholesterol bound to albumin

    up to 100 uCi of \[3H\]-cholesterol (containing approximately 0.2 mg of cholesterol) mixed with a solution containing human serum albumin will be administered as an intravenous bolus injection

    Also known as: particulate cholesterol

06

What researchers measure

Primary outcomes

  1. determination of 3H cholesterol in plasma and lipoproteins

    Time frame: up to 192 hr

Secondary outcomes

  1. determination of 3H cholesterol and its metabolites in red blood cells over time

    Time frame: up to 192 hr

Other outcomes

  1. determination of 3H cholesterol activity in feces

    Time frame: up to 192 hours

07

Study locations

1 site
  • University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
08

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Oct 2012, a primary completion of Sep 2024 and a completion of Sep 2024. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 30, 2013
First posted
Feb 1, 2013
Start
Oct 2012
Primary completionActual
Sep 4, 2024
CompletionActual
Sep 4, 2024
Last update
Sep 19, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01782027
Responsible party
Sponsor
First posted
Feb 1, 2013
Start date
Oct 2012
Primary completion
Sep 4, 2024
Completion
Sep 4, 2024
Last update
Sep 19, 2024

Study contacts

Marina Cuchel, MD, PhD
principal investigator · University of Pennsylvania

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Sep 2024. You cannot join it, but the record below documents what was studied.

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Discussion

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