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RecruitingNCT04941599Updated Aug 7, 2026

2-Hydroxybenzylamine (2-HOBA) to Reduce HDL Modification and Improve HDL Function in Familial Hypercholesterolemia (FH)

A Phase 2 interventional study of 2-Hydroxybenzylamine and Placebo in Familial Hypercholesterolemia, sponsored by Vanderbilt University Medical Center. Recruiting at 1 site in United States. Open to participants aged 18 Years to 69 Years. Per ClinicalTrials.gov, last updated 2026-08-07.

Sponsored by Vanderbilt University Medical Center · Phase 2, Interventional, and Prevention

From the registry’s dates

  • Started Feb 2024; still recruiting 2 years 7 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
72
Allocation
Randomized
Ages
18 Years to 69 Years
Sex
All
01

Study summary

The Investigators will test the hypothesis that 2-HOBA will reduce modification of HDL and LDL and improve HDL function in humans with heterozygous FH. The Investigators plan to first study subjects with Familial Hypercholesterolemia (FH), treating them with 750 mg of 2-HOBA or placebo every 8 hours for 6 weeks.

02

Conditions studied

  • Familial Hypercholesterolemia

Keywords

  • Familial Hypercholesterolemia
  • HDL
  • LDL
  • 2-HOBA
  • HDL Function
03

In context

Hyperlipoproteinemia Type II

245 studies on the registry are indexed under Hyperlipoproteinemia Type II; 52 are open to participants now.

This study's planned enrollment of 72 is below the median of 86 across 170 interventional studies indexed under Hyperlipoproteinemia Type II.

Browse Hyperlipoproteinemia Type II studies →

Lead sponsor

Vanderbilt University Medical Center is the lead sponsor of 824 studies on the registry; 164 are open to participants now.

Of its 122 completed or terminated interventional studies of FDA-regulated products, 91 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 69 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Individuals with heterozygous Familial Hypercholesterolemia.

Exclusion criteria

Exclusion Criteria:

  • Myocardial infarction or stroke within the last 6 months
  • unstable angina, symptoms of angina within the last 3 months
  • NYHA class III or IV heart failure or LVEF \< 30%
  • poorly controlled hypertension: SBP > 180 mm Hg or DBP > 110 mm Hg,
  • pregnancy,
  • evidence of a previous acute coronary syndrome,
  • current smokers,
  • individuals with Type 2 Diabetes Mellitus, obesity (BMI > 30),
  • hypertriglyceridemia (fasting TG > 250 mg/dl),
  • renal insufficiency (Cr > 1.8),
  • hepatic disease (aspartate aminotransferase(AST) or alanine aminotransferase (ALT) > 2x ULN),
  • hypothyroidism,
  • nephrotic syndrome,
  • rheumatoid arthritis,
  • systemic lupus erythematosus,
  • AIDS or HIV
  • history of malignancy of any organ in last 5 years.
05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
72 participants (estimated)

Study arms

  • Active comparator
    2-Hydroxybenzylamine (2-HOBA)

    2-Hydroxybenzylamine (2-HOBA) 250 mg three tabs TID (po) for 6 weeks.

    Drug: 2-Hydroxybenzylamine

  • Placebo comparator
    Placebo

    Placebo- three tabs TID (po) for 6 weeks.

    Other: Placebo

Interventions

  • Drug2-Hydroxybenzylamine

    2-Hydroxybenzylamine (2-HOBA) 250 mg three tabs TID (po) for 6 weeks.

    Also known as: 2-HOBA

  • OtherPlacebo

    Placebo 250 mg three tabs TID (po) for 6 weeks.

06

What researchers measure

Primary outcomes

  1. 2-HOBA increases HDL cholesterol efflux capacity.

    Change in HDL cholesterol efflux capacity will be measured by macrophage cholesterol efflux assay.

    Time frame: Baseline to week 6

Secondary outcomes

  1. 2-HOBA reduces modification of HDL by Isolevuglandin (Iso-LG).

    Measurement of the Iso-LG-lysine lactam by mass spectrometry.

    Time frame: Baseline to week 6

  2. 2-HOBA reduces modification of HDL by malondialdehyde (MDA).

    Measurement of dilysyl-MDA cross-links by mass spectrometry.

    Time frame: Baseline to week 6

Other outcomes

  1. Change in HDL anti-inflammatory function in an in vitro assay of macrophage cytokine production (IL-1B, TNFa, IL-6).

    Measurement of changes in LPS-stimulated macrophage cytokine production(IL-1B, TNFa, IL-6).

    Time frame: Baseline to week 6

  2. Change in HDL anti-oxidant function in an in vitro assay of macrophage reactive oxygen species production.

    Measurement of changes in H2O2-stimulated macrophage reactive oxygen species

    Time frame: Baseline to week 6

  3. Change in HDL microRNA and small noncoding ribonucleic acid (sRNA) composition

    HDL microRNA and sRNA will be measured through high-throughput sequencing with quantitative polymerase chain reaction (qPCR) validation.

    Time frame: Baseline to week 6

  4. Effects of 2-HOBA on HDL and LDL subpopulation sizes

    HDL and LDL subpopulation sizes and particle numbers will be measured by NMR

    Time frame: Baseline to week 6

07

Study locations

1 of 1 sites recruiting
  • Vanderbilt University Medical Center
    Nashville, Tennessee 37212, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Individual participant data that underlie the results reported will be made available (including data dictionaries) after de-identification.

Supporting information: Study protocol, Sap, Icf, Analytic code

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 7, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04941599
Lead sponsor
Vanderbilt University Medical Center
Collaborators
National Heart, Lung, and Blood Institute (NHLBI)
Responsible party
MacRae F. Linton, MD (Professor of Medicine and Pharmacology, Vanderbilt University Medical Center) — Principal investigator
First posted
Jun 28, 2021
Start date
Feb 14, 2024
Primary completion
Jun 30, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Aug 7, 2026

Study contacts

Anca Ifrim, RN
Contact
anca.ifrim@vumc.org
6155224210
MacRae F. Linton, MD
principal investigator · Vanderbilt University Medical Center

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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