ClinicalTrials.gg
RecruitingNCT06439654ALLTOPUpdated Aug 3, 2025

Atlantic Lipid Lowering Treatment Optimization Program

An interventional study of Supportive care in Familial Hypercholesterolemia, Lipoprotein Types--Lp System Lp(A) Hyperlipoproteinemia and Apolipoprotein B 100, Familial Defective, sponsored by Atlantic Health System. Recruiting at 2 sites in United States. Open to participants aged 18 Years to 120 Years. Per ClinicalTrials.gov, last updated 2025-08-03.

Sponsored by Atlantic Health System · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Started Jul 2024; still recruiting 2 years 4 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
250
Allocation
Not applicable
Ages
18 Years to 120 Years
Sex
All
01

Study summary

Hypercholesterolemia is recognized as the major driver for cardiovascular morbidity and mortality. To help address this in our community, Atlantic Medical Group (AMG) formed a lipid workgroup chaired by Robert D. Fishberg, MD, and Jeffrey N. Feldman, MD. The overarching goal of the lipid workgroup is to enhance the treatment of lipid disorders in those patients with abnormal lipid levels by improving access to resources at the primary care practice level and specialty level. We aim to develop a model for primary and secondary prevention that integrates guidelines for treatment at the practice level. Our primary objective is to identify high-risk patients by utilizing the electronic health record and partnering with patients' primary care providers to provide comprehensive medical management.

Read the detailed description

This study will screen patients with LDL-C >160 mg/dL and with evidence of familial hypertension, reach out (using secure chat) to the attending practitioner of such patients and inform the practitioner of our comprehensive services to address FH. A study team member will inform the practitioner that one of the study team plans to reach out to their patient to inform the patient of the study. Unless one of the study team receives notification by the practitioner that they want to opt out of this service for their patients, and do not want further interaction, the patient will be informed of the study and the consent process.

The research question is: Will an innovative comprehensive outreach approach, in conjunction with the primary care provider, reduce LDL-C levels in individuals with familial hypercholesteremia below individual baseline values, ideally at a level at or below 100 mg/dL.

02

Conditions studied

  • Familial Hypercholesterolemia
  • Lipoprotein Types--Lp System Lp(A) Hyperlipoproteinemia
  • Apolipoprotein B 100, Familial Defective
  • High Density Lipoprotein Deficiency
  • Low-Density-Lipoid-Type Hyperlipoproteinemia

Keywords

  • LDL-C
  • FH
  • complex dyslipidemia
03

In context

Hyperlipoproteinemia Type II

249 studies on the registry are indexed under Hyperlipoproteinemia Type II; 56 are open to participants now.

This study's planned enrollment of 250 is above the median of 134 across 178 interventional studies indexed under Hyperlipoproteinemia Type II.

Browse Hyperlipoproteinemia Type II studies →

Lead sponsor

Atlantic Health System is the lead sponsor of 64 studies on the registry; 12 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 120 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • LDL-C ≥160 mg/dL
  • Untreated LDL-C ≥190 with family history of CAD
  • Prior MI and currently without optimized lipid-lowering therapy
  • Family history of CAD in first degree relative
  • Personal history of CAD
  • Untreated triglycerides >500
  • Elevated Lp(a) and/or high calcium scores
  • Consenting individuals

Exclusion criteria

Exclusion Criteria:

  • Individuals who are pregnant
  • Individuals who are incarcerated
  • Individuals with a terminal illness
  • Individuals who do not consent
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
250 participants (estimated)

Study arms

  • Other
    LDL-C

    Most recent LDL-C result

    Other: Supportive care

Interventions

  • OtherSupportive care

    The study model will utilize the accepted standard of care while implementing key enhancements to proactively reach high-risk patients as early as possible. Wrap around comprehensive care is defined as database screening, outreach, encouraging genetic testing for participants and their family members, and provide ongoing education, medical management (e.g., adherence to FDA-approved medications), routine laboratory testing, specialist referrals, Epic referrals to integrated care support such as pharmacy, nutrition, social work, and community health), and routine follow-up either in-person or using virtual visits. Consultations with pharmacists, nutritionists and genetic counselors or specialists to manage co-morbidities may be requested.

06

What researchers measure

Primary outcomes

  1. Proportion of patients with LDL-C maintenance<100

    LDL-C \<100 mg/dL after at least six months of therapy

    Time frame: 6 months from enrollment in study

Secondary outcomes

  1. Proportion of patients with LDL-C reaching <75

    LDL-C \<75 mg/DL

    Time frame: 6 months from enrollment in study

  2. Proportion of patients with LDL-C reaching <55

    LDL-C \< 55mg/DL

    Time frame: 6 months from enrollment in study

07

Study locations

1 of 2 sites recruiting
  • Atlantic Medical Group
    Clark, New Jersey 07066, United States
    Not yet recruiting
    • Robert D Fishberg, MD · Contactrobert.fishberg@atlantichealth.org · 973-467-0005
    • Jeffrey N Feldman, MD · Contactjeffrey.feldman@atlantichealth.org · 908-686-9330
    • Robert D Fishberg, MD · Principal investigator
    • Jeffrey N Feldman, MD · Sub investigator
    • Deatrah Dubose, NP · Sub investigator
    • Matthew Proute, MD · Sub investigator
    • Nosagie Ohonba, MD · Sub investigator
    • Tiffany Haynes, MD · Sub investigator
    • Anusha Ramasray, MD · Sub investigator
  • Atlantic Medical Group
    Springfield, New Jersey 07081, United States
    Recruiting
    • Robert D Fishberg, MD · Contactrobert.fishberg@atlantichealth.org · 973-467-0005
    • Jeffrey N Feldman, MD · Contactjeffrey.feldman@atlantichealth.org · 908-686-9330
    • Jeffrey N Feldman, MD · Sub investigator
    • Deatrah Dubose, NP · Sub investigator
    • Matthew Proute, MD · Sub investigator
    • Nosagie Ohonba, MD · Sub investigator
    • Tiffany Haynes, MD · Sub investigator
    • Anusha Ramasray, MD · Sub investigator
    • Robert D Fishberg, MD · Principal investigator
    • Anjali Kakwani, PharmD · Sub investigator
    • Cassidy Maggio, PharmD · Sub investigator
08

References and documents

Publications

  • Writing Committee; Lloyd-Jones DM, Morris PB, Ballantyne CM, Birtcher KK, Covington AM, DePalma SM, Minissian MB, Orringer CE, Smith SC Jr, Waring AA, Wilkins JT. 2022 ACC Expert Consensus Decision Pathway on the Role of Nonstatin Therapies for LDL-Cholesterol Lowering in the Management of Atherosclerotic Cardiovascular Disease Risk: A Report of the American College of Cardiology Solution Set Oversight Committee. J Am Coll Cardiol. 2022 Oct 4;80(14):1366-1418. doi: 10.1016/j.jacc.2022.07.006. Epub 2022 Aug 25. No abstract available. PubMed 36031461 ↗
  • Myers KD, Farboodi N, Mwamburi M, Howard W, Staszak D, Gidding S, Baum SJ, Wilemon K, Rader DJ. Effect of Access to Prescribed PCSK9 Inhibitors on Cardiovascular Outcomes. Circ Cardiovasc Qual Outcomes. 2019 Aug;12(8):e005404. doi: 10.1161/CIRCOUTCOMES.118.005404. Epub 2019 Jul 23. PubMed 31331194 ↗
  • Khera AV, Won HH, Peloso GM, Lawson KS, Bartz TM, Deng X, van Leeuwen EM, Natarajan P, Emdin CA, Bick AG, Morrison AC, Brody JA, Gupta N, Nomura A, Kessler T, Duga S, Bis JC, van Duijn CM, Cupples LA, Psaty B, Rader DJ, Danesh J, Schunkert H, McPherson R, Farrall M, Watkins H, Lander E, Wilson JG, Correa A, Boerwinkle E, Merlini PA, Ardissino D, Saleheen D, Gabriel S, Kathiresan S. Diagnostic Yield and Clinical Utility of Sequencing Familial Hypercholesterolemia Genes in Patients With Severe Hypercholesterolemia. J Am Coll Cardiol. 2016 Jun 7;67(22):2578-89. doi: 10.1016/j.jacc.2016.03.520. Epub 2016 Apr 3. PubMed 27050191 ↗
  • Amrock SM, Duell PB, Knickelbine T, Martin SS, O'Brien EC, Watson KE, Mitri J, Kindt I, Shrader P, Baum SJ, Hemphill LC, Ahmed CD, Andersen RL, Kullo IJ, McCann D, Larry JA, Murray MF, Fishberg R, Guyton JR, Wilemon K, Roe MT, Rader DJ, Ballantyne CM, Underberg JA, Thompson P, Duffy D, Linton MF, Shapiro MD, Moriarty PM, Knowles JW, Ahmad ZS. Health disparities among adult patients with a phenotypic diagnosis of familial hypercholesterolemia in the CASCADE-FH patient registry. Atherosclerosis. 2017 Dec;267:19-26. doi: 10.1016/j.atherosclerosis.2017.10.006. Epub 2017 Oct 6. PubMed 29080546 ↗
  • Kastelein JJ, Ginsberg HN, Langslet G, Hovingh GK, Ceska R, Dufour R, Blom D, Civeira F, Krempf M, Lorenzato C, Zhao J, Pordy R, Baccara-Dinet MT, Gipe DA, Geiger MJ, Farnier M. ODYSSEY FH I and FH II: 78 week results with alirocumab treatment in 735 patients with heterozygous familial hypercholesterolaemia. Eur Heart J. 2015 Nov 14;36(43):2996-3003. doi: 10.1093/eurheartj/ehv370. Epub 2015 Sep 1. PubMed 26330422 ↗
  • Alam L, Fishberg R, Echeverry T, Feldman J. Screening for familial hypercholesterolemia using Epic Secure Chat in comparison to Epic Letter as educational outreach. Journal of Clinical Lipidology. 2022;16(1):e20-e21. doi.org/10.1016/j.jacl.2021.09.029

Individual participant data

Plan to share: No — De-identified data will be disseminated in aggregate.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 3, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06439654
Lead sponsor
Atlantic Health System
Responsible party
Robert Fishberg (Principal Investigator, Atlantic Health System) — Principal investigator
First posted
Jun 3, 2024
Start date
Jul 1, 2024
Primary completion
May 31, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Aug 3, 2025

Study contacts

Robert D Fishberg, MD
Contact
robert.fishberg@atlantichealth.org
973-467-0005
Jeffrey N Feldman, MD
Contact
jeffrey.feldman@atlantichealth.org
908-686-9330
Robert D Fishberg, MD
principal investigator · Atlantic Health System

Oversight

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

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