"Detection and Follow-up of Coronary Lesions in HeFH (DESTINY-FH Study)" (NCT07427472) | Clinical Trial Compass
RecruitingNot Applicable
"Detection and Follow-up of Coronary Lesions in HeFH (DESTINY-FH Study)"
France300 participantsStarted 2026-06-19
Plain-language summary
This multicenter, non-randomized interventional study aims to assess coronary artery disease progression over 5 years in patients with genetically confirmed heterozygous familial hypercholesterolemia (HeFH), using coronary computed tomography angiography (CCTA).
The primary endpoint is the visual evaluation of coronary stenosis using CAD-RADS v2.0, identifying changes between baseline (2018-2022) and study inclusion. The study will enroll 300 patients (100 protected, 200 non-protected) from La Pitié-Salpêtrière hospital and Saint Antoine Hospital (Paris). Participation lasts up to one week. Total study duration is 2 years, with extended follow-up through routine care data over 10 years.
Who can participate
Age range
30 Years – 60 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion criteria
. Patients with heterozygous familial hypercholesterolemia
. Aged 30 to 60 years.
. Patients who underwent a CAC score and a coronary CT angiogram at least 5 years ago, exclusively at the same imaging center (ICT de la Pitié Salpetrière).
. Patient asymptomatic for exertional chest pain at the time of CCTA
. Clinical examination performed
. Beneficiary of a social protection scheme or entitled person (excluding AME)
. Patient informed and consent form signed
Exclusion criteria
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Progression of coronary artery disease over 5 years in patients with heterozygous familial hypercholesterolemia
. Patient under guardianship, or unable to give consent
. Pregnancy, breast-feeding
. Technical contraindication: weight \> 250 kg
. Simultaneous participation in other interventional research involving the human body, or period of exclusion following previous research involving the human body still in progress.
. Adults subject to a legal protection order
. Contraindication to esmolol and/or atenolol
. Only for patients who need to undergo a CT angiogram and a thoraco-abdominal-pelvic CT scan: