LCAT (Lecithin Cholesterol Acyl Transferase) Natural History Study

NCT ID: NCT06217588

Last Updated: 2025-04-30

Basic Information

• Recruitment Status: RECRUITING
• Total Enrollment: 40 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2022-08-12
• Study Completion Date: 2028-08-31

Brief Summary

The purpose of the LCAT (Lecithin cholesterol acyl transferase) Natural History Study (LCAT NHS) is to help identify people with a mutation in a gene called LCAT, collect and store information about their medical history and disease course, and to assess for associations and follow changes in clinical features and biomarkers of disease. This information will help health care providers better understand the natural history of disease of LCAT deficiency.

Study staff will collect information from previous clinical visits such as lab tests, physical exam findings, renal and cardiovascular imaging, findings from kidney biopsies and eye exams, and medication and other treatments. As part of this study the investigators are asking participants permission to reach out to their doctors to obtain medical records and stored samples (such as serum or plasma or biopsies) from past visits.

Participants may also be asked to join a web-based patient portal to complete a patient-outcomes survey.

As part of this study, participants will also be asked to do the following things at different times:

• Answer questions about:
• Demographic information (year of birth, age, gender, race/ethnicity, country)
• LCAT deficiency diagnosis such as year of diagnosis, type of diagnosis (clinical, genetic), genotype information/LCAT mutation status
• Medical history and family history and any updates
• A review of medications

If participants are able to come to a study visit in person the following may happen:

Physical examination including vital signs (height, weight, blood pressure, and heart rate) Urine and blood samples for laboratory testing. participants will be required to fast for 10 hours before the blood tests. A small blood sample may also be taken 2-4 hours after a meal.

• The following will be tested: the different types of cholesterol and other fats in the blood (lipids), standard hematology (type and number of blood cells), blood chemistries such as sodium, potassium, and calcium, thyroid function, liver panel (function of the liver), kidney function and the level of protein in urine
• Blood and urine samples may also be stored for future testing
• Genetic material will be collected
• Blood cells may be stored for future research
• Participants will have approximately 4.5 tablespoons of blood drawn annually.
• If not done previously, participants will complete an eye exam.
• Participants may be seen by a doctor specialized in renal disease

Conditions

LCAT Deficiency

Study Design

• Observational Model Type: CASE_ONLY
• Study Time Perspective: CROSS_SECTIONAL

Interventions

Demographics, diagnosis type, genotype, lipid profile, renal function profile, treatment allocation, ophthalmology exam, country of residence.

The study will collect extensive historical health data (retrospective), and at baseline will conduct an extensive characterization of the disease progression using the parameters described above.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. Males or Females of any age

2. Subjects with:

1. a diagnosis of primary LCAT deficiency based on investigator assessment or laboratory results AND/OR

2. a genetically confirmed mutation in the LCAT gene who are homozygous or compound heterozygous for LCAT loss-of-function mutations

3. Subjects or their legal guardian must be able to comprehend and be willing to provide a signed institutional review board/ethics committee (IRB/EC) approved Informed Consent Form. A waiver of consent will be requested for deceased patients, as determined by local regulatory requirements.

Exclusion Criteria

1. Secondary causes of LCAT deficiency

2. Any other medical or psychological conditions that, in the opinion of the investigator, would compromise the subject's safety or successful participation in the study, or confound the study data

• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Pennsylvania

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Marina Cuchel, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Pennsylvania

Locations

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status: RECRUITING

Countries

United States

Central Contacts

Marina Cuchel, MD, PhD

Role: CONTACT

mcuchel@pennmedicine.upenn.edu

2156627188

Gregory Alfaro

Role: CONTACT

greg.alfaro@pennmedicine.upenn.edu

2156622902

Facility Contacts

Gregory Alfaro

Role: primary

greg.alfaro@pennmedicine.upenn.edu

215-662-2902

References

Vitali C, Bajaj A, Nguyen C, Schnall J, Chen J, Stylianou K, Rader DJ, Cuchel M. A systematic review of the natural history and biomarkers of primary lecithin:cholesterol acyltransferase deficiency. J Lipid Res. 2022 Mar;63(3):100169. doi: 10.1016/j.jlr.2022.100169. Epub 2022 Jan 20.

Reference Type: BACKGROUND

PMID: 35065092 (View on PubMed)

Other Identifiers

833871

Identifier Type: -

Identifier Source: org_study_id