New hope for rare cholesterol disease: can evinacumab shrink dangerous plaque?

NCT ID NCT07447648

First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study follows about 52 people with homozygous familial hypercholesterolemia (HoFH), a rare genetic condition causing extremely high cholesterol and early heart disease. Researchers will compare those who get evinacumab (a cholesterol-lowering antibody) added to their usual treatment against those on standard therapy alone. Using CT scans of the heart, they will measure changes in artery plaque over 18-24 months to see if evinacumab helps stabilize or reduce plaque buildup.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
evinacumab (a lab-made antibody that lowers cholesterol by blocking a protein called ANGPTL3)
What this could lead to
If successful, this study could show that adding evinacumab to standard treatment helps slow or shrink dangerous artery plaque in people with HoFH, pointing toward better long-term heart health.
What could go wrong
This is an observational study, not a controlled trial, so results may be less reliable. It is also small (52 people) and early-stage, so findings may not apply to everyone or lead to immediate changes in care.

This is an AI summary of the original study and may miss details. Read our disclaimer.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Amsterdam University Medical Center, Amsterdam UMC, locatie AMC

    RECRUITING

    Amsterdam, Netherlands

  • Centro per le Malattie Rare del Metabolismo dei Lipidi, Unità di Medicina Interna e Malattie Metaboliche, Dipartimento di Medicina Traslazionale e di Precisione Sapienza, Università di Roma

    RECRUITING

    Roma, Italy

  • DAI di Medicina Clinica, Centro di Riferimento Regionale di Lipidologia e Dislipidemie, AOU Federico II di Napoli

    RECRUITING

    Naples, Italy

  • Dipartimento Scienze-Cardiovascolari, AO "Sant'Anna e San Sebastiano" di Caserta

    RECRUITING

    Caserta, Italy

  • Ege University,Director of Lipid and Prevention Clinic, Department of Cardiology

    RECRUITING

    Bornova, Turkey (Türkiye)

  • Erasmus University Medical Center, Dr. Molewaterplein 40

    NOT_YET_RECRUITING

    Rotterdam, Netherlands

  • Malattie Aterotrombotiche, Azienda Ospedaliero Universitaria Careggi

    RECRUITING

    Florence, Italy

  • Medicina Interna, Ospedale Molinette, AOU Città della Salute e della Scienza

    NOT_YET_RECRUITING

    Torino, Italy

  • Nefrologia e Emodialisi, Centro Aterosclerosi e Dislipidemie, Ospedale Bassini, ASST Nord Milano

    RECRUITING

    Cinisello Balsamo, Italy

  • U.O. Astanteria/MCAU AOU, Policlinico "Paolo Giaccone" di Palermo

    RECRUITING

    Palermo, Italy

  • U.O.C. di Medicina Interna, P.O. Nesima, ARNAS Garibaldi

    NOT_YET_RECRUITING

    Catania, Italy

  • UOC Clinica Medica I, AOU di Padova

    NOT_YET_RECRUITING

    Padova, Italy

  • Unité de Lipidologie et Prévention Cardiovasculaire, Centre de Compétence Dyslipidémies Rares (CEDRA), Service de Nutrition, Hôpital Pitié-Salpétriêre

    NOT_YET_RECRUITING

    Paris, France

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