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Completed

NCT Number: NCT02135705

LOWER: Lomitapide Observational Worldwide Evaluation Registry

This global product exposure registry is a multicentre, long-term, prospective, observational cohort study (exposure registry), designed to evaluate the long term safety and effectiveness of lomitapide.

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Key information

About this study

To evaluate the occurrence of adverse events of special interest, long term effectiveness of lomitapide, and to evaluate whether prescribers of lomitapide are following screening and monitoring recommendations as specified in product labeling.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients of all ages, including minors, who have initiated commercial treatment with lomitapide prior to or at time of registry enrolment.
  • Patients who have the ability to understand the requirements of the study and provide written informed consent to comply with the study data collection procedures or paediatric patients with the consent of a parent or legal guardian.

Patients ≥7 years of age (or above the age determined by the IRB/EC and in accordance with the local regulations and requirements) must also provide written informed assent forms.

Exclusion criteria

  • Patients who are receiving lomitapide in clinical trials or through compassionate use, where patients are followed under a separate protocol.
  • Patients receiving an investigational agent, defined as any drug or biologic agent other than lomitapide that has not received market authorization in the country of participation, at time of lomitapide initiation and continuing to receive an investigational agent at time of registry enrolment. These patients may be enrolled if receiving lomitapide when the investigational agent is discontinued..

Treatment and study plan

lomitapide

Drug

As prescribed by Physician.

Other names: Juxtapid, Lojuxta

Primary outcomes

  1. Hepatic Abnormalities

    Time frame: patients will be followed for 10 years

    to evaluate the occurrence of hepatic abnormalities

Secondary outcomes

  1. Gastrointestinal (GI) Events

    Time frame: patients will be followed for 10 years

    to evaluate the occurrence of GI events

  2. Tumors

    Time frame: patients will be followed for 10 years

    to evaluate any occurrence of tumors (small bowel, hepatic, colorectal or pancreatic)

  3. Events associated with coagulopathy

    Time frame: patients will be followed for 10 years

    to evaluate the occurrence of events associated with coagulopathy (abnormal bleeding, cerebral haemorrhage or GI bleeding)

  4. Major Adverse Cardiovascular Events (MACE) events

    Time frame: patients will be followed for 10 years

    to evaluate the occurrence of MACE events

  5. Death, including cause of death

    Time frame: patients will be followed for 10 years

    to evaluate the occurrence and cause of death

  6. Pregnancy

    Time frame: patients will be followed for 10 years

    to evaluate the occurrence and outcomes of pregnancy in females of reproductive potential treated with lomitapide. Patients who become pregnant will be offered enrolment into a separate Pregnancy Exposure Registry (PER).

  7. Serum lipid levels

    Time frame: patients will be followed for 10 years

    to evaluate the long-term effectiveness of lomitapide in maintaining control of serum lipid levels in a clinical practice setting.

  8. Prescriber behavior

    Time frame: patients will be followed for 10 years

    to evaluate whether prescribers of lomitapide enrolled at registry sites are following the screening and monitoring recommendations as specified in the PI and the prescriber educational materials aimed at risk minimization.

Sponsors and collaborators

Lead sponsor

Amryt Pharma

Industry

Registry information

Acronym: LOWER

Important dates

Study start
2014
Primary completion
2026
Study completion
2026
First posted
May 12, 2014
Registry last updated
May 12, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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