PT - JOURNAL ARTICLE AU - Hayato Tada AU - Hirofumi Okada AU - Shohei Yoshida AU - Masaya Shimojima AU - Akihiro Nomura AU - Toyonobu Tsuda AU - Mika Mori AU - Shin-ichiro Takashima AU - Takeshi Kato AU - Soichiro Usui AU - Kenji Sakata AU - Kenshi Hayashi AU - Noboru Fujino AU - Akihiro Inazu AU - Shizuko Takahara AU - Yasuhito Imai AU - Takao Matsubara AU - Atsushi Nohara AU - Kenji Miwa AU - Masanobu Namura AU - Hidenobu Terai AU - Taiji Yoshida AU - Tsutomu Araki AU - Masahiro Minamoto AU - Toru Aburao AU - Yuji Ito AU - Chiaki Nakanishi AU - Suguru Kawasaki AU - Yasuhiro Todo AU - Junji Koizumi AU - Yoshihito Kita AU - Hiroshi Matsumoto AU - Hiroaki Shintaku AU - Akihiko Hodatsu AU - Hidekazu Ino AU - Toshinori Higashikata AU - Mutsuko Takata AU - Katsushi Misawa AU - Masato Yamaguchi AU - Yoshihiro Noji AU - Kazuo Osato AU - Tomohito Mabuchi AU - Taro Ichise AU - Bunji Kaku AU - Shoji Katsuda AU - Manabu Fujimoto AU - Katsuharu Uchiyama AU - Kensuke Fujioka AU - Takuya Nakahashi AU - Tsuyoshi Nozue AU - Ichiro Michishita AU - Kazuo Usuda AU - Kanichi Otowa AU - Kazuyasu Okeie AU - Satoshi Hirota AU - Isao Aburadani AU - Keisuke Kurokawa AU - Osamu Takatori AU - Shunichiro Hondo AU - Hiroyuki Oda AU - Shigeo Takata AU - Hisayoshi Murai AU - Masaki Kinoshita AU - Hideo Nagai AU - Yoshiteru Sekiguchi AU - Satoru Sakagami AU - Wataru Omi AU - Chikara Fujita AU - Tatsuo Katsuki AU - Hiroshi Ootsuji AU - Atsushi Igarashi AU - Manabu Nakano AU - Seiichiro Okura AU - Koji Maeno AU - Yasuhito Mitamura AU - Naoki Sugimoto AU - Masakazu Yamamoto AU - Hironobu Akao AU - Kouji Kajinami AU - Masayuki Takamura AU - Masa-aki Kawashiri TI - Hokuriku-plus familial hypercholesterolaemia registry study: rationale and study design AID - 10.1136/bmjopen-2020-038623 DP - 2020 Sep 01 TA - BMJ Open PG - e038623 VI - 10 IP - 9 4099 - http://bmjopen.bmj.com/content/10/9/e038623.short 4100 - http://bmjopen.bmj.com/content/10/9/e038623.full SO - BMJ Open2020 Sep 01; 10 AB - Introduction Familial hypercholesterolaemia (FH) is an autosomal-dominant inherited genetic disease. It carries an extremely high cardiovascular risk associated with significantly elevated low-density lipoprotein (LDL) cholesterol. The diagnostic rate of this disease in some European nations is quite high, due to the presence of multiple prospective registries. On the other hand, few data—and in particular multicentre data—exist regarding this issue among Japanese subjects. Therefore, this study intends to assemble a multicentre registry that aims to comprehensively assess cardiovascular risk among Japanese FH patients while taking into account their genetic backgrounds.Methods and analysis The Hokuriku-plus FH registry is a prospective, observational, multicentre cohort study, enrolling consecutive FH patients who fulfil the clinical criteria of FH in Japan from 37 participating hospitals mostly in Hokuriku region of Japan from April 2020 to March 2024. A total of 1000 patients will be enrolled into the study, and we plan to follow-up participants over 5 years. We will collect clinical parameters, including lipids, physical findings, genetic backgrounds and clinical events covering atherosclerotic and other important events, such as malignancies. The primary endpoint of this study is new atherosclerotic cardiovascular disease (ASCVD) events. The secondary endpoints are as follows: LDL cholesterol, secondary ASCVD events and the occurrence of other diseases including hypertension, diabetes and malignancies.Ethics and dissemination This study is being conducted in compliance with the Declaration of Helsinki, the Ethical Guidelines for Medical and Health Research Involving Human Subjects, and all other applicable laws and guidelines in Japan. This study protocol has been approved by the Institutional Review Board at Kanazawa University. We will disseminate the final results at international conferences and in a peer-reviewed journal.Trial registration number UMIN000038210.