RT Journal Article SR Electronic T1 Hokuriku-plus familial hypercholesterolaemia registry study: rationale and study design JF BMJ Open JO BMJ Open FD British Medical Journal Publishing Group SP e038623 DO 10.1136/bmjopen-2020-038623 VO 10 IS 9 A1 Hayato Tada A1 Hirofumi Okada A1 Shohei Yoshida A1 Masaya Shimojima A1 Akihiro Nomura A1 Toyonobu Tsuda A1 Mika Mori A1 Shin-ichiro Takashima A1 Takeshi Kato A1 Soichiro Usui A1 Kenji Sakata A1 Kenshi Hayashi A1 Noboru Fujino A1 Akihiro Inazu A1 Shizuko Takahara A1 Yasuhito Imai A1 Takao Matsubara A1 Atsushi Nohara A1 Kenji Miwa A1 Masanobu Namura A1 Hidenobu Terai A1 Taiji Yoshida A1 Tsutomu Araki A1 Masahiro Minamoto A1 Toru Aburao A1 Yuji Ito A1 Chiaki Nakanishi A1 Suguru Kawasaki A1 Yasuhiro Todo A1 Junji Koizumi A1 Yoshihito Kita A1 Hiroshi Matsumoto A1 Hiroaki Shintaku A1 Akihiko Hodatsu A1 Hidekazu Ino A1 Toshinori Higashikata A1 Mutsuko Takata A1 Katsushi Misawa A1 Masato Yamaguchi A1 Yoshihiro Noji A1 Kazuo Osato A1 Tomohito Mabuchi A1 Taro Ichise A1 Bunji Kaku A1 Shoji Katsuda A1 Manabu Fujimoto A1 Katsuharu Uchiyama A1 Kensuke Fujioka A1 Takuya Nakahashi A1 Tsuyoshi Nozue A1 Ichiro Michishita A1 Kazuo Usuda A1 Kanichi Otowa A1 Kazuyasu Okeie A1 Satoshi Hirota A1 Isao Aburadani A1 Keisuke Kurokawa A1 Osamu Takatori A1 Shunichiro Hondo A1 Hiroyuki Oda A1 Shigeo Takata A1 Hisayoshi Murai A1 Masaki Kinoshita A1 Hideo Nagai A1 Yoshiteru Sekiguchi A1 Satoru Sakagami A1 Wataru Omi A1 Chikara Fujita A1 Tatsuo Katsuki A1 Hiroshi Ootsuji A1 Atsushi Igarashi A1 Manabu Nakano A1 Seiichiro Okura A1 Koji Maeno A1 Yasuhito Mitamura A1 Naoki Sugimoto A1 Masakazu Yamamoto A1 Hironobu Akao A1 Kouji Kajinami A1 Masayuki Takamura A1 Masa-aki Kawashiri YR 2020 UL http://bmjopen.bmj.com/content/10/9/e038623.abstract 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.