Primary Objective: To estimate the overall combined rate of major structural birth defects in infants of mothers with atherosclerotic cardiovascular disease (ASCVD) and/or familial hypercholesterolemia (FH) exposed to Praluent® (alirocumab) during pregnancy when used to treat hypercholesterolemia and to compare that rate to unexposed disease-matched and unexposed non-diseased comparison pregnancies. Secondary Objectives: * Secondary objectives are to estimate the rates of the outcomes in pregnancies/infants of mothers with atherosclerotic cardiovascular disease and/or familial hypercholesterolemia exposed to alirocumab during pregnancy when used to treat hypercholesterolemia and to compare that rate to unexposed disease-matched and non-diseased comparison pregnancies, and secondarily to compare the rates of these outcomes in the unexposed disease-matched pregnancies to the rates in the unexposed non-diseased comparison pregnancies. * Safety and tolerability of alirocumab.
Study Type
OBSERVATIONAL
Enrollment
37
Pharmaceutical form:as per routine practice Route of administration: subcutaneous
Investigational site UNITED STATES
San Diego, California, United States
Rate of major structural birth defects
Overall combined rate of major structural birth defects in infants born to females with atherosclerotic cardiovascular disease (ASCVD) and/or familial hypercholesterolemia (FH) exposed to Praluent (alirocumab)
Time frame: Up to 1 year of age of the infant
Pregnancy outcome: Spontaneous abortion
Rate of spontaneous abortion
Time frame: Date of conception to 20 weeks gestation
Pregnancy outcome: Elective abortion
Rate of elective abortion
Time frame: Date of conception to 20 weeks gestation
Pregnancy outcome: Still birth
Rate of still birth
Time frame: At birth
Pregnancy outcome: Preterm delivery
Rate of preterm delivery
Time frame: Live birth prior to 37 weeks gestation
Infant outcome: Pattern of minor structural birth defects
Specific pattern of 3 or more minor structural defects in live born infants receiving the exam
Time frame: Up to 1 year of age of the infant
Infant outcome: Small for gestational age
Proportion of infants who are small for gestational age on weight, length, or head circumference
Time frame: At birth
Infant outcome: Postnatal growth deficiency
Proportion of infants less than or equal to the 10th percentile for sex and age on weight, length, or head circumference at 1 year postnatal evaluation
Time frame: Up to 1 year of age of the infant
Infant outcome: serious infections or hospitalizations, adverse reactions to childhood vaccinations
Proportion of infants who experienced serious infections or hospitalizations, and adverse reactions to childhood vaccinations
Time frame: Up to 5 years of age of the child
Infant outcome: adequacy of immune response
Proportion of infants who has adequate immune response as measured by IgG-Tetanus antibody
Time frame: Up to 5 years of age of the child
Infant outcome: adverse neurodevelopment
Proportion of infants who experienced adverse neurodevelopment
Time frame: Up to 5 years of age of the child
Breastfeeding/Lactation outcome
Proportion of patients breastfeeding in the first 6 weeks after delivery
Time frame: Up to 6 weeks of age of the infant
Breastfeeding/Lactation outcome
Proportion of patients breastfeeding exclusively for more than 2 weeks
Time frame: Up to 2 years of age of the child
Adverse events
Proportion of patients who experienced adverse events (AEs), AEs of special interest, and serious AEs
Time frame: Up to 5 years follow-up period
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