Finding family members at risk for inherited high cholesterol and Long QT heart rhythm problems

Comparing Direct and Indirect Methods for Cascade Screening in Familial Hypercholesterolemia (FH) and Long QT Syndrome (LQTS)

NIH-funded research University of Maryland Baltimore · NIH-11097301

This project compares contacting relatives directly versus asking patients to tell family members to find people at risk for familial hypercholesterolemia (FH) and Long QT syndrome (LQTS), focusing on Amish communities where two actionable genetic variants are common.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Maryland Baltimore NIH-funded
Lab location1 site (Baltimore, United States)
Project IDNIH-11097301 on NIH RePORTER

What this research studies

If you or a family member carries a genetic change linked to FH or LQTS, this project will compare two ways of notifying relatives: the research team contacting them directly or giving information to you to share. Relatives who are contacted may be offered genetic testing for two specific variants (KCNQ1 Met224Thr for LQTS and APOB Arg3527Gln for FH) that are more common in certain Amish communities. People will be randomly assigned to one of the contact approaches so the team can compare how many relatives get tested, accept follow-up care, and what ethical concerns arise. The goal is to find the safest, most acceptable way to reach at-risk family members so they can get early monitoring or treatment.

Who could benefit from this research

Good fit: Ideal candidates are first-degree relatives of someone identified as carrying the APOB Arg3527Gln or KCNQ1 Met224Thr variants, especially members of the participating Amish communities.

Not a fit: People without family ties to a carrier, those outside the participating communities, or those who do not carry the specific variants are unlikely to receive direct benefit from this project.

Why it matters

Potential benefit: If successful, the project could help more at-risk relatives be identified earlier so they can begin monitoring or treatment to reduce heart attack or arrhythmia risk.

How similar studies have performed: Cascade screening and direct-contact approaches have shown promise in other countries, but rigorous randomized comparisons in U.S. communities like the Amish are limited.

Where this research is happening

Baltimore, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions CancersCenters for Disease ControlCenters for Disease Control and PreventionCenters for Disease Control and Prevention (U.S.)
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.