Derivation and Validation of a Novel Method for More Accurate Estimation of Low-Density Lipoprotein Cholesterol from the Standard Lipid Profile

Case ID:
C12643
Disclosure Date:
7/26/2013

C12643: Derivation and Validation of a Novel Method for More Accurate Estimation of Low-Density Lipoprotein Cholesterol from the Standard Lipid Profile

Novelty:

A novel, accurate method for LDL-C estimation from the standard lipid profile using an adjustable factor for the triglycerides to very low-density lipoprotein cholesterol (TG:VLDL-C) ratio

Value Proposition:

Low-density lipoprotein cholesterol (LDL-C) is of longstanding clinical and research interest and the primary target in national and international clinical practice guidelines. Conventionally, LDL-C is estimated by the Friedewald equation which assumes a fixed ratio of TG:VLDL-C of 5:1. Applying a factor of 5 to every individual patient is problematic given variance in the TG:VLDL-C ratio across the range of triglyceride and nonHDL-C levels.


Rather than a fixed conversion factor, we have developed a method that uses a sliding scale factor to estimate VLDL-C with high precision from triglycerides and non-HDL cholesterol levels. This method to estimate LDL-C was derived and validated in 1,350,908 human samples.

Specific advantages include:
• LDL-C estimates by this novel method are more concordant with those by directly measured LDLC

• Highly accurate classification of LDL-C concentrations lower than 100 mg/dL, especially in patients with elevated triglyceride concentrations.

• Using an adjustable factor for estimation of VLDL-C provides the most accurate quantification of LDL-C from patient to patient.

• Provides substantially higher-fidelity estimates than the Friedewald equation or any other existing estimation method using data from the standard lipid panel.

• Can be easily implemented in most laboratory reporting systems at virtually no cost.

• Unlike the Friedewald method, this novel method of LDL-C estimation was derived and validated from a very large clinical population dataset shown to be representative of the general population with distribution of major serum lipids nearly identical to the NHANES 2007-2008 survey.

Looking for Partners:

To commercialize the technology as an accurate method for LDL-C estimation from the standard lipid profile.

Stage of Development:

Pre-clinical

Data Availability:

Technology derived and validated in 1,350,908 human samples.

Publications/Associated Cases:

JAMA. 2013 Nov 20;310(19):2043-4. J Am Coll Cardiol. 2013 Aug 20;62(8):732-9

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For Information, Contact:
Louis Mari
lmari3@jhu.edu
410-614-0300
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