Trial Outcomes & Findings for Polypill For Prevention of Cardiovascular Disease (NCT NCT00567307)

NCT ID: NCT00567307

Last Updated: 2018-09-10

Results Overview

Estimated 10-year CVD total risk score were calculated in the field centers and in the Coordinating Center from the measures of blood pressure and total cholesterol and from the medical history data collected during each visit using the WHO CVD prediction chart. The estimated 10-year CVD total risk calculated by the Coordinating Center were used for analysis. the score is based on systolic blood pressure and total cholesterol measures as well as on medical history data (monthly). Each one of these risk factors is assigned a point in the score and then linked to a table that mention the calculated CVD risk

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

216 participants

Primary outcome timeframe

Six months

Results posted on

2018-09-10

Participant Flow

Participant milestones

Participant milestones
Measure
The Polypill Group (Arm A)
The Polypill Group (Arm A) received a Polypill composed of 75 mg aspirin, 20 mg simvastatin, 10 mg lisinopril and 12.5 mg hydrochlorothiazide Red Heart Pill 2b (Polypill): Arm A will receive the polypill (Red Heart pill 2b) which is a combination of aspirin (75 mg), simvastatin (20g), lisinopril (10mg) and hydrochlorothiazide (12.5 mg)
Standard Practice Group (Arm B)
Standard Practice Standard Practice: Arm B received management of their CVD risk according to the usual care given to participants in similar conditions
Overall Study
STARTED
111
105
Overall Study
COMPLETED
99
104
Overall Study
NOT COMPLETED
12
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Polypill For Prevention of Cardiovascular Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
The Polypill Group (Arm A)
n=111 Participants
The Polypill Group (Arm A) received a Polypill composed of 75 mg aspirin, 20 mg simvastatin, 10 mg lisinopril and 12.5 mg hydrochlorothiazide Red Heart Pill 2b (Polypill): Arm A will receive the polypill (Red Heart pill 2b) which is a combination of aspirin (75 mg), simvastatin (20g), lisinopril (10mg) and hydrochlorothiazide (12.5 mg)
Standard Practice Group (Arm B)
n=105 Participants
Standard Practice Standard Practice: Arm B received management of their CVD risk according to the usual care given to participants in similar conditions
Total
n=216 Participants
Total of all reporting groups
Age, Continuous
59.2 years
STANDARD_DEVIATION 7.4 • n=5 Participants
59.0 years
STANDARD_DEVIATION 6.9 • n=7 Participants
59.1 years
STANDARD_DEVIATION 7.2 • n=5 Participants
Sex: Female, Male
Female
77 Participants
n=5 Participants
80 Participants
n=7 Participants
157 Participants
n=5 Participants
Sex: Female, Male
Male
34 Participants
n=5 Participants
25 Participants
n=7 Participants
59 Participants
n=5 Participants
Systolic Blood Pressure
164.7 mmHG
STANDARD_DEVIATION 17.3 • n=5 Participants
165.7 mmHG
STANDARD_DEVIATION 19.2 • n=7 Participants
165.2 mmHG
STANDARD_DEVIATION 18.2 • n=5 Participants
Total Cholesterol
5.7 mmol/L
STANDARD_DEVIATION 1.3 • n=5 Participants
6.1 mmol/L
STANDARD_DEVIATION 1.3 • n=7 Participants
5.9 mmol/L
STANDARD_DEVIATION 1.3 • n=5 Participants

PRIMARY outcome

Timeframe: Six months

Estimated 10-year CVD total risk score were calculated in the field centers and in the Coordinating Center from the measures of blood pressure and total cholesterol and from the medical history data collected during each visit using the WHO CVD prediction chart. The estimated 10-year CVD total risk calculated by the Coordinating Center were used for analysis. the score is based on systolic blood pressure and total cholesterol measures as well as on medical history data (monthly). Each one of these risk factors is assigned a point in the score and then linked to a table that mention the calculated CVD risk

Outcome measures

Outcome measures
Measure
The Polypill Group (Arm A)
n=99 Participants
The Polypill Group (Arm A) received a Polypill composed of 75 mg aspirin, 20 mg simvastatin, 10 mg lisinopril and 12.5 mg hydrochlorothiazide Red Heart Pill 2b (Polypill): Arm A will receive the polypill (Red Heart pill 2b) which is a combination of aspirin (75 mg), simvastatin (20g), lisinopril (10mg) and hydrochlorothiazide (12.5 mg)
Standard Practice Group (Arm B)
n=104 Participants
Standard Practice Standard Practice: Arm B received management of their CVD risk according to the usual care given to participants in similar conditions
Reduction of the Estimated 10-year Total Cardiovascular Risk Score
11.5 percent
Standard Deviation 113.0
11.1 percent
Standard Deviation 10

Adverse Events

The Polypill Group (Arm A)

Serious events: 26 serious events
Other events: 15 other events
Deaths: 0 deaths

Standard Practice Group (Arm B)

Serious events: 29 serious events
Other events: 12 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
The Polypill Group (Arm A)
n=99 participants at risk
The Polypill Group (Arm A) received a Polypill composed of 75 mg aspirin, 20 mg simvastatin, 10 mg lisinopril and 12.5 mg hydrochlorothiazide Red Heart Pill 2b (Polypill): Arm A will receive the polypill (Red Heart pill 2b) which is a combination of aspirin (75 mg), simvastatin (20g), lisinopril (10mg) and hydrochlorothiazide (12.5 mg)
Standard Practice Group (Arm B)
n=104 participants at risk
Standard Practice Standard Practice: Arm B received management of their CVD risk according to the usual care given to participants in similar conditions
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
26.3%
26/99 • Number of events 26 • Cumulative frequency of major side effects during the 3-month treatment period by study group among those who completed the study (99 in the polypill group and 104 in the standard practice)
This is among those who completed the study (99 in the polypill group and 104 in the standard practice)
27.9%
29/104 • Number of events 29 • Cumulative frequency of major side effects during the 3-month treatment period by study group among those who completed the study (99 in the polypill group and 104 in the standard practice)
This is among those who completed the study (99 in the polypill group and 104 in the standard practice)
Gastrointestinal disorders
Epigastric pain
15.2%
15/99 • Number of events 15 • Cumulative frequency of major side effects during the 3-month treatment period by study group among those who completed the study (99 in the polypill group and 104 in the standard practice)
This is among those who completed the study (99 in the polypill group and 104 in the standard practice)
19.2%
20/104 • Number of events 20 • Cumulative frequency of major side effects during the 3-month treatment period by study group among those who completed the study (99 in the polypill group and 104 in the standard practice)
This is among those who completed the study (99 in the polypill group and 104 in the standard practice)
Respiratory, thoracic and mediastinal disorders
Cough
25.3%
25/99 • Number of events 25 • Cumulative frequency of major side effects during the 3-month treatment period by study group among those who completed the study (99 in the polypill group and 104 in the standard practice)
This is among those who completed the study (99 in the polypill group and 104 in the standard practice)
17.3%
18/104 • Number of events 18 • Cumulative frequency of major side effects during the 3-month treatment period by study group among those who completed the study (99 in the polypill group and 104 in the standard practice)
This is among those who completed the study (99 in the polypill group and 104 in the standard practice)

Other adverse events

Other adverse events
Measure
The Polypill Group (Arm A)
n=99 participants at risk
The Polypill Group (Arm A) received a Polypill composed of 75 mg aspirin, 20 mg simvastatin, 10 mg lisinopril and 12.5 mg hydrochlorothiazide Red Heart Pill 2b (Polypill): Arm A will receive the polypill (Red Heart pill 2b) which is a combination of aspirin (75 mg), simvastatin (20g), lisinopril (10mg) and hydrochlorothiazide (12.5 mg)
Standard Practice Group (Arm B)
n=104 participants at risk
Standard Practice Standard Practice: Arm B received management of their CVD risk according to the usual care given to participants in similar conditions
General disorders
Fatigue
15.2%
15/99 • Number of events 15 • Cumulative frequency of major side effects during the 3-month treatment period by study group among those who completed the study (99 in the polypill group and 104 in the standard practice)
This is among those who completed the study (99 in the polypill group and 104 in the standard practice)
11.5%
12/104 • Number of events 12 • Cumulative frequency of major side effects during the 3-month treatment period by study group among those who completed the study (99 in the polypill group and 104 in the standard practice)
This is among those who completed the study (99 in the polypill group and 104 in the standard practice)

Additional Information

Dr. Elsayed Z Soliman, Director of the Epidemiological Cardiology Research Center

Wake Forest School of Medicine, Winston Salem, NC

Phone: 336-716-8632

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place