A Polypill for Secondary Prevention of Ischemic Heart Disease

NCT ID: NCT03541109

Last Updated: 2020-10-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

1200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-05-20

Study Completion Date

2024-08-31

Brief Summary

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Cardiovascular diseases (CVD) are the leading cause of mortality and morbidity worldwide. The most important aspect of CVD secondary prevention is adherence to guideline-indicated pharmacological therapy which globally remains low. In previous studies, a Polypill containing fixed dose combination of essential drugs have improved patient adherence to these drugs. The effect of such a strategy on pharmacological therapy uptake, cost-effectiveness, and CVD recurrence in our setting will be assessed in this study. Participants hospitalized in three referral hospitals in Isfahan, Iran because of an acute myocardial infarction (MI) (ST elevation MI (STEMI) or non-ST elevation MI (NSTEMI)) will be randomized to either receiving Polypill or usual care after MI. Patient recruitment will be carried out at the time of patient discharge from the hospitals.

Detailed Description

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Conditions

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Acute Myocardial Infarction ST Elevation Myocardial Infarction Non-ST Elevation Myocardial Infarction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Polypill

Polypill group will receive a fixed dose combinations of aspirin (81mg), atorvastatin (40mg), metoprolol (50 mg), and Valsartan (40 mg), prescribed once daily by moth for 34 months

Group Type EXPERIMENTAL

Polypill

Intervention Type DRUG

fixed dose combination of aspirin (81mg), atorvastatin (40mg), metoprolol (50 mg), and Valsartan (40 mg)

Control

The usual care arm will receive regular drug order at the time of discharge from the hospital.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Polypill

fixed dose combination of aspirin (81mg), atorvastatin (40mg), metoprolol (50 mg), and Valsartan (40 mg)

Intervention Type DRUG

Other Intervention Names

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Polypill-S

Eligibility Criteria

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Inclusion Criteria

* Patients hospitalized because of an acute myocardial infarction (STEMI/NSTEMI) and alive after discharge for at least 1 month
* signing informed consent
* clear indication of receiving all components of Polypill (aspirin, statin, ACE inhibitor/ARB, and beta blocker)
* living in Isfahan city or nearby areas so that they can attend follow-ups
* No mental illness limiting their self-care ability or Severe illness with an estimated lifespan of less than 3 years
* No history of adverse reaction or contraindication to any component of the Polypill
* Not having Secondary hyperlipidemia, serum creatinine ≥ 2, severe heart failure
* No plan for a procedure (CABG, PCI, or another surgical procedures) within following 6 months

Exclusion Criteria

* Patient unlikely to complete trial
* Need to change or discontinue any of the four principal drugs of the Polypill to achieve better control of the disease or risk factors or because of adverse drug reactions (based on physician's idea)
* Severe illness with an estimated lifespan of less than 3 years
Minimum Eligible Age

40 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tehran University of Medical Sciences

OTHER

Sponsor Role collaborator

Isfahan University of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Masoumeh Sadeghi

Head of Cardiac Rehabilitation Research Center

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Masoumeh Sadeghi, professor

Role: PRINCIPAL_INVESTIGATOR

Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

Locations

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Chamran cardiology hospital

Isfahan, , Iran

Site Status RECRUITING

Cardiovascular Research Institute

Isfahan, , Iran

Site Status RECRUITING

Countries

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Iran

Central Contacts

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Masoumeh Sadeghi, Professor

Role: CONTACT

00989134091776

Shervin Ghaffari Hoseini, MD,PhD

Role: CONTACT

Facility Contacts

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Maryam Kelardasht, MS

Role: primary

00983136115313

Safoora yazdekhasti

Role: primary

00983136115208

Other Identifiers

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Persian Polypill

Identifier Type: -

Identifier Source: org_study_id

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