Real Life Lipid Management in Hospitals Not Participating in PENELOPE Trial - Control Population for PENELOPE

NCT ID: NCT05659888

Last Updated: 2024-07-26

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

COMPLETED

Total Enrollment

827 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-07-25

Study Completion Date

2023-12-31

Brief Summary

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Guideline recommended evidence-based clinical care correlates with improved patient outcomes. In real life care, however, adherence to guideline recommendations remains suboptimal. In real life, patients may receive suboptimal treatment and as a result treatment targets are not always met. To support and improve secondary prevention for cardiovascular disease, PENELOPE and PENELOPE-CTRL are designed to support guideline implementation on lipid management and provide valuable feedback to care-givers on real world data.

Detailed Description

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The recent PENELOPE study was designed to determine the effect of a protocolized, Dutch-, and ESC- guideline based strategy of stepwise intensified lipid management in patients at very high risk for ACS. In PENELOPE 22 Dutch non-academic hospitals, members of the WCN investigator network, implemented a protocol guided guideline approach in a consecutive cohort of very high-risk patients admitted for ACS over the period 01-01-2019 to 31-08-2020. Lipid values and medication strategy are collected at baseline (index ACS), and after three months and one year post ACS, in order to establish the percentage of patients on target (LDL).

The current PENELOPE-CTRL study on the other hand, is designed to serve as a contemporary control cohort for PENELOPE. PENELOPE-CTRL is a retrospective observational study, creating a contemporary snapshot of real-life lipid management for secondary prevention in very high-risk patients. PENELOPE-CTRL will collect data in similar hospitals who did not participate in the PENELOPE trial.

To allow comparison of these two strategies, protocol guided versus real life implementation of the cholesterol treatment guidelines, both cohorts include similar patients, and similar data will be collected (e.g., lipid lowering drugs, lipid panels) . Analysis will be done at similar time points.

Comparing the real-life data from PENELOPE-CTRL with the data from the PENELOPE study will quantify the effect of a strategy of protocolized guideline-based lipid management with regards to the incidence of target LDL-C levels in very high-risk patients, 3 months and one year after hospitalisation with a myocardial infarction.

Conditions

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Atherosclerotic Cardiovascular Disease STEMI Non STEMI

Study Design

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Observational Model Type

COHORT

Study Time Perspective

OTHER

Eligibility Criteria

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Inclusion Criteria

* Age \>18 and ≤70 years
* Alive at hospital discharge after admission for (N)STEMI between 1-1-2019 and 31-08-2020
* Planned for follow-up at a participating PENELOPE CTRL site
* History of T2DM and/or history of ASCVD defined as either one of:

* cerebrovascular disease/ event: transient ischemic attack, cerebral infarction, amaurosis fugax, retinal infarction
* Coronary artery disease/ event: unstable angina pectoris, MI, ACS, coronary revascularization (coronary angioplasty or surgical procedure for coronary bypass)
* Peripheral artery disease (symptomatic and documented obstruction of a distal extremity artery or surgical intervention (percutaneous transluminal angioplasty, bypass or amputation)

Exclusion Criteria

* Pregnant and lactating women
* Participation in lipid modifying drug trials up to two years after index cardiovascular event
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role collaborator

Clinical Operations WCN B.V.

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Marco Alings

Role: PRINCIPAL_INVESTIGATOR

WCN

Locations

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NoordWest Hospital (NWZ)

Alkmaar, , Netherlands

Site Status

Reinier de Graaf Hospital

Delft, , Netherlands

Site Status

Deventer Hospital

Deventer, , Netherlands

Site Status

Treant Hospital

Emmen, , Netherlands

Site Status

Saxenburg Medisch Centrum

Hardenberg, , Netherlands

Site Status

Elkerliek Hospital

Helmond, , Netherlands

Site Status

Alrijne Hospital

Leiden, , Netherlands

Site Status

Isala Hospital

Meppel, , Netherlands

Site Status

Canisius Wilhemina Hospital (CWZ)

Nijmegen, , Netherlands

Site Status

Haaglanden Hospital

The Hague, , Netherlands

Site Status

Haga Hospital

The Hague, , Netherlands

Site Status

Diakonessenhuis Utrecht

Utrecht, , Netherlands

Site Status

Maxima Medisch Centrum

Veldhoven, , Netherlands

Site Status

Countries

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Netherlands

Provided Documents

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Document Type: Study Protocol

View Document

Other Identifiers

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DCV-2017-11843

Identifier Type: -

Identifier Source: org_study_id

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