Single Pill to Avert Cardiovascular Events
SPACE
Effect of Polipill on Patients at High Cardiovascular Risk : a Randomized Controlled Trial
1 other identifier
interventional
N/A
1 country
1
Brief Summary
The purpose of this study is to determine whether a polipill improved the compliance with treatment compared to usual care that use two or more drugs,in patients at high cardiovascular risk or previous cardiovascular disease.
Trial Health
Trial Health Score
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Started Oct 2012
1 active site
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Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 10, 2011
CompletedFirst Posted
Study publicly available on registry
March 14, 2011
CompletedStudy Start
First participant enrolled
October 1, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2014
CompletedSeptember 21, 2022
March 1, 2012
1.5 years
March 10, 2011
September 20, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
compliance with treatment
18 months
changed in blood pressure
18 months
changes in LDL-cholesterol levels
18 months
Secondary Outcomes (3)
the main reason for non compliance with treatment
18 months
safety of poli pill measures by laboratorial tests
18 months
combined outcome
18 months
Study Arms (3)
polipillV1
EXPERIMENTALpoli pill version 1: aspirin 75mg, simvastatin 40mg, lisinopril 10mg, atenolol 50mg
polipillV2
EXPERIMENTALPolipill versão2: aspirin 75mg, simvastatin 40mg, lisinopril 10mg, hydrochlorothiazide 12.5mg.
usual care
ACTIVE COMPARATORInterventions
polipill version 1: aspirin 75mg, simvastatin 40mg, lisinopril 10mg, atenolol 50mg
Polipill version 2: aspirin 75mg, simvastatin 40mg, lisinopril 10mg, hydrochlorothiazide 12.5mg.
the drugs used in clinical practice, defined by physician
Eligibility Criteria
You may qualify if:
- Adults age ≥ 18 years old;
- Patient that could written informed consent;
- Patient with current atherothrombotic cardiovascular disease or at high cardiovascular risk, defined as:
- Patients with previous Coronary Artery Disease (miocardial Infarction, estable or instable angina pectoris or coronary revascularization procedures);
- Patients with previous miocardial Infarction, defined as medical registry (with documentation of at least 2 criterias: clinical symptoms,patological electrocardiogram and elevation of cardiac enzymes- CK-MB and/or troponin);
- Patients with previous brain ischemia (stroke or transient ischemic attack)
- Patients with confirmed previous peripheral arterial disease (Coronary Artery Bypass procedures or angioplasty or amputation due peripheral arterial disease)
- Patients with no established cardiovascular disease but at high cardiovascular risk, defined as 15% or more in 5 years (using the Anderson Framingham scale, 1991)
You may not qualify if:
- contraindication for any of the polipill
- If the physician opinion is that terapeutical change could harm the patient (for example, heart failure, need of high beta blocker dose for treatment angina symptons and for the atrial fibrillation rhythm,severe hypertension \[degree 3\], malignant hypertension or renal insufficiency
- Acute clinical conditions/ surgeries
- Psychiatry clinical conditions(for example, schizophrenia, serious depression)
- pregnant or lactation women
- women at fertile period mulheres not using effective contraceptive methods (oral contraceptive, condom, intrauterine device)
- liver siseases (AST/ALT/FA upon 3 x normal superior limits / bilirrubin upon 1,5 X normal superior limits / diagnosed Liver Cirrhosis
- Renal disfunction (any laboratorial exams upon 3 x normal superior limits)
- Previous participation on other clinical trial
- The participant is unable or refuse to give informed consent.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Instituto de Ensino e Pesquisa - IEP - HCor
São Paulo, 04005-000, Brazil
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Otavio Berwanger, PhD
Instituto de Ensino e Pesquisa - IEP - HCor
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 10, 2011
First Posted
March 14, 2011
Study Start
October 1, 2012
Primary Completion
April 1, 2014
Study Completion
July 1, 2014
Last Updated
September 21, 2022
Record last verified: 2012-03