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Trial NCT00603590

Resource URI: http://static.linkedct.org/resource/trials/NCT00603590
linkedct:acronym Polypill
linkedct:arm_group <http://static.linkedct.org/resource/arm_group/41646>
linkedct:arm_group <http://static.linkedct.org/resource/arm_group/58373>
linkedct:brief_title Phase II Study of Heart Polypill Safety and Efficacy in Primary Prevention of Cardiovascular Disease
linkedct:collaborator_agency <http://static.linkedct.org/resource/collabagency/8680>
linkedct:condition <http://static.linkedct.org/resource/condition/2308>
linkedct:condition <http://static.linkedct.org/resource/condition/5699>
linkedct:condition <http://static.linkedct.org/resource/condition/6201>
linkedct:condition <http://static.linkedct.org/resource/condition/6238>
linkedct:criteria Inclusion criteria All men over 50 to 80 and all women 55 to 80 who are resident in Kalaleh, Golestan, for at least one year. Exclusion criteria - Existing cardiovascular disease (stroke, transient ischaemic attack, myocardial infarction or angina) - Already taking antihypertensive drugs, aspirin or statins - Already have clinical indications for treatment with antihypertensive drugs, aspirin or statins. - Blood pressure >160/100 mm Hg - Total Cholesterol > 240 mg/dL (or LDL >190 mg/dL) - Probable diabetes: HbA1c >6.0 Contraindication to a component of the Polypill Contraindications to aspirin - Previous history of allergy to aspirin - History of peptic ulcer bleeding in whole life or endoscopic evidence of peptic ulcer within the past 3 months Contraindications to statins - Liver failure Contraindications to further blood pressure lowering - Systolic blood pressure 90 mm Hg or diastolic blood pressure 70 mm Hg - Symptomatic postural hypotension - Difference between mean seated BP and standing BP greater than 20 mm Hg Contraindications to thiazide - Uric acid >8 for men and uric acid >6 for women / gout (~10%) - Creatinine >1.2 mg/dl Other predominant medical problem that may limit compliance with study treatment including: - History of alcohol abuse: more than 60cc for women and more than 80cc for men - History of drug abuse: IV drug abuser or eating or smoking more than 4 times a week - Limiting psychiatric illness (eg: mania, schizophrenia, severe depression, psychosis or dementia) - Limiting physical disability sufficient to prevent subject from walking - Other life-threatening condition such as cancer
linkedct:download_date Information obtained from ClinicalTrials.gov on December 30, 2009
linkedct:eligibility_gender Both
linkedct:eligibility_healthy_volunteers Accepts Healthy Volunteers
linkedct:eligibility_maximum_age 80 Years
linkedct:eligibility_minimum_age 50 Years
linkedct:end_date July 2008
linkedct:enrollment 475 (xsd:int)
linkedct:firstreceived_date January 1, 2008
linkedct:has_dmc Yes
linkedct:id NCT00603590
linkedct:intervention <http://static.linkedct.org/resource/intervention/106628>
linkedct:intervention <http://static.linkedct.org/resource/intervention/107164>
rdfs:label Trial NCT00603590
linkedct:lastchanged_date September 22, 2009
linkedct:lead_sponsor_agency Tehran University of Medical Sciences
linkedct:location <http://static.linkedct.org/resource/location/73023>
linkedct:nct_id NCT00603590
linkedct:number_of_arms 2 (xsd:int)
linkedct:number_of_groups 0 (xsd:int)
linkedct:official_title Phase II Study of Heart Polypill in Primary Prevention of Cardiovascular Disease - Safety and Efficacy
linkedct:org_study_id 301/148
linkedct:overall_official <http://static.linkedct.org/resource/overall_official/17566>
linkedct:overall_official <http://static.linkedct.org/resource/overall_official/31543>
linkedct:overall_official <http://static.linkedct.org/resource/overall_official/36881>
linkedct:overall_official <http://static.linkedct.org/resource/overall_official/49392>
linkedct:overall_official <http://static.linkedct.org/resource/overall_official/59010>
linkedct:overall_official <http://static.linkedct.org/resource/overall_official/730>
linkedct:overall_status Completed
linkedct:oversight <http://static.linkedct.org/resource/oversight/1388>
foaf:page <http://clinicaltrials.gov/show/NCT00603590>
linkedct:phase Phase 2
linkedct:primary_completion_date June 2008
linkedct:primary_outcomes <http://static.linkedct.org/resource/primary_outcomes/70372>
linkedct:reference <http://static.linkedct.org/resource/reference/36115>
linkedct:secondary_id CCT-NAPN 15388
linkedct:secondary_outcomes <http://static.linkedct.org/resource/secondary_outcomes/36539>
linkedct:secondary_outcomes <http://static.linkedct.org/resource/secondary_outcomes/60834>
linkedct:source Tehran University of Medical Sciences
linkedct:start_date November 2006
linkedct:study_design Prevention, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Safety/Efficacy Study
linkedct:study_type Interventional
linkedct:summary Cardiovascular is a major cause of mortality in Iran, accounting for 45.7% of deaths. In Golestan (North Eastern Iran) preliminary findings from follow-up of the Golestan Cohort are consistent with national figures: with 45% (at least 22 of 48 deaths) of all deaths attributed to cardiovascular events. Cardiovascular diseases will become an increasing problem as the Iranian population ages. In 2003 Law and Wald proposed prevention of cardiovascular disease using fixed-dose combination therapy combining antihypertensive, lipid lowering and antiplatelet drugs in a single preparation. They proposed that this treatment should be offered to all persons at high risk of cardiovascular disease whether or not they have elevated blood pressure or elevated serum lipid concentrations. This pilot study aims to investigate the safety and efficacy of fixed-dose combination therapy with two antihypertensive drugs, aspirin and atorvastatin in a population who would not currently be considered eligible for antihypertensive treatment or for lipid lowering treatment. Methods: This is a double-blind randomized controlled trial. The intervention group will be assigned to take a tablet consisting of a single daily tablet comprising Aspirin 81mg, Hydrochlorothiazide 12.5mg, Enalapril 2.5mg and Atorvastatin 20mg. The control group will be assigned to an identical placebo. The population studied includes men aged 50 to 80 (inclusive) and women aged 55 to 80 (inclusive) who are currently not eligible for or taking antihypertensive or lipid lowering therapy. Persons who are found at baseline to have blood pressure >160/100 mm Hg, total cholesterol >240mg/dL, existing cardiovascular disease or to be taking antihypertensive ore lipid lowering therapy are excluded. It is intended to randomize and follow up 500 subjects for 12 months. The primary outcome for the purpose of sample size calculation is change in systolic blood pressure. Additional outcomes include change in diastolic blood pressure, change in LDL cholesterol and occurrence of adverse events.
rdf:type linkedct:trials
linkedct:verification_date September 2009