- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03927196
Primary Prevention Program (3P)
The Program to Assess the Influence of Routing and Extended Statin Counseling of Patient With Cardiovascular Risk Factors on the Choice of Medicine and Treatment Compliance
A systematic collection of retrospective and prospective data based on non-intervention patient observation, aimed to assess the risks, course and outcomes of a disease or a group of diseases:
- the retrospective part: database of patients with cardiovascular risks;
- the prospective part: observation of patients in the real medical practice
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The research program will have two parts:
Stage1: identification of patients with moderate, high and very high cardiovascular risks, not having diseases of atherosclerotic genesis and requiring lipid-lowering drugs.
Stage 2: a prospective observation of patients receiving primary medical prophylaxis of CVD with atorvastatin
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Astrakhan, Russian Federation
- Deputy Chief Medical Officer for Prevention at the Center for Medical Prevention
-
Nizhny Novgorod, Russian Federation
- Nizhny Novgorod Regional Center for Medical Prevention
-
Novosibirsk, Russian Federation
- Regional Center for Medical Prevention
-
Samara, Russian Federation
- Samara Regional Center for Medical Prevention
-
Ufa, Russian Federation
- Republican Center for Medical Prevention of the Republic of Bashkortostan
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Men and women 40-65 years old with the presence of:
- moderate cardiovascular risk (<5% but ≥1% on a SCORE scale) and cholesterol level LDL ≥3.0 mmol / l, in which the target is not reached during the improvement of lifestyle level of cholesterol-LDL, and the attending physician considers appropriate the appointment lipid-lowering drugs (statins), or
- high cardiovascular risk (≥5% but <10% on a SCORE scale) and cholesterol level LDL ≥ 2.5 mmol / l, or
- very high cardiovascular risk (≥10% on the SCORE scale) and cholesterol-LDL ≥1.8mmol / l, or
- atherosclerotic stenosis of the brachiocephalic arteries> 50% in the absence cerebrovascular diseases and the level of cholesterol-LDL ≥1.8 mmol / l, which do not have contraindications to taking statins and not taking drugs of this group in currently.
Exclusion Criteria:
- The presence of the following clinically significant events in anamnesis: myocardial infarction, stroke, myocardial infarction
- The presence of the following diseases at the time of statin administration: ischemic heart disease; heart failure; atherosclerotic disease of peripheral arteries; atherosclerotic stenosis of the brachiocephalic arteries in the presence of cerebrovascular disease; chronic renal failure with creatinine clearance <30 ml / min; liver disease with an increase in AST and ALT levels of more than 3 times, compared to the upper limit of normal; history of muscular or neuromuscular diseases, with elevated CPK; alcoholism, oncological, mental and other severe concomitant diseases; intolerance to statins in anamnesis; use of other lipid-modifying agents.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: extended statin counseling group
Extended statins counseling.
Patients are handed out information leaflets on the correction of risk factors, SMS reminders.
|
Patients are handed out information leaflets on the correction of risk factors, SMS reminders, extended statins counseling.
|
No Intervention: convetional statin counseling group
Сounseling on the prevention of cardiovascular diseases and the use of drugs for this purpose
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in the percentage of patients who achieved target LDL cholesterol level depending on the level of cardiovascular risk from baseline and 12 months
Time Frame: 12 months
|
The primary objective of this study is to assess the influence of routing and extended statin counseling of patients with cardiovascular risk factors on the change in the percentage of patients who achieved target LDL cholesterol level from baseline through 12 months
|
12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Assess the effect of routing and extended statin counseling on changes in treatment adherence
Time Frame: Baseline and Month 12
|
The method used to measure adherence included the Morisky Medication Adherence Scale (MMAS - 4). Morisky Medication Adherence Scale is 4- item self-reported scale measuring medication taking behavior. Scores are transformed to a range of 0-4, in which higher scores reflect better adherence |
Baseline and Month 12
|
Change from baseline in lipid levels (mmol/l)
Time Frame: Baseline, Month 3, Month 6 and Month 12
|
To evaluate the impact of extended statin counseling on change of CVD risk factors (lipid levels) in patients with moderate, high and very high risk.
Measurement of lipid levels at baseline and after 3,6,12 months
|
Baseline, Month 3, Month 6 and Month 12
|
Change from baseline in blood pressure (mm Hg)
Time Frame: Baseline, Month 3, Month 6 and Month 12
|
To evaluate the impact of standard and extended counseling on change of CVD risk factors (blood pressure).
Measurement of blood pressure (mm Hg) at baseline and after 3,6,12 months
|
Baseline, Month 3, Month 6 and Month 12
|
Impact of standard and extended counseling on statin therapy adherence
Time Frame: Baseline and Month 12
|
The method used to measure adherence was KAP test.
KAP test is the specially designed questionnaire for this study includes 14 questions, in patients with hyperlipidemia.
KAP test summary score is an assessment of patients' knowledge about high cholesterol, their attitude to this problem and the application of this knowledge.
Higher scores reflect better indicators of knowledge, attitudes and practices
|
Baseline and Month 12
|
Collaborators and Investigators
Collaborators
Investigators
- Study Director: Oxana M Drapkina, MD, PhD, Director of National Medical Research Center for Preventive Medicine, Moscow
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 03-01/18
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Primary Prevention of Cardiovascular Disease
-
Muğla Sıtkı Koçman UniversityUnknownPrimary Prevention of Cardiovascular DiseasesTurkey
-
Northwestern UniversityAgency for Healthcare Research and Quality (AHRQ)CompletedCardiovascular Diseases | Lipid Testing | Primary Prevention of Cardiovascular DiseaseUnited States
-
Universität des SaarlandesCompletedPrimary Prevention, Cardiovascular Risk Factor Management, Size of Response to TrainingGermany
-
AstraZenecaCompletedCardiovascular Primary PreventionArgentina
-
Intermountain Health Care, Inc.RecruitingCardiovascular Primary Prevention StrategyUnited States
-
Alar IrsTartu University Hospital; North Estonia Regional HospitalUnknownCardiovascular Diseases | Primary PreventionEstonia
-
China National Center for Cardiovascular DiseasesActive, not recruitingCardiovascular Diseases | Primary Prevention | Risk ReductionChina
-
University Hospital Inselspital, BerneUniversity of BernRecruitingStatin Treatment for Primary PreventionSwitzerland
-
Zhang longjiang,MDRecruitingAdherence, Medication | Primary Prevention | Cardiovascular Risk Factors | StatinChina
-
Novartis PharmaceuticalsRecruitingPrimary Prevention of Atherosclerotic Cardiovascular DiseaseUnited States, China, Italy, Spain, Canada, France, Netherlands, Switzerland, Taiwan, Greece, Thailand, Brazil, India, Hungary, Latvia, Mexico, Israel, Turkey, Argentina, Singapore, Australia, Belgium, Bulgaria, Denmark, Croatia, South Africa and more
Clinical Trials on extended counseling
-
Harvard University Faculty of MedicineNational Institute on Drug Abuse (NIDA)UnknownTobacco AddictionUnited States
-
University of California, San FranciscoEunice Kennedy Shriver National Institute of Child Health and Human Development...CompletedPrimary Prevention of HIV AcquisitionUganda
-
University of California, San FranciscoNational Institute on Drug Abuse (NIDA); PfizerCompleted
-
Necmettin Erbakan UniversityCompletedMS (Multiple Sclerosis) | Counseling | Sexual DysfunctionsTurkey
-
M.D. Anderson Cancer CenterNational Cancer Institute (NCI)RecruitingAnatomic Stage I Breast Cancer AJCC v8 | Anatomic Stage II Breast Cancer AJCC v8 | Breast Ductal Carcinoma In Situ | Invasive Breast CarcinomaUnited States, Italy
-
University of Wisconsin, MadisonNational Cancer Institute (NCI)Enrolling by invitation
-
Seoul National University HospitalCompleted
-
Medtronic DiabetesCompletedDiabetesUnited States
-
University of FloridaNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)Active, not recruiting