- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05285085
Real World Evidence Study of Statin Use in Brazil (RWE-Statins)
Real World Evidence Study for Assessing Statin Use for Primary and Secondary Prevention of Cardiovascular Disease in Primary Care in Brazil
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Considering the high cardiovascular risk associated to high cholesterol levels, assessing the use of statins in secondary prevention as well as primary prevention individuals in real world settings is key to enable public health policy improvements.
The aim of the present study is to assess statins use in primary and secondary prevention individuals assisted by community care workers in the primary care system in Brazil, using a free real world data collection tool (epHealth database). Evaluating factors associated with statins use as well as high dose statins use are also objectives of the study.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
-
-
SP
-
São Paulo, SP, Brazil, 04561-000
- Hospital Israelita Albert Einstein
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- All individuals aged 18 years or older registered on the epHealth database
Exclusion Criteria:
- None
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
|---|---|
|
Secondary prevention
Individuals with previous myocardial infarction and/or stroke
|
Statin use
Other Names:
|
|
Primary prevention
Individuals with hypertension, diabetes and/or dyslipidemia
|
Statin use
Other Names:
|
|
Unknown diagnosis
Individuals without a previous myocardial infarction and/or stroke or a diagnosis of hypertension, diabetes and/or dyslipidemia
|
Statin use
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Statin use on secondary prevention
Time Frame: Baseline
|
Proportion of patients with previous myocardial infarction and/or stroke on statin use
|
Baseline
|
|
Statin use on primary prevention
Time Frame: Baseline
|
Proportion of patients with hypertension, diabetes and/or dyslipidemia on statin use
|
Baseline
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Statin use on patients with previous myocardial infarction
Time Frame: Baseline
|
Proportion of patients with previous myocardial infarction on statin use
|
Baseline
|
|
Statin use on patients with previous stroke
Time Frame: Baseline
|
Proportion of patients with previous stroke on statin use
|
Baseline
|
|
High dose statin use on secondary prevention
Time Frame: Baseline
|
Proportion of patients with previous myocardial infarction and/or stroke on high dose statin use
|
Baseline
|
|
High dose statin use on patients with previous myocardial infarction
Time Frame: Baseline
|
Proportion of patients with previous myocardial infarction on high dose statin
|
Baseline
|
|
High dose statin use on patients with stroke
Time Frame: Baseline
|
Proportion of patients with previous stroke on high dose statin
|
Baseline
|
|
Statin use on patients with diabetes
Time Frame: Baseline
|
Proportion of patients with diabetes on statin use
|
Baseline
|
|
Statin use on patients with hypertension
Time Frame: Baseline
|
Proportion of patients with hypertension on statin use
|
Baseline
|
|
Statin use on patients with dyslipidemia
Time Frame: Baseline
|
Proportion of patients with dyslipidemia on statin use
|
Baseline
|
|
High dose statin use on patients with diabetes
Time Frame: Baseline
|
Proportion of patients with diabetes on high dose statin
|
Baseline
|
|
High dose statin use on patients with hypertension
Time Frame: Baseline
|
Proportion of patients with hypertension on high dose statin
|
Baseline
|
|
High dose statin use on patients with dyslipidemia
Time Frame: Baseline
|
Proportion of patients with dyslipidemia on high dose statin
|
Baseline
|
|
Statin use on patients with unknown diagnosis
Time Frame: Baseline
|
Proportion of patients without previous myocardial infarction and/or stroke or a diagnosis of hypertension, diabetes and/or dyslipidemia on statin use
|
Baseline
|
|
High dose statin use on patients with unknown diagnosis
Time Frame: Baseline
|
Proportion of patients without previous myocardial infarction and/or stroke or a diagnosis of hypertension, diabetes and/or dyslipidemia on high dose statin use
|
Baseline
|
Collaborators and Investigators
Investigators
- Principal Investigator: M. Julia Machline-Carrion, PhD, epHealth
Publications and helpful links
General Publications
- Machline-Carrion MJ, Girotto AN, Nieri J, Pereira PM, Monfardini F, Forestiero F, Raupp P, Roveda F, Santo K, Berwanger O, Santos RD. Assessing statins use in a real-world primary care digital strategy: a cross-sectional analysis of a population-wide digital health approach. Lancet Reg Health Am. 2023 Jun 22;23:100534. doi: 10.1016/j.lana.2023.100534. eCollection 2023 Jul.
- Santo K, Santos RD, Girotto AN, Nieri J, Monfardini F, Raupp P, Pereira PM, Berwanger O, Machline-Carrion MJ. Statins use for primary prevention of cardiovascular disease: A population-based digitally enabled real-world evidence cross-sectional study in primary care in Brazil. J Clin Lipidol. 2024 Feb 20:S1933-2874(24)00025-4. doi: 10.1016/j.jacl.2024.02.005. Online ahead of print.
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
- Ischemia
- Pathologic Processes
- Necrosis
- Myocardial Ischemia
- Heart Diseases
- Vascular Diseases
- Metabolic Diseases
- Lipid Metabolism Disorders
- Myocardial Infarction
- Infarction
- Cardiovascular Diseases
- Dyslipidemias
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antimetabolites
- Anticholesteremic Agents
- Hypolipidemic Agents
- Lipid Regulating Agents
- Hydroxymethylglutaryl-CoA Reductase Inhibitors
- Atorvastatin
- Rosuvastatin Calcium
- Pravastatin
- Simvastatin
- Lovastatin
- Pitavastatin
Other Study ID Numbers
- 53194121.0.0000.0071
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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