Clinical trial • Phase IV • Cardiology

Ramipril; Acetylsalicylic acid; Atorvastatin calcium trihydrate for Ischemic heart disease | Acute coronary syndrome

Phase IV trial of Ramipril; Acetylsalicylic acid; Atorvastatin calcium trihydrate for Ischemic heart disease | Acute coronary syndrome.

Overview

Trial Therapeutic Area
Cardiology
Trial Disease
Ischemic heart disease | Acute coronary syndrome
Trial Stage
Phase IV
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
27-10-2024
First CTIS Authorization Date
04-11-2024

Trial design

Acovil 2,5 mg comprimidos; Cardyl 20 mg comprimidos recubiertos con película; Cardyl 40 mg comprimidos recubiertos con película; Acovil 10 mg comprimidos; Acovil 5 mg comprimidos; Adiro 100 mg comprimidos gastrorresistentes EFG (names and doses as stated in product list).-controlled, crossover Phase IV trial in Spain.

Comparator
Acovil 2,5 mg comprimidos; Cardyl 20 mg comprimidos recubiertos con película; Cardyl 40 mg comprimidos recubiertos con película; Acovil 10 mg comprimidos; Acovil 5 mg comprimidos; Adiro 100 mg comprimidos gastrorresistentes EFG (names and doses as stated in product list).
Crossover
Yes
Target Sample Size
88
Trial Duration For Participant
180

Eligibility

Recruits 88 No vulnerable population selected. Eligible subjects are adults (Patients over 18 years of age) and must sign the informed consent. No assent procedures or paediatric consent processes are indicated..

Vulnerable Population
No vulnerable population selected. Eligible subjects are adults (Patients over 18 years of age) and must sign the informed consent. No assent procedures or paediatric consent processes are indicated.

Inclusion criteria

  • {"criterion_text":"- Patients over 18 years of age."}
  • {"criterion_text":"- Patients with ischemic heart disease under treatment with the Trinomia® polypill in any of its presentations for secondary prevention and who can make the 6 visits necessary to complete the study."}
  • {"criterion_text":"- Patients who sign the Informed Consent."}

Exclusion criteria

  • {"criterion_text":"- Patients who do not sign the informed consent."}
  • {"criterion_text":"- Patients with an inability to understand and comply with the protocol."}
  • {"criterion_text":"- Patients with contraindication to any component of the polypill."}
  • {"criterion_text":"- Patients who are already participating in another clinical trial."}
  • {"criterion_text":"- Patients with any condition that limits life expectancy to <1 year."}
  • {"criterion_text":"- Patients with programmed coronary revascularization."}
  • {"criterion_text":"- Patients with coronary stent implantation in the last 12 months."}
  • {"criterion_text":"- Patients treated with any antithrombotic drug in addition to acetylsalicylic acid, that is, low molecular weight heparin, P2Y12 receptor inhibitors, or oral anticoagulants."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Systolic blood pressure level.","definition_or_measurement_approach":"To analyze the level of systolic blood pressure in the same patient in 2 different periods: one under treatment of 3 months with the Trinomia® polypill and another of 3 months with the components separately."}
  • {"endpoint_text":"- LDL cholesterol.","definition_or_measurement_approach":"To analyze the level of LDL-cholesterol in the same patient in 2 different periods: one under treatment of 3 months with the Trinomia® polypill and another of 3 months with the components separately."}

Secondary endpoints

  • {"endpoint_text":"- Systolic blood pressure level.","definition_or_measurement_approach":""}
  • {"endpoint_text":"- LDL cholesterol.","definition_or_measurement_approach":""}

Other endpoints

  • {"endpoint_text":"- Total cholesterol and HDL.","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Diastolic blood pressure level.","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Patient satisfaction level.","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Degree of adherence to treatment.","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Platelet aggregation degree with thromboxane A2 kit.","definition_or_measurement_approach":"Measured using a thromboxane A2 kit (as stated: 'Platelet aggregation degree with thromboxane A2 kit')."}
  • {"endpoint_text":"- Adverse events.","definition_or_measurement_approach":""}

Recruitment

Planned Sample Size
88
Recruitment Window Months
36
Consent Approach
Informed consent must be signed by the participant (Patients who sign the Informed Consent). Subject information and informed consent form documents are present (L1_SIS, L1_ICF). Participants are adults (>18); no assent or paediatric consent procedures are indicated. Language of translations includes Spanish.

Geography

Total Number Of Sites
1
Total Number Of Participants
88

Spain

Earliest CTIS Part Ii Submission Date
04-10-2024
Latest Decision Or Authorization Date
04-11-2024
Processing Time Days
31
Number Of Sites
1
Number Of Participants
88

Sites

Site Name
Hospital Universitario De Cabuenes
Department Name
CARDILOGY
Principal Investigator Name
IÑIGO LOZANO MARTINEZ-LUENGAS
Principal Investigator Email
inigo.lozano@gmail.com
Contact Person Name
IÑIGO LOZANO MARTINEZ-LUENGAS
Contact Person Email
inigo.lozano@gmail.com

Sponsor

Primary sponsor

Full Name
Fundacion Epic
Organisation Type
Educational Institution
Country Of Registered Address
Spain

Investigational products

Investigational Product Name
Trinomia 100 mg/20 mg/10 mg cápsulas duras.
Active Substance
Ramipril; Acetylsalicylic acid; Atorvastatin calcium trihydrate
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
oral
Authorisation Status
Authorised
Dose Levels
100 mg / 20 mg / 10 mg
Maximum Dose
130 mg (maxDailyDoseAmount 130)
Investigational Product Name
Trinomia 100 mg/20 mg/5 mg cápsulas duras.
Active Substance
Ramipril; Acetylsalicylic acid; Atorvastatin calcium trihydrate
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
oral
Authorisation Status
Authorised
Dose Levels
100 mg / 20 mg / 5 mg
Maximum Dose
125 mg (maxDailyDoseAmount 125)
Investigational Product Name
Trinomia 100 mg/40 mg/10 mg cápsulas duras.
Active Substance
Ramipril; Acetylsalicylic acid; Atorvastatin calcium trihydrate
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
oral
Authorisation Status
Authorised
Dose Levels
100 mg / 40 mg / 10 mg
Maximum Dose
150 mg (maxDailyDoseAmount 150)
Investigational Product Name
Trinomia 100 mg/40 mg/5 mg cápsulas duras.
Active Substance
Ramipril; Acetylsalicylic acid; Atorvastatin calcium trihydrate
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
oral
Authorisation Status
Authorised
Dose Levels
100 mg / 40 mg / 5 mg
Maximum Dose
145 mg (maxDailyDoseAmount 145)
Investigational Product Name
Trinomia 100 mg/20 mg/2,5 mg cápsulas duras.
Active Substance
Ramipril; Acetylsalicylic acid; Atorvastatin calcium trihydrate
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
oral
Authorisation Status
Authorised
Dose Levels
100 mg / 20 mg / 2.5 mg
Maximum Dose
122.5 mg (maxDailyDoseAmount 122.5)
Investigational Product Name
Trinomia 100 mg/40 mg/2,5 mg cápsulas duras.
Active Substance
Ramipril; Acetylsalicylic acid; Atorvastatin calcium trihydrate
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
oral
Authorisation Status
Authorised
Dose Levels
100 mg / 40 mg / 2.5 mg
Maximum Dose
142.5 mg (maxDailyDoseAmount 142.5)
Investigational Product Name
Acovil 2,5 mg comprimidos
Active Substance
Ramipril
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
oral
Authorisation Status
Authorised
Dose Levels
2.5 mg
Maximum Dose
2.5 mg (maxDailyDoseAmount 2.5)
Investigational Product Name
Cardyl 20 mg comprimidos recubiertos con película
Active Substance
Atorvastatin
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
oral
Authorisation Status
Authorised
Dose Levels
20 mg
Maximum Dose
20 mg (maxDailyDoseAmount 20)
Investigational Product Name
Cardyl 40 mg comprimidos recubiertos con película
Active Substance
Atorvastatin
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
oral
Authorisation Status
Authorised
Dose Levels
40 mg
Maximum Dose
40 mg (maxDailyDoseAmount 40)
Investigational Product Name
Acovil 10 mg comprimidos
Active Substance
Ramipril
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
oral
Authorisation Status
Authorised
Dose Levels
10 mg
Maximum Dose
10 mg (maxDailyDoseAmount 10)
Investigational Product Name
Acovil 5 mg comprimidos
Active Substance
Ramipril
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
oral
Authorisation Status
Authorised
Dose Levels
5 mg
Maximum Dose
5 mg (maxDailyDoseAmount 5)
Investigational Product Name
Adiro 100 mg comprimidos gastrorresistentes EFG
Active Substance
Acetylsalicylic acid
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
oral
Authorisation Status
Authorised
Dose Levels
100 mg
Maximum Dose
100 mg (maxDailyDoseAmount 100)
Combination Treatment
Yes

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