Clinical trial

Role of Statins In Slowing Rheumatic Heart Disease (RHD) Progression: A Feasibility Study For A Randomized Controlled Trial

Name
STUDY00008837
Description
The goal of this study is to address specific implementation questions necessary and sufficient to ensure the feasibility of the larger randomized trial examining the efficacy of statin medications in slowing rheumatic heart disease (RHD) valvular pathology progression. This feasibility study is intended to confirm the number of readily recruitable subjects, assess recruitment rate, and assess the rate of valve pathology via echocardiograms. These results are necessary and sufficient to facilitate the successful design of a large full scale randomized trial to determine whether statins improve outcomes in RHD. Successful treatment of RHD would fundamentally shift the RHD management paradigm world-wide, improve the lives of millions afflicted with RHD, and subsequently, decrease health care spending on RHD management.
Trial arms
Trial start
2022-02-08
Estimated PCD
2040-02-01
Trial end
2040-02-01
Status
Active (not recruiting)
Treatment
Atorvastatin
Participants in the intervention arm will receive a pill packet with atorvastatin (40mg) x 18 months.
Arms:
Statin arm
Other names:
Statin
Placebo
Participants in the control arm will receive a pill packet with placebo x 18 months.
Arms:
Placebo arm
Size
100
Primary endpoint
Enrollment rate
Measured at study enrollment
Medication adherence
Measured at month 1
Medication adherence
Measured at months 6
Medication adherence
Measured at months 12
Medication adherence
Measured at months 18
Retention rate
Measured at Month 18
Rate of progression of valvular disease
Change between baseline and Month 18
Eligibility criteria
Inclusion Criteria: * ≥ 18 years * History of RHD as evidenced by at least one echocardiographic examination * No history of cardiac surgery Exclusion Criteria: * ≥ 75 or \< 18 years old * Absence of RHD or RF history * Active liver disease * Impaired hepatic and renal function, including unexplained elevated levels of alanine transaminase greater than twice the upper limit of normal * History of previous statin intolerance or muscle disorders * Current pregnancy (by history or lab assessment of beta hCG) or plans for pregnancy in the next 18 months). Current lactation / breast feeding. * LDL \<60
Protocol
{'studyType': 'OBSERVATIONAL', 'patientRegistry': False, 'designInfo': {'observationalModel': 'COHORT', 'timePerspective': 'PROSPECTIVE'}, 'enrollmentInfo': {'count': 100, 'type': 'ACTUAL'}}
Updated at
2023-06-05

1 organization

2 drugs

2 indications