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Polypill for Acute Coronary Syndrome (POLY-ACS Trial)

Phase 2
Recruiting
Led By Ambarish Pandey, MD, MSCS
Research Sponsored by University of Texas Southwestern Medical Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Patients admitted with acute coronary syndrome who undergo percutaneous coronary intervention with drug eluting stent placement.
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 1 month
Awards & highlights

POLY-ACS Trial Summary

This trial will study whether a pill containing multiple medications can improve care for patients with a specific heart condition.

Who is the study for?
This trial is for adults with acute coronary syndrome who've had a stent placed. They must have normal kidney function and no history of bypass surgery, severe heart failure, or need for blood thinners. They can't be allergic to the polypill components (statin, aspirin, clopidogrel/prasugrel) and should not have health issues limiting their life expectancy within a month.Check my eligibility
What is being tested?
The study compares usual care with a 'polypill' strategy post-stent placement in patients with acute coronary syndromes. The polypill includes rosuvastatin (for cholesterol), aspirin, and clopidogrel/prasugrel (blood thinners). It's designed to improve medication adherence and outcomes.See study design
What are the potential side effects?
Possible side effects include muscle pain from statins; bleeding risks from aspirin and other blood thinners; potential liver issues due to rosuvastatin; as well as general risks like allergies or intolerance to any of the pill's components.

POLY-ACS Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I had a stent placed in my heart's artery using a minimally invasive procedure.

POLY-ACS Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~1 month
This trial's timeline: 3 weeks for screening, Varies for treatment, and 1 month for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Number of participants who adhered to antiplatelet drug therapy
Number of participants who adhered to statin therapy
Secondary outcome measures
Number of participants who adhered to medication as assessed MMAS-8 questionnaire
Number of participants who adhered to medication as assessed by pill count

Side effects data

From 2008 Phase 2 trial • 475 Patients • NCT00603590
1%
Cough
100%
80%
60%
40%
20%
0%
Study treatment Arm
Polypill
Control

POLY-ACS Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: PolypillExperimental Treatment1 Intervention
Patients will be randomized to receiving a fixed-dose polypill in addition to other guideline-directed medical therapies prescribed by their physician. Polypill formulations will include rosuvastatin 40 mg, aspirin 81 mg, and prasugrel 10 mg daily or rosuvastatin 40 mg, aspirin 81 mg, and clopidogrel 75 mg.
Group II: Usual Care (individual medications prescribed by primary cardiologist)Active Control1 Intervention
Patients will receive usual post-ACS care and medications prescribed by their provider. All of the individual components will be available at low- or no-cost to participants as individual pill formulations.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Polypill
2011
Completed Phase 3
~2880

Find a Location

Who is running the clinical trial?

University of Texas Southwestern Medical CenterLead Sponsor
1,048 Previous Clinical Trials
1,053,655 Total Patients Enrolled
Ambarish Pandey, MD, MSCSPrincipal InvestigatorUT Southwestern Medical Center
2 Previous Clinical Trials
130 Total Patients Enrolled

Media Library

Control treatment Clinical Trial Eligibility Overview. Trial Name: NCT05514938 — Phase 2
Acute Coronary Syndrome Research Study Groups: Polypill, Usual Care (individual medications prescribed by primary cardiologist)
Acute Coronary Syndrome Clinical Trial 2023: Control treatment Highlights & Side Effects. Trial Name: NCT05514938 — Phase 2
Control treatment 2023 Treatment Timeline for Medical Study. Trial Name: NCT05514938 — Phase 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Are there any current vacancies for participants in this trial?

"From what is published on clinicaltrials.gov, it appears that this study is not looking for more participants at this time. The trial was initially posted on October 1st, 2022 and was updated most recently on August 22nd, 2022. There are 2052 other trials currently underway that patients may be eligible for."

Answered by AI

What is the risk profile associated with Polypill use?

"While there is some data suggesting that Polypill is safe, as this is only a Phase 2 trial, there is no evidence yet of the medication's efficacy. Consequently, our team has given it a score of 2."

Answered by AI
Recent research and studies
CirculationJournal
2016 ACC/AHA Guideline Focused Update on Duration of Dual Antiplatelet Therapy in Patients with Coronary Artery Disease: A Report of the American College of Cardiology/american Heart Association Task Force on Clinical Practice Guidelines: An Update of the 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention, 2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery, 2012 ACC/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the Diagnosis and Management of Patients with Stable Ischemic Heart Disease, 2013 ACCF/AHA Guideline for the Management of St-elevation Myocardial Infarction, 2014 AHA/ACC Guideline for the Management of Patients with Non–st-elevation Acute Coronary Syndromes, and 2014 ACC/AHA Guideline on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery
~0 spots leftby May 2024