Status:

COMPLETED

Stroke Minimization Through Additive Anti-atherosclerotic Agents in Routine Treatment

Lead Sponsor:

Northern California Institute of Research and Education

Collaborating Sponsors:

Kwame Nkrumah University Teaching Hospital

Conditions:

Atherosclerosis

Adherence, Medication

Eligibility:

All Genders

18-100 years

Phase:

PHASE2

Brief Summary

The overarching objective of the Stroke Minimization through Additive Anti-atherosclerotic Agents in Routine Treatment (SMAART) trial is to assess whether a polypill containing fixed doses of (2/3) an...

Eligibility Criteria

Inclusion

  • Above the age of 18 years; male or female
  • Stroke/TIA diagnosis no greater than two months before enrollment. Ischemic strokes including lacunar, large-vessel atherosclerotic, cardio-embolic subtypes are eligible -
  • Subjects with stroke may present with at least one of the following additional conditions: Documented diabetes mellitus or previous treatment with oral hypoglycemic or insulin; documented hypertension \>140/90mmHg or previous treatment with anti-hypertensive medications; Mild to moderate renal dysfunction (eGFR 60-30ml/min/1.73m2); Prior myocardial infarction
  • Legally competent to sign informed consent

Exclusion

  • Unable to sign informed consent
  • Contraindications to any of the components of the polypill
  • Hemorrhagic stroke
  • Severe cognitive impairment/dementia or severe global disability limiting the capacity of self-care
  • Severe congestive cardiac failure (NYHA III-IV)
  • Severe renal disease, eGFR \<30ml/min/1.73m2), renal dialysis; awaiting renal transplant or transplant recipient
  • Cancer diagnosis or treatment in past 2 years
  • Need for oral anticoagulation at the time of randomization or planned in the future months
  • Significant arrhythmias (including unresolved ventricular arrhythmias or atrial fibrillation)
  • Nursing/pregnant mothers
  • Do not agree to the filing, forwarding and use of his/her pseudonymized data.

Key Trial Info

Start Date :

February 14 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 30 2022

Estimated Enrollment :

148 Patients enrolled

Trial Details

Trial ID

NCT03329599

Start Date

February 14 2019

End Date

March 30 2022

Last Update

December 20 2023

Active Locations (1)

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Kwame Nkrumah University of Science & Technology

Kumasi, Ghana