Actively Recruiting
Clinical Trial to Evaluate the Clinical Value and Cost-effectiveness of a Personalized Prevention Program in High Risk Stable Coronary Heart Disease Patients
Led by Tampere University · Updated on 2023-06-12
12000
Participants Needed
26
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating a personalized prevention program PPP for people with stable coronary heart disease CHD who are at high risk of cardiovascular events. The study includes two parts Part A screens 12,000 stable CHD subjects using biomarkers to identify those at highest risk, while Part B is a randomized clinical trial comparing usual care to the PPP in 2,000 high-risk subjects. The goal is to assess the clinical value and cost-effectiveness of the PPP and validate risk biomarkers for predicting cardiovascular events. Participants in the PPP group will visit the study site six times over three years to receive lifestyle coaching, exercise prescriptions, and medication guidance following European Society of Cardiology guidelines. These activities are supported by digital tools called the CoroPrevention Tool Suite. The usual care group will continue receiving standard care from their physicians and have two study visits during the three years. Participants will undergo evaluations including biomarker measurements, behavioral assessments, questionnaires on nutrition and exercise, and monitoring of cardiovascular events. The study will track outcomes like cardiovascular death, heart attacks, and heart failure over three years. Researchers will also study the impact of behavioral changes, adherence to exercise and medication prescriptions, and the economic value of the prevention program. Safety and progress will be monitored throughout the study period.
CONDITIONS
Brief Title
Clinical Value and Cost-effectiveness of a Personalized Prevention Program (PPP) in Patients With High Risk Stable CHD
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Signed informed consent form
- Male or female aged 30 to 80 years on the day of enrollment
- More than 50% blockage in one or more major coronary arteries on angiography or CT within the past year
- Or myocardial infarction (type I or II) during the past year
You will not qualify if you...
- Hospitalization for acute coronary syndrome, myocardial infarction, stroke, coronary revascularization, or acute heart failure within the past 30 days
- New York Heart Association class III-IV heart failure with marked activity limitation
- Uncontrolled arrhythmias such as ventricular tachycardias
- Undergoing dialysis due to severe renal disease
- Diseases severely limiting exercise, such as rheumatoid arthritis or neurological or orthopedic diseases
- Known aplastic or hemolytic anemia
- Non-coronary diseases limiting life expectancy to less than three years, such as malignancy
- Participation in another interventional study
- Inability or unwillingness to attend all scheduled visits or use a smartphone application
Research Team
H
Hanna Marttila, MSc
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