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Cardiovascular DiseasePhase 4SPARCLNCT00147602

Lipitor In The Prevention Of Stroke, For Patients Who Have Had A Previous Stroke

A Phase 4 study testing atorvastatin in people with Cardiovascular Disease, run by Pfizer at 130 sites in 25 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

To determine whether Lipitor reduces stroke, compared to placebo in patients who have had a previous stroke or transient ischemic attack. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Cardiovascular Disease
What is being tested?
atorvastatin
How many people
4,732 participants
Where
130 sitesin 25 countries
Study dates
Nov 1998to Nov 2005
Phase
Phase 4
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Previous stroke or TIA

Who cannot join

  • coronary heart disease

Trial locations and contacts

130 sites in 25 countries.

130 sites in 25 countries

Spain16 sites
  • Pfizer Investigational Site

    Alicante, Alicante, 03010

  • Pfizer Investigational Site

    Barcelona, Barcelona, 08035

  • Pfizer Investigational Site

    Barcelona, Barcelona, 08036

  • Pfizer Investigational Site

    Burgos, Burgos, 09005

  • Pfizer Investigational Site

    Girona, Girona, 17007

  • Pfizer Investigational Site

    L'Hospitalet (bcn), Barcelona, 08907

  • Pfizer Investigational Site

    Málaga, Malaga, 29010

  • Pfizer Investigational Site

    Madrid, Madrid, 28006

  • Pfizer Investigational Site

    Madrid, Madrid, 28040

  • Pfizer Investigational Site

    Madrid, Madrid, 28046

  • Pfizer Investigational Site

    Palma de Mallorca, 07014

  • Pfizer Investigational Site

    Seville, Sevilla, 41009

  • Pfizer Investigational Site

    Seville, Sevilla, 41013

  • Pfizer Investigational Site

    Seville, Sevilla, 41014

  • Pfizer Investigational Site

    Valencia, Valencia, 46009

  • Pfizer Investigational Site

    Zaragoza, Zaragoza, 50009

Other trials in Spain

Germany12 sites
  • Pfizer Investigational Site

    Bad Rodach, 96476

  • Pfizer Investigational Site

    Berlin, 10117

  • Pfizer Investigational Site

    Essen, 45122

  • Pfizer Investigational Site

    Heidelberg

  • Pfizer Investigational Site

    Leipzig, 04103

  • Pfizer Investigational Site

    Mannheim, 69135

  • Pfizer Investigational Site

    Minden, 32427

  • Pfizer Investigational Site

    München, 81377

  • Pfizer Investigational Site

    München, 81545

  • Pfizer Investigational Site

    München, 81675

  • Pfizer Investigational Site

    Münster, 48149

  • Pfizer Investigational Site

    Regensburg, 93053

Other trials in Germany

France8 sites
  • Pfizer Investigational Site

    Besançon, 25030

  • Pfizer Investigational Site

    Bourg-en-Bresse, Cedex, 01012

  • Pfizer Investigational Site

    Marseille, 13385

  • Pfizer Investigational Site

    Nice, 06000

  • Pfizer Investigational Site

    Paris, Cedex 20, 75970

  • Pfizer Investigational Site

    Paris, 75018

  • Pfizer Investigational Site

    Saint-Denis, Cedex 1, 93205

  • Pfizer Investigational Site

    Toulouse, Cedex 3, 31059

Other trials in France

Poland8 sites
  • Pfizer Investigational Site

    Bialystok, 15-276

  • Pfizer Investigational Site

    Krakow, 31-503

  • Pfizer Investigational Site

    Lublin, 20-954

  • Pfizer Investigational Site

    Poznan, 30-355

  • Pfizer Investigational Site

    Sosnowiec, 41-200

  • Pfizer Investigational Site

    Warsaw, 01-211

  • Pfizer Investigational Site

    Warsaw, 02 - 957

  • Pfizer Investigational Site

    Wroclaw, 50-420

Other trials in Poland

United Kingdom8 sites
  • Pfizer Investigational Site

    Aberdeen, AB25 2ZN

  • Pfizer Investigational Site

    Cardiff, CF4 4XW

  • Pfizer Investigational Site

    Dundee, Scotland, DD1 9SY

  • Pfizer Investigational Site

    Glasgow, G11 6NT

  • Pfizer Investigational Site

    Liverpool, L9 7AL

  • Pfizer Investigational Site

    Newport, South Wales, NP20 4SZ

  • Pfizer Investigational Site

    Nottingham, NG5 1PB

  • Pfizer Investigational Site

    Woolwich, SE18 4HQ

Other trials in United Kingdom

Australia7 sites
  • Pfizer Investigational Site

    East Gosford, New South Wales, 2250

  • Pfizer Investigational Site

    Footscray, Victoria, 3011

  • Pfizer Investigational Site

    Heidelberg Heights, Victoria, 3081

  • Pfizer Investigational Site

    Parkville, Victoria, 3050

  • Pfizer Investigational Site

    Perth, Western Australia, 6000

  • Pfizer Investigational Site

    Prahran, Victoria, 3181

  • Pfizer Investigational Site

    Randwick, Sydney, New South Wales, 2031

Other trials in Australia

Czechia6 sites
  • Pfizer Investigational Site

    Brno, 65691

  • Pfizer Investigational Site

    Ostrava, 70384

  • Pfizer Investigational Site

    Ostrava-Poruba, 70852

  • Pfizer Investigational Site

    Pilsen, 30599

  • Pfizer Investigational Site

    Prague, 14021

  • Pfizer Investigational Site

    Zlín, 76275

Other trials in Czechia

Finland6 sites
  • Pfizer Investigational Site

    Hus, Helsinki, 00029

  • Pfizer Investigational Site

    Kotka, 48210

  • Pfizer Investigational Site

    Kuopio, 70210

  • Pfizer Investigational Site

    Lahti, 15850

  • Pfizer Investigational Site

    Lappeenranta, 53130

  • Pfizer Investigational Site

    Oulu, 90220

Other trials in Finland

Italy6 sites
  • Pfizer Investigational Site

    Bari, 70124

  • Pfizer Investigational Site

    Bergamo, 24128

  • Pfizer Investigational Site

    Genova, 16132

  • Pfizer Investigational Site

    Milan, 20132

  • Pfizer Investigational Site

    Monza, 20052

  • Pfizer Investigational Site

    Via Brunamonti 15, Perugia, 06122

Other trials in Italy

Netherlands6 sites
  • Pfizer Investigational Site

    Almelo, 7609 PP

  • Pfizer Investigational Site

    Delft, 2625 AD

  • Pfizer Investigational Site

    Goes, 4462 RA

  • Pfizer Investigational Site

    RB Groningen, 9700

  • Pfizer Investigational Site

    Rotterdam, Gelderland, 3015

  • Pfizer Investigational Site

    Tilburg, 5022 GC

Other trials in Netherlands

Sweden6 sites
  • Pfizer Investigational Site

    Danderyd, 18288

  • Pfizer Investigational Site

    Stockholm, 11281

  • Pfizer Investigational Site

    Stockholm, 17176

  • Pfizer Investigational Site

    Umeå, 90185

  • Pfizer Investigational Site

    Uppsala, 75185

  • Pfizer Investigational Site

    Västervik, 59381

Other trials in Sweden

Greece5 sites
  • Pfizer Investigational Site

    Athens, Melissia, 15127

  • Pfizer Investigational Site

    Athens, 11527

  • Pfizer Investigational Site

    Athens, 15127

  • Pfizer Investigational Site

    Thessaloniki, 54636

  • Pfizer Investigational Site

    Thessaloniki, 57010

Other trials in Greece

Switzerland5 sites
  • Pfizer Investigational Site

    Aarau, 5001

  • Pfizer Investigational Site

    Basel, 4031

  • Pfizer Investigational Site

    Bern, 3010

  • Pfizer Investigational Site

    Lausanne, 1011

  • Pfizer Investigational Site

    Zurich, 8091

Other trials in Switzerland

Austria4 sites
  • Pfizer Investigational Site

    Graz, A-8036

  • Pfizer Investigational Site

    Innsbruck, A-6020

  • Pfizer Investigational Site

    Vienna, 1160

  • Pfizer Investigational Site

    Villach, A-9504

Other trials in Austria

Belgium4 sites
  • Pfizer Investigational Site

    Ghent, 9000

  • Pfizer Investigational Site

    Leuven, 3000

  • Pfizer Investigational Site

    Tielt, 8700

  • Pfizer Investigational Site

    Waregem, 8790

Other trials in Belgium

Israel4 sites
  • Pfizer Investigational Site

    Haifa, 34362

  • Pfizer Investigational Site

    Holon, 58100

  • Pfizer Investigational Site

    Petah Tikva, 49372

  • Pfizer Investigational Site

    Tel Aviv

Other trials in Israel

Denmark3 sites
  • Pfizer Investigational Site

    Copenhagen Nv, 2400

  • Pfizer Investigational Site

    Glostrup Municipality, 2600

  • Pfizer Investigational Site

    Hellerup, 2900

Other trials in Denmark

New Zealand3 sites
  • Pfizer Investigational Site

    Auckland

  • Pfizer Investigational Site

    Christchurch

  • Pfizer Investigational Site

    Takapuna, Auckland

Other trials in New Zealand

Portugal3 sites
  • Pfizer Investigational Site

    Coimbra Codex, 3049

  • Pfizer Investigational Site

    Lisbon, 1600

  • Pfizer Investigational Site

    Porto, 4000

Other trials in Portugal

South Africa3 sites
  • Pfizer Investigational Site

    Bloemfontein, 9301

  • Pfizer Investigational Site

    Cape Town, 7800

  • Pfizer Investigational Site

    Parow, 7505

Other trials in South Africa

Brazil2 sites
  • Pfizer Investigational Site

    Porto Alegre, Rio Grande do Sul, 90610-000

  • Pfizer Investigational Site

    São Paulo, São Paulo, 05403-000

Other trials in Brazil

Slovakia2 sites
  • Pfizer Investigational Site

    Bratislava, 81369

  • Pfizer Investigational Site

    Bratislava, 83301

Other trials in Slovakia

Chile1 site
  • Pfizer Investigational Site

    Viña del Mar

Other trials in Chile

Mexico1 site
  • Pfizer Investigational Site

    Monterrey, Nuevo León, 64460

Other trials in Mexico

Venezuela1 site
  • Pfizer Investigational Site

    Caracas, 1041

Other trials in Venezuela

About this study

Official title: A Double-Blind, Randomized, Placebo- Controlled Study Of Atorvastatin As Prevention Of Cerebrovascular Events In Patients With A Previous Transient Ischemic Attack (TIA) Or Stroke

To determine whether Lipitor reduces stroke, compared to placebo in patients who have had a previous stroke or transient ischemic attack.

Being tested
atorvastatin
Medical subject headings
Cardiovascular Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Time to occurrence of fatal or non-fatal stroke

Secondary outcomes (2)
  1. Time to occurrence of an acute coronary event, consisting of cardiac death, nonfatal myocardial infarction, resuscitated cardiac arrest or unstable angina.

  2. Time to occurrence of a cerebrovascular event, defined as fatal or nonfatal stroke or TIA.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Sep 2005 (estimated)
  2. Study startNov 1998
  3. Study completionNov 2005

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Enrolment
4,732 participants
IDs, dates and publications
ClinicalTrials.gov ID
NCT00147602
Sponsor's protocol ID
0981-342
Other IDs
A2581138
Acronym
SPARCL
Status last verified
Apr 2015
First submitted
6 Sep 2005
Last updated
22 Apr 2015
Results posted
No

Publications

  • Amarenco P, Bogousslavsky J, Callahan A 3rd, Goldstein LB, Hennerici M, Rudolph AE, Sillesen H, Simunovic L, Szarek M, Welch KM, Zivin JA; Stroke Prevention by Aggressive Reduction in Cholesterol Levels (SPARCL) Investigators. High-dose atorvastatin after stroke or transient ischemic attack. N Engl J Med. 2006 Aug 10;355(6):549-59. doi: 10.1056/NEJMoa061894.

    PubMed 16899775
  • Chemello K, Gallo A, Guedon AF, Techer R, Croyal M, Swietek MJ, Meilhac O, Amarenco P, Lambert G. Lipoprotein(a): A Residual Cardiovascular Risk Factor in Statin-Treated Stroke Survivors: Insights From the SPARCL Trial. JACC Adv. 2023 Aug 22;2(7):100557. doi: 10.1016/j.jacadv.2023.100557. eCollection 2023 Sep.

    PubMed 38939496
  • Szarek M, Amarenco P, Callahan A, DeMicco D, Fayyad R, Goldstein LB, Laskey R, Sillesen H, Welch KM; SPARCL Committees and Investigators. Atorvastatin Reduces First and Subsequent Vascular Events Across Vascular Territories: The SPARCL Trial. J Am Coll Cardiol. 2020 May 5;75(17):2110-2118. doi: 10.1016/j.jacc.2020.03.015. Epub 2020 Mar 16.

    PubMed 32194196
  • Vogt L, Bangalore S, Fayyad R, Melamed S, Hovingh GK, DeMicco DA, Waters DD. Atorvastatin Has a Dose-Dependent Beneficial Effect on Kidney Function and Associated Cardiovascular Outcomes: Post Hoc Analysis of 6 Double-Blind Randomized Controlled Trials. J Am Heart Assoc. 2019 May 7;8(9):e010827. doi: 10.1161/JAHA.118.010827.

    PubMed 31020900
  • Ganz P, Amarenco P, Goldstein LB, Sillesen H, Bao W, Preston GM, Welch KMA; SPARCL Steering Committee. Association of Osteopontin, Neopterin, and Myeloperoxidase With Stroke Risk in Patients With Prior Stroke or Transient Ischemic Attacks: Results of an Analysis of 13 Biomarkers From the Stroke Prevention by Aggressive Reduction in Cholesterol Levels Trial. Stroke. 2017 Dec;48(12):3223-3231. doi: 10.1161/STROKEAHA.117.017965. Epub 2017 Nov 7.

    PubMed 29114094
  • Byun YS, Yang X, Bao W, DeMicco D, Laskey R, Witztum JL, Tsimikas S; SPARCL Trial Investigators. Oxidized Phospholipids on Apolipoprotein B-100 and Recurrent Ischemic Events Following Stroke or Transient Ischemic Attack. J Am Coll Cardiol. 2017 Jan 17;69(2):147-158. doi: 10.1016/j.jacc.2016.10.057.

    PubMed 28081824
  • Amarenco P, Callahan A 3rd, Campese VM, Goldstein LB, Hennerici MG, Messig M, Sillesen H, Welch KM, Wilson DJ, Zivin JA. Effect of high-dose atorvastatin on renal function in subjects with stroke or transient ischemic attack in the SPARCL trial. Stroke. 2014 Oct;45(10):2974-82. doi: 10.1161/STROKEAHA.114.005832. Epub 2014 Aug 21.

    PubMed 25147328
  • Ovbiagele B, Goldstein LB, Amarenco P, Messig M, Sillesen H, Callahan A 3rd, Hennerici MG, Zivin J, Welch KM; SPARCL Investigators. Prediction of major vascular events after stroke: the stroke prevention by aggressive reduction in cholesterol levels trial. J Stroke Cerebrovasc Dis. 2014 Apr;23(4):778-84. doi: 10.1016/j.jstrokecerebrovasdis.2013.12.001. Epub 2014 Feb 24.

    PubMed 24582273
  • Callahan A, Amarenco P, Goldstein LB, Sillesen H, Messig M, Samsa GP, Altafullah I, Ledbetter LY, MacLeod MJ, Scott R, Hennerici M, Zivin JA, Welch KM; SPARCL Investigators. Risk of stroke and cardiovascular events after ischemic stroke or transient ischemic attack in patients with type 2 diabetes or metabolic syndrome: secondary analysis of the Stroke Prevention by Aggressive Reduction in Cholesterol Levels (SPARCL) trial. Arch Neurol. 2011 Oct;68(10):1245-51. doi: 10.1001/archneurol.2011.146. Epub 2011 Jun 13.

    PubMed 21670382
  • Schwartz GG, Chaitman BR, Goldberger JJ, Messig M. High-dose atorvastatin and risk of atrial fibrillation in patients with prior stroke or transient ischemic attack: analysis of the Stroke Prevention by Aggressive Reduction in Cholesterol Levels (SPARCL) trial. Am Heart J. 2011 May;161(5):993-9. doi: 10.1016/j.ahj.2011.02.002.

    PubMed 21570534
  • Amarenco P, Goldstein LB, Sillesen H, Benavente O, Zweifler RM, Callahan A 3rd, Hennerici MG, Zivin JA, Welch KM; Stroke Prevention by Aggressive Reduction in Cholesterol Levels Investigators. Coronary heart disease risk in patients with stroke or transient ischemic attack and no known coronary heart disease: findings from the Stroke Prevention by Aggressive Reduction in Cholesterol Levels (SPARCL) trial. Stroke. 2010 Mar;41(3):426-30. doi: 10.1161/STROKEAHA.109.564781. Epub 2010 Jan 28.

    PubMed 20110538
  • Amarenco P, Goldstein LB, Callahan A 3rd, Sillesen H, Hennerici MG, O'Neill BJ, Rudolph AE, Simunovic L, Zivin JA, Welch KM; SPARCL Investigators. Baseline blood pressure, low- and high-density lipoproteins, and triglycerides and the risk of vascular events in the Stroke Prevention by Aggressive Reduction in Cholesterol Levels (SPARCL) trial. Atherosclerosis. 2009 Jun;204(2):515-20. doi: 10.1016/j.atherosclerosis.2008.09.008. Epub 2008 Sep 18.

    PubMed 18962621

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing atorvastatin in people with Cardiovascular Disease, run by Pfizer at 130 sites in 25 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 22 Apr 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 130 sites in Spain, Germany, France, Poland, United Kingdom and 20 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Time to occurrence of fatal or non-fatal stroke. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00147602, which also lists 12 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Apr 2015.

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