HypertensionPhase 4CORFISNCT00490672
Community Based Multiple Risk Factors Intervention Strategy
A Phase 4 study testing No Active Intervention. and Community Based Multiple Risk Factor Intervention Strategies in people with Hypertension and Diabetes Mellitus, run by Ministry of Health, Malaysia at 78 sites in Malaysia.
Trial summary
Randomized controlled trial of CORFIS Programme. The study objectives are as follows: 1. To determine the efficacy of a community based multiple risk factors interventional strategy (CORFIS) for a treatment period of 6 months in patients on treatment for HT, DM or HL. 2. Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Hypertension, Diabetes Mellitus, Hyperlipidemia
- What is being tested?
- No Active Intervention. and Community Based Multiple Risk Factor Intervention Strategies
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 770 participants
- Where
- 78 sitesMalaysia
- Study dates
- Aug 2007to Jan 2009
- 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 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients diagnosed by participating GP to have Hypertension and/or Diabetes mellitus and/or Hyperlipidaemias, and currently on drug treatment for one or more of these conditions
- Patients age 18 years and above.
- Written informed consent obtained from patients.
Who cannot join
- Pregnant or nursing women.
- History of unstable angina, acute myocardial infarction or coronary revascularisation procedure in the preceding 6 months.
- Clinically significant valvular heart disease.
- Overt heart failure or history of heart failure in the preceding 6 months
- Stroke in the preceding 6 months.
- Serum creatinine more than 150umol/l in the preceding 6 months.
Trial locations and contacts
78 sites in 1 country.
78 sites in 1 country
Malaysia78 sites
Klinik Dan Surgeri Putra
Ampang, Selangor, 68000
Klinik Idzham Sdn Bhd
Ampang, Selangor, 68000
Klinik Mediviron
Ampang, Selangor, 68000
Klinik Putera (Poliklinik Bistari)
Ampang, Selangor, 68000
Klinik Tan & Mano
Ampang, Selangor, 68000
Poliklinik Gomez 24 Jam
Ampang, Selangor, 68000
Poliklinik Penawar
Ampang, Selangor, 68000
Klinik Hayati (Poliklinik & Surgeri)
Batu Caves, Selangor, 68100
Klinik Nathan Dan Rakan-Rakan
Batu Caves, Selangor, 68100
Poliklinik Idaman
Batu Caves, Selangor, 68100
Poliklinik Kumpulan City
Batu Caves, Selangor, 68100
MAS Medical Centre
Kampung Baru Subang, Selangor, 47200
Klinik Keluarga Azian & Elina
Klang, Selangor, 41000
Klinik Keluarga Siva Lim
Klang, Selangor, 41300
Lok Dispensary
Klang, Selangor, 41300
Klinik Bandaran
Klang, Selangor, 41400
Klinik Kelang
Klang, Selangor, 41400
Klinik Lim
Klang, Selangor, 41400
Klinik Yuen
Klang, Selangor, 41400
Klinik Stella Maris Sdn Bhd
Klang, Selangor, 42000
Klinik Utama
Klang, Selangor, 42000
Klinik Wan Elina
Klang, Selangor, 42000
Poliklinik Hari
Klang, Selangor, 42000
Klinik Ng & Lim
Klang, Selangor, 42100
Klinik Dr Khalil
Kuala Lumpur, Federal Territoy, 52100
Horeb Sdn Bhd
Kuala Lumpur, Kuala Lumpur, 50250
Klinik Tan & Mano Sdn Bhd
Kuala Lumpur, Kuala Lumpur, 50450
Klinik Kaulsay
Kuala Lumpur, Kuala Lumpur, 50490
Klinik Unimed Plaza Damansara
Kuala Lumpur, Kuala Lumpur, 50490
Poliklinik Kumpulan City (Plaza Damansara)
Kuala Lumpur, Kuala Lumpur, 50490
Klinik Shafi
Kuala Lumpur, Kuala Lumpur, 52000
Poliklinik Kepong Baru
Kuala Lumpur, Kuala Lumpur, 52100
Klinik Chew
Kuala Lumpur, Kuala Lumpur, 53000
Klinik Reddy Setapak
Kuala Lumpur, Kuala Lumpur, 53000
Klinik Medik (Dr Amir & Rakan-Rakan)
Kuala Lumpur, Kuala Lumpur, 53100
Klinik Keluarga
Kuala Lumpur, Kuala Lumpur, 53300
Klinik Vicky
Kuala Lumpur, Kuala Lumpur, 53300
Klinik Care Poliklinik & Surgeri
Kuala Lumpur, Kuala Lumpur, 56100
Klinik Tenaga Baru
Kuala Lumpur, Kuala Lumpur, 56100
Kumpulan Medi-Systems Sdn Bhd
Kuala Lumpur, Kuala Lumpur, 56100
Poliklinik Salak Selatan
Kuala Lumpur, Kuala Lumpur, 57100
Klinik Sharon
Kuala Lumpur, Kuala Lumpur, 58200
Klinik Medi Pesona
Kuala Lumpur, Kuala Lumpur, 59000
Klinik Sharani
Kuala Lumpur, Kuala Lumpur, 59000
Klinik Prime Care
Kuala Lumpur, Kuala Lumpur, 59100
PoliKlinik Bangsar
Kuala Lumpur, Kuala Lumpur, 59100
Poliklinik Medics
Kuala Lumpur, Kuala Lumpur, 59200
Klinik Famili TTDI
Kuala Lumpur, Kuala Lumpur, 60000
Klinik Ehsan
Mentakab, Pahang, 28400
Klinik Khaty Am
Petaling Jaya, Selangor, 46000
Poliklinik Shaik (Sunway) Sdn Bhd
Petaling Jaya, Selangor, 46150
Klinik Primecare
Petaling Jaya, Selangor, 46350
Klinik Petaling Jaya
Petaling Jaya, Selangor, 47300
Klinik Alam Medic
Petaling Jaya, Selangor, 47301
Klinik Rakan Medik
Petaling Jaya, Selangor, 47301
Poliklinik Rakyat
Petaling Jaya, Selangor, 47301
Klinik Kelana Puteri
Petaling Jaya, Selangor, 47601
Klinik Ready Care
Petaling Jaya, Selangor, 47800
Poliklinik Hidayah
Petaling Jaya, Selangor, 47810
Klinik Dr Shamsuddin
Petaling Jaya, Selangor, 47830
Klinik Hafiz
Puchong, Selangor, 47100
Klinik Leong
Puchong, Selangor, 47100
Klinik Raya
Puchong, Selangor, 47100
Klinik Reddy
Puchong, Selangor, 58200
Klinik Ng Singh & Rakan-Rakan
Rawang, Selangor, 48000
Klinik Sarrimadh
Seri Kembangan, Selangor, 43300
Klinik Bandaran Sdn Bhd
Shah Alam, Selangor, 40000
Klinik Kelang
Shah Alam, Selangor, 40000
Poliklinik Sri Muda
Shah Alam, Selangor, 40400
Klinik Dan Surgeri Alpha Medic
Shah Alam, Selangor, 42450
Klinik Medic Bestari
Subang Jaya, Selangor, 47500
Klinik Medifom
Subang Jaya, Selangor, 47600
Victor Medical Practice
Subang Jaya, Selangor, 47600
Klinik Medijaya
Subang Jaya, Selangor, 47610
Klinik Dr Nur Ainita
Subang Jaya, Selangor, 47620
Klinik Taipan
Subang Jaya, Selangor, 47620
Poliklinik Roshan
Subang Jaya, Selangor, 47620
Klinik Kok dan Wendy
Subang Jaya, Selangor, 47630
About this study
Official title: Community Based Multiple Risk Factors Intervention Strategy to Prevent Cardiovascular and Chronic Kidney Diseases [CORFIS]
Randomized controlled trial of CORFIS Programme.
The study objectives are as follows:
- To determine the efficacy of a community based multiple risk factors interventional strategy (CORFIS) for a treatment period of 6 months in patients on treatment for HT, DM or HL.
- The intervention shall consist of a purpose design and systematically organized disease management program that employ multi-faceted interventions incorporating various specific measures to maximize both clinician (as investigator) adherence with treatment guideline and patient adherence with treatment.
Read the detailed description
It should be obvious to all that we urgently need to improve the management of the various risk factors for cardiovascular (CVD) and chronic kidney diseases (CKD); the 3 most important of which are Hypertension (HT), Diabetes mellitus (DM), Hyperlipidaemias (HL). It is not just that these are highly prevalent in our community, they are also poorly managed and controlled, with resulting highly costly and adverse health impact on our population. It should also be equally obvious that we need a better approach to manage these risk factors in our community. There have been considerable advances in our understanding of these risk factors and in our knowledge of the variety of approaches to achieving control of these risk factors including the role of self-monitoring and self-management education, medical nutrition therapy, physical activity, psychological counseling, and various drug therapy options.
This study is a multi-center, open label, parallel group randomized trial designed to demonstrate the effectiveness of a community based multiple risk factors interventional strategy (CORFIS).
750 patients on treatment for HT, DM or HL from 75 general practices (GPs) who meet inclusion/exclusion criteria will be enrolled into the trial. Among the 75 selected GPs, 50 of them will be randomly allocated to CORFIS and 25 to routine care.
After initial screening, patients will attend clinic for baseline examination. Study prescribed visits for efficacy and safety assessments will occur monthly for 6 months. Hence there will be a total of 7 visits.
- Conditions
- Hypertension, Diabetes Mellitus, Hyperlipidemia
- Being tested
- No Active Intervention., Community Based Multiple Risk Factor Intervention Strategies
- Keywords
- Hypertension, Diabetes Mellitus, Hyperlipidaemia, Primary Care, Community Care, Multiple Risk Factors Interventional Strategies
- Medical subject headings
- Hypertension, Diabetes Mellitus, Hyperlipidemias
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
No Active Intervention.Behavioural
Also called Control
Conventional Chronic Disease Management in Malaysia Primary Care
Community Based Multiple Risk Factor Intervention StrategiesBehavioural
Also called CORFIS
Multi-faceted Intervention in Chronic Diseases Management i.e. Hypertension, Diabetes Mellitus, Hyperlipidaemia involving Primary Health Care Physicians, Nurse Educators, Dieticians and Pharmacists.
| Study group | Role | What they receive |
|---|---|---|
| Control Arm | Other | Conventional Patient Management on Hypertension, Diabetes Mellitus and Hyperlipidaemia by Malaysian GP Receives: Behavioral: No Active Intervention. |
| CORFIS Arm | Active comparator | Community based Multiple Risk Factor Intervention Strategies Receives: Behavioral: Community Based Multiple Risk Factor Intervention Strategies |
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion of patients able to reach treatment goals.
Measured: 6 months follow up
Secondary outcomes (1)
The safety of the drug product used in the study will be assessed using the procedure for adverse drug reactions reporting for marketed medicinal products regulated by the Malaysian regulatory authority.
Measured: 6 months follow up
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Jun 2007 (estimated)
- Study startAug 2007
- Primary completionDec 2008
- Study completionJan 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for HypertensionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- None (open label)
- Enrolment
- 770 participants (actual)
Sponsor and investigators
- Lead sponsor
- Ministry of Health, Malaysia
- Sponsor type
- Other government
- Investigators
- Teck Onn Lim, FRCP, Principal investigator, Ministry of Health, MalaysiaZaki M Mohd Zaher, FRCP, Study chair, International Medical University Malaysia
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00490672
- Sponsor's protocol ID
- CT07-02
- Other IDs
- NMRR ID Number: 447
- Acronym
- CORFIS
- Status last verified
- Apr 2010
- First submitted
- 21 Jun 2007
- Last updated
- 7 Apr 2015
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Chua SS, Kok LC, Yusof FA, Tang GH, Lee SW, Efendie B, Paraidathathu T. Pharmaceutical care issues identified by pharmacists in patients with diabetes, hypertension or hyperlipidaemia in primary care settings. BMC Health Serv Res. 2012 Nov 12;12:388. doi: 10.1186/1472-6963-12-388.
PubMed 23145922
Study at a glance
From the registry record, last updated by the sponsor on 7 Apr 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Community Based Multiple Risk Factors Intervention Strategy to Prevent Cardiovascular and Chronic Kidney Diseases [CORFIS]
- ClinicalTrials.gov ID
- NCT00490672
- Acronym / sponsor ID
- CORFIS / CT07-02
- Conditions
- Hypertension, Diabetes Mellitus, Hyperlipidemia
- Keywords
- Hypertension, Diabetes Mellitus, Hyperlipidaemia, Primary Care, Community Care, Multiple Risk Factors Interventional Strategies
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 770 participants (actual)
- Lead sponsor
- Ministry of Health, MalaysiaOther government
- Study start
- Aug 2007
- Primary completion
- Dec 2008 (actual)
- Study completion
- Jan 2009 (actual)
- First posted
- 25 Jun 2007 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Randomized controlled trial of CORFIS Programme.
The study objectives are as follows:
- To determine the efficacy of a community based multiple risk factors interventional strategy (CORFIS) for a treatment period of 6 months in patients on treatment for HT, DM or HL.
- The intervention shall consist of a purpose design and systematically organized disease management program that employ multi-faceted interventions incorporating various specific measures to maximize both clinician (as investigator) adherence with treatment guideline and patient adherence with treatment.
Detailed description
It should be obvious to all that we urgently need to improve the management of the various risk factors for cardiovascular (CVD) and chronic kidney diseases (CKD); the 3 most important of which are Hypertension (HT), Diabetes mellitus (DM), Hyperlipidaemias (HL). It is not just that these are highly prevalent in our community, they are also poorly managed and controlled, with resulting highly costly and adverse health impact on our population. It should also be equally obvious that we need a better approach to manage these risk factors in our community. There have been considerable advances in our understanding of these risk factors and in our knowledge of the variety of approaches to achieving control of these risk factors including the role of self-monitoring and self-management education, medical nutrition therapy, physical activity, psychological counseling, and various drug therapy options.
This study is a multi-center, open label, parallel group randomized trial designed to demonstrate the effectiveness of a community based multiple risk factors interventional strategy (CORFIS).
750 patients on treatment for HT, DM or HL from 75 general practices (GPs) who meet inclusion/exclusion criteria will be enrolled into the trial. Among the 75 selected GPs, 50 of them will be randomly allocated to CORFIS and 25 to routine care.
After initial screening, patients will attend clinic for baseline examination. Study prescribed visits for efficacy and safety assessments will occur monthly for 6 months. Hence there will be a total of 7 visits.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Control Arm | Other | Behavioral: No Active Intervention.Conventional Patient Management on Hypertension, Diabetes Mellitus and Hyperlipidaemia by Malaysian GP |
| CORFIS Arm | Active comparator | Behavioral: Community Based Multiple Risk Factor Intervention StrategiesCommunity based Multiple Risk Factor Intervention Strategies |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Patients diagnosed by participating GP to have Hypertension and/or Diabetes mellitus and/or Hyperlipidaemias, and currently on drug treatment for one or more of these conditions
- Patients age 18 years and above.
- Written informed consent obtained from patients.
Key exclusion criteria (6 listed)
- Pregnant or nursing women.
- History of unstable angina, acute myocardial infarction or coronary revascularisation procedure in the preceding 6 months.
- Clinically significant valvular heart disease.
- Overt heart failure or history of heart failure in the preceding 6 months
- Stroke in the preceding 6 months.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| No Active Intervention.Also: ControlConventional Chronic Disease Management in Malaysia Primary Care | Behavioural | Control Arm |
| Community Based Multiple Risk Factor Intervention StrategiesAlso: CORFISMulti-faceted Intervention in Chronic Diseases Management i.e. Hypertension, Diabetes Mellitus, Hyperlipidaemia involving Primary Health Care Physicians, Nurse Educators, Dieticians and Pharmacists. | Behavioural | CORFIS Arm |
Primary outcome
Proportion of patients able to reach treatment goals.
Time frame: 6 months follow up
1 secondary outcome
The safety of the drug product used in the study will be assessed using the procedure for adverse drug reactions reporting for marketed medicinal products regulated by the Malaysian regulatory authority.
Time frame: 6 months follow up
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Apr 2015.
- Derived from this study: PubMed 23145922Chua SS, Kok LC, Yusof FA, Tang GH, Lee SW, Efendie B, Paraidathathu T. Pharmaceutical care issues identified by pharmacists in patients with diabetes, hypertension or hyperlipidaemia in primary care settings. BMC Health Serv Res. 2012 Nov 12;12:388. doi: 10.1186/1472-6963-12-388.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Teck Onn Lim, FRCP principal investigator
Ministry of Health, Malaysia
Zaki M Mohd Zaher, FRCP study chair
International Medical University Malaysia
78 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing No Active Intervention. and Community Based Multiple Risk Factor Intervention Strategies in people with Hypertension and Diabetes Mellitus, run by Ministry of Health, Malaysia at 78 sites in Malaysia.
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 3 inclusion and 6 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 7 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 78 sites in Malaysia. 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?
Proportion of patients able to reach treatment goals. (time frame: 6 months follow up). 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 NCT00490672, which also lists 1 linked publication.
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 7 Apr 2015.