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Coronary Artery Disease, Hypercholesterolemia, HypertensionATTENTIONNCT02565615

Atorvastatin Effectiveness and Safety in Cardiology Patients in Real World Setting

An observational study of Coronary Artery Disease, Hypercholesterolemia, Hypertension, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 54 sites in China.

Completed

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

Official record
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Trial summary

The study is to verify atorvastatin effectiveness and safety in Chinese population, and explore the optimal atorvastatin regimens in high-to-moderate risk for ASCVD。 Read more about this study

Who is it for?
Ages 18 years and older
How many people
5,115 participants
Where
54 sitesChina
Study dates
22 Jun 2016to 31 Aug 2018
How long will I take part?
12 Weeks
Phase
Observational
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

Study population: Chinese cardiology patients

Who may be able to join

  • Men and women aged ≥18 years;
  • Cardiology patients who has been prescribed atorvastatin by physician's clinical judgment under normal clinical care. These patients will include those with established coronary heart disease, or having multiple risk factors and at risk for cardiovascular disease, or primary hypercholesterolemia.
  • Baseline laboratory reports prior to starting atorvastatin therapy can be tracked , including lipid measurement, liver function, and Creatine Kinase (CK) value. The date of baseline reports should be within 1 month before taking atorvastatin or within 24h after starting atorvastatin therapy.
  • Evidence of a personally or his/her legally acceptable representative signed and dated informed consent document indicating that the patient has been informed of all pertinent aspects of the study and accept follow-up visit.

Who cannot join

  • Patients who have regularly taken atorvastatin therapy more than 4 weeks before enrollment
  • Concomitant any other lipid-lower medication at baseline, or during the study conduction on physician clinical judgement

Trial locations and contacts

54 sites in 1 country.

54 sites in 1 country

China54 sites
  • China Meitan General Hospital

    Beijing, Beijing Municipality, 100028

  • CHINA-JAPAN Friendship Hospital

    Beijing, Beijing Municipality, 100029

  • Fu Xing Hospital Affiliated to Capital Medical University

    Beijing, Beijing Municipality, 100038

  • NAVY General Hospital

    Beijing, Beijing Municipality, 100048

  • Guang'anmen hospital

    Beijing, Beijing Municipality, 100053

  • Xuanwu Hospital Capital Medical University

    Beijing, Beijing Municipality, 100053

  • The First Hospital of Fangshan District , Beijing

    Beijing, Beijing Municipality, 102400

  • People's Hospital of Beijing Daxing District

    Beijing, Beijing Municipality, 102600

  • Beijing Anzhen Hospital

    Beijing, 100029

  • Peking University People's Hospital

    Beijing, 100044

  • Hospital attached to aeromedicine institute of P.L.A (466 Hospital)

    Beijing, 100089

  • China Meitan General Hospital

    Biejing, Beijing Municipality

  • Chongqing Dianjiang People's Hospital

    Chongqing, Chongqing Municipality, 400060

  • Yongchuan hospital of chongqing medical university

    Chongqing, Chongqing Municipality, 402160

  • Chongqing Wanzhou People's Hospital

    Chongqing, Chongqing Municipality, 404100

  • Fuling center hospital of chongqing city

    Chongqing, Chongqing Municipality, 408000

  • Shunde people's Hospital

    Foshan, Guangdong, 528300

  • First People's Hospital of Fuyang City

    Fuyang, Anhui, 236000

  • The First Affiliated Hospital of Guangdong Pharmaceutical University

    Guangzhou, Guangdong, 510580

  • The Fifth Affiliated Hospital of Guangzhou Medical University

    Guangzhou, Guangdong

  • The first people's Hospital of Xiaoshan District

    Hangzhou, Zhejiang China, 311200

  • Heilongjiang Provincial Hospital

    Harbin, Heilongjiang, 150030

  • The Peoples Hspital of Hebi City

    Hebi, Henan

  • Huai'An First People's Hospital

    Huaian, Jiangsu, 223300

  • Jiangmen Central Hospital

    Jiangmen, Guangdong, 529000

  • Jiaozuo City Second People's Hospital

    Jiaozuo, Henan, 454001

  • Ji'nan Central Hospital

    Jinan, Shandong, 250013

  • Dongyang People's Hospital

    Jinhua, Zhejiang, 322100

  • Lanxi Municipal People's Hospital

    Lanxi, Zhejiangchina, 321100

  • The 2nd hospital of Nanchang university

    Nanchang, Jiangxi, 330006

  • Jiangning People's Hospital

    Nanjing, Jiangsu China, 211100

  • Cardiology Provincial Hospital of Jiangsu Province

    Nanjing, Jiangsu,china, 210024

  • Nanjing colleague hospital

    Nanjing, Jiangsu,china, 211102

  • Nanjing Red Cross Hospital

    Nanjing, Nanjing, Jiangsu, 210001

  • Ningbo First Hospital

    Ningbo, Zhejiang, 315010

  • The Affiliated Hospital of Medical College of Ningbo University

    Ningbo, Zhejiang

  • Puyang Oilfield General Hosipital

    Puyang, Henan

  • The Affiliated Hospital of Qingdao University

    Qingdao, Shandong, 266011

  • Quzhou Hospital of Zhejiang University

    Quzhou, Zhejiang, 324000

  • Ruian People's Hospital

    Ruian, Zhejiang, 325200

  • Shanghai University of Traditional Chinese Medicine affiliated Yueyang Hospital of traditional Chine

    Shanghai, Shanghai,china, 200082

  • Shanghai Yangpu District Central Hospital

    Shanghai, 200433

  • Shanghai Minhang District Central Hospital

    Shanghai, 201111

  • The General Hospital of Shenyang Military

    Shenyang, Liaoning, 110015

  • The Second Hospital of Hebei University

    Shijiazhuang, Hebei, 050000

  • Shanxi Cardiovascular Hospital

    Taiyuan, Shanxi, 030024

  • Jiangsu Taizhou People's Hospital

    Taizhou, Jiangsu, 225300

  • Wuhan University - Renmin Hospital (Hubei General Hospital)

    Wuhan, Hubei, 430060

  • Xiamen Cardiovascular Hospital

    Xiamen, Fujian, 361004

  • Northern Jiangsu People's Hospital

    Yangzhou, Jiangsu, 225001

  • Henan Provincial People's Hospital

    Zhengzhou, Henan, 450000

  • The first affiliated hospital of henan university of TCM

    Zhengzhou, Henan

  • Zhengzhou No. 7 People's Hospital

    Zhengzhou, Henan

  • Zhuhai People's Hospital

    Zhuhai, Guangdong

Other trials in China

About this study

Official title: ATORVASTATIN EFFECTIVENESS AND SAFETY IN CARDIOLOGY PATIENTS IN REAL WORLD SETTING: A REGISTRY STUDY IN CHINA

The study is to verify atorvastatin effectiveness and safety in Chinese population, and explore the optimal atorvastatin regimens in high-to-moderate risk for ASCVD。

Being tested
No intervention
Medical subject headings
Coronary Artery Disease, Hypercholesterolemia, Hypertension

What participants receive

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

  • No interventionOther

    Because this is a non-interventional study, there is no intervention here.

Study groups in NCT02565615
Study groupRoleWhat they receive
Atorvastatin dose titration (single-arm)Judged by investigators, patients in cardiology department who are using atorvastatin can be included into this study, if they are eligible. During the study, the dose can be titrated based on the judgement of investigator
Receives: Other: No intervention

What is being measured

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

  1. Achievement Rate for Low Density Lipoprotein-Cholesterol (LDL-C) for Overall

    Achievement Rate was defined as ratio of number of participants who achieved LDL-C target value to number of participants who completed 12-week follow up.

    Measured: 12 weeks

  2. Achievement Rate for LDL-C by Dose Group Within Each Cardiovascular Disease (CVD) Risk Level

    Achievement Rate was defined as ratio of number of participants who achieved LDL-C target value to number of participants who completed 12-week follow up according to the CVD risk stratification. Low-risk: 10 years CVD risk <5%; Moderate-risk: 10 years CVD risk 5% to 10%; High-risk: Coronary Heart Disease (CHD) or CHD risk equivalents, or 10 years CVD risk 10% to 15%; Very-high risk: acute coronary syndromes, or ischemic cardiovascular disease combined with diabetes.

    Measured: 12 weeks

Secondary outcomes (22)
  1. Change From Baseline for Lipid Parameters at Week 12 for Overall

    Lipid parameters included LDL-C, High-Density Lipoprotein Cholesterol (HDL-C), Total Cholesterol (TC), and Triglycerides (TG). The baseline data was collected within 1 month before taking atorvastatin or within 24 hours after starting atorvastatin. Change from Baseline data was reported.

    Measured: Baseline to Week 12

  2. Percent Change From Baseline for Lipid Parameters at Week 12 for Overall

    Lipid parameters included LDL-C, High-Density Lipoprotein Cholesterol (HDL-C), Total Cholesterol (TC), and Triglycerides (TG). The baseline data was collected within 1 month before taking atorvastatin or within 24 hours after starting atorvastatin. Percent change from baseline was reported.

    Measured: Baseline to Week 12

  3. Change From Baseline for Lipid Parameters at Week 12 Within Each CVD Risk Group

    Lipid parameters included LDL-C, High-Density Lipoprotein Cholesterol (HDL-C), Total Cholesterol (TC), and Triglycerides (TG) according to the CVD risk stratification. Low-risk: 10 years CVD risk <5%; Moderate-risk: 10 years CVD risk 5% to 10%; High-risk: Coronary Heart Disease (CHD) or CHD risk equivalents, or 10 years CVD risk 10% to 15%; Very-high risk: acute coronary syndromes, or ischemic cardiovascular disease combined with diabetes. The baseline data was collected within 1 month before taking atorvastatin or within 24 hours after starting atorvastatin. Change from baseline data was reported.

    Measured: Baseline to Week 12

  4. Percent Change From Baseline for Lipid Parameters at Week 12 Within Each CVD Risk Level

    Lipid parameters included LDL-C, High-Density Lipoprotein Cholesterol (HDL-C), Total Cholesterol (TC), and Triglycerides (TG) according to the CVD risk stratification. Low-risk: 10 years CVD risk <5%; Moderate-risk: 10 years CVD risk 5% to 10%; High-risk: Coronary Heart Disease (CHD) or CHD risk equivalents, or 10 years CVD risk 10% to 15%; Very-high risk: acute coronary syndromes, or ischemic cardiovascular disease combined with diabetes. The baseline data was collected within 1 month before taking atorvastatin or within 24 hours after starting atorvastatin. Percent change from baseline was reported.

    Measured: Baseline to Week 12

  5. Study Drug Exposure for Overall - Total Dose and Week 12 Dose

    Atorvastatin total dose: calculated from Day 1 to Week 12 or last dose day; Week 12 dose: dose taken at Week 12

    Measured: Day 1 to Week 12

  6. Study Drug Exposure for Overall - Daily Dose

    Daily dose was calculated by total dose divided by the total days of receiving atorvastatin.

    Measured: Day 1 to Week 12

  7. Study Drug Exposure Within Each CVD Risk Group - Total Dose and Week 12 Dose

    Atorvastatin total dose: calculated from Day 1 to Week 12 or last dose; Week 12 dose: dose taken at Week 12 according to the CVD risk stratification. Low-risk: 10 years CVD risk <5%; Moderate-risk: 10 years CVD risk 5% to 10%; High-risk: Coronary Heart Disease (CHD) or CHD risk equivalents, or 10 years CVD risk 10% to 15%; Very-high risk: acute coronary syndromes, or ischemic cardiovascular disease combined with diabetes.

    Measured: Day 1 to Week 12

  8. Study Drug Exposure Within Each CVD Risk Group -Daily Dose

    Daily dose was calculated by total dose divided by the total days of receiving atorvastatin according to the CVD risk stratification. Low-risk: 10 years CVD risk <5%; Moderate-risk: 10 years CVD risk 5% to 10%; High-risk: Coronary Heart Disease (CHD) or CHD risk equivalents, or 10 years CVD risk 10% to 15%; Very-high risk: acute coronary syndromes, or ischemic cardiovascular disease combined with diabetes.

    Measured: Day 1 to Week 12

  9. Number of Participants With Treatment-Emergent Adverse Events (All Causalities and Treatment-related) for Overall

    All causalities adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a product or medical device; the event need not necessarily have a causal relationship with the treatment or usage; Treatment-related AE was any untoward medical occurrence in a clinical investigation participant administered a product or medical device; The event has a causal relationship with the treatment or usage.

    Measured: Baseline to Week 12 (±28 days) or any unplanned visit (if occurred: any date during Week 4 to Week 16 )

  10. Number of Participants With Treatment-Emergent Adverse Events (All Causalities and Treatment-related) by Dose Group Within Each CVD Risk Level

    All causalities adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a product or medical device; the event need not necessarily have a causal relationship with the treatment or usage; Treatment-related AE was any untoward medical occurrence in a clinical investigation participant administered a product or medical device; The event has a causal relationship with the treatment or usage. The AEs were categorized by the CVD risk stratification. Low-risk: 10 years CVD risk <5%; Moderate-risk: 10 years CVD risk 5% to 10%; High-risk: Coronary Heart Disease (CHD) or CHD risk equivalents, or 10 years CVD risk 10% to 15%; Very-high risk: acute coronary syndromes, or ischemic cardiovascular disease combined with diabetes.

    Measured: Baseline to Week 12 (±28 days) or any unplanned visit (if occurred: any date during Week 4 to Week 16 )

  11. Number of Participants With Adverse Events of Special Interest (AESI) for Overall

    AESI were categorized as muscle symptoms: myalgia, fatigue, weakness, creatine kinase (CK) values 10 times the upper limit of normal, or rhabdomyolysis, and muscle damage based on significant elevated CK; major cardiovascular events: myocardial infarction, stroke, unstable angina requiring re-hospitalization, revascularization with either percutaneous coronary intervention or coronary-artery bypass grafting; Death.

    Measured: Baseline to Week 12 (±28 Days) or any unplanned visit (if occurred:any date during Week 4 to Week 16)

  12. Number of Participants With Adverse Events of Special Interest (AESI) by Dose Group Within Each CVD Risk Level

    AESI were categorized as muscle symptoms: myalgia, fatigue, weakness, creatine kinase (CK) values 10 times the upper limit of normal, or rhabdomyolysis, and muscle damage based on significant elevated CK; major cardiovascular events: myocardial infarction, stroke, unstable angina requiring re-hospitalization, revascularization with either percutaneous coronary intervention or coronary-artery bypass grafting; Death according to the CVD risk stratification. Low-risk: 10 years CV risk <5%; Moderate-risk: 10 years CVD risk 5% to 10%; High-risk: Coronary Heart Disease (CHD) or CHD risk equivalents, or 10 years CV risk 10% to 15%; Very-high risk: acute coronary syndromes, or ischemic cardiovascular disease combined with diabetes.

    Measured: Baseline (Day 1) to Week 12 (±28 Days) or any unplanned visit (if occurred: any date during Week 4 to Week 16)

  13. Number of Participants With Elevated Abnormal Laboratory in Creatine Kinanse (CK), Alanine Aminotransferase (ALT), and Aspartate Aminotransferase (AST) for Overall

    The elevated abnormal laboratory data was summarized: significant elevated CK: CK values 10 times the upper limit of normal; Persistent elevation in alanine aminotransferase, aspartate aminotransferase, or both: 2 consecutive measurements obtained 4 to 10 days apart that was more than 3 times the upper limit of the normal range.

    Measured: Baseline to Week 12 (±28 Days) or any unplanned visit (if occurred: any date during Week 4 to Week 16)

  14. Number of Participants With Elevated Abnormal Laboratory in CK, ALT and AST by Dose Group Within Each CVD Risk

    The elevated abnormal laboratory data was summarized: significant elevated CK: CK values 10 times the upper limit of normal; Persistent elevation in alanine aminotransferase, aspartate aminotransferase, or both: 2 consecutive measurements obtained 4 to 10 days apart that was more than 3 times the upper limit of the normal range according to the CVD risk stratification. Low-risk: 10 years CV risk <5%; Moderate-risk: 10 years CVD risk 5% to 10%; High-risk: Coronary Heart Disease (CHD) or CHD risk equivalents, or 10 years CV risk 10% to 15%; Very-high risk: acute coronary syndromes, or ischemic cardiovascular disease combined with diabetes.

    Measured: Baseline to Week 12 (±28 days) or any unplanned visit (if occurred: any date during Week 4 to Week 16)

  15. Change From Baseline for Clinical Laboratory Overall- ALT and AST

    The baseline data was collected within 1 month before taking atorvastatin or within 24 hours after starting atorvastatin. Change from Baseline for ALT and AST date were reported.

    Measured: Baseline to Week 12 (±28 Days) or any unplanned visit (if occurred: any date during Week 4 to Week 16)

  16. Change From Baseline for Clinical Laboratory Overall- Bilirubin, Blood Urea Nitrogen, Cholesterol, Creatinine, Triglycerides, Uric Acid

    The baseline data was collected within 1 month before taking atorvastatin or within 24 hours after starting atorvastatin. Change from baseline for bilirubin, blood urea nitrogen, cholesterol (total), creatinine, triglycerides, uric acid data were reported.

    Measured: Baseline to Week 12 (±28 Days) or any unplanned visit (if occurred: any date during Week 4 to Week 16)

  17. Change From Baseline for Clinical Laboratory Overall- Creatine Kinase

    The baseline data was collected within 1 month before taking atorvastatin or within 24 hours after starting atorvastatin. Change from Baseline for creatine kinase was reported.

    Measured: Baseline to Week 12 (±28 Days) or any unplanned visit (if occurred: any date during Week 4 to Week 16)

  18. Change From Baseline for Clinical Laboratory by Dose Group Within Each CVD Risk Level-ALT and AST

    The baseline data was collected within 1 month before taking atorvastatin or within 24 hours after starting atorvastatin. Change from Baseline for ALT and AST date were reported according to the CVD risk stratification. Low-risk: 10 years CVD risk <5%; Moderate-risk: 10 years CVD risk 5% to 10%; High-risk: Coronary Heart Disease (CHD) or CHD risk equivalents, or 10 years CVD risk 10% to 15%; Very-high risk: acute coronary syndromes, or ischemic cardiovascular disease combined with diabetes.

    Measured: Baseline to Week 12 (±28 Days) or any unplanned visit (if occurred:any date during Week 4 to Week 16)

  19. Change From Baseline for Clinical Laboratory by Dose Group Within Each CVD Risk Level- Bilirubin, Blood Urea Nitrogen, Cholesterol, Creatinine, Triglycerides, Uric Acid

    The baseline data was collected within 1 month before taking atorvastatin or within 24 hours after starting atorvastatin. Change from baseline for bilirubin, blood urea nitrogen, cholesterol (total), creatinine, triglycerides, uric acid data were reported according to the CVD risk stratification. Low-risk: 10 years CVD risk <5%; Moderate-risk: 10 years CVD risk 5% to 10%; High-risk: Coronary Heart Disease (CHD) or CHD risk equivalents, or 10 years CVD risk 10% to 15%; Very-high risk: acute coronary syndromes, or ischemic cardiovascular disease combined with diabetes.

    Measured: Baseline to Week 12 (±28 Days) or any unplanned visit (if occurred: any date during Week 4 to Week 16)

  20. Change From Baseline for Clinical Laboratory by Dose Group Within Each CVD Risk Level- Creatine Kinase

    The baseline data was collected within 1 month before taking atorvastatin or within 24 hours after starting atorvastatin. Change from Baseline for creatine kinase was reported according to the CVD risk stratification. Low-risk: 10 years CV risk <5%; Moderate-risk: 10 years CVD risk 5%~10%; High-risk: Coronary Heart Disease (CHD) or CHD risk equivalents, or 10 years CV risk 10%~15%; Very-high risk: acute coronary syndromes, or ischemic cardiovascular disease combined with diabetes.

    Measured: Baseline to Week 12 (±28 Days) or any unplanned visit (if occurred: any date during Week 4 to Week 16)

  21. Precentage of Participants With Discontinuation From the Study for Overall

    Percentage of participants who dropped out of the study and reasons for discontinuation were summarized overall.

    Measured: 12 weeks of follow-up

  22. Precentage of Participants With Discontinuation From the Study by Dose Group Within Each CVD Risk Level

    Percentage of participants who dropped out of the study and reasons for discontinuation were summarized by the CVD risk stratification. Low-risk: 10 years CVD risk <5%; Moderate-risk: 10 years CVD risk 5% to 10%; High-risk: Coronary Heart Disease (CHD) or CHD risk equivalents, or 10 years CVD risk 10% to 15%; Very-high risk: acute coronary syndromes, or ischemic cardiovascular disease combined with diabetes.

    Measured: 12 weeks of follow-up

Timeline

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

  1. First posted1 Oct 2015 (estimated)
  2. Study start22 Jun 2016
  3. Primary completion31 Aug 2018
  4. Study completion31 Aug 2018

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
5,115 participants (actual)
Target duration
12 Weeks
IDs, dates and publications
ClinicalTrials.gov ID
NCT02565615
Sponsor's protocol ID
A2581197
Acronym
ATTENTION
Status last verified
Feb 2021
First submitted
15 Sep 2015
Last updated
21 Feb 2021
Data monitoring committee
No
FDA-regulated device
No
Individual data sharing
No: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

Questions about this trial

What is this clinical trial studying?

An observational study of Coronary Artery Disease, Hypercholesterolemia, Hypertension, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 54 sites in China.

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 4 inclusion and 2 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 21 Feb 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 54 sites in China. 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.

Are results available for this study?

Yes. Results are posted in the registry (first posted 4 Nov 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Achievement Rate for Low Density Lipoprotein-Cholesterol (LDL-C) for Overall (time frame: 12 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 21 Feb 2021.

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