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Cardiovascular DiseasesPURENCT03225586

Prospective Urban Rural Epidemiology Study

An observational study of Cardiovascular Diseases and Risk Factor, Cardiovascular, run by Population Health Research Institute at 34 sites in 25 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

To examine the impact of health determinants at the individual (e.g. health related behaviors) and societal level (e.g. environmental factors, health related policy, quality of health systems) on health outcomes (e.g. Read more about this study

Who is it for?
Ages 35 to 70 years
How many people
200,000 participants
Where
34 sitesin 25 countries
Study dates
1 Jan 2002to 31 Dec 2030
Phase
Observational
Are there results?
Not yet: the study is under way

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 35 to 70 years
  • All sexes
  • Adult, Older adult

Study population: Adults aged 35 to 70 years from communities in low-, middle-, and high-income regions of the world representing various levels of development and encompassing great sociocultural diversity.

Who may be able to join

  • consenting adults between 35-70 years of age

Who cannot join

  • none

Trial locations and contacts

34 sites in 25 countries. Contact the study team or a site near you to ask about taking part.

Janette Panhuis, BScN, MBA contact

905-521-2100 ext. 40386

janette.panhuis@phri.ca

34 sites in 25 countries

India5 sites, 5 recruiting
  • St John's Research Institute

    Bangalore, Karnataka

    Prem K Mony, MD, MSc, premkmony@gmail.com

    Recruiting
  • Post Graduate Institute of Medical Education and Research (PGIMER)

    Chandigarh

    Rajesh Kumar, MD, dr.rajeshkumar@gmail.com

    Recruiting
  • Madras Diabetes Research Foundation

    Chennai, Tamil Nadu

    V Mohan, MD, drmohans@diabetes.ind.in

    Recruiting
  • Eternal Heart Care Centre and Research Institute

    Jaipur, Rajasthan

    Rajeev Gupta, MD, PhD, rajeevgg@gmail.com

    Recruiting
  • Health Action by People

    Thiruvananthapuram, Kerala

    Raman Kutty, MD, MPH, kuttyr@gmail.com

    Recruiting

Other trials in India

Canada4 sites, 4 recruiting
  • Population Health Research Institute

    Hamilton, Ontario, L8L2X2

    Sandy Trottier, 905-521-2100 ext. 40456, sandy.trottier@phri.ca

    Koon Teo, MB, PhD

    Recruiting
  • University of Ottawa

    Ottawa, Ontario, K1H8L6

    Andreas Wielgosz, MD, PhD, wielgosz@uottawa.ca

    Recruiting
  • Université Laval Institut universitaire de cardiologie et de pneumologie de Québec

    Québec, Quebec

    Gilles Dagenais, MD, Gilles.Dagenais@criucpq.ulaval.ca

    Recruiting
  • Simon Fraser University

    Vancouver, British Columbia

    Scott Lear, PhD, SLear@providencehealth.bc.ca

    Recruiting

Other trials in Canada

Malaysia2 sites, 2 recruiting
  • Universiti Teknologi MARA, UCSI Universiti

    Kuala Lumpur

    Khalid Yusoff, MBBS, kyusoff@gmail.com

    Recruiting
  • University Kebangsaan Malaysia

    Kuala Lumpur

    Noorhassim Ismail, MD, ramalbaru@gmail.com

    Recruiting

Other trials in Malaysia

South Africa2 sites, 2 recruiting
  • School of Public Health, University of the Western Cape

    Bellville

    Thandi Puoane, MPH, Dr PH, tpuoane@uwc.ac.za

    Recruiting
  • North-West University

    Potchefstroom

    Lanthe Kruger, PhD, lanthe.kruger@nwu.ac.za

    Recruiting

Other trials in South Africa

Argentina1 site, 1 recruiting
  • Estudios Clinicos Latinoamerica ECLA

    Rosario, Santa Fe Province

    Rafael Diaz, MD, rdiazmd@eclainternational.org

    Recruiting

Other trials in Argentina

Bangladesh1 site, 1 recruiting
  • Independent University, Bangladesh

    Dhaka

    Omar Rahman, MD, MPH, DSc, orahman@iub.edu.bd

    Rita Yusuf, PhD, ritayusuf@iub.edu.bd

    Recruiting

Other trials in Bangladesh

Brazil1 site, 1 recruiting
  • Dante Pazzanese Institute of Cardiology

    São Paulo

    Alvaro Avezum, MD. PhD, avezum@yahoo.com

    Recruiting

Other trials in Brazil

Chile1 site, 1 recruiting
  • Universidad de La Frontera

    Temuco

    Fernando Lanas, MD, MSc, lanastomas@gmail.com

    Recruiting

Other trials in Chile

China1 site, 1 recruiting
  • State Key Laboratory of Cardiovascular Disease, Fuwai Hospital

    Beijing

    Wei Li, PhD, liwei@mrbc-nccd.com

    Recruiting

Other trials in China

Colombia1 site, 1 recruiting
  • Fundacion Oftalmologica de Santander - FOSCAL

    Floridablanca, Santander Department

    Patricio Lopez-Jaramillo, MD, PhD, jplopezj@gmail.com

    Recruiting

Other trials in Colombia

Iran1 site, 1 recruiting
  • Isfahan University of Medical Sciences

    Isfahan

    Roya Kelishadi, MD, roya.kelishadi@gmail.com

    Recruiting

Other trials in Iran

Kazakhstan1 site, 1 recruiting
  • Research Institute of Cardiology & Internal Diseases

    Almaty

    Kairat Davletov, MD, davletovkairat@gmail.com

    Recruiting

Other trials in Kazakhstan

Kyrgyzstan1 site, 1 recruiting
  • Kyrgyz Society of Cardiology, National Center of Cardiology and Internal Disease

    Bishkek

    Erkin Mirrakhimov, MD, erkmirr@gmail.com

    Recruiting

Other trials in Kyrgyzstan

Pakistan1 site, 1 recruiting
  • Aga Khan University

    Karachi

    Romaina Iqbal, PhD, romaina.iqbal@aku.edu

    Recruiting

Other trials in Pakistan

Palestinian Territories1 site, 1 recruiting
  • Birzeit University, Birzeit

    Ramallah

    Rasha Khatib, PhD, Rasha.Khatib@phri.ca

    Recruiting

Other trials in Palestinian Territories

Peru1 site, 1 recruiting
  • Universidad Peruana Cayetano Heredia

    Lima

    Jaime Miranda, MD, PhD, jaime.miranda@upch.pe

    Recruiting

Other trials in Peru

Philippines1 site, 1 recruiting
  • University of Philippines, Section of Adult Medicine & Medical Research Unit

    Manila

    Antonio L Dans, MD, antoniodans@gmail.com

    Recruiting

Other trials in Philippines

Poland1 site, 1 recruiting
  • Wroclaw Medical University & Department of Internal Medicine

    Wroclaw

    Andrzej Szuba, MD, PhD, andrzej.szuba@umed.wroc.pl

    Recruiting

Other trials in Poland

Russia1 site, 1 recruiting
  • Research Institute for Complex Issues of Cardiovascular Diseases

    Kemerovo

    Olga Barbarash, olb61@mail.ru

    Recruiting

Other trials in Russia

Saudi Arabia1 site, 1 recruiting
  • King Saud University

    Riyadh

    Khalid F AlHabib, MBBS, khalidalhabib13@hotmail.com

    Recruiting

Other trials in Saudi Arabia

Sweden1 site, 1 recruiting
  • Sahlgrenska University Hospital/Östra Hospital

    Gothenburg

    Annika Rosengren, MD, PhD, annika.rosengren@gu.se

    Recruiting

Other trials in Sweden

Tanzania1 site, 1 recruiting
  • Pamoja Tunaweza Women Center

    Moshi

    Karen Yeates, MD, yeatesk@queensu.ca

    Recruiting

Other trials in Tanzania

Turkey (Türkiye)1 site, 1 recruiting
  • Istanbul Medeniyet University

    Istanbul

    Aytekin Oguz, MD, aytekinoguz@hotmail.com

    Recruiting

Other trials in Turkey (Türkiye)

United Arab Emirates1 site, 1 recruiting
  • Dubai Medical University

    Dubai

    Afzalhussein Yusufali, MD, ahYusufali@dha.gov.ae

    Recruiting

Other trials in United Arab Emirates

Zimbabwe1 site, 1 recruiting
  • University of Zimbabwe College of Health Sciences

    Harare

    Jephat Chifamba, DPhil, chifamb@medic.uz.ac.zw

    Recruiting

Other trials in Zimbabwe

About this study

To examine the impact of health determinants at the individual (e.g. health related behaviors) and societal level (e.g. environmental factors, health related policy, quality of health systems) on health outcomes (e.g. death, non-communicable disease development) across a range of socioeconomic and health resource settings. Additional components of this study will examine genetic factors for non-communicable diseases. This will be examined both through a cross sectional component, and prospectively (cohort component).

Read the detailed description
  1. To examine the relationship between societal influences and prevalence of risk factors and chronic noncommunicable diseases. Societal determinants are measured by an index of measures from each of the 4 domains of interest: built environment, food and nutrition policy, psychosocial/socioeconomic factors, and tobacco.
  2. To examine the relationship between societal determinants and incidence of chronic noncommunicable disease events (e.g. cardiovascular disease, cancer) and on changes in rates of selected risk factors (e.g. smoking)
  3. To examine the relationship between health related behaviors (e.g. diet, physical activity, smoking, alcohol) and health outcomes (e.g. death, non-communicable diseases)
  4. The quality of health systems across a diverse range of health resource settings, and how this impacts health outcomes
  5. Genetic factors for non-communicable diseases
Keywords
Non-communicable Diseases, Risk Factors
Medical subject headings
Cardiovascular Diseases, Health Behavior, Lung Diseases, Neoplasms, Wounds and Injuries, Kidney Diseases, Communicable Diseases, Noncommunicable Diseases

What participants receive

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

Study groups in NCT03225586
Study groupRoleWhat they receive
AdultsBetween 35 to 70 years of age at time of enrollment

What is being measured

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

  1. incident cardiovascular disease

    cardiovascular death, stroke, myocardial infarction, heart failure

    Measured: mean follow up of 10 years

Secondary outcomes (12)
  1. incident cancer

    total and cause specific cancers

    Measured: mean follow up of 10 years

  2. Incident COPD

    development of COPD

    Measured: mean follow up of 10 years

  3. Incident Asthma

    development of asthma

    Measured: mean follow up of 10 years

  4. Pneumonia

    hospitalization for pneumonia

    Measured: mean follow up of 10 years

  5. Respiratory outcomes

    change in pulmonary function test

    Measured: mean follow up of 10 years

  6. All Cause Hospitalizations

    All cause hospitalizations

    Measured: mean follow up of 10 years

  7. Kidney disease

    end stage renal disease, dialysis, transplant, changes in renal function

    Measured: mean follow up of 10 years

  8. All cause and cause specific mortality

    death from all causes, and cause specific deaths

    Measured: mean follow up of 10 years

  9. incident diabetes

    development of diabetes

    Measured: mean follow up of 10 years

  10. obesity

    development of obesity, change in BMI

    Measured: mean follow up of 10 years

  11. hypertension

    development of hypertension and changes in blood pressure

    Measured: mean follow up of 10 years

  12. incident injuries

    assessing fatal and non-fatal injuries due road traffic accidents and falls

    Measured: mean follow up of 10 years

Timeline

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

  1. First posted21 Jul 2017
  2. Study start1 Jan 2002
  3. Primary completion31 Dec 2030 (estimated)
  4. Study completion31 Dec 2030 (estimated)

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
200,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03225586
Sponsor's protocol ID
PURE
Acronym
PURE
Status last verified
Jan 2024
First submitted
19 Jul 2017
Last updated
31 Jan 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: During study conduct only with the investigators who have participated /contributed to the study. Select summary data may be shared with policy makers for specific purposes.The study exec will consider specific requests for data analyses by non-contributing individuals 3 years after the study has been completed (i.e. complete recruitment and a minimum of 10 years follow up in all) and the participating investigators have had an opportunity to explore questions that they are interested in. Costs related to data curating ,and related efforts will need to be met by anybody not contributing to the study and requesting analyses

Publications

  • Dehghan M, Al Hamad N, Yusufali A, Nusrath F, Yusuf S, Merchant AT. Development of a semi-quantitative food frequency questionnaire for use in United Arab Emirates and Kuwait based on local foods. Nutr J. 2005 May 27;4:18. doi: 10.1186/1475-2891-4-18.

    PubMed 15921524
  • Merchant AT, Dehghan M, Chifamba J, Terera G, Yusuf S. Nutrient estimation from an FFQ developed for a Black Zimbabwean population. Nutr J. 2005 Dec 13;4:37. doi: 10.1186/1475-2891-4-37.

    PubMed 16351722
  • Merchant AT, Dehghan M. Food composition database development for between country comparisons. Nutr J. 2006 Jan 19;5:2. doi: 10.1186/1475-2891-5-2.

    PubMed 16423289
  • Vaz M, Bharathi AV, Thomas T, Yusuf S, Kurpad AV. The repeatability of self reported physical activity patterns in rural South India. Asia Pac J Clin Nutr. 2009;18(1):71-5.

    PubMed 19329398
  • Dehghan M, del Cerro S, Zhang X, Cuneo JM, Linetzky B, Diaz R, Merchant AT. Validation of a semi-quantitative Food Frequency Questionnaire for Argentinean adults. PLoS One. 2012;7(5):e37958. doi: 10.1371/journal.pone.0037958. Epub 2012 May 25.

    PubMed 22662256
  • Dehghan M, Martinez S, Zhang X, Seron P, Lanas F, Islam S, Merchant AT. Relative validity of an FFQ to estimate daily food and nutrient intakes for Chilean adults. Public Health Nutr. 2013 Oct;16(10):1782-8. doi: 10.1017/S1368980012004107. Epub 2012 Sep 21.

    PubMed 22995762
  • Dehghan M, Lopez Jaramillo P, Duenas R, Anaya LL, Garcia RG, Zhang X, Islam S, Merchant AT. Development and validation of a quantitative food frequency questionnaire among rural- and urban-dwelling adults in Colombia. J Nutr Educ Behav. 2012 Nov-Dec;44(6):609-13. doi: 10.1016/j.jneb.2010.10.001. Epub 2011 Jul 7.

    PubMed 21737352
  • Khatib R, Schwalm JD, Yusuf S, Haynes RB, McKee M, Khan M, Nieuwlaat R. Patient and healthcare provider barriers to hypertension awareness, treatment and follow up: a systematic review and meta-analysis of qualitative and quantitative studies. PLoS One. 2014 Jan 15;9(1):e84238. doi: 10.1371/journal.pone.0084238. eCollection 2014.

    PubMed 24454721
  • Teo K, Chow CK, Vaz M, Rangarajan S, Yusuf S; PURE Investigators-Writing Group. The Prospective Urban Rural Epidemiology (PURE) study: examining the impact of societal influences on chronic noncommunicable diseases in low-, middle-, and high-income countries. Am Heart J. 2009 Jul;158(1):1-7.e1. doi: 10.1016/j.ahj.2009.04.019.

    PubMed 19540385
  • Chow CK, Lock K, Teo K, Subramanian SV, McKee M, Yusuf S. Environmental and societal influences acting on cardiovascular risk factors and disease at a population level: a review. Int J Epidemiol. 2009 Dec;38(6):1580-94. doi: 10.1093/ije/dyn258. Epub 2009 Mar 4.

    PubMed 19261658
  • Bharathi AV, Kurpad AV, Thomas T, Yusuf S, Saraswathi G, Vaz M. Development of food frequency questionnaires and a nutrient database for the Prospective Urban and Rural Epidemiological (PURE) pilot study in South India: methodological issues. Asia Pac J Clin Nutr. 2008;17(1):178-85.

    PubMed 18364343
  • Iqbal R, Ajayan K, Bharathi AV, Zhang X, Islam S, Soman CR, Merchant AT. Refinement and validation of an FFQ developed to estimate macro- and micronutrient intakes in a south Indian population. Public Health Nutr. 2009 Jan;12(1):12-8. doi: 10.1017/S1368980008001845. Epub 2008 Mar 7.

    PubMed 18325134
  • Chow CK, Lock K, Madhavan M, Corsi DJ, Gilmore AB, Subramanian SV, Li W, Swaminathan S, Lopez-Jaramillo P, Avezum A, Lear SA, Dagenais G, Teo K, McKee M, Yusuf S. Environmental Profile of a Community's Health (EPOCH): an instrument to measure environmental determinants of cardiovascular health in five countries. PLoS One. 2010 Dec 10;5(12):e14294. doi: 10.1371/journal.pone.0014294.

    PubMed 21170320
  • Mir H, Buchanan D, Gilmore A, McKee M, Yusuf S, Chow CK. Cigarette pack labelling in 12 countries at different levels of economic development. J Public Health Policy. 2011 May;32(2):146-64. doi: 10.1057/jphp.2011.3. Epub 2011 Mar 3.

    PubMed 21368847
  • Yusuf S, Islam S, Chow CK, Rangarajan S, Dagenais G, Diaz R, Gupta R, Kelishadi R, Iqbal R, Avezum A, Kruger A, Kutty R, Lanas F, Lisheng L, Wei L, Lopez-Jaramillo P, Oguz A, Rahman O, Swidan H, Yusoff K, Zatonski W, Rosengren A, Teo KK; Prospective Urban Rural Epidemiology (PURE) Study Investigators. Use of secondary prevention drugs for cardiovascular disease in the community in high-income, middle-income, and low-income countries (the PURE Study): a prospective epidemiological survey. Lancet. 2011 Oct 1;378(9798):1231-43. doi: 10.1016/S0140-6736(11)61215-4. Epub 2011 Aug 26.

    PubMed 21872920

Questions about this trial

What is this clinical trial studying?

An observational study of Cardiovascular Diseases and Risk Factor, Cardiovascular, run by Population Health Research Institute at 34 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: looking for participants now, as of the sponsor's last update on 31 Jan 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 34 sites in India, Canada, Malaysia, South Africa, Argentina 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.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Sumathy Rangarajan, MSc (905-521-2100 ext. 40464, sumathy.rangarajan@phri.ca), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

incident cardiovascular disease (time frame: mean follow up of 10 years). 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 NCT03225586, which also lists 64 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 31 Jan 2024.

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Prospective Urban Rural Epidemiology Study | AzTrials