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HypertensionPACIFNCT07679828

Polypills Approach for Multiple Cardiovascular Risk Factors

A study testing Fixed-Dose Combination Strategy in people with Hypertension and Dyslipidemia, run by China Medical University, China at 15 sites in China.

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

The Polypill Approach for Multiple Cardiovascular Risk Factors (PACIF) trial is a multicenter randomized controlled trial that will test the effectiveness and safety of a fixed-dose combination strategy for the integrated management of hypertension, dyslipidemia, and type 2 diabetes among adults aged 50 to 75 years… Read more about this study

Who is it for?
Ages 50 to 75 years
Conditions the study is for
Hypertension, Dyslipidemia, Diabetes
What is being tested?
Fixed-Dose Combination Strategy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
8,252 participants
Where
15 sitesChina
Study dates
11 Jul 2026to 1 Mar 2030
Phase
Interventional
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 50 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Men or women
  • Age ≥50 years and <75 years
  • Systolic blood pressure ≥130 mmHg
  • LDL-C ≥1.8 mmol/L (70 mg/dL)
  • Type 2 diabetes with HbA1c ≥6.5% and <12%
  • Willing to participate and able to sign informed consent

Who cannot join

  • Known secondary cause of hypertension
  • Type 1 diabetes
  • Pancreatic insufficiency or diabetes secondary to pancreatitis
  • Triglycerides ≥5.65 mmol/L (500 mg/dL)
  • History of myocardial infarction, stroke, or heart failure
  • History of coronary, cerebrovascular, or peripheral arterial revascularization
Show all 17Show fewer
  • Abnormal kidney function, defined as estimated glomerular filtration rate <30 mL/min/1.73 m² or dialysis
  • Abnormal liver function, defined as alanine aminotransferase or aspartate aminotransferase >3 times the upper limit of normal
  • Abnormal serum potassium, defined as serum potassium >5.5 mmol/L or <3.5 mmol/L
  • Contraindication to any of the components of the polypill
  • Currently living with another PACIF participant
  • Pregnancy, currently trying to become pregnant, or of child-bearing potential and not using birth control
  • Clinical diagnosis of dementia or treatment with medications for dementia
  • History of malignancy
  • Life expectancy <3 years
  • Currently participating in another intervention study
  • Any factors judged by the clinic team to be likely to limit adherence to interventions

Trial locations and contacts

15 sites in 1 country. Contact the study team or a site near you to ask about taking part.

15 sites in 1 country

China15 sites, 15 recruiting
  • Affiliated Hospital of Chifeng University

    Chifeng, Inner Mongolia

    Xuchen Han, +86 15504766986, hanxuchen2004@163.com

    Recruiting
  • Shandong Provincial Hospital Affiliated to Shandong First Medical University

    Jinan, Shandong

    Xiaoming Zhou, +86 15168887283, sdslyy@yeah.net

    Not yet recruiting
  • Central Hospital of Jinzhou

    Jinzhou, Liaoning

    Shuai Jiang, +86 13897854774, 13897854774@163.com

    Recruiting
  • Kunshan Hospital of Chinese Medicine

    Kunshan, Jiangsu

    Hengshan Shen, +86 13962637574, 847658065@qq.com

    Not yet recruiting
  • Panjin Central Hospital

    Panjin, Liaoning

    Qiong Zhang, +86 15504272626, yoner6789@163.com

    Not yet recruiting
  • First Hospital of China Medical University

    Shenyang, Liaoning, 110001

    Guozhe Sun, +86 15040292137, gzhsun66@163.com

    Recruiting
  • Shengjing Hospital of China Medical University

    Shenyang, Liaoning

    Anhua Wu, +86 18900925766, ahwu@cmu.edu.cn

    Not yet recruiting
  • Suzhou Wujiang District Hospital of Traditional Chinese Medicine

    Suzhou, Jiangsu

    Wangfeng Qian, +86 13771692578, wfss873@sina.com

    Not yet recruiting
  • The Fifth People's Hospital of Wujiang District

    Suzhou, Jiangsu

    Jun Li, +86 13913731272, lijun19801005@163.com

    Not yet recruiting
  • The Second Affiliated Hospital of Soochow University

    Suzhou, Jiangsu

    Jijun Shi, +86 18934593776, shijijun2008@126.com

    Not yet recruiting
  • Taixing Second People's Hospital

    Taizhou, Jiangsu

    Ligong Ji, +86 13815979287, 420643682@qq.com

    Not yet recruiting
  • Tieling Central Hospital

    Tieling, Liaoning

    Caixia Yang, +86 13704109696, 2624603253@qq.com

    Recruiting
  • Tiemei General Hospital of Liaoning Health Industry Group

    Tieling, Liaoning

    Geng Wang, +86 15542052188, 15542052188@163.com

    Recruiting
  • Tongliao People's Hospital

    Tongliao, Inner Mongolia

    Kai Zheng, +86 15004963990, udbmnm2012@163.com

    Not yet recruiting
  • The First Affiliated Hospital of Henan University of Chinese Medicine

    Zhengzhou, Henan

    Xincan Liu, +86 13203825657, Liuxincan103@163.com

    Not yet recruiting

Other trials in China

About this study

Official title: Polypills Approach for Multiple Cardiovascular Risk Factors (PACIF) : a Multicentre, Open-label, Randomized Controlled Trial

The Polypill Approach for Multiple Cardiovascular Risk Factors (PACIF) trial is a multicenter randomized controlled trial that will test the effectiveness and safety of a fixed-dose combination strategy for the integrated management of hypertension, dyslipidemia, and type 2 diabetes among adults aged 50 to 75 years without prior cardiovascular disease in China. The trial will evaluate whether a fixed-dose combination strategy improves the 10-year cardiovascular disease risk estimated using the PREVENT equations at Phase 1. Participants will be further followed to determine whether the fixed-dose combination strategy reduces major cardiovascular events and improves cognitive outcomes compared with usual care at Phase 2.

Read the detailed description

The overall objective of the PACIF Trial is to test a fixed-dose combination strategy for the integrated management of hypertension, dyslipidemia, and diabetes. This multicenter randomized controlled trial will evaluate whether a polypill-based approach, compared with usual care, improves cardiovascular risk factor control and reduces cardiovascular disease events among adults with multiple cardiovascular risk factors but without prior cardiovascular disease. The trial will recruit an estimated 8,252 participants aged 50 to <75 years who have hypertension, dyslipidemia, and type 2 diabetes. Participants will be randomly assigned to receive either a fixed-dose combination strategy or usual care.

In the intervention group, the study medication regimen will consist of eight prespecified fixed-dose formulations combining blood pressure-lowering, lipid-lowering, and glucose-lowering therapies. These formulations include olmesartan medoxomil/amlodipine, rosuvastatin, ezetimibe, and dapagliflozin, with indapamide included in selected formulations. Treatment will be adjusted among the prespecified fixed-dose formulations according to participants' blood pressure levels, treatment targets, tolerability, and safety. Additional open-label medications may be used according to guideline recommendations and clinical judgment if the prespecified treatment targets are not achieved with the fixed-dose combination strategy. Treatment targets are defined as blood pressure <130/80 mmHg, LDL cholesterol <1.8 mmol/L, and HbA1c <7.0%.

The primary outcome at Phase 1 is the ACC/AHA 10-year cardiovascular disease risk estimated by the PREVENT equations. In addition, changes in PREVENT-estimated 10-year ASCVD and heart failure risk, the proportions of participants achieving the prespecified blood pressure, lipid, and glycemic targets, and changes in individual cardiovascular risk factors will also be evaluated.

The primary outcome at Phase 2 is a composite cardiovascular disease outcome including cardiovascular death, nonfatal myocardial infarction, nonfatal stroke, heart failure requiring hospitalization or treatment, and coronary revascularization. Cognitive outcomes will also be assessed, with incident all-cause dementia prespecified as a major secondary outcome.

Being tested
Fixed-Dose Combination Strategy
Keywords
Hypertension, Dyslipidemia, Diabetes, Polypill, Cardiovascular disease risk, Cardiovascular Diseases, Cognitive function, Randomized controlled trial
Medical subject headings
Hypertension, Dyslipidemias, Diabetes Mellitus, Cardiovascular Diseases

What participants receive

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

  • Fixed-Dose Combination StrategyDrug

    Also called Polypill Strategy

    Participants assigned to the intervention group will receive a fixed-dose combination strategy for the integrated control of blood pressure, lipid, and glucose. Eight prespecified fixed-dose formulations will be used, differing in antihypertensive intensity and rosuvastatin dose. All formulations will include olmesartan medoxomil/amlodipine, rosuvastatin, ezetimibe 10 mg, and dapagliflozin 10 mg, with indapamide 2.5 mg included in selected formulations. The olmesartan medoxomil/amlodipine dose will range from 5/1.25 mg to 20/5 mg, and the rosuvastatin dose will be either 5 mg or 10 mg. Treatment will be selected and adjusted among the prespecified fixed-dose formulations according to participants' blood pressure levels, treatment targets, tolerability, and safety. If the prespecified blood pressure, lipid, or glycemic targets are not achieved despite the highest fixed-dose regimen, additional open-label medications may be prescribed according to guideline recommendations.

Study groups in NCT07679828
Study groupRoleWhat they receive
ExperimentalExperimentalPolypill intervention
Receives: Drug: Fixed-Dose Combination Strategy
Control GroupNo interventionUsual care

What is being measured

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

  1. 10-year CVD risk

    Changes in 10-year CVD risk estimated by the PREVENT equations

    Measured: 12 months

  2. Composite cardiovascular disease outcome

    Record the occurrence of the composite cardiovascular disease outcome, including cardiovascular death, nonfatal myocardial infarction, nonfatal stroke, heart failure requiring hospitalization or treatment, and coronary revascularization

    Measured: 36 months

Secondary outcomes (30)
  1. Major secondary endpoint: All-cause dementia

    Record the occurrence of all-cause dementia

    Measured: 36 months

  2. Hierarchical composite of all-cause mortality, nonfatal cardiovascular events, and improvement in 10-year cardiovascular disease risk estimated by the PREVENT equations

    Hierarchical composite of all-cause mortality, nonfatal cardiovascular events, and improvement in 10-year cardiovascular disease risk estimated by the PREVENT equations

    Measured: 12 months

  3. 10-year ASCVD risk

    Changes in 10-year ASCVD risk estimated by the PREVENT equations

    Measured: 12 months

  4. 10-year HF risk

    Changes in 10-year HF risk estimated by the PREVENT equations

    Measured: 12 months

  5. The proportions of participants achieving the prespecified blood pressure, LDL-C, and HbA1c targets, individually and jointly

    The proportions of participants achieving the prespecified targets for blood pressure (systolic blood pressure <130 mmHg and diastolic blood pressure <80 mmHg), LDL-C (<1.8 mmol/L), and HbA1c (<7.0%), individually and jointly

    Measured: 12 months

  6. Blood pressure, LDL-C, and HbA1c

    Changes in systolic and diastolic blood pressure, LDL-C, and HbA1c

    Measured: 12 months

  7. Medication adherence

    Medication adherence assessed by participant self-report, pill count, or other prespecified adherence measures

    Measured: 12 months

  8. Cost-effectiveness

    Data on the costs of CVD risk assessment and management will be collected for both study groups. The cost-effectiveness analysis will estimate the incremental cost per unit reduction in estimated 10-year CVD risk in the intervention group compared with the control group.

    Measured: 12 months

  9. Hierarchical composite of all-cause mortality, nonfatal cardiovascular events, and improvement in 10-year cardiovascular disease risk estimated by the PREVENT equations

    Hierarchical composite of all-cause mortality, nonfatal cardiovascular events, and improvement in 10-year cardiovascular disease risk estimated by the PREVENT equations

    Measured: 36 months

  10. The proportions of participants achieving the prespecified blood pressure, LDL-C, and HbA1c targets, individually and jointly

    The proportions of participants achieving the prespecified targets for blood pressure (systolic blood pressure <130 mmHg and diastolic blood pressure <80 mmHg), LDL-C (<1.8 mmol/L), and HbA1c (<7.0%), individually and jointly

    Measured: 36 months

  11. Blood pressure, LDL-C, and HbA1c

    Changes in systolic and diastolic blood pressure, LDL-C, and HbA1c

    Measured: 36 months

  12. Composite outcome of composite cardiovascular disease outcome or deaths

    Record the occurrence of composite outcome of composite cardiovascular disease outcome or deaths

    Measured: 36 months

  13. Macrovascular outcome

    Record the occurrence of any of the following: stroke, myocardial infarction, heart failure requiring hospitalization or treatment, aortic dissection, any cardiovascular revascularization procedures, or cardiovascular death

    Measured: 36 months

  14. Major coronary artery diseases

    Record the occurrence of any of the following: myocardial infarction, revascularization of coronary arteries, or deaths due to coronary artery diseases

    Measured: 36 months

  15. Myocardial infarction

    Record the occurrence of myocardial infarction

    Measured: 36 months

  16. Stroke

    Record the occurrence of stroke

    Measured: 36 months

  17. Ischemic stroke

    Record the occurrence of ischemic stroke

    Measured: 36 months

  18. Hemorrhagic stoke

    Record the occurrence of hemorrhagic stroke

    Measured: 36 months

  19. Heart failure requiring hospitalization or treatment

    Record the occurrence of heart failure requiring hospitalization or treatment

    Measured: 36 months

  20. Coronary revascularization

    Record the occurrence of coronary revascularization

    Measured: 36 months

  21. Cardiovascular disease death

    Record the occurrence of cardiovascular disease death

    Measured: 36 months

  22. All-cause death

    Record the occurrence of all-cause death

    Measured: 36 months

  23. Microvascular outcomes

    Record the occurrence of microvascular complications (e.g., diabetic kidney disease and diabetic peripheral neuropathy)

    Measured: 36 months

  24. New-onset chronic kidney disease or progression of chronic kidney disease

    Record the occurrence of new-onset chronic kidney disease or progression of chronic kidney disease

    Measured: 36 months

  25. Mild cognitive impairment

    Record the occurrence of mild cognitive impairment

    Measured: 36 months

  26. Composite outcome of dementia and mild cognitive impairment

    Record the occurrence of the composite outcome of dementia and mild cognitive impairment

    Measured: 36 months

  27. Composite outcome of dementia and all-cause death

    Record the occurrence of the composite outcome of dementia and all-cause death

    Measured: 36 months

  28. Medication adherence

    Medication adherence assessed by participant self-report, pill count, or other prespecified adherence measures

    Measured: 36 months

  29. Health related quality of life

    Health-related quality of life will be assessed by the Five-Level Version of the EQ-5D (EQ-5D-5L). In this questionnaire, 5 dimensions are measured in 5 items: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. A 5-point Likert scale ranging from "no problems" to "extreme problems" is used for every dimension, with higher scores reflecting more problems in a dimension. A VAS ranging from 0 to 100 (0 = "The best health you can imagine" to 100 = "The worst health you can imagine") is applied as well, with higher scores indicating a better health state as perceived by the patient.

    Measured: 36 months

  30. Cost-effectiveness

    Cost-effectiveness assessed by the incremental cost-effectiveness ratio, expressed as the incremental cost per quality-adjusted life-year gained. Quality-adjusted life-years will be estimated from health utilities derived using the EQ-5D-5L questionnaire.

    Measured: 36 months

Timeline

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

  1. First posted1 Jul 2026
  2. Study start11 Jul 2026
  3. Primary completion31 Dec 2029 (estimated)
  4. Study completion1 Mar 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
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
8,252 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07679828
Sponsor's protocol ID
CMU-polypill
Acronym
PACIF
Status last verified
Sep 2026
First submitted
21 Jun 2026
Last updated
16 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Fixed-Dose Combination Strategy in people with Hypertension and Dyslipidemia, run by China Medical University, China at 15 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 6 inclusion and 17 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 16 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 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?

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?

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

10-year CVD risk (time frame: 12 months). 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 16 Sep 2026.

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PACIF Clinical Trial NCT07679828 | AzTrials