Title
Primary Prevention of Cardiovascular Disease (CVD) in Pre-diabetic & Pre-hypertensive Subjects
Primary Prevention of Cardiovascular Disease in Pre-diabetic & Pre-hypertensive Subjects Using Multiple Risks Reduction Strategy: A Multi-center, Double-blind, Randomized Controlled Trial
Phase
N/ALead Sponsor
Mahidol UniversityStudy Type
InterventionalStatus
Unknown statusIndication/Condition
Pre-diabetes Pre-hypertensionIntervention/Treatment
simvastatin enalapril sitagliptin ...Study Participants
8900The purpose of this study is to determine whether treating pre-diabetic & pre-hypertensive individuals using multiple drugs intervention (anti-hypertensive drugs (i.e., ACEI) plus anti-glycemic drug (i.e., metformin) plus anti-hyperlipidemic drug (statin)) would lower Cardiovascular Disease (CVD) events.
The risks of CVD are not confined to a subset of established "hypertensive" or "diabetic" population, but also increase among those with suboptimal blood pressure and glycemic level, namely "pre-hypertensive" or "pre-diabetic" population. Evidence on the effectiveness of drug interventions to lower CVD events in pre-clinical stage population has been scant.
Poly-pill - composed of Metformin (500 mg), Enalapril (10 mg) and Simvastatin (10 mg) in single tablet given once daily after dinner for 4 years
Identical Placebo Tablet
Inclusion Criteria: Pre-diabetes Pre-hypertensives LDL-Cholesterol >= 100 < 190 mg/dl BMI >= 23 Estimated GFR >= 60 ml/min/1.73 m2 (MDRD equation) Willing to participate and provide written inform consent Exclusion Criteria: Current involved in other studied medications Regular use of corticosteroids Current use of weight loss medication History of renal disease Active liver disease including jaundice, chronic hepatitis with ALT >= 2.5 the upper normal limit Active malignancy Major psychiatric disorder Diseases and medications that affect glucose tolerance (e.g. pheochromocytoma, Cushing's syndrome, acromegaly, steroid-dependent asthma, protease inhibitors, antipsychotics) Nursing women, pregnant women, or those that plan to become pregnant in the study period