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Not yet taking people in PakistanPhase 4

Adjusting Statin Doses to a Cholesterol Goal Versus Fixed Doses in Heart Disease

Compares adjusting statin doses to a cholesterol goal with fixed doses in heart disease.

Plain-language title generated from the registry record
Registry title: Effectiveness and Tolerability of a Treat-to-Target Versus Fixed-Dose Statin Strategy in Patients With Atherosclerotic Cardiovascular Disease

Key facts

Where
Peshawar, PakistanSee the site
Phase
Phase 4

Could this be for you?

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 18 and 80 years old?

Source: NCT07909915, who can take part

Where in Pakistan

  • Rehman Medical InstitutePeshawar, PakistanNo longer taking part

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?
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Trial details

Who runs it
Rehman Medical Institute - RMI
Trial code
NCT07909915
Record updated
5 November 2026
Original description
To compare the efficacy of fixed-dose versus treat-to-target statin regimens in achieving the predefined LDL-C target at 12 weeks in patients with established ASCVD.Read full original descriptionShow less

Effectiveness and Tolerability of a Treat-to-Target Versus Fixed-Dose Statin Strategy in Patients With Atherosclerotic Cardiovascular Disease: A Randomized Controlled Trial

To compare the efficacy of fixed-dose versus treat-to-target statin regimens in achieving the predefined LDL-C target at 12 weeks in patients with established ASCVD.

To compare the frequency of adverse effects of statin therapy between patients receiving a fixed-dose regimen and those managed with a treat-to-target approach.

Inclusion: adults aged between 18 to 80 years requiring primary prevention or those with history of at least 1 episode of ASCVD; who are either statin-naïve or already on statins but not at target LDL-C levels and are eligible for dose adjustment.

Exclusion: have known hypersensitivity or a prior life-threatening reaction to any statin; are using other lipid-lowering agents like ezetimibe, PCSK9 inhibitors, fibrates, or bile acid sequestrants; have contraindications to statin therapy such as active liver disease or severe renal impairment (eGFR < 30 mL/min/1.73m²); have already achieved target LDL-C levels on a high-dose statin and tolerate it well; are pregnant or lactating.

ClinicalTrials.gov NCT07909915