One pill to tackle three heart risks: could a polypill cut cardiovascular disease?
NCT ID NCT07679828
First seen Jul 01, 2026 · Last updated Sep 17, 2026 · Updated 3 times
Summary
This trial tests whether a single daily pill that combines treatments for high blood pressure, high cholesterol, and type 2 diabetes can lower the risk of heart disease and dementia. The study involves over 8,000 adults aged 50 to 75 in China who have all three conditions. Participants receive either the combination pill or their usual separate medications, and researchers track their heart health and cognitive function over time.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Fixed-dose combination pill (olmesartan medoxomil/amlodipine, rosuvastatin, and glucose-lowering drugs)
- What this could lead to
- If successful, this simplified daily pill could make it easier for people with multiple risk factors to prevent heart attacks, strokes, and dementia.
- What could go wrong
- This is a large trial, but the combination pill may cause side effects or not work better than separate medications. Results may not apply to people outside China.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 8,252 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2026
- Expected to finish
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Mar 2030
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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50 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 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 Exclusion Criteria: * 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 * 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
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
15 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Affiliated Hospital of Chifeng University
RECRUITINGChifeng, Inner Mongolia, China
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Central Hospital of Jinzhou
RECRUITINGJinzhou, Liaoning, China
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First Hospital of China Medical University
RECRUITINGShenyang, Liaoning, 110001, China
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Kunshan Hospital of Chinese Medicine
NOT_YET_RECRUITINGKunshan, Jiangsu, China
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Panjin Central Hospital
NOT_YET_RECRUITINGPanjin, Liaoning, China
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Shandong Provincial Hospital Affiliated to Shandong First Medical University
NOT_YET_RECRUITINGJinan, Shandong, China
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Shengjing Hospital of China Medical University
NOT_YET_RECRUITINGShenyang, Liaoning, China
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Suzhou Wujiang District Hospital of Traditional Chinese Medicine
NOT_YET_RECRUITINGSuzhou, Jiangsu, China
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Taixing Second People's Hospital
NOT_YET_RECRUITINGTaizhou, Jiangsu, China
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The Fifth People's Hospital of Wujiang District
NOT_YET_RECRUITINGSuzhou, Jiangsu, China
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The First Affiliated Hospital of Henan University of Chinese Medicine
NOT_YET_RECRUITINGZhengzhou, Henan, China
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The Second Affiliated Hospital of Soochow University
NOT_YET_RECRUITINGSuzhou, Jiangsu, China
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Tieling Central Hospital
RECRUITINGTieling, Liaoning, China
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Tiemei General Hospital of Liaoning Health Industry Group
RECRUITINGTieling, Liaoning, China
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Tongliao People's Hospital
NOT_YET_RECRUITINGTongliao, Inner Mongolia, China
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