About this trial
Interventional study to compare standard of care vs standard of care plus the use of a medication therapy management smartphone app (mediteo m+, Mediteo GmbH, Heidelberg) in patients with atherosclerotic cardiovascular disease and indication to start high intensity statin therapy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age >18 years
Atherosclerosis (neurovascular, cardiac or peripheral) with an indication to start a high intensity statin-therapy (equivalent to 40mg of atorvastatin or 20mg of rosuvastatin; start of statin therapy +/- 10 days of enrolment)
Statin naivety
LDL-C >100 mg/dl. No older than 21 days
Disqualifiers
Inability to take medication independently or to use the mediteo m+ app independently (e.g. people in need of care, people with dementia)
Patient has no own smartphone (no device provided for this study)
Prior drug therapy to lower LDL-C within the last 30 days
Active cancer (defined as a diagnosis of cancer within 6 months before enrolment, any treatment for cancer within the previous 6 months, or recurrent or metastatic cancer) or other severe concomitant disease with a life expectancy of <6 months
Trial design
Parallel
Treatments tested in this trial
Medication management app (mediteo m+, Mediteo GmbH, Heidelberg)
Other interventionFree access to a study version of the medication management app mediteo m+ for reminders and documentation of statin therapy in addition to usual care
Treatment groups
Trial outcomes
Primary outcomes
Relative change in LDL-C
Relative change in LDL-C (mg/dl) after 6 months measured by study site (or according to the value measured by the family physician, if the value measured by the study site is not available after 6 months) as compared to baseline-value
Secondary outcomes
Modified Rankin Scale (mRS)-Score after 6 months
Change in mRS \[0 to 6, higher scores indicating worse outcome\] after 6 months
Proportion of available LDL-C values measured by the family physician after 6 months
Proportion of available LDL-C values measured by the family physician after 6 months
Relative change in high density lipoprotein-cholesterol (HDL-C) after 6 months
Relative change in HDL-C (mg/dl) after 6 months as compared to baseline-value
Relative change in total cholesterol after 6 months
Relative change in total cholesterol (mg/dl) after 6 months as compared to baseline-value
Sponsors and contacts
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