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Dose Titration Study: Assess the efficacy of dose titration in improving statin therapy following a heart attack

Evaluate the effects of dose titration of statin therapy following non-ST elevation myocardial infarction on reducing side effects and enhancing adherence through a randomized controlled trial.

Status
Not yet recruiting
Phases
Phase 3
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12625000608460
Enrollment
50
Registered
2025-06-12
Start date
2025-06-18
Completion date
2025-09-19
Last updated
2025-09-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The primary purpose of this study is to see if titration of statin therapy can improve adherence and therefore outcomes while reducing the known side effects of statin therapy

Interventions

The intervention involves gradually adjusting the dose of statin medication for patients who have experienced a non-ST elevation myocardial infarction (NSTEMI). Starting with a lower dose, the medication will be titrated upward over time until the desired effect is achieved. This approach aims to minimize potential side effects associated with statin therapy while still providing the cardiovascular benefits. The dose will be commenced at Atorvastatin 10mg daily and doubled every month for 4 mon

The intervention involves gradually adjusting the dose of statin medication for patients who have experienced a non-ST elevation myocardial infarction (NSTEMI). Starting with a lower dose, the medication will be titrated upward over time until the desired effect is achieved. This approach aims to minimize potential side effects associated with statin therapy while still providing the cardiovascular benefits. The dose will be commenced at Atorvastatin 10mg daily and doubled every month for 4 months until a maximum dose of 80mg daily is obtained. 10mg daily for one month, 20mg daily for one month, 40mg daily for one month and 80m daily for one month. The titrated dose will be continued for one month until a maximum dose is achieved and will be continued daily regularly The administation will be an oral tablet Drug adherence will be monitored by self reporting check list that will be provided to the patient that they can record when they have taken the medication and if they have any side effects and then a 6 monthly standard blood test will be done post their non ST elevation MI to assess lipid reduction (as per standard management protocol for NSTEMI)

Sponsors

Sunshine Hospital, Western Health
Lead SponsorHospital

Study design

Allocation
Randomised controlled trial
Primary purpose
Treatment

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Key Inclusion Criteria: 1. Diagnosis of Non-ST Elevation Myocardial Infarction (NSTEMI) 2. Prescribed statin therapy as part of post-NSTEMI management 3. Ability to provide informed consent 4. Age 18 years or older

Exclusion criteria

Key Exclusion Criteria: 1. History of statin intolerance or allergy 2. Inability to adhere to the study protocol or complete required assessments 3. Contraindication to statin therapy 4. Severe comorbidities or conditions affecting life expectancy 5. Participation in another clinical trial involving lipid-lowering medications

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026