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SPREAD Study Secondary Prevention of coRonary Events After Discharge from hospital

A randomized ,open trial comparing post discharge interventions to standard care in acute coronary syndrome(ACS) patients - SPREAD

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2013/12/004259
Enrollment
806
Registered
2013-12-30
Start date
Unknown
Completion date
Unknown
Last updated
2021-11-24

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

Conditions

Health Condition 1: null- Cardio vascular Diseases

Interventions

Intervention1: SPREAD interventions group : Participants in the SPREAD Intervention group will be followed up by trained health workers in addition to routine treating physicians care. Health workers

Sponsors

Department of Health Human Services
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Consenting patients being discharged after an acute coronary event such as unstable angina, acute myocardial infarction, or after coronary intervention (CABG surgery or PCI).

Exclusion criteria

Exclusion criteria: Patients with other terminal/ debilitating illness, (e.g., advanced cancer, disabling stroke) those not expected to survive for the study duration, those with dementia and psychiatric illness or patients unlikely to comply with study requirements, including regular follow up.

Design outcomes

Primary

MeasureTime frame
The two primary outcomes for the pilot study include 1. Feasibility (recruit 800 patients in 1 year, follow 95% of randomized patients, have the CHW administer the intervention at 90% of the planned visits) 2. Difference in adherence to CAD (Coronary Artery Diseases) medications (antiplatelet, beta blockers, ACE inhibitors, ARB, diuretics and statins) for secondary prevention compared to the control group, at one year.Timepoint: 12 months

Secondary

MeasureTime frame
To determine the feasibility of conducting a secondary prevention trial on adherence to medications and lifestyle advice, and to obtain estimates of rates of adherence to pharmacotherapy and lifestyle modification interventions and the rates of major cardiovascular events. Timepoint: 12 Month

Countries

India

Contacts

Public ContactDr Alben Sigamani

St.Johns Research Institute

denis@sjri.res.in080-25526382

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026