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ACHIEVE Pilot Statins for Vascular Protection

A Cluster-randomized Trial to Improve Use of High IntEnsity Statins for Vascular Protection

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT06551701
Acronym
ACHIEVE
Enrollment
225
Registered
2024-08-13
Start date
2025-05-19
Completion date
2025-07-31
Last updated
2026-07-01

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

Conditions

ASCVD

Keywords

Statin

Brief summary

ACHIEVE aims to increase statin usage among patients with ASCVD by having a pharmacist talk to patients and providers.

Detailed description

Atherosclerotic cardiovascular disease (ASCVD) is the leading cause of death in the United States (U.S.) Statins reduce the risk of cardiovascular events by 30% in those with prior history of ASCVD. Despite being inexpensive and well-tolerated, however, statins are underused in clinical practice, particularly in patients who identify as Black. A large-scale intervention to improve evidence-based statin initiation among individuals with ASCVD is needed, particularly for the Black population. To meet this need, we aim to conduct a multi-center, pragmatic, cluster randomized, controlled trial to assess the impact of a provider- and patient-directed intervention to increase the prescription of, and adherence to, appropriate statin therapy among those with ASCVD (ACHIEVE: A Controlled trial to improve use of High IntEnsity statins for Vascular protEction). The intervention will be pharmacist-led, embedded in commercial payer systems, partnering with the National Committee for Quality Assurance (NCQA), and with a particular emphasis on improving statin use in the Black population.

Interventions

OTHERPharmacist call

Pharmacists will call patients and their providers to discuss benefits of statin use

Sponsors

Duke University
Lead SponsorOTHER
Carelon Research
CollaboratorOTHER
Harvard Pilgrim Health Care
CollaboratorOTHER
National Heart, Lung, and Blood Institute (NHLBI)
CollaboratorNIH

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

* Patients with a diagnosis of atherosclerotic cardiovascular disease currently not treated with a moderate- high intensity statin and the providers that care for them. * Patient age 18-75

Exclusion criteria

* Hemodialysis * History of rhabdomyolysis

Design outcomes

Primary

MeasureTime frameDescription
Provider engagement as measured by recruitment2 yearsThe goal is recruiting at least 25% of identified providers.
Patient engagement as measured by recruitment2 yearsThe goal is to recruit at least 30% of identified patients overall and within the black population

Countries

United States

Contacts

PRINCIPAL_INVESTIGATORChristopher Granger, MD

Duke University

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jul 2, 2026