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Primary Prevention of Major Adverse Cardiac Events (MACE) With Standard and Intensive Statin Treatment in Patients With Diabetes: Survival and Cardiovascular Event Assessments (POSITIVE)

P

Positive Trial Group

Status

Terminated

Conditions

Hypertension
Hypercholesterolemia
Type 2 Diabetes

Treatments

Drug: Pravastatin
Drug: Rosuvastatin

Study type

Interventional

Funder types

Other

Identifiers

Details and patient eligibility

About

The study is being conducted to compare the effect of standard treatment (target LDL-C level: <120 mg/dL (JASGL 2007 target level)) and intensive treatment (target LDL-C level: <70 mg/dL) in the prevention of major adverse cardiac events (MACE) in hypercholesterolemia patients with concomitant type 2 diabetes and hypertension.

Enrollment

10,000 estimated patients

Sex

All

Ages

50+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Patients meeting the following inclusion criteria will be included in the study:

  1. Patients giving voluntary written consent to participate in the study

  2. Male or female patients 50 years of age or older (at informed consent)

  3. Hypercholesterolemia patients (Untreated patients: LDL-C level ≥140 mg/dL; treated patients: LDL-C level ≥120 mg/dL)

  4. Type 2 diabetes patients (HbA1c level ≥6.1% (JDS criteria), with or without history of drug therapy)

  5. Hypertension patients (SBP ≥130 mmHg or DBP ≥80 mmHg, with or without history of drug therapy)

  6. Patients with two or more of the following risk factors

    • Male
    • 65 years of age or older
    • Smoker
    • L/H ratio: ≥3.0 •HbA1c level: ≥8.0%
    • Left ventricular hypertrophy
    • First- or second-degree family history of MACE
    • Microalbuminuria (quantitative testing: ≥30 mg/dL), proteinuria (qualitative testing: + or higher) or eGFR (<60 mL/min/1.73 m2)

Exclusion criteria

Patients meeting the following criteria will be excluded from the study:

  1. Patients receiving rosuvastatin, pitavastatin, or atorvastatin therapy within one month prior to informed consent
  2. Patients judged to have familial hypercholesterolemia
  3. Patients with a serum triglyceride level of ≥400 mg/dL
  4. Patients with a history of myocardial infarction
  5. Patients with a history of coronary revascularization (PCI or CABG)
  6. Patients with a history of treatment of unstable angina
  7. Patients with a history of cerebrovascular accident (excluding asymptomatic lacunar infarction)
  8. Heart failure patients
  9. Patients with a history of hypersensitivity to statins
  10. Patients with a history of drug-induced myopathy
  11. Patients with poorly controlled arrhythmia
  12. Patients with severe liver or kidney disease
  13. Patients with serious concurrent disease, such as malignancy, or patients with severely limited lifespan
  14. Patients who are or may be pregnant
  15. Patients judged by the investigators to be ineligible for participation in the study for any other reason

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Single Group Assignment

Masking

None (Open label)

10,000 participants in 2 patient groups

Active comparator: Standard Pravastatin Group
Active Comparator group
Treatment:
Drug: Pravastatin
Intensive Rosuvastatin Group
Active Comparator group
Treatment:
Drug: Rosuvastatin

Trial contacts and locations

317

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Data sourced from clinicaltrials.gov

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