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CompletedNCT04656847PRIDEUpdated Nov 1, 2024Results posted

PRIDE. Assessment of the Efficacy, Adherence and Tolerability of the Single Pill Combination Bisoprolol/Perindopril

An observational study in Coronary Artery Disease, Myocardial Infarction and Arterial Hypertension, sponsored by Servier Russia. Completed at 1 site in Russia. Open to participants aged 18 Years to 79 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-11-01.

Sponsored by Servier Russia · Observational

Study type
Observational
Model
Other
Time perspective
Other
Enrollment
504
Ages
18 Years to 79 Years
Sex
All
01

Study summary

This non-interventional, ambispective study was aimed at evaluating the effectiveness, safety, and tolerability of bisoprolol and perindopril SPC in previous myocardial infarction patients with HTN and CAD treated with the drug for 12 weeks in the daily clinical practice. SPC will be used according to the approved instruction for medical use of the medicine.

This is a multi-centre, observational, incomparative, ambispective study, which will retrospectively and prospectively collect clinical variables and socio-demographic data from medical records of patients with HTN and previous MI initiated with bisoprolol/perindopril SPC in real life settings.

Read the detailed description

This is a multi-centre, observational, incomparative, ambispective study, which will retrospectively and prospectively collect clinical variables and socio-demographic data from medical records of patients with HTN and previous MI initiated with bisoprolol/perindopril SPC in real life settings.

Baseline data will be collected retrospectively from medical records of stable CAD patients with HTN and a history of MI, including disease history of the patient. To be included in the study for further prospective observation a patient should have been administered bisoprolol/ perindopril SPC within first three months before the Index Date. (Fig.1). Therefore, criteria for non-inclusion or inclusion of the patient in the study are to be retrospectively evaluated by the investigator using recorded clinical data available from medical records. Once a physician makes decision to include a patient in the study and, in particular, on the prospective observation for 3 months, a visit to the clinic for obtaining signed patient's consent to participate in the study should be appointed and made within 1 month from the Index Date.

Retrospective screening and evaluation of patient's eligibility to inclusion/ exclusion criteria for entering the study allows mitigating a potential risk of deliberative medicine administration within the observational program. Such studies are carried out in case of observational programs when the studied drug is administered in line with indications according to the instruction for its medical use.

Several multicenter, non-interventional, open, incomparable studies have been performed with bisoprolol/perindopril SPC in patients with HTN and coronary heart disease. A total of 70 general practitioners and cardiologists from primary care facilities will participate in the program. Each doctor will include about 7-8 patients. In total, it is planned to include at least 500 patients.

02

Conditions studied

  • Coronary Artery Disease
  • Myocardial Infarction
  • Arterial Hypertension
03

In context

Coronary Artery Disease

5,676 studies on the registry are indexed under Coronary Artery Disease; 958 are open to participants now.

This study's enrollment of 504 is above the median of 335 across 1,978 observational studies indexed under Coronary Artery Disease.

Browse Coronary Artery Disease studies →

Lead sponsor

Servier Russia is the lead sponsor of 15 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 79 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

CAD patients with previous MI and HTN

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients with stable angina pectoris of class I-III according to the Canadian Cardiovascular Society (CCS) classification and a history of myocardial infarction no earlier (not less) than 3 months before inclusion in the study.

HTN (including resistant* hypertension)

  • Signed informed consent to participate in the study.
  • Bisoprolol/ perindopril SPC prescription** within 3 month period before Index date

Exclusion criteria

Exclusion Criteria:

  • Hypersensitivity to bisoprolol, perindopril, excipients of the medicine, or other ACE inhibitors.
  • Any contraindication for bisoprolol/perindopril's SPC according to the instruction for medical use
  • CAD, angina pectoris of functional class IV according to the CCS classification (Appendix 1).
  • Chronic heart failure of class III-IV according to the New York Heart Association (NYHA) functional classification of heart failure (Appendix 3).
  • Cerebrovascular diseases (ischemic, haemorrhagic stroke, or transient ischemic attack) within the past 6 months prior to inclusion in the study.
  • A history of revascularization procedure within 3 months prior to inclusion in the study.
  • Hypertrophic obstructive cardiomyopathy.
  • Office BP ≥ 180/110 mm Hg on treatment
  • Type 1 diabetes mellitus and decompensated type 2 diabetes mellitus.
  • Bradycardia with a heart rate of less than 60 beats per minute.
  • Atrioventricular block (II-III degree), sinoatrial block, or sick sinus syndrome.
  • Severe bronchial asthma or severe chronic obstructive pulmonary disease.
  • Arterial hypotension (BP less than 100/70 mm Hg).
  • Pregnancy, breastfeeding.
  • Secondary hypertension.
  • Severe decompensated diseases of organs and systems requiring continuous treatment.
  • Current participation in another clinical trial and within 30 days prior to signing informed consent.
05

Study design

Observational model
Other
Time perspective
Other
Enrollment
504 participants (actual)
Patient registry
No

Interventions

  • Drugin daily everyday routine practice

    patients with HTN and CAD treated with the the single pill combination bisoprolol/perindopril for 12 weeks in the daily clinical practice Retrospective screening and evaluation of patient's eligibility to inclusion/ exclusion criteria for entering the study allows mitigating a potential risk of deliberative medicine administration within the observational program.

    Also known as: Baseline data will be collected retrospectively from medical records of stable CAD patients with HTN and a history of MI, including disease history of the patient.

06

What researchers measure

Primary outcomes

  1. Antihypertensive Effectiveness (SBP and DBP) of Bisoprolol/Perindopril SPC in CAD Patients With Previous MI and HTN at Week 12 of Treatment Compared With Baseline

    Change in the mean systolic and diastolic BP levels at week 12 of treatment with SPC compared with baseline among patients included in the study.

    Time frame: 3 months

Secondary outcomes

  1. Change in Mean Systolic and Diastolic BP Levels at Week 4 Compared With Baseline.

    Change in mean systolic and diastolic BP levels at week 4 of treatment with SPC compared with baseline.

    Time frame: 1 month

  2. Change in Number of Angina Attacks Per Week at Week 4 Compared With Baseline.

    Change in number of angina attacks per week at week 4 of treatment compared with baseline.

    Time frame: 1 month

  3. Change in Number of Angina Attacks Per Week at Week 12 Compared With Baseline

    Change in number of angina attacks per week at week 12 of treatment compared with baseline.

    Time frame: 3 months

  4. Proportion of Patients Who Were Taking Lipid Lowering Therapy

    Proportion of patients who were taking lipid lowering therapy (LLT) at week 12 of treatment

    Time frame: 3 months

  5. SBP ≤140 mm Hg and DBP ≤90 mm Hg at Week 4 Compared With Baseline

    Proportion of patients who achieved SBP ≤140 mm Hg and DBP ≤90 mm Hg at week 4.

    Time frame: 1 month

  6. SBP ≤140 mm Hg and DBP ≤90 mm Hg at Week 12 Compared With Baseline

    Proportion of patients who achieved SBP ≤140 mm Hg and DBP ≤90 mm Hg at week 12

    Time frame: 3 months

  7. Younger Than 65 Who Achieved SBP ≤130 mm Hg and DBP ≤80 mm Hg at Week 4 of Treatment Compared With Baseline

    Proportion of patients younger than 65 who achieved SBP ≤130 mm Hg and DBP ≤80 mm Hg at week 4 of treatment

    Time frame: 1 month

  8. Younger Than 65 Who Achieved SBP ≤130 mm Hg and DBP ≤80 mm Hg at Week 12 of Treatment

    Proportion of patients younger than 65 who achieved SBP ≤130 mm Hg and DBP ≤80 mm Hg at week 12 of treatment.

    Time frame: 3 months

  9. Older Than 65 Years Who Achieved SBP≤140 mm Hg and DBP ≤90 mm Hg at Week 4 of Treatment

    Proportion of patients older than 65 years who achieved SBP≤140 mm Hg and DBP ≤90 mm Hg at week 4 of treatment

    Time frame: 1 month

  10. Older Than 65 Years Who Achieved SBP≤140 mm Hg and DBP ≤90 mm Hg at Week 12 of Treatment

    Proportion of patients older than 65 years who achieved SBP≤140 mm Hg and DBP ≤90 mm Hg at week 12 of treatment

    Time frame: 3 months

  11. Mean Heart Rate (HR) at Week 4 Compared With Baseline.

    Changes in the mean heart rate (HR) at week 4 of treatment compared with baseline

    Time frame: 1 month

  12. Mean Heart Rate (HR) at Week 12 Compared With Baseline.

    Changes in the mean heart rate (HR) at week 12 of treatment compared with baseline

    Time frame: 3 months

  13. Patients Who Achieved Target Level of Resting HR (55-60 Bpm) at Week 4

    Proportion of patients who achieved target level of resting HR (55-60 bpm) at week 4 of treatment.

    Time frame: 1 month

  14. Patients Who Achieved Target Level of Resting HR (55-60 Bpm) at Week 12

    Proportion of patients who achieved target level of resting HR (55-60 bpm) at week 12 of treatment.

    Time frame: 3 months

07

Results

Posted Nov 1, 2024

Participant flow

1 Month After Inclusion
Participant flow — 1 Month After Inclusion
MilestoneCAD Patients With Previous MI and HTN
Started504
Lipid lowering therapy463
Completed504
Not completed0
3 Month After Inclusion
Participant flow — 3 Month After Inclusion
MilestoneCAD Patients With Previous MI and HTN
Started504
3 month after inclusion504
Lipid lowering therapy463
Completed481
Not completed23
Withdrew: Lack of data on myocardial infarction and/or data by visits23

Outcome measures

PrimaryAntihypertensive Effectiveness (SBP and DBP) of Bisoprolol/Perindopril SPC in CAD Patients With Previous MI and HTN at Week 12 of Treatment Compared With Baseline

Change in the mean systolic and diastolic BP levels at week 12 of treatment with SPC compared with baseline among patients included in the study.

Time frame:
3 months
Reported as:
Mean · mm Hg
Antihypertensive Effectiveness (SBP and DBP) of Bisoprolol/Perindopril SPC in CAD Patients With Previous MI and HTN at Week 12 of Treatment Compared With Baseline
mm HgCAD Patients With Previous MI and HTN
SBP-24.92 ± 16.43
DBP-12.21 ± 11.03
SecondaryChange in Mean Systolic and Diastolic BP Levels at Week 4 Compared With Baseline.

Change in mean systolic and diastolic BP levels at week 4 of treatment with SPC compared with baseline.

Time frame:
1 month
Reported as:
Mean · mm Hg
Change in Mean Systolic and Diastolic BP Levels at Week 4 Compared With Baseline.
mm HgCAD Patients With Previous MI and HTN
Systolic BP-17.32 ± 13.97
Dyastolic BP-8.39 ± 8.79
SecondaryChange in Number of Angina Attacks Per Week at Week 4 Compared With Baseline.

Change in number of angina attacks per week at week 4 of treatment compared with baseline.

Time frame:
1 month
Reported as:
Mean · angina attacks per week
Change in Number of Angina Attacks Per Week at Week 4 Compared With Baseline.
angina attacks per weekCAD Patients With Previous MI and HTN
Change in Number of Angina Attacks Per Week at Week 4 Compared With Baseline.2.76 ± 2.26
SecondaryChange in Number of Angina Attacks Per Week at Week 12 Compared With Baseline

Change in number of angina attacks per week at week 12 of treatment compared with baseline.

Time frame:
3 months
Reported as:
Mean · angina attacks per week
Change in Number of Angina Attacks Per Week at Week 12 Compared With Baseline
angina attacks per weekCAD Patients With Previous MI and HTN
Change in Number of Angina Attacks Per Week at Week 12 Compared With Baseline0.95 ± 0.94
SecondaryProportion of Patients Who Were Taking Lipid Lowering Therapy

Proportion of patients who were taking lipid lowering therapy (LLT) at week 12 of treatment

Time frame:
3 months
Reported as:
Number · Number of Participants Who Were Taking L
Proportion of Patients Who Were Taking Lipid Lowering Therapy
Number of Participants Who Were Taking LCAD Patients With Previous MI and HTN
Proportion of Patients Who Were Taking Lipid Lowering Therapy397
SecondarySBP ≤140 mm Hg and DBP ≤90 mm Hg at Week 4 Compared With Baseline

Proportion of patients who achieved SBP ≤140 mm Hg and DBP ≤90 mm Hg at week 4.

Time frame:
1 month
Reported as:
Count of participants · Participants
SBP ≤140 mm Hg and DBP ≤90 mm Hg at Week 4 Compared With Baseline
ParticipantsCAD Patients With Previous MI and HTN
SBP ≤140 mm Hg and DBP ≤90 mm Hg at Week 4 Compared With Baseline330
SecondarySBP ≤140 mm Hg and DBP ≤90 mm Hg at Week 12 Compared With Baseline

Proportion of patients who achieved SBP ≤140 mm Hg and DBP ≤90 mm Hg at week 12

Time frame:
3 months
Reported as:
Count of participants · Participants
SBP ≤140 mm Hg and DBP ≤90 mm Hg at Week 12 Compared With Baseline
ParticipantsCAD Patients With Previous MI and HTN
SBP ≤140 mm Hg and DBP ≤90 mm Hg at Week 12 Compared With Baseline417
SecondaryYounger Than 65 Who Achieved SBP ≤130 mm Hg and DBP ≤80 mm Hg at Week 4 of Treatment Compared With Baseline

Proportion of patients younger than 65 who achieved SBP ≤130 mm Hg and DBP ≤80 mm Hg at week 4 of treatment

Time frame:
1 month
Reported as:
Count of participants · Participants
Younger Than 65 Who Achieved SBP ≤130 mm Hg and DBP ≤80 mm Hg at Week 4 of Treatment Compared With Baseline
ParticipantsCAD Patients With Previous MI and HTN
Younger Than 65 Who Achieved SBP ≤130 mm Hg and DBP ≤80 mm Hg at Week 4 of Treatment Compared With Baseline86
SecondaryYounger Than 65 Who Achieved SBP ≤130 mm Hg and DBP ≤80 mm Hg at Week 12 of Treatment

Proportion of patients younger than 65 who achieved SBP ≤130 mm Hg and DBP ≤80 mm Hg at week 12 of treatment.

Time frame:
3 months
Reported as:
Count of participants · Participants
Younger Than 65 Who Achieved SBP ≤130 mm Hg and DBP ≤80 mm Hg at Week 12 of Treatment
ParticipantsCAD Patients With Previous MI and HTN
Younger Than 65 Who Achieved SBP ≤130 mm Hg and DBP ≤80 mm Hg at Week 12 of Treatment143
SecondaryOlder Than 65 Years Who Achieved SBP≤140 mm Hg and DBP ≤90 mm Hg at Week 4 of Treatment

Proportion of patients older than 65 years who achieved SBP≤140 mm Hg and DBP ≤90 mm Hg at week 4 of treatment

Time frame:
1 month
Reported as:
Count of participants · Participants
Older Than 65 Years Who Achieved SBP≤140 mm Hg and DBP ≤90 mm Hg at Week 4 of Treatment
ParticipantsCAD Patients With Previous MI and HTN
Older Than 65 Years Who Achieved SBP≤140 mm Hg and DBP ≤90 mm Hg at Week 4 of Treatment109
SecondaryOlder Than 65 Years Who Achieved SBP≤140 mm Hg and DBP ≤90 mm Hg at Week 12 of Treatment

Proportion of patients older than 65 years who achieved SBP≤140 mm Hg and DBP ≤90 mm Hg at week 12 of treatment

Time frame:
3 months
Reported as:
Count of participants · Participants
Older Than 65 Years Who Achieved SBP≤140 mm Hg and DBP ≤90 mm Hg at Week 12 of Treatment
ParticipantsCAD Patients With Previous MI and HTN
Older Than 65 Years Who Achieved SBP≤140 mm Hg and DBP ≤90 mm Hg at Week 12 of Treatment162
SecondaryMean Heart Rate (HR) at Week 4 Compared With Baseline.

Changes in the mean heart rate (HR) at week 4 of treatment compared with baseline

Time frame:
1 month
Reported as:
Mean · beats per minute
Mean Heart Rate (HR) at Week 4 Compared With Baseline.
beats per minuteCAD Patients With Previous MI and HTN
Mean Heart Rate (HR) at Week 4 Compared With Baseline.-10.87 ± 10.36
SecondaryMean Heart Rate (HR) at Week 12 Compared With Baseline.

Changes in the mean heart rate (HR) at week 12 of treatment compared with baseline

Time frame:
3 months
Reported as:
Mean · beats per minute
Mean Heart Rate (HR) at Week 12 Compared With Baseline.
beats per minuteCAD Patients With Previous MI and HTN
Mean Heart Rate (HR) at Week 12 Compared With Baseline.-14.44 ± 11.69
SecondaryPatients Who Achieved Target Level of Resting HR (55-60 Bpm) at Week 4

Proportion of patients who achieved target level of resting HR (55-60 bpm) at week 4 of treatment.

Time frame:
1 month
Reported as:
Count of participants · Participants
Patients Who Achieved Target Level of Resting HR (55-60 Bpm) at Week 4
ParticipantsCAD Patients With Previous MI and HTN
Patients Who Achieved Target Level of Resting HR (55-60 Bpm) at Week 482
SecondaryPatients Who Achieved Target Level of Resting HR (55-60 Bpm) at Week 12

Proportion of patients who achieved target level of resting HR (55-60 bpm) at week 12 of treatment.

Time frame:
3 months
Reported as:
Count of participants · Participants
Patients Who Achieved Target Level of Resting HR (55-60 Bpm) at Week 12
ParticipantsCAD Patients With Previous MI and HTN
Patients Who Achieved Target Level of Resting HR (55-60 Bpm) at Week 12150

Adverse events

Collected over 3 month. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
CAD Patients With Previous MI and HTN0/504 (0%)0/504 (0%)0/504 (0%)

Baseline characteristics

The study enrolled 504 patients. Of them, 481 (95.44%) were included in the population for analysis. Withdrawal of 23 patients occurred due to lack of data on myocardial infarction and/or data by visits of the study.

Age, Continuous
Age, Continuous(years)CAD Patients With Previous MI and HTN
Mean61.38 ± 8.87
Sex: Female, Male
Sex: Female, Male(Participants)CAD Patients With Previous MI and HTN
Female154
Male327
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)CAD Patients With Previous MI and HTN
Region of Enrollment
Region of Enrollment(participants)CAD Patients With Previous MI and HTN
Russia481
08

Study locations

1 site
  • Peoples' Friendship University of Russia
    Moscow, Russia
09

References and documents

Publications

  • Kobalava Z, Kvasnikov B, Burtsev Y; PRIDE study investigators. Effectiveness and Tolerability of Bisoprolol/Perindopril Single-Pill Combination in Patients with Arterial Hypertension and a History of Myocardial Infarction: The PRIDE Observational Study. Adv Ther. 2023 Jun;40(6):2725-2740. doi: 10.1007/s12325-023-02462-9. Epub 2023 Apr 8. PubMed 37029871 ↗

Study documents

  • Protocol and statistical analysis plan · Mar 10, 2020
  • Informed consent form · Mar 10, 2020

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2021 to primary completion in Oct 2021, 7 months.

Results were first posted in Nov 2024, 3 years after primary completion.

Of 131 industry-sponsored observational studies under Coronary Artery Disease, half reached primary completion within 27 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 42. This study's 7 months is below that.

Counting every sponsor, half of 857 studies reached it within 43 months; a quarter within 22 and three quarters within 88.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 30, 2020
First posted
Dec 7, 2020
StartActual
Mar 1, 2021
Primary completionActual
Oct 5, 2021
CompletionActual
Oct 18, 2021
Results first posted
Nov 1, 2024
Last update
Nov 1, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 1, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04656847
Lead sponsor
Servier Russia
Responsible party
Sponsor
First posted
Dec 7, 2020
Start date
Mar 1, 2021
Primary completion
Oct 5, 2021
Completion
Oct 18, 2021
Results posted
Nov 1, 2024
Last update
Nov 1, 2024

Study contacts

Zhanna Kobalava, Professor
principal investigator

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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