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Not yet recruitingNCT07117695DUKE PREVENTUpdated Sep 8, 2026

Duke Cardiometabolic Prevention Clinic's Impact on High-risk Cardiovascular Patients With Uncontrolled Risk Factors

An interventional study of Referral to the Duke Cardiometabolic Prevention Clinic in ASCVD, Hyperlipidemia and Hypertension, sponsored by Duke University. Not yet recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-08.

Sponsored by Duke University · Not applicable, Interventional, and Health services research

Phase
Not applicable
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This project is studying whether a team-based specialty clinic can help people with type 2 diabetes and heart disease better manage their blood pressure and cholesterol. The clinic includes coordinated care from heart doctors, kidney doctors, diabetes specialists, and liver doctors.

The study will compare two groups of patients: one receiving usual care from their primary care provider, and one referred to the Duke Cardiometabolic Prevention Clinic for multidisciplinary care. The main goals are to find out if this clinic improves blood pressure and cholesterol control over 12 months, increases use of recommended heart medications, and reduces hospital visits and other healthcare use.

Participants will be randomly assigned to one of the two groups. Those referred to the clinic will: 1) Meet with a cardiologist for an initial evaluation. 2) Be referred to other specialists (such as endocrinology, nephrology, or hepatology) based on their needs. 3) Receive ongoing, coordinated care from a team of specialists working together to improve their heart and metabolic health.

02

Conditions studied

  • ASCVD
  • Hyperlipidemia
  • Hypertension

Keywords

  • ASCVD
  • Cardiometabolic Clinic
  • Prevention
  • Hypertension
  • Hyperlipidemia
03

In context

Hyperlipidemias

861 studies on the registry are indexed under Hyperlipidemias; 110 are open to participants now.

This study's planned enrollment of 150 is above the median of 88 across 735 interventional studies indexed under Hyperlipidemias.

Browse Hyperlipidemias studies →

Lead sponsor

Duke University is the lead sponsor of 2,063 studies on the registry; 273 are open to participants now.

Of its 204 completed or terminated interventional studies of FDA-regulated products, 167 (82%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

  1. Adults ≥ 18 years of age
  2. Prior history of cardiovascular disease (prior history of CAD, MI, ischemic stroke, PVD, any arterial revascularization)
  3. Type 2 Diabetes
  4. Uncontrolled sBP AND LDL-C within the preceding 3 months:

    • SBP > 150mmHg on at least 1 occasion in last 3 months, AND
    • LDL > 130mg/dL in last 3 months

      • NOTE: If there are not enough patients with the above inclusion criteria available for enrollment, then we will expand the criteria to include patients with uncontrolled sBP and LDL-C within the last 6 months.

Exclusion criteria

Exclusion Criteria:

  1. Currently or previously established with providers in the Duke Cardiometabolic Prevention Clinic (Pagidipati, Shah, McGarrah, Blazing, Kelsey)
  2. History of advanced dementia
  3. Referred to hospice/on hospice
  4. Lives outside of Durham County, Orange County, Wake County, Person County or Granville County
  5. End Stage Renal Disease (those on dialysis or with EGFR \<20)
  6. History of cardiac transplant/Listed for Cardiac Transplant/Followed by Advanced Heart Failure
  7. Pregnant/Planning to become pregnant during study period
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
150 participants (estimated)

Study arms

  • Experimental
    Referral to Cardiometabolic Prevention Clinic

    Participants referred to the Duke Cardiometabolic Prevention Clinic will be evaluated by a cardiology provider and receive coordinated care based on their risk factors. This may include referrals to specialists in endocrinology, nephrology, or hepatology. A multidisciplinary team will manage their care to help improve heart and metabolic health.

    Other: Referral to the Duke Cardiometabolic Prevention Clinic

  • No intervention
    Standard of Care Group

    Participants in the standard care group will not be contacted directly and will continue their usual care with their primary care provider.

Interventions

  • OtherReferral to the Duke Cardiometabolic Prevention Clinic

    Patients who are referred to the cardiometabolic prevention clinic within the intervention arm will be evaluated first by a cardiology provider (as each patient has a history of ASCVD). On this initial visit, the cardiology provider will assess the patient's risk factor profile - to identify the presence of co-morbid conditions or uncontrolled risk factors. The need for additional referrals to other clinicians within the cardiometabolic clinic will specifically outlined criteria. These referrals will be offered to the patient and facilitated after the first visit. Preventive care will follow routine, evidence-based care. Clinicians within the cardiometabolic prevention clinic will meet bi-weekly to discuss enrolled patients, thus every individual in the intervention arm will receive coordinated, multi-specialty care.

06

What researchers measure

Primary outcomes

  1. Change in LDL-C

    Change in low-density-lipoprotein cholesterol from baseline

    Time frame: Baseline, 12 months after enrollment

  2. Change in Systolic Blood Pressure

    Change in systolic blood pressure from baseline

    Time frame: Baseline, 12 months after enrollment

Secondary outcomes

  1. Number of participants meeting Risk Factor Targets

    Those achieving both of the following, and of attaining each component individually: systolic blood pressure (sBP) \< 130 and low-density-lipoprotein (LDL) \< 70mg/dL

    Time frame: 12 months after enrollment

  2. Change in Number of participants on Evidence-Based Medication Targets

    Evidence-based medications include (where appropriate) ACE/ARB/ARNI, high-intensity statin, SGLT2i or GLP-1 RA.

    Time frame: Baseline, 12 months after enrollment

Other outcomes

  1. Time to first composite event of all-cause mortality, myocardial infarction, stroke, or coronary revascularization

    Time frame: 12 months after enrollment

  2. Healthcare Utilization: Outpatient Encounters

    Number of outpatient encounters

    Time frame: 12 months after enrollment

  3. Healthcare Utilization: All-cause hospitalizations

    Number of all-cause hospitalizations

    Time frame: 12 months after enrollment

  4. Healthcare Utilization: Number of cardiovascular (CV) hospitalizations

    CV hospitalizations include those for MI (myocardial infarction), HF (heart failure), stroke, coronary or peripheral revascularization/amputation.

    Time frame: 12 months after enrollment

07

Study locations

1 site
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

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

Start is estimated for Oct 2026; primary completion for Oct 2027, 12 months later.

Of 166 non-industry interventional studies with no phase under Hyperlipidemias, half reached primary completion within 16 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 31. This study's planned 12 months is below that.

Counting every sponsor, half of 171 studies reached it within 15 months; a quarter within 7 and three quarters within 31.

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

Registered
Aug 5, 2025
First posted
Aug 12, 2025
StartEst.
Oct 2, 2026
Primary completionEst.
Oct 27, 2027
CompletionEst.
Feb 27, 2028
Last update
Sep 8, 2026
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 Sep 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07117695
Lead sponsor
Duke University
Collaborators
Barnhill Family Foundation
Responsible party
Sponsor
First posted
Aug 12, 2025
Start date
Oct 2, 2026 (estimated)
Primary completion
Oct 27, 2027 (estimated)
Completion
Feb 27, 2028 (estimated)
Last update
Sep 8, 2026

Study contacts

Sarah Burns, MSCR
Contact
sarah.durden@duke.edu
910-272-7239
Neha J Pagidipati, MD, MPH
principal investigator · Duke University

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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