ClinicalTrials.gg
RecruitingNCT07334834OPTIMIZE ASCVDUpdated Jan 23, 2026

Implementation of an Algorithm- and Multi-professional Team-supported Strategy to Improve Lipid Management of Patients With Atherosclerotic Cardiovascular Disease

An interventional study of Algorithm- and multi-professional team-supported lipid management and Guideline-directed lipid management by usual care provider in Hyperlipidemia, sponsored by Colorado Prevention Center. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-01-23.

Sponsored by Colorado Prevention Center · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Dec 2025; still recruiting 11 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a randomized, controlled, collaborative, multicenter, pilot implementation science study evaluating the hypothesis that algorithm- and multi-professional team-supported lipid management reduces low density lipoprotein-cholesterol (LDL-C) compared with usual care in patients with atherosclerotic cardiovascular disease (ASCVD).

Read the detailed description

OPTIMIZE-ASCVD is a randomized, controlled, collaborative, open-label, multicenter pilot implementation science study evaluating the hypothesis that algorithm- (Appendix A) and multi-professional team-supported lipid management reduces LDL-C compared with usual care in patients with ASCVD.

Approximately 100 participants will be randomized (1:1).

  • Participant preference for injectable vs oral lipid therapy will be recorded at baseline.
  • Participants allocated to algorithm-and multi-professional team-supported lipid management will be evaluated by a physician and prescribed lipid therapy which aims to achieve LDL-C target without titration. Participants will be contacted by a pharmacist to provide education about the medication and support any access issues.
  • Participants allocated to usual care will be referred for management by their usual care provider who will receive a summary of guideline recommendations

The study will include decentralized clinical trial features including use of local, Clinical Laboratory Improvement Amendments (CLIA)-certified laboratories for blood tests, use of data extracted from the electronic medical record (EMR), electronic collection of patient-reported outcomes (PRO) and remote conduct of study activities. As an open label study with both strategy groups receiving GDMT, no Data and Safety Monitoring Committee will be convened. Study leadership will monitor aggregate data during the trial and may modify the sample size and/or cap enrollment of subgroups to ensure consistency with design assumptions.

02

Conditions studied

  • Hyperlipidemia

Keywords

  • Lipid Management
  • Atherosclerotic Cardiovascular Disease
  • Coronary Artery Disease
  • Peripheral Artery Disease
  • Carotid Artery Disease
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 100 is above the median of 88 across 735 interventional studies indexed under Hyperlipidemias.

Browse Hyperlipidemias studies →

Lead sponsor

Colorado Prevention Center is the lead sponsor of 8 studies on the registry; 4 are open to participants now.

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

  • Provided
  • Age >18 years inclusive at screening
  • Documented atherosclerotic vascular disease including:

    • Coronary artery disease (prior revascularization, myocardial infarction, imaging evidence of coronary atherosclerosis)
    • Peripheral artery disease (prior revascularization, amputation, ankle: brachial index (ABI) ≤ 0.90, imaging evidence of extra-coronary atherosclerosis)
    • Carotid artery disease (prior endarterectomy or stenting of the extracranial carotid artery or imaging evidence of carotid atherosclerosis)
    • Imaging evidence of atherosclerotic vascular disease in a non-coronary vascular bed (e.g. aorta, mesenteric, renal)
    • LDL-C >70mg/dL

Exclusion criteria

Exclusion Criteria:

  • Any reason that, in the opinion of the investigator, the patient would be unable to adhere to the protocol for the duration of the study (e.g. terminal diagnosis, cancer) or in whom participation might result in harm.
  • Planned active titration of current lipid-lowering therapy
  • Myocardial infarction or arterial revascularization within prior 30 days
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Other
    Control: Guideline-directed lipid management by usual care provider

    Other: Guideline-directed lipid management by usual care provider

  • Experimental
    Algorithm- and multi-professional team-supported lipid management

    Other: Algorithm- and multi-professional team-supported lipid management

Interventions

  • OtherAlgorithm- and multi-professional team-supported lipid management

    Algorithm- and multi-professional team-supported lipid management

    Also known as: Experimental

  • OtherGuideline-directed lipid management by usual care provider

    Guideline-directed lipid management by usual care provider

    Also known as: Control

06

What researchers measure

Primary outcomes

  1. The between group difference in LDL-C percent change

    Time frame: Baseline to 3 months

Secondary outcomes

  1. Between group difference

    LDL-C percent change

    Time frame: Baseline to 1 and 6 months

  2. Between group difference

    The proportion achieving LDL-C \<55 mg/dL

    Time frame: 1, 3 and 6 months

  3. Between group difference

    Proportion receiving combination lipid lowering Therapy

    Time frame: 1, 3 and 6 months

07

Study locations

1 of 1 sites recruiting
  • University of Colorado Health System (UCHealth)
    Aurora, Colorado 80045, United States
    Recruiting
    • Marc Bonaca, MD · Contact
08

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

Started Dec 2025 (actual). Primary completion is estimated for May 2027, 17 months after the start.

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 17 months is close to 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
Dec 30, 2025
First posted
Jan 12, 2026
StartActual
Dec 10, 2025
Primary completionEst.
May 2027
CompletionEst.
Jul 2027
Last update
Jan 23, 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 Jan 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07334834
Lead sponsor
Colorado Prevention Center
Responsible party
Sponsor
First posted
Jan 12, 2026
Start date
Dec 10, 2025
Primary completion
May 2027 (estimated)
Completion
Jul 2027 (estimated)
Last update
Jan 23, 2026

Study contacts

Marc Bonaca, MD
Contact
info@cpcmed.org
(303) 860-9900
Sivan Naveh, MD. RPV
Contact
sivan.naveh@cpcmed.org
720-848-5300
Marc Bonaca, MD
principal investigator · Colorado Prevention Center

Oversight

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

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