Cardiovascular Risk Reduction in Epilepsy
NCT05704439 · Status: WITHDRAWN · Phase: NA · Type: INTERVENTIONAL
Last updated 2024-07-25
Summary
Epilepsy is a disabling and lethal neurological disease which affect 3.47 million Americans. Significant health care disparities exist in people with epilepsy (PWE). Hypertension and hyperlipidemia are highly prevalent and often go undertreated, and cardiovascular (CV) mortality is higher in people with epilepsy (PWE) than the general population. Preliminary data from our group shows that PWE have higher ACC-ASCVD risk scores than an age matched NHANES cohort without epilepsy. Preliminary data also demonstrate mortality rates in PWE due to hypertension, stroke, and diabetes are rising in the US, counter to the US general population.
This proposal seeks to test the feasibility, acceptability, and preliminary efficacy of a new care model for the underserved PWE in a public health setting. In this new model, neurologists guided by standardized treatment algorithms (ACC-ASCVD estimator+) propose and initiate pharmacological interventions for hypertension and hyperlipidemia.
Conditions
- Epilepsy
- Hypertension
- Hyperlipidemia (E.G., Hypercholesterolemia)
Interventions
- DRUG
-
Neurologist Initiated Treatment
Neurologist Initiated Treatment for Hypertension or Hyperlipidemia
- OTHER
-
Placebo
Usual care
Sponsors & Collaborators
-
Olive View-UCLA Education & Research Institute
collaborator OTHER -
University of California, Los Angeles
lead OTHER
Principal Investigators
-
Christopher M DeGiorgio, MD · University of California, Los Angeles
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 40 Years
- Max Age
- 79 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-01-31
- Primary Completion
- 2027-01-31
- Completion
- 2027-01-31
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