One-pill combination to prevent repeat strokes for survivors in Ghana

Stroke Minimization through Additive Anti-atherosclerotic Agents in Routine Treatment II Study

NIH-funded research Northern California Institute/res/edu · NIH-11177728

This project will see if a single low-cost pill combining aspirin, a cholesterol medicine, and blood-pressure medicine helps people who survived a stroke in Ghana take their medicines and avoid another stroke.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionNorthern California Institute/res/edu NIH-funded
Lab location1 site (San Francisco, United States)
Project IDNIH-11177728 on NIH RePORTER

What this research studies

If you survived a stroke, this project offers a single low-cost pill that combines aspirin, a statin, and blood-pressure medicine to simplify treatment. Researchers will give the polypill to stroke survivors at clinical sites in Ghana and compare medication use and health outcomes with usual care. They will monitor blood pressure, cholesterol, medication adherence, side effects, and any new strokes or hospital visits over time. The approach focuses on a practical, affordable way to lower the chance of another stroke in settings with limited health resources.

Who could benefit from this research

Good fit: Adults who have survived a stroke and who are seen at participating clinics in Ghana (or other participating sites in sub-Saharan Africa) and who can take aspirin, a statin, and blood-pressure medication are ideal candidates.

Not a fit: People without a prior stroke, those with allergies or medical contraindications to aspirin/statins/BP drugs (for example bleeding disorders, severe liver disease), pregnant people, or those requiring highly individualized dosing are unlikely to benefit from this polypill approach.

Why it matters

Potential benefit: If successful, this could make it much easier and cheaper for stroke survivors in sub-Saharan Africa to stick to prevention medicines and reduce repeat strokes and deaths.

How similar studies have performed: Other polypill programs for cardiovascular disease have improved medication adherence and risk-factor control in various countries, but using a polypill specifically for stroke survivors in sub-Saharan Africa is less well studied.

Where this research is happening

San Francisco, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.