Clinical trial Recruiting at 91 sites Phase 4 Interventional Ages 75 and up

Evaluating the effects of statins on older adults' health

Official title: PRagmatic EValuation of evENTs And Benefits of Lipid-lowering in oldEr Adults (PREVENTABLE)

Run by Duke University · NCT04262206 · Data updated 2026-11-12

This study is testing whether a cholesterol-lowering medication called atorvastatin can help older adults aged 75 and up stay healthier and avoid issues like dementia and disability.

More Dementia trials

Quick facts

PhasePhase 4
Study typeInterventional
Ages75 Years and up
SexAll
Enrollment20000 (estimated)
SponsorDuke University
Academic / other
Locations106 sites (Birmingham, Alabama and 105 other locations)
StatusRecruiting
StartedSeptember 1, 2020
Main results expectedDecember 31, 2026
Study endsDecember 31, 2026
Registry record updatedSeptember 1, 2026
Trial IDNCT04262206 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are community-dwelling adults aged 75 years or older who do not have clinically evident cardiovascular disease or dementia.

Probably not a fit

Patients with clinically evident cardiovascular disease, significant disability, or dementia will not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study is a multi-center, randomized, placebo-controlled trial that aims to assess the impact of atorvastatin 40 mg on community-dwelling adults aged 75 and older who do not have cardiovascular disease or dementia. Participants will be randomly assigned to receive either atorvastatin or a placebo and will be followed for up to 5 years to evaluate outcomes related to death, dementia, persistent disability, and mild cognitive impairment. The study will involve approximately 20,000 participants across 100 sites in the US, utilizing community engagement strategies for recruitment and retention.

Why it matters

Potential benefit: If successful, this study could provide evidence for the use of statins in preventing cognitive decline and cardiovascular events in older adults.

How similar studies have gone: Other studies have explored statin use in older populations, but this specific approach focusing on cognitive impairment and disability prevention is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Community-dwelling adults
* Age ≥75 years
* English or Spanish as primary language
* Able to provide a trusted contact

Exclusion Criteria:

* Clinically evident cardiovascular disease defined as prior myocardial Infarction (MI), prior stroke, prior revascularization procedure, or a secondary prevention indication for a statin (clinician determined)
* Hospitalization for a primary diagnosis of heart failure in the prior 12 months (Note: History of heart failure in the absence of recent hospitalization or clinically evident cardiovascular disease is not an exclusion)
* Dementia (clinically evident or previously diagnosed)
* Dependence in any Katz Basic Activities of Daily Living \[ADL\] (with the exception of urinary or bowel continence)
* Severe hearing impairment (preventing phone follow up)
* Unable to talk (preventing phone follow up)
* Statin use in the past year or for longer than 5 years previously (participant reported)
* Ineligible to take atorvastatin 40 mg (clinician determined)
* Documented intolerance to statins
* Active Liver Disease

Where it's running

  • University of Alabama at Birmingham
    Birmingham, Alabama, United States
    Recruiting
  • Birmingham VA
    Birmingham, Alabama, United States
    Recruiting
  • Southern Arizona VA Health Care System - Tucson
    Tucson, Arizona, United States
    Recruiting
  • Little Rock VA Medical Center
    Little Rock, Arkansas, United States
    Recruiting
  • University of Arkansas for Medical Sciences
    Little Rock, Arkansas, United States
    Recruiting
  • Fresno VA Medical Center
    Fresno, California, United States
    Recruiting
Show 44 more locations
  • Long Beach VA Medical Center
    Long Beach, California, United States
    Recruiting
  • VA Greater Los Angeles
    Los Angeles, California, United States
    Recruiting
  • VA Northern California Health Care System
    Mather, California, United States
    Recruiting
  • VA San Diego Medical Center
    San Diego, California, United States
    Recruiting
  • Yale University
    New Haven, Connecticut, United States
    Recruiting
  • VA Connecticut Healthcare System
    West Haven, Connecticut, United States
    Recruiting
  • Bay Pines VA
    Bay Pines, Florida, United States
    Recruiting
  • Gainesville VA Medical Center
    Gainesville, Florida, United States
    Recruiting
  • University of Florida
    Gainesville, Florida, United States
    Recruiting
  • University of Florida
    Jacksonville, Florida, United States
    Recruiting
  • University of Miami
    Miami, Florida, United States
    Recruiting
  • Atlanta VA Medical Center
    Atlanta, Georgia, United States
    Recruiting
  • Emory University
    Atlanta, Georgia, United States
    Recruiting
  • Northwestern University
    Chicago, Illinois, United States
    Recruiting
  • University of Illinois at Chicago
    Chicago, Illinois, United States
    Recruiting
  • Chicago VA Medical Center/Jesse Brown VA
    Chicago, Illinois, United States
    Recruiting
  • Rush University Medical Center
    Chicago, Illinois, United States
    Recruiting
  • University of Chicago
    Chicago, Illinois, United States
    Recruiting
  • Hines VA Medical Center
    Hines, Illinois, United States
    Recruiting
  • North Chicago VA Medical Center
    North Chicago, Illinois, United States
    Recruiting
  • Indianapolis VA Medical Center
    Indianapolis, Indiana, United States
    Recruiting
  • University of Iowa Healthcare
    Iowa City, Iowa, United States
    Recruiting
  • University of Kansas Medical Center
    Kansas City, Kansas, United States
    Recruiting
  • VA Eastern Kansas Healthcare System
    Topeka, Kansas, United States
    Recruiting
  • Louisville VA Medical Center
    Louisville, Kentucky, United States
    Recruiting
  • Ochsner Clinic Foundation
    New Orleans, Louisiana, United States
    Recruiting
  • Maine VA Health Care System
    Togus, Maine, United States
    Recruiting
  • Johns Hopkins University
    Baltimore, Maryland, United States
    Recruiting
  • VA Boston Healthcare System
    Boston, Massachusetts, United States
    Recruiting
  • VA Ann Arbor Healthcare System
    Ann Arbor, Michigan, United States
    Recruiting
  • University of Michigan
    Ann Arbor, Michigan, United States
    Recruiting
  • Essentia Health
    Duluth, Minnesota, United States
    Recruiting
  • Mayo Clinic
    Rochester, Minnesota, United States
    Recruiting
  • University of Mississippi Medical Center
    Jackson, Mississippi, United States
    Recruiting
  • VA Medical Center Jackson
    Jackson, Mississippi, United States
    Recruiting
  • University of Missouri Health System
    Columbia, Missouri, United States
    Recruiting
  • Kansas City VA Medical Center
    Kansas City, Missouri, United States
    Recruiting
  • St. Louis VA Medical Center
    St Louis, Missouri, United States
    Recruiting
  • Washington University in St. Louis
    St Louis, Missouri, United States
    Recruiting
  • University of Nebraska Medical Center
    Omaha, Nebraska, United States
    Recruiting
  • Omaha VA Medical Center
    Omaha, Nebraska, United States
    Recruiting
  • Northwell Health
    Manhasset, New York, United States
    Recruiting
  • VA New York Harbor Healthcare System
    New York, New York, United States
    Recruiting
  • Weill Cornell Medical College
    New York, New York, United States
    Recruiting

+56 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.