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.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 75 Years and up |
| Sex | All |
| Enrollment | 20000 (estimated) |
| Sponsor | Duke University Academic / other |
| Locations | 106 sites (Birmingham, Alabama and 105 other locations) |
| Status | Recruiting |
| Started | September 1, 2020 |
| Main results expected | December 31, 2026 |
| Study ends | December 31, 2026 |
| Registry record updated | September 1, 2026 |
| Trial ID | NCT04262206 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
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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
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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
- Study coordinator: Pamela Monds
- Email: pamela.monds@duke.edu
- Phone: 9196688695
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.