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High and Very High Risk cardiovascular patient journeys seems to vary from country to country, and current understanding of the process is incomplete. This real-life observational study which documents meaningful patient journey-related parameters can be expected to provide meaningful insight into the care process, country-by-country.
Suffering from hypercholesterolemia is a major health concern in Europe. Appropriate medical treatment lowers low density lipoprotein cholesterol and reduces the incidence of clinical cardiovascular events. Despite the multiple available treatments, many patients remain inadequately treated or even untreated and some lipid-lowering drugs may be associated with an increase in events like side effects or increase in diabetes. As this is a non-interventional study, only data from routine clinical practice will be documented.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| High Risk and Very High Risk Dyslipidemic Participants | Participants are classified as High and Very High Risk (as assessed by the Framingham risk score for High Risk participants and the SMART score for Very High Risk participants) as well as if previously or newly diagnosed. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Non-interventional | Other | This is a non-interventional study. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Mean Low Density Lipid-Cholesterol (LDL-C) Levels in High and Very High Risk Cardiovascular Participants | Blood plasma samples were used to assess LDL-C levels. | Baseline up to 12 months post-enrollment |
| Number of Participants Utilizing Any Treatment Modality to Manage Plasma Levels of Low Density Lipid-Cholesterol (LDL-C) in High and Very High Risk Participants Requiring Lipid Modifying Therapies (LMTs) | Clinical events were assessed based on information captured in patient files/medical records. | Baseline up to 12 months post-enrollment |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Atherosclerotic Cardiovascular Disease (ASCVD)-Modifying Cholesterol Fragment Levels in High Risk and Very High Risk Dyslipidemic Participants | Blood plasma samples were used to assess ASCVD-modifying cholesterol fragment levels. | Baseline up to 12 months post-enrollment |
| Mean Apolipoprotein B Levels in High Risk and Very High Risk Dyslipidemic Participants |
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Inclusion Criteria:
Exclusion Criteria:
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High risk and very high-risk participants requiring lipid-modifying therapies
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| Name | Affiliation | Role |
|---|---|---|
| Contact for Clinical Trial Information | Daiichi Sankyo Europe, GmbH, a Daiichi Sankyo Company | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Krankenhaus St. Josef Braunau GmbH | Braunau am Inn | 5280 | Austria | |||
| LKH-Univ. Klinikum Graz |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 42373176 | Derived | Toplak H, Komen JJ, Bardet A, Catapano AL, Ray KK; SANTORINI Investigators. Low-density lipoprotein cholesterol management and goal attainment at 1 year in patients with diabetes, pre-diabetes and normoglycaemia: results from the European, prospective, observational SANTORINI study. BMJ Open. 2026 Jun 29;16(6):e108737. doi: 10.1136/bmjopen-2025-108737. | |
| 42291044 |
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A total of 9559 participants were documented in this study (all-documented patients set; APS). Of these 9559 participants, 11 failed screening and 5 were not included due to end of enrollment. A total of 9543 participants were included in the Baseline Analysis Set (BAS) at 580 centers in 14 countries. Of these 9543 participants, a total of 9136 were included in the Full Analysis Set (FAS).
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| ID | Title | Description |
|---|---|---|
| FG000 | High Risk and Very High Risk Dyslipidemic Participants | Participants were classified as High and Very High Risk (as assessed by the Framingham risk score for High Risk participants and the SMART score for Very High Risk participants) as well as if previously or newly diagnosed. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Aug 26, 2020 |
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Blood plasma samples were used to assess Apolipoprotein B levels. |
| Baseline up to 12 months post-enrollment |
| Mean Lipid Protein A Levels in High Risk and Very High Risk Dyslipidemic Participants | Blood plasma samples were used to assess lipid Protein A levels. | Baseline up to 12 months post-enrollment |
| Mean Inflammatory High-Sensitive C-Reactive Protein (hsCRP) in High Risk and Very High Risk Dyslipidemic Participants | Blood plasma samples were used to assess hsCRP levels. | Baseline up to 12 months post-enrollment |
| Number of Participants With Clinical Events Associated With Treatment Modalities, For Any LMT | The safety outcome measure reports clinical events based on information captured in patient files/medical records. Participants may have reported more than one clinical event associated with any LMT. | Baseline up to 12 months post-enrollment |
| Graz |
| 8036 |
| Austria |
| Medizinische Universität Graz | Graz | 8036 | Austria |
| Medizinische Universität Innsbruck | Innsbruck | 6020 | Austria |
| KABEG Klinikum Klagenfurt am Wörthersee | Klagenfurt | 9020 | Austria |
| Konventhospital der Barmherzigen Brüder Linz | Linz | 4020 | Austria |
| Privatklinik Wehrle-Diakonissen | Salzburg | 5026 | Austria |
| Ordination Universitätsdozent Dr. Alexander Kober | Sankt Aegyd am Neuwalde | 3193 | Austria |
| Ordination Dr. med. univ. Evelyn Fließer-Görzer | Sankt Stefan | 8511 | Austria |
| Ordination Dr. Thomas Maca / Evangelische KH Wien | Vienna | 1010 | Austria |
| Ordination Dr. Thomas Maca / Evangelisches KH Wien | Vienna | 1010 | Austria |
| Krankenhaus Rudolfstiftung | Vienna | 1030 | Austria |
| Zentrum für Klinische Studien Dr. Hanusch GmbH | Vienna | 1060 | Austria |
| Allgemeines Krankenhaus der Stadt Wien | Vienna | 1090 | Austria |
| Ordination Dr. Reinhard Sock | Vienna | 1100 | Austria |
| Krankenhaus Hietzing mit neurologischem Zentrum Rosenhügel | Vienna | 1130 | Austria |
| Krankenhaus Nord - Klinik Floridsdorf | Vienna | 1210 | Austria |
| Internistische Facharztpraxis Frau Dr. Carmen Gelsinger | Zams | 6511 | Austria |
| ASZ | Aalst | 9300 | Belgium |
| Imeldaziekenhuis | Bonheiden | 2820 | Belgium |
| Clinique Saint-Luc | Bouge | 5004 | Belgium |
| AZ KLINA | Brasschaat | 2930 | Belgium |
| CHU Saint Pierre | Brussels | 1000 | Belgium |
| CHU Brugmann | Brussels | 1020 | Belgium |
| CUB Hospital Erasme | Brussels | 1070 | Belgium |
| UZ Brussel | Brussels | 1090 | Belgium |
| Cliniques de l'Europe | Brussels | 1180 | Belgium |
| Private practice | De Haan | 8420 | Belgium |
| Private practice | De Pinte | 9840 | Belgium |
| AZ Sint Blasius | Dendermonde | 9200 | Belgium |
| AZ Sint Lucas | Ghent | 9000 | Belgium |
| Universitair Ziekenhuis Gent | Ghent | 9000 | Belgium |
| Cabinet de médecine générale | Gribomont | 6887 | Belgium |
| CH Jolimont-Lobbes | Haine-Saint-Paul | 7100 | Belgium |
| CHR de Huy | Huy | 4500 | Belgium |
| Jan Yperman Hospital | Ieper | 8900 | Belgium |
| AZ Groeninge VZW | Kortrijk | 8500 | Belgium |
| CHC Liège | Liège | 4000 | Belgium |
| AZ Delta | Roeselare | 8800 | Belgium |
| AZ Glorieux | Ronse | 9600 | Belgium |
| Sint Trudo | Sint-Truiden | 3800 | Belgium |
| Private practice | Tienen | 3300 | Belgium |
| BVBA Dr CAPIAU | Wetteren | 9230 | Belgium |
| CHU UCL Namur | Yvoir | 5530 | Belgium |
| Z Sint Elisabeth Zottegem | Zottegem | 9620 | Belgium |
| Hjerteklinik Osterbro | Copenhagen | 2100 | Denmark |
| Amager Hospital | Copenhagen | 2300 | Denmark |
| Bispebjerg-Frederiksberg Hospital | Copenhagen | 2400 | Denmark |
| Bispebjerg/ Frederiksberg Hospital | Copenhagen | 4200 | Denmark |
| Sydvestjysk Sygehus Esbjerg | Esbjerg | 6700 | Denmark |
| Frederiksberg Hjerteklinik | Frederiksberg | 2000 | Denmark |
| Frederiksberg Hjerteklinik | Frederiksberg | 8009 | Denmark |
| Stroke center Rigshospitalet | Glostrup Municipality | 232600 | Denmark |
| Rigshospitalet (Copenhagen University Hospital) - Glostrup (Glostrup Hospital) | Glostrup Municipality | 2600 | Denmark |
| Gentofte Hospital | Hellerup | 2900 | Denmark |
| Kobenhavns Universitet - Holbaek Sygehus | Holbæk | 4300 | Denmark |
| Slagelse sygehus | Slagelse | 4200 | Denmark |
| Mehiläinen Leppävaara | Espoo | 02600 | Finland |
| Geri-Med Oy | Helsinki | 00100 | Finland |
| Pihlajalinna Dextra | Helsinki | 00180 | Finland |
| Pihlajalinna (Site 04-007) | Joensuu | 80100 | Finland |
| Pihlajalinna (Site 04-022) | Joensuu | 80100 | Finland |
| StudyCor Oy | Jyväskylä | 40620 | Finland |
| Terveystalo Kalajoki | Kalajoki | 85100 | Finland |
| Aava Kerava Medical Center | Kerava | 04200 | Finland |
| Terveystalo Kokkola | Kokkola | 67100 | Finland |
| Mehiläinen Kuopio | Kuopio | 70400 | Finland |
| Lappeenrannan Työterveys - Site 4024 | Lappeenranta | 53600 | Finland |
| Lappeenrannan Työterveys - Site 4025 | Lappeenranta | 53600 | Finland |
| Terveystalo | Loimaa | 32200 | Finland |
| Oulu University Hospital | Oulu | 90220 | Finland |
| Satasairaala | Pori | 28500 | Finland |
| Sastamalan seudun sosiaali- ja terveyspalvelut | Sastamala | 38200 | Finland |
| Seinäjoki Central Hospital | Seinäjoki | 60220 | Finland |
| Terveystalo Tampere | Tampere | 33100 | Finland |
| Tampere University Hospital | Tampere | 33520 | Finland |
| Mehiläinen Turku Kauppiaskatu | Turku | 20100 | Finland |
| Turku University Hospital | Turku | 20520 | Finland |
| Turku University Hospital | Turku | 20521 | Finland |
| Terveystalo Myyrmäki (Site 04015) | Vantaa | 01600 | Finland |
| Terveystalo Myyrmäki (Site 04017) | Vantaa | 01600 | Finland |
| Finla Työterveys Vantaa | Vantaa | 1380 | Finland |
| 4 Rue Larrey | Angers | 49900 | France |
| Cabinet médical Louis Blanc | Anzin | 59410 | France |
| Clinique d'Argonay | Argonay | 74370 | France |
| Hôpital Henri Duffaut | Avignon | 84902 | France |
| Centre de Cardiologie et d'exploration de la Côte Basque | Bayonne | 64100 | France |
| 151 rue Georges Clémenceau | Breteuil | 27160 | France |
| 4 Rue du Capitaine Drillien | Chalon-sur-Saône | 71100 | France |
| Centre Hospitalier de Chateauroux | Châteauroux | 36000 | France |
| CH Compiègne | Compiègne | 60200 | France |
| Centre Hopsitalier Alpes Leman, 552 Route de Findrol | Contamine-sur-Arve | 74130 | France |
| 619 Rue de Saint Vaast | Flesselles | 80260 | France |
| CHU Grenoble | Grenoble | 38000 | France |
| 2 Boulevard Victor Hugo | Istres | 13800 | France |
| 2 Rue du Dr Schweitzer | La Rochelle | 17000 | France |
| Hôpital Louis Pasteur | Le Coudray | 28630 | France |
| 222 Avenue du Mont Gaillard | Le Havre | 76620 | France |
| Hôpital Marie Lannelongue | Le Plessis-Robinson | 92350 | France |
| Institut Cœur Poumons, Boulevard du Pr Leclercq | Lille | 59000 | France |
| Centre Hospitalier de Lisieux, 4 Rue Roger Aini | Lisieux | 14100 | France |
| Centre Hospitalier La Timone | Marseille | 13005 | France |
| Clinique de Meudon | Meudon-la-Forêt | 92360 | France |
| Clinique du Pont de Chaume | Montauban | 82000 | France |
| Clinique du Millénaire | Montpellier | 34000 | France |
| Centre Hospitalier Universitaire de Nantes | Nantes | 44093 | France |
| Hôpital Guillaume et René Laennec | Nantes | 44093 | France |
| Centre Hospitalier de Nice | Nice | 06300 | France |
| CHU Carémeau | Nîmes | 30000 | France |
| Cabinet médical du docteur Cohen | Paris | 75012 | France |
| Cabinet de cardiologie | Paris | 75014 | France |
| Hôpital Pitié Salpétrière | Paris | 75651 | France |
| Centre Hospitalier de Pau | Pau | 64000 | France |
| Clinique Sant Hilaire | Rouen | 76000 | France |
| 82 Avenue de Pontaillac | Royan | 17200 | France |
| Hôpital Sainte Musse | Toulon | 83100 | France |
| Centre Hospitalier Toulouse | Toulouse | 31059 | France |
| Hôpital Guy Chatillez | Tourcoing | 59200 | France |
| Downtown Clinic Aachen | Aachen | 52062 | Germany |
| Kardiologische Praxis Aachen | Aachen | 52062 | Germany |
| Praxis Delonge | Aachen | 52078 | Germany |
| Kliniken an der Paar - Krankenhaus Aichach | Aichach | 86551 | Germany |
| Oberpfalz Research GbR | Amberg | 92224 | Germany |
| MVZ Aue | Aue | 08280 | Germany |
| Kardiologische Praxis | Bad Elster | 08645 | Germany |
| Kardiologische Praxis | Bad Homburg | 61348 | Germany |
| Universitäts-Herz-Zentrum Freiburg-Bad Krozingen | Bad Krozingen | 79189 | Germany |
| Kerckhoff-Klinik Forschungsgesellschaft mbH | Bad Nauheim | 61231 | Germany |
| Herz - u. Diabeteszentrum NRW | Bad Oeynhausen | 32545 | Germany |
| Praxis am Landratspark | Bad Segeberg | 23795 | Germany |
| Gemeinschaftspraxis für Herz und Lunge | Bamberg | 96049 | Germany |
| Kardiologische Praxis | Bechhofen | 66894 | Germany |
| Diabetespraxis Prenzlauer Allee | Berlin | 10409 | Germany |
| Praxis Rankestraße | Berlin | 10789 | Germany |
| MVZ Dres. Ramdohr - Praxis für Cardiovascular und Ultraschalldiagnostik | Berlin | 12034 | Germany |
| Praxis Dr. Matthias Claus | Berlin | 12559 | Germany |
| Kardiologische Facharztpraxis Dr. Anne Winkelmann | Berlin | 13053 | Germany |
| Charité Campus Virchow | Berlin | 13353 | Germany |
| Vivantes Humboldt-Klinikum | Berlin | 13509 | Germany |
| Vivantes Klinikum Spandau | Berlin | 13585 | Germany |
| Marienhaus-Klinikum Eifel Bitburg | Bitburg | 54634 | Germany |
| Städtisches Klinikum Brandenburg | Brandenburg an der Havel | 14770 | Germany |
| Kardiologie an der Paulikirche | Braunschweig | 38102 | Germany |
| Kardiologie im Friedrichspalast Bruchsal | Bruchsal | 76646 | Germany |
| MediClin Reha-Zentrum Spreewald | Burg | 03096 | Germany |
| MVZ am Küchwald | Chemnitz | 09113 | Germany |
| Praxis Dipl.med Schermaul | Chemnitz | 09122 | Germany |
| Kardiologische Praxis | Chemnitz | 09126 | Germany |
| MVZ Polymed | Chemnitz | 09130 | Germany |
| St. Josefs-Hospital Cloppenburg | Cloppenburg | 49661 | Germany |
| Klinikum Coburg GmbH | Coburg | 96450 | Germany |
| MVZ Gesundes Herz | Cologne | 51105 | Germany |
| Praxis Dr. Menzel | Dessau | 06846 | Germany |
| Klinikum Lippe GmbH | Detmold | 32756 | Germany |
| Kardiologische Gemeinschaftspraxis | Dortmund | 44137 | Germany |
| Sankt-Johannes-Hospital | Dortmund | 44137 | Germany |
| Kardiologische Gemeinschaftspraxis Dres. Wetzel/Willgeroth | Dortmund | 44141 | Germany |
| Zentrum für klinische Prüfungen in der Facharztzentrum Dresden-Neustadt GbR | Dresden | 01099 | Germany |
| Praxis Dr. Methfessel | Dresden | 01159 | Germany |
| Hausärztlich-Kardiologisches MVZ "Am Felsenkeller" GmbH | Dresden | 01277 | Germany |
| Studienzentrum Dr. Faulmann | Dresden | 01279 | Germany |
| Dres. Günther/Kolschmann | Dresden | 01307 | Germany |
| Universitätsklinikum Carl Gustav Carus | Dresden | 01307 | Germany |
| Praxis Dres. Jänsch/Varnai | Dresden | 01309 | Germany |
| Praxis Dipl. - Med. Petra Herrmann - Fachärztin für Innere Medizin | Eisenach | 99817 | Germany |
| Kardiologische Praxis | Elsterwerda | 04910 | Germany |
| Elisabeth Krankenhaus Essen | Essen | 45138 | Germany |
| Universitätsklinikum Essen | Essen | 45147 | Germany |
| Medizentrum Essen Borbeck | Essen | 45355 | Germany |
| Klinikum Frankfurt Hoechst GmbH | Frankfurt | 65929 | Germany |
| MVZ Altstadt-Carree Fulda GmbH | Fulda | 36037 | Germany |
| Evangelisches Krankenhaus Gelsenkirchen | Gelsenkirchen | 45879 | Germany |
| Kardiologische Praxis | Gera | 07551 | Germany |
| Kardiologische Praxis | Gotha | 99867 | Germany |
| Praxis für Gefäßmedizin | Görlitz | 02827 | Germany |
| Universitätsmedizin Göttingen | Göttingen | 37075 | Germany |
| Praxis für Herzkreislauferkrankungen Greiz | Greiz | 07973 | Germany |
| Evangelisches Krankenhaus Hagen-Haspe | Hagen | 58135 | Germany |
| Gemeinschaftspraxis Dres. J. Hintze und M. Grundner | Hainstadt | 63512 | Germany |
| Cardiologicum Hamburg-Wandsbek | Hamburg | 22041 | Germany |
| Kardiologie am Tibarg | Hamburg | 22459 | Germany |
| MVZ Prof. Detlef Mathey, Prof. Schofer GmbH | Hamburg | 22527 | Germany |
| Kardiologische Praxis | Hanover | 30559 | Germany |
| Kardiologische Praxis | Haßloch | 67454 | Germany |
| Kardiologische Schwerpunktpraxis | Heidelberg | 69115 | Germany |
| Praxis für Angiologie und Hämatologie | Heidelberg | 69120 | Germany |
| Uniklinikum Heidelberg | Heidelberg | 69120 | Germany |
| Praxis | Homburg | 66424 | Germany |
| Kardiologie Oberschwaben - Bodensee Herz- und Gefäßpraxis | Isny | 88316 | Germany |
| Kardiologische Praxis | Jena | 07743 | Germany |
| Kardiopraxis Schirmer | Kaiserslautern | 67655 | Germany |
| Kardiologie/Internistenteam Kamen | Kamen | 59174 | Germany |
| SRH Klinikum Karlsbad-Langensteinbach | Karlsbach | 76307 | Germany |
| B. Braun Ambulantes Herzzentrum MVZ GmbH | Kassel | 34121 | Germany |
| CC Cleve-Studiencenter | Kleve | 47533 | Germany |
| Studienzentrum der Inneren Medizin I & II am Klinikum Konstanz | Konstanz | 78464 | Germany |
| Praxis für Innere Medizin / Kardiologie - Dr. med. E. Persicke / Dr. med. O. Scheuermann | Kornwestheim | 70806 | Germany |
| Kardiologische Gemeinschaftspraxis | Leipzig | 04103 | Germany |
| MediClin MVZ Leipzig | Leipzig | 04109 | Germany |
| Praxis für Gefäßerkrankungen und Gerinnungsstörungen Leipzig | Leipzig | 04109 | Germany |
| Gemeinschaftspraxis Dr. Täschner/Dr. Bonigut | Leipzig | 04249 | Germany |
| MVZ Stoffwechselmedizin Leipzig | Leipzig | 04317 | Germany |
| Universitätsklinikum Leipzig | Leipzig | 4103 | Germany |
| Kardiologische Fachpraxis | Lengerich | 49525 | Germany |
| Praxis Dr. med. Ilka Simon-Wagner | Lichtenfels | 96215 | Germany |
| St. Vincenz-Krankenhaus | Limburg | 65549 | Germany |
| Gemeinschaftspraxis Dr. Jens Biesenbaum und Dr. Uwe Gerbaulet | Löhne | 32584 | Germany |
| Kardiologische Praxis Lohne | Löhne | 49393 | Germany |
| Cardio Centrum Ludwigsburg-Bietigheim | Ludwigsburg | 71634 | Germany |
| Kardiologische Praxisklinik Ludwigshafen | Ludwigshafen | 67071 | Germany |
| Klinikum Lüdenscheid | Lüdenscheid | 58515 | Germany |
| Dres. Erdmann/Schütz/Sicken | Lünen | 44534 | Germany |
| St.Vincenz - u. Elisabeth-Hospital | Mainz | 55131 | Germany |
| Universitätsklinikum Mainz Site 6186 | Mainz | 55131 | Germany |
| Universitätsklinikum Mainz Site 6187 | Mainz | 55131 | Germany |
| zero Praxen Mannheim | Mannheim | 68165 | Germany |
| Universitätsklinikum Mannheim | Mannheim | 68167 | Germany |
| Kardiologische Praxis | Markkleeberg | 04416 | Germany |
| Praxis Dr. Ben-Chur | Meiningen | 98617 | Germany |
| Kardiologie-Praxis | Moers | 47441 | Germany |
| Gemeinschaftspraxis Dr. med. Martin Prohaska und Dr. med. Felix Schulte | Mühldorf | 84453 | Germany |
| Herzquartier Mühlheim, Kardiologische Gemeinschaftspraxis Dres. med. A. Krapivsky & P. Kekes | Mühlheim | 45468 | Germany |
| Zentrum für Diabetes und Gefäßerkrankungen Münster | Münster | 48145 | Germany |
| Praxis für Innere Medizin | Münster | 48149 | Germany |
| Universitätsklinikum Münster | Münster | 48149 | Germany |
| Praxis für Innere Medizin und Angiologie | Nordhausen | 99734 | Germany |
| Kardiologische Praxis Northeim | Northeim | 37154 | Germany |
| Gemeinschaftspraxis Drs. Haggenmiller/Jeserich Kardiologie-Angiologie-Innere Medizin | Nuremberg | 90402 | Germany |
| Kardiologie am Weißen Turm | Nuremberg | 90402 | Germany |
| St. Vincenz-Krankenhaus GmbH | Paderborn | 33098 | Germany |
| Kardiologische Praxis | Panitzsch | 04451 | Germany |
| Kardiologische Praxis Papenburg (Site 6097) | Papenburg | 26871 | Germany |
| Kardiologische Praxis Papenburg (Site 6098) | Papenburg | 26871 | Germany |
| Kardiologische Praxis | Pirmasens | 66954 | Germany |
| Cardiologicum Dresden/Pirna | Pirna | 01796 | Germany |
| Kardiologie Potsdam | Potsdam | 14471 | Germany |
| Kardiologische Gemeinschaftspraxis Potsdam | Potsdam | 14471 | Germany |
| Paracelsus-Harz-Klinik Bad Suderode | Quedlinburg | 06485 | Germany |
| Drs. Bauer/Buresch/Kösler | Regensburg | 93059 | Germany |
| Gemeinschaftspraxis Herz Riesa | Riesa | 01587 | Germany |
| Universitätsmedizin Rostock | Rostock | 18057 | Germany |
| Zentrum für Prävention und Rehabilitation | Siegen | 57072 | Germany |
| Kardiologische Praxis | Stahnsdorf | 14532 | Germany |
| Praxis Dr. Birkenhagen | Stollberg | 09366 | Germany |
| Drs. Knoebel @ Partner | Straubing | 94315 | Germany |
| Praxis Dr. Michael Rother | Strausberg | 15344 | Germany |
| Diabetologische Schwerpunktpraxis | Trier | 54292 | Germany |
| Krankenhaus der Barmherzigen Brüder Trier | Trier | 54292 | Germany |
| Studienzentrum der Herzklinik Ulm GbR | Ulm | 89077 | Germany |
| Praxis Dr. Sabine Hansen | Unterwellenborn | 07333 | Germany |
| Praxis für Prävention und Therapie | Villingen-Schwenningen | 78048 | Germany |
| SHG Klinik Völklingen | Völklingen | 66333 | Germany |
| GRN Klinik Weinheim | Weinheim | 69469 | Germany |
| Forschungszentrum-Ruhr KliFoCenter GmbH | Witten | 58455 | Germany |
| Klinikum Worms | Worms | 67550 | Germany |
| Praxis Dr. Woitek | Wurzen | 04808 | Germany |
| Praxis T. Schwarz | Zwenkau | 04442 | Germany |
| Beaumont Hospital | Beaumont | Dublin | Ireland |
| Tramore Medical Clinic | Tramore | Waterford | Ireland |
| Cork University Hospital | Cork | T23 | Ireland |
| Mater Private Hospital | Dublin | D07 WKW8 | Ireland |
| St. James Hospital | Dublin | D08 NHY1 | Ireland |
| Beacon Hospital | Dublin | D18 AK68 | Ireland |
| Turloughmore Health Centre | Galway | Ireland |
| Ospedale Civile SS. Annunziata (MEDICINA INTERNA- DIPARTIMENTO DI MEDICINA E SCIENZE DELL'INVECCHIAMENTO) | Chieti | Abruzzo | 66013 | Italy |
| Ente Ecclesiastico Ospedale Generale Regionale "F.Miulli" | Bari | Apulia | 70021 | Italy |
| A.O.U. Consorziale - Policlinico Bari (Dipartimento di Medicina Interna) | Bari | Apulia | 70124 | Italy |
| A.O.U. Consorziale - Policlinico Bari | Bari | Apulia | 70124 | Italy |
| A.O.U. Ospedali Riuniti | Foggia | Apulia | 71122 | Italy |
| Presidio Ospedaliero Vito Fazzi | Lecce | Apulia | 73100 | Italy |
| Azienda Ospedaliera Universitaria Mater Domini - Site 8042 | Catanzaro | Calabria | 88100 | Italy |
| Azienda Ospedaliera Universitaria Mater Domini - Site 8053 | Catanzaro | Calabria | 88100 | Italy |
| Azienda Ospedaliera Universitaria Mater Domini - Site 8059 | Catanzaro | Calabria | 88100 | Italy |
| Ospedale G. Jazzolino | Vibo Valentia | Calabria | 89900 | Italy |
| A.O. San Giuseppe Moscati (U.O.C. Cardiologia/UTIC) | Avellino | Campania | 83100 | Italy |
| A.O. San Giuseppe Moscati | Avellino | Campania | 83100 | Italy |
| A.O.R.N. San Pio - P.O. RUMMO | Benevento | Campania | 82100 | Italy |
| Azienda Ospedaliera di Rilievo Nazionale(A.O.R.N.) "Sant'Anna e San Sebastiano" di Caserta | Caserta | Campania | 81100 | Italy |
| Ospedale Civile Santa Maria Incoronata dell'Olmo | Cava de' Tirreni | Campania | 84013 | Italy |
| A.O.R.N. Cardarelli | Naples | Campania | 80131 | Italy |
| A.O.R.N. Ospedale dei Colli | Naples | Campania | 80131 | Italy |
| A.O.U. FEDERICO II (U.O.C. Diabetologia) | Naples | Campania | 80131 | Italy |
| A.O.U. Federico II | Naples | Campania | 80131 | Italy |
| A.O.U. "San Giovanni di Dio e Ruggi d'Aragona" | Salerno | Campania | 84131 | Italy |
| Ospedale Civile San Rocco | Sessa Aurunca | Campania | 81037 | Italy |
| Ospedale di Bentivoglio | Bentivoglio | Emilia-Romagna | 40010 | Italy |
| Ospedale Maggiore di Bologna | Bologna | Emilia-Romagna | 40133 | Italy |
| A.O.U di Bologna-Policlinico S.Orsola-Malpighi (U.O. Medicina Interna) | Bologna | Emilia-Romagna | 40138 | Italy |
| Policlinico Sant'Orsola-Malpighi (U.O. Cardiologia) | Bologna | Emilia-Romagna | 40138 | Italy |
| Ospedale di Carpi | Carpi | Emilia-Romagna | 41012 | Italy |
| Arcispedale Sant'Anna Ferrara (U.O. Cardiologia) | Ferrara | Emilia-Romagna | 44124 | Italy |
| Azienda Ospedaliera-Universitaria S. Anna di Ferrara (Dipartimento medico) | Ferrara | Emilia-Romagna | 44124 | Italy |
| A.O.U. Policlinico di Modena | Modena | Emilia-Romagna | 41124 | Italy |
| Ospedale Civile di Baggiovara- AOU di Modena | Modena | Emilia-Romagna | 41126 | Italy |
| Ospedale Unico della Valtidone | Piacenza | Emilia-Romagna | 29015 | Italy |
| Ospedale Guglielmo da Saliceto | Piacenza | Emilia-Romagna | 29121 | Italy |
| Arcispedale Santa Maria Nuova - Azienda USL/IRCCS Reggio Emilia | Reggio Emilia | Emilia-Romagna | 42123 | Italy |
| Presidio Ospedaliero "Santa Maria della Misericordia" di Udine | Udine | Friuli | 33100 | Italy |
| ASL Roma 6 - Ospedali Riuniti Anzio - Nettuno | Anzio | Lazio | 00042 | Italy |
| Ospedale dei Castelli - ASL Roma 6 | Rome | Lazio | 00040 | Italy |
| Policlinico Universitario Campus Bio-Medico | Rome | Lazio | 00128 | Italy |
| Policlinico Umberto I | Rome | Lazio | 00161 | Italy |
| Fondazione Policlinico Universitario A. Gemelli IRCCS | Rome | Lazio | 00168 | Italy |
| Ospedale Policlinico Casilino | Rome | Lazio | 00169 | Italy |
| Azienda Ospedaliera San Giovanni Addolorata | Rome | Lazio | 00184 | Italy |
| Azienda Ospedaliera Papa Giovanni XXIII | Bergamo | Lombardy | 24127 | Italy |
| ASST Spedali Civili P.O di Brescia | Brescia | Lombardy | 25123 | Italy |
| Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (U.O Medicina Generale 2) | Brescia | Lombardy | 25123 | Italy |
| Fondazione Poliambulanza Istituto Ospedaliero - Brescia | Brescia | Lombardy | 25124 | Italy |
| IRCCS Multimedica | Milan | Lombardy | 20099 | Italy |
| Fondazione IRCSS Ca' Granda Ospedale Maggiore Policlinico | Milan | Lombardy | 20122 | Italy |
| Centro Cardiologico Monzino - IRCCS (Unità Prevenzione dell'Aterosclerosi) | Milan | Lombardy | 20141 | Italy |
| Centro Cardiologico Monzino - IRCCS | Milan | Lombardy | 20141 | Italy |
| Istituto Clinico Sant'Ambrogio | Milan | Lombardy | 20149 | Italy |
| IRCCS Istituto Ortopedico Galeazzi | Milan | Lombardy | 20161 | Italy |
| Grande Ospedale Metropolitano di Niguarda | Milan | Lombardy | 20162 | Italy |
| Presidio ospedaliero Cardinal Massaia - A.S.L. AT (SOC Diabetologia e Malattie Metaboliche) | Asti | Piedmont | 14100 | Italy |
| Ospedale Regina Montis Regalis | Mondovì | Piedmont | 12084 | Italy |
| Ospedale degli Infermi di Rivoli | Turin | Piedmont | 10098 | Italy |
| A.O.U. Città della Salute e della Scienza di Torino | Turin | Piedmont | 10126 | Italy |
| Ospedale dei Castelli | Verbania | Piedmont | 28925 | Italy |
| Ospedale Civile SS Annunziata (Dipartimento di Medicina Clinica e Sperimentale) | Sassari | Sardinia | 07100 | Italy |
| Ospedale Cannizzaro | Catania | Sicily | 95126 | Italy |
| A.O.U. Policlinico "G. Martino" (U.O. Cardiologia) | Messina | Sicily | 98125 | Italy |
| Ospedale Buccheri La Ferla | Palermo | Sicily | 90123 | Italy |
| Triolo Zancle Hospital | Palermo | Sicily | 90133 | Italy |
| Ospedale Giovanni Paolo II | Ragusa | Sicily | 97100 | Italy |
| INRCA -Ospedale U. Sestilli di Ancona | Ancona | The Marches | 60124 | Italy |
| Ospedali Riuniti "Umberto I - Lancisi - Salesi | Ancona | The Marches | 60126 | Italy |
| Ospedale Macerata | Province of Macerata | The Marches | 62100 | Italy |
| Ospedale di Bolzano (U.O. Cardiologia e Prove Funzionali) | Bolzano | Trentino-Alto Adige | 39100 | Italy |
| Ospedale San Giuseppe | Empoli | Tuscany | 50053 | Italy |
| A.O.U. Careggi (S.O.D. Malattie Aterotrombotiche) - Site 8020 | Florence | Tuscany | 50134 | Italy |
| A.O.U. Careggi - Site 8041 | Florence | Tuscany | 50134 | Italy |
| A.O.U. Careggi - Site 8093 | Florence | Tuscany | 50134 | Italy |
| Ospedale S. Andrea - Usl Toscana Sud Est | Massa Marittima | Tuscany | 58024 | Italy |
| Ospedale SS Cosma e Damiano di Pescia - Azienda Usl Toscana centro | Pescia | Tuscany | 51017 | Italy |
| Università di Pisa | Pisa | Tuscany | 56100 | Italy |
| Fondazione Toscana Gabriele Monasterio | Pisa | Tuscany | 56124 | Italy |
| Ospedale Cisanello - A.U.O.P. Azienda Ospedaliera Universitaria Pisana | Pisa | Tuscany | 56124 | Italy |
| Ospedale di Santo Stefano di Prato - Azienda Usl Toscana centro (UO di Cardiologia) | Prato | Tuscany | 59100 | Italy |
| Ospedale Santo Stefano di Prato - Azienda Usl Toscana Centro | Prato | Tuscany | 59100 | Italy |
| Azienda Ospedaliero-Universitaria Senese Dipartimento Delle Scienze Mediche U.O.C. Medicina Interna e della Complessità | Siena | Tuscany | 53100 | Italy |
| Ospedale Le Scotte | Siena | Tuscany | 53100 | Italy |
| USL Umbria I | Perugia | Umbria | 06126 | Italy |
| A.O. Santa Maria della Misericordia | Perugia | Umbria | 06129 | Italy |
| Ospedale di Arzignano | Arzignano | Veneto | 36071 | Italy |
| Ospedale Mater Salutis | Legnago | Veneto | 37045 | Italy |
| Presidio Ospedaliero di Mirano - ULSS 3 Serenissima | Mirano | Veneto | 30035 | Italy |
| Jeroen Bosch Hospital | 's-Hertogenbosch | 5223 GV | Netherlands |
| Ziekenhuis Groep Twente (ZGT) | Almelo | 7609 PP | Netherlands |
| ZiekenhuisGroepTwente, Zilvermeeuw 1 | Almelo | 7609 PP | Netherlands |
| Meander Medical Center | Amersfoort | 3813 TZ | Netherlands |
| Meander Medisch Centrum, Maatweg 3 | Amersfoort | 3813 TZ | Netherlands |
| Bovenij Zekenhuis | Amsterdam | 1030 BD | Netherlands |
| Albert Schweitzerlaan 31 | Apeldoorn | 7334 DZ | Netherlands |
| Gelre Ziekenhuis | Apeldoorn | 7334 DZ | Netherlands |
| Tergooi | Blaricum | 1261 AN | Netherlands |
| Ijsselland Ziekenhuis, Prins Constanijnweg 2 | Capelle aan den IJssel | 2906 ZC | Netherlands |
| IJsselland Ziekenhuis | Capelle aan den IJssel | 2906 ZC | Netherlands |
| Reinier de Graafweg 5 | Delft | 2625 AD | Netherlands |
| Nico Bolkesteinlaan 75 | Deventer | 7416 SE | Netherlands |
| Van Weel Bethesda | Dirksland | 3247 BW | Netherlands |
| Slingeland | Doetinchem | 7009 BL | Netherlands |
| Gelderse Vallei | Ede | 6716 RP | Netherlands |
| Medisch Spectrum Twente | Enschede | 7512 KZ | Netherlands |
| Admiraal de Ruijten Ziekenhuis | Goes | 4462 RA | Netherlands |
| Groene Hart Gouda | Gouda | 2800 BB | Netherlands |
| Boerhaavelaan 22 | Haarlem | 2035 RC | Netherlands |
| Ropcke Zweers hospital, Jan Weitkamplaan 4-a | Hardenberg | 7772 SE | Netherlands |
| Saxenburgh Medisch Centrum | Hardenberg | 7772 TS | Netherlands |
| Ziekenhuis St Jansdal | Harderwijk | 3844 DG | Netherlands |
| Dr G.H. Amshoffweg 1 | Hoogeveen | 7909 AA | Netherlands |
| Treant Zorggroep | Hoogeveen | 7909 AA | Netherlands |
| LUMC | Leiden | 2333 ZA | Netherlands |
| Ikazai Ziekenhuis | Rotterdam | 3083 AN | Netherlands |
| Els Borst | The Hague | 2545 AA | Netherlands |
| Rivierenland ziekenhuis Tiel | Tiel | 4002 WP | Netherlands |
| ETZ | Tilburg | 5022 GC | Netherlands |
| Nistelrodeseweg 10 | Uden | 5406 PT | Netherlands |
| University Medical Center Utrecht | Utrecht | 3584 CX | Netherlands |
| Diakonessenhuis Utrecht | Utrecht | 3585 KE | Netherlands |
| Maxima Medisch Centrum | Veldhoven | 5504 DB | Netherlands |
| Zaans Medisch Centrum | Zaandam | 1502 DV | Netherlands |
| Instituto do Coração | Carnaxide | 2794-006 | Portugal |
| Centro Hospitalar Universitario do Algarve | Faro | 8000-386 | Portugal |
| Associação Protetora de Diabéticos de Portugal | Lisbon | 1250-189 | Portugal |
| Hospital Egas Moniz (CHLO) | Lisbon | 1349-019 | Portugal |
| Hospital Lusíadas de Lisboa, Lisboa | Lisbon | 1500-458 | Portugal |
| Centro Hospitalar Lisboa Norte - Site 10005 | Lisbon | 1649-028 | Portugal |
| Centro Hospitalar Lisboa Norte - Site 10006 | Lisbon | 1649-028 | Portugal |
| Clínica Cuida Mais | Mangualde | 3530-191 | Portugal |
| Centro Hospitalar Universitário São João (CHUSJ) | Porto | 4200-319 | Portugal |
| Instituto CUF Porto | Porto | 4460-188 | Portugal |
| Centro Hospitalar de Entre Douro e Vouga | Santa Maria da Feira | 4520-179 | Portugal |
| Hospital de Alta Resolución de Sierra Norte | Constantina | Andalusia | 41450 | Spain |
| H. Reina Sofia | Córdoba | Andalusia | 14004 | Spain |
| Hospital de Alta Resolución de Ecija | Écija | Andalusia | 41400 | Spain |
| H Juan Ramón Jiménez de Huelva | Huelva | Andalusia | 21005 | Spain |
| H. Infanta Elena | Huelva | Andalusia | 21080 | Spain |
| Centro Médico Puerto | Jerez de la Frontera | Andalusia | 11402 | Spain |
| HG. Univ. De Jérez | Jerez de la Frontera | Andalusia | 11407 | Spain |
| Hospital de Alta Resolución de Lebrija | Lebrija | Andalusia | 41570 | Spain |
| H Carlos Haya | Málaga | Andalusia | 29010 | Spain |
| H. Univ. Virgen Macarena | Seville | Andalusia | 41009 | Spain |
| H. San Agustín | Seville | Andalusia | 41700 | Spain |
| H. Alta Resolución de Utrera | Utrera | Andalusia | 41710 | Spain |
| Hospital de Alta Resolución de La Janda | Vejer de la Frontera | Andalusia | 11150 | Spain |
| H. San Eloy | Barakaldo | Basque Country | 48902 | Spain |
| H. Univ. Basurto | Bilbao | Basque Country | 48013 | Spain |
| H. Univ. de Basurto | Bilbao | Basque Country | 48013 | Spain |
| Clinica Privada Orotava | La Orotava | Canary Islands | 38300 | Spain |
| C S Colloto | Colloto | Castille and León | 33010 | Spain |
| H Universitario De León | León | Castille and León | 24008 | Spain |
| H Clínico de Salamanca | León | Castille and León | 37007 | Spain |
| C S de la Alamedilla | Salamanca | Castille and León | 37003 | Spain |
| H. General de Segovia | Segovia | Castille and León | 40002 | Spain |
| Complejo Asistencial de Zamora | Zamora | Castille and León | 49022 | Spain |
| H. Clinic i Provincial de Barcelona | Barcelona | Catalonia | 08036 | Spain |
| H de la Santa Creu i Sant Pau | Barcelona | Catalonia | 08041 | Spain |
| H. Universitari Bellvitge | L'Hospitalet de Llobregat | Catalonia | 08907 | Spain |
| Complejo Hospitalario Universitario A Coruña | A Coruña | Galicia | 15006 | Spain |
| Complejo Hospitalario Univ. El Ferrol | Ferrol | Galicia | 15405 | Spain |
| Complejo Hospitalario de Ourense | Ourense | Galicia | 32005 | Spain |
| H. Clínico Univ. Santiago de Compostela | Santiago de Compostela | Galicia | 15706 | Spain |
| Hospital Principe de Asturias | Alcalá de Henares | Madrid | 28805 | Spain |
| H. Universitario Fuenlabrada | Fuenlabrada | Madrid | 28942 | Spain |
| H. Univ. Infanta Sofía | San Sebastián de los Reyes | Madrid | 28709 | Spain |
| H. Costa del Sol | Marbella | Málaga | 29603 | Spain |
| H Universitario Central de Asturias | Oviedo | Principality of Asturias | 33011 | Spain |
| Hospital Universitario Fundación Alcorcón | Alcorcón | 28922 | Spain |
| H. del Mar Site 11041 | Barcelona | 08003 | Spain |
| H. del Mar Site 11065 | Barcelona | 08003 | Spain |
| H. Univ. Basurto | Bilbao | 48013 | Spain |
| Centro de Salud Colloto | Colloto | 33010 | Spain |
| Hospital Univ. Getafe | Getafe | 28905 | Spain |
| Hospital de Jerez | Jerez de la Frontera | 11407 | Spain |
| Hospital Universitari de Bellvitge | L'Hospitalet de Llobregat | 08907 | Spain |
| Hospital Universitario de la Princesa Site 11054 | Madrid | 28006 | Spain |
| Hospital Universitario de la Princesa Site 11062 | Madrid | 28006 | Spain |
| Hospital Universitario de la Princesa Site 11075 | Madrid | 28006 | Spain |
| H Gregorio Marañon | Madrid | 28007 | Spain |
| Hospital Universitario Gregorio Marañon | Madrid | 28007 | Spain |
| Clinica Universitaria de Navarra | Madrid | 28027 | Spain |
| Clínica Universitaria de Navarra | Madrid | 28027 | Spain |
| Fundación Jiménez Díaz | Madrid | 28029 | Spain |
| H. Univ. Clínico San Carlos | Madrid | 28029 | Spain |
| H. Univ. La Paz-Carlos III | Madrid | 28029 | Spain |
| H. Universitario La Paz-Carlos III | Madrid | 28029 | Spain |
| Hospital La Paz-Carlos III | Madrid | 28029 | Spain |
| H. Univ. Ramón y Cajal | Madrid | 28034 | Spain |
| Fundación Jiménez Díaz | Madrid | 28040 | Spain |
| H. Universitario 12 de octubre | Madrid | 28041 | Spain |
| H. Clínico Virgen de la Arrixaca | Murcia | 30120 | Spain |
| Complejo Hospitalario Universitario de Ourense (CHOU) Site 11003 | Ourense | 32005 | Spain |
| Complejo Hospitalario Universitario de Ourense (CHOU) Site 11052 | Ourense | 32005 | Spain |
| H. San Joan de Reus | Reus | 41009 | Spain |
| Hospital Parc Tauli | Sabadell | 08208 | Spain |
| Hospital Clínico de Salamanca | Salamanca | 37007 | Spain |
| Hospital Universitario Infanta Sofía | San Sebastián de los Reyes | 28709 | Spain |
| Hospital de Sant Joan Despí Moisès Broggi | Sant Joan Despí | 8970 | Spain |
| Hospital Universitario Marqués de Valdecilla | Santander | 39008 | Spain |
| Hospital General de Segovia | Segovia | 40002 | Spain |
| Hospital Universitario Virgen de la Macarena | Seville | 41009 | Spain |
| Hospital Sant Pau i Santa Tecla | Tarragona | 43003 | Spain |
| Hospital HM de Torrelodones | Torrelodones | 28250 | Spain |
| Centro de Salud Fuentes Norte | Zaragoza | 50002 | Spain |
| Falu Lasarett, Diab/Endo-mottagning | Falun | 79182 | Sweden |
| Sahlgrenska University Hospital | Gothenburg | 41345 | Sweden |
| Östra Sahlgrenska Universitetssjukhuset - Ostra Sjukhuse | Gothenburg | 41685 | Sweden |
| Värmdö Vårdcentral | Gustavsberg | 13444 | Sweden |
| Öbackakliniken | Härnösand | 87131 | Sweden |
| Länssjukhuset Ryhov | Jönköping | 55305 | Sweden |
| Capio Citykliniken | Lund | 22221 | Sweden |
| Skåne University Hospital | Malmö | 20502 | Sweden |
| Cityheart | Stockholm | 11157 | Sweden |
| Södersjukhuset Stockholm | Stockholm | 11883 | Sweden |
| Karolinska University Hospital, Huddinge | Stockholm | 14186 | Sweden |
| Kantonsspital Baden AG | Baden | 5404 | Switzerland |
| Universitätsspital Basel | Basel | 4031 | Switzerland |
| Hôpitaux Universitaires de Genève | Geneva | 1205 | Switzerland |
| University of Lausanne Unisanté | Lausanne | 1010 | Switzerland |
| Cardio Center Luzern | Lucerne | 6003 | Switzerland |
| Kardiolab | Olten | 4600 | Switzerland |
| Solothurner Spitäler AG | Olten | 4600 | Switzerland |
| Kantonsspital St. Gallen | Sankt Gallen | 9007 | Switzerland |
| Cardiologue FMH | Yverdon-les-Bains | 1400 | Switzerland |
| Klinik Hirslanden | Zurich | 8032 | Switzerland |
| Universitätsspital Zürich | Zurich | 8091 | Switzerland |
| Craigavon Area Hospital | Craigavon | Armagh | BT63 5QQ | United Kingdom |
| The Boathouse Sugery | Reading | Berkshire | RG8 7DP | United Kingdom |
| Oak Tree Surgery | Liskeard | Cornwall | PL14 3XA | United Kingdom |
| Newquay Health Centre | Newquay | Cornwall | TR7 1RU | United Kingdom |
| The Alverton Practice | Penzance | Cornwall | TR18 4DX | United Kingdom |
| Knowle House Surgery | Plymouth | Cornwall | PL5 3JB | United Kingdom |
| Royal Cornwall Hospital | Truro | Cornwall | TR1 3LJ | United Kingdom |
| Carmel Medical Practice | Darlington | County Durham | United Kingdom |
| Fellview Healthcare | Whitehaven | Cumbria | CA28 7QE | United Kingdom |
| The Adam Practice | Poole | Dorset | United Kingdom |
| Manor Park Medical Practice | Leicester | East Midlands | LE4 8EA | United Kingdom |
| Southend University Hospital | Southend | Essex | SS0 0RY | United Kingdom |
| Barts Health NHS Trust | London | Greater London | EC1M 6BQ | United Kingdom |
| Church End Medical | London | Greater London | NW10 9HP | United Kingdom |
| The Friarsgate Practice | Winchester | Hampshire | SO22 6EL | United Kingdom |
| Burbage Surgery | Hinckley | Leicestershire | LE10 2SE | United Kingdom |
| Liverpool Heart & Chest Hospital NHS Trust | Liverpool | Merseyside | L14 3PE | United Kingdom |
| Breckland Alliance | London | Norfolk | United Kingdom |
| Carlisle Healthcare | Carlisle | North Cumbria | CA2 7HY | United Kingdom |
| Pickering Medical Practice | Pickering | North Yorkshire | YO18 8BL | United Kingdom |
| Whitby Group Practice | Whitby | North Yorkshire | YO21 1SD | United Kingdom |
| Lakeside Surgery | Corby | Northamptonshire | NN17 2UR | United Kingdom |
| Danes Camp Medical Centre | Northampton | Northamptonshire | NN4 0NY | United Kingdom |
| Ormeau Clinical Trials Ltd | Belfast | Northern Ireland | BT7 2EB | United Kingdom |
| Branch End Surgery | Stocksfield | Northumberland | NE43 7LL | United Kingdom |
| Princess Royal Hospital | Shrewsbury | Shropshire | SY3 8XQ | United Kingdom |
| Princess Royal Hospital | Telford | Shropshire | TF1 6TF | United Kingdom |
| Heart of Bath Medical Partnership | Bath | Somerset | BA1 2SR | United Kingdom |
| Clifton Medical Centre | Rotherham | South Yorkshire | S65 1DA | United Kingdom |
| Brockwood Medical Practice | Brockham | Surrey | RH3 7NJ | United Kingdom |
| Staploe Medical Centre | Soham | Surrey | CB7 5JD | United Kingdom |
| North Tyneside General Hospital | North Shields | Tyne and Wear | NE29 8NH | United Kingdom |
| Sunderland Royal Hospital | Sunderland | Tyne and Wear | SR4 7TP | United Kingdom |
| Glan Clwyd Hospital | Bodelwyddan | Wales | LL18 5UJ | United Kingdom |
| Sherbourne Medical Centre | Royal Leamington Spa | Warwickshire | CV32 4RA | United Kingdom |
| Huddersfield Hospital | Swindon | West Yorkshire | HD3 3EA | United Kingdom |
| Great Western Hospital Swindon | Huddersfield | Wiltshire | SN3 6BB | United Kingdom |
| Great Western Hospital Swindon | Swindon | Wiltshire | SN3 6BB | United Kingdom |
| Huddersfield Hospital | Huddersfield | Yorkshire | HD3 3EA | United Kingdom |
| The Atherstone Surgery | Atherstone | CV9 1EU | United Kingdom |
| Layton Medical Centre | Blackpool | FY3 7EN | United Kingdom |
| Waterloo Medical Care | Blackpool | FY4 3AD | United Kingdom |
| Llanedeyrn Health Centre | Cardiff | CF23 9PN | United Kingdom |
| Ely Bridge Surgery | Cardiff | CF5 4AD | United Kingdom |
| Holderness Health Surgery | Hedon | United Kingdom |
| Hull Royal Infirmary | Hull | HU3 2JZ | United Kingdom |
| Temple Sowerby Medical Practice | Penrith | CA10 1RW | United Kingdom |
| Wansford and Kings Cliffe Practice | Peterborough | PE8 6PL | United Kingdom |
| Panthera Preston | Preston | PR1 6YA | United Kingdom |
| Ecclesfield Group Practice | Sheffield | United Kingdom |
| Royal Albert Edward Infirmary | Wigan | WN6 9EP | United Kingdom |
| Ray KK, Aguiar C, Arca M, Connolly DL, Eriksson M, Ferrieres J, Laufs U, Mostaza JM, Nanchen D, Boachie C, Lee B, Soronen J, Becker C, Rietzschel E, Strandberg T, Toplak H, Visseren FLJ, Catapano AL; SANTORINI study investigators. Potential impact on cholesterol goal achievement and predicted cardiovascular risk by the addition of ezetimibe and bempedoic acid on top of statins: a simulation from the SANTORINI study. Am J Prev Cardiol. 2026 Mar 24;27:101577. doi: 10.1016/j.ajpc.2026.101577. eCollection 2026 Jun. |
| 42031497 | Derived | Connolly D, Fuat A, McCormack T, Mcnally D, Garstang J, Ryan J, Reed A, Robinson D, Catapano AL, Ray KK. Real-world changes in lipid-lowering therapy use and LDL-C goal attainment in high and very high cardiovascular risk patients in the UK: a secondary analysis of the European SANTORINI study 1-year follow-up. BMJ Open. 2026 Apr 24;16(4):e114031. doi: 10.1136/bmjopen-2025-114031. |
| 41319792 | Derived | Aguiar C, Aguiar P, Sequeira Duarte J, Gil V, Mimoso J, Monteiro P, Pinto FJ, Pinto F, Raposo J, von Hafe P, Ruivo JA, Teixeira C, Catapano AL, Ray KK. Lipid-lowering therapy and LDL cholesterol control among high- and very high-risk patients in Portugal: An analysis of the SANTORINI study. Rev Port Cardiol. 2026 Feb;45(2):51-64. doi: 10.1016/j.repc.2025.10.003. Epub 2025 Nov 28. English, Portuguese. |
| 41125511 | Derived | Arca M, Calabro P, Solini A, Pirillo A, Gambacurta R, Ray KK, Catapano AL; SANTORINI Italian Group. Challenges in achieving LDL-C goals: Insights from the Italian SANTORINI study cohort. Nutr Metab Cardiovasc Dis. 2026 Feb;36(2):104412. doi: 10.1016/j.numecd.2025.104412. Epub 2025 Oct 14. |
| 39613100 | Derived | Mostaza JM, Garcia-Ortiz L, Suarez Tembra MA, Talavera Calle P, Chimeno Garcia J, Escolar Perez V, Diaz-Diaz JL, Manzano-Espinosa L, Catapano AL, Ray KK, Diaz Moya G, Pedro-Botet Montoya J; en representacion del grupo de investigadores de SANTORINI Espana. Failure of LDL-C goals achievement and underuse of lipid-lowering therapies in patients at high and very high cardiovascular risk: Spanish subset from the European SANTORINI study. Rev Clin Esp (Barc). 2025 Feb;225(2):78-84. doi: 10.1016/j.rceng.2024.11.004. Epub 2024 Nov 28. |
| 37090089 | Derived | Ray KK, Haq I, Bilitou A, Manu MC, Burden A, Aguiar C, Arca M, Connolly DL, Eriksson M, Ferrieres J, Laufs U, Mostaza JM, Nanchen D, Rietzschel E, Strandberg T, Toplak H, Visseren FLJ, Catapano AL; SANTORINI Study Investigators. Treatment gaps in the implementation of LDL cholesterol control among high- and very high-risk patients in Europe between 2020 and 2021: the multinational observational SANTORINI study. Lancet Reg Health Eur. 2023 Apr 5;29:100624. doi: 10.1016/j.lanepe.2023.100624. eCollection 2023 Jun. |
| Baseline Analysis Set | The Baseline Analysis Set (BAS) consisted of all eligible patients of the All-Documented Patient Set (APS) for whom adequate baseline information was available. |
|
| Full Analysis Set | The Full Analysis Set (FAS) consisted of all patients from the BAS with any available 1-year follow-up data (including study termination data where the reason for termination was death). |
|
| COMPLETED |
|
| NOT COMPLETED |
|
|
Baseline demographic characteristics were assessed in the Baseline Analysis Set.
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | High Risk and Very High Risk Dyslipidemic Participants | Participants were classified as High and Very High Risk (as assessed by the Framingham risk score for High Risk participants and the SMART score for Very High Risk participants) as well as if previously or newly diagnosed. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||||
| Race and Ethnicity Not Collected | Race and Ethnicity were not collected from any participant. | Count of Participants | Participants |
| |||||||||||||||||
| Region of Enrollment | Number | participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Mean Low Density Lipid-Cholesterol (LDL-C) Levels in High and Very High Risk Cardiovascular Participants | Blood plasma samples were used to assess LDL-C levels. | Low Density Lipid-Cholesterol (LDL-C) levels were assessed in participants with available data in the Full Analysis Set. | Posted | Mean | Standard Deviation | mmol/L | Baseline up to 12 months post-enrollment |
|
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| Primary | Number of Participants Utilizing Any Treatment Modality to Manage Plasma Levels of Low Density Lipid-Cholesterol (LDL-C) in High and Very High Risk Participants Requiring Lipid Modifying Therapies (LMTs) | Clinical events were assessed based on information captured in patient files/medical records. | Treatment modalities were assessed among participants requiring LMTs with available data in the Full Analysis Set. | Posted | Count of Participants | Participants | Baseline up to 12 months post-enrollment |
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| Secondary | Mean Atherosclerotic Cardiovascular Disease (ASCVD)-Modifying Cholesterol Fragment Levels in High Risk and Very High Risk Dyslipidemic Participants | Blood plasma samples were used to assess ASCVD-modifying cholesterol fragment levels. | Mean ASCVD-modifying cholesterol levels were assessed in participants with available data in the Full Analysis Set. | Posted | Mean | Standard Deviation | mmol/L | Baseline up to 12 months post-enrollment |
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| Secondary | Mean Apolipoprotein B Levels in High Risk and Very High Risk Dyslipidemic Participants | Blood plasma samples were used to assess Apolipoprotein B levels. | Mean apolipoprotein B levels were assessed in participants with available data in the Full Analysis Set. | Posted | Mean | Standard Deviation | g/L | Baseline up to 12 months post-enrollment |
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| Secondary | Mean Lipid Protein A Levels in High Risk and Very High Risk Dyslipidemic Participants | Blood plasma samples were used to assess lipid Protein A levels. | Mean lipid protein A levels were assessed in participants with available data in the Full Analysis Set. | Posted | Mean | Standard Deviation | mg/dL | Baseline up to 12 months post-enrollment |
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| Secondary | Mean Inflammatory High-Sensitive C-Reactive Protein (hsCRP) in High Risk and Very High Risk Dyslipidemic Participants | Blood plasma samples were used to assess hsCRP levels. | Mean hsCRP levels were assessed in participants with available data in the Full Analysis Set. | Posted | Mean | Standard Deviation | mg/L | Baseline up to 12 months post-enrollment |
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| Secondary | Number of Participants With Clinical Events Associated With Treatment Modalities, For Any LMT | The safety outcome measure reports clinical events based on information captured in patient files/medical records. Participants may have reported more than one clinical event associated with any LMT. | Clinical events were assessed among participants requiring LMTs with available data in the Full Analysis Set. | Posted | Count of Participants | Participants | Baseline up to 12 months post-enrollment |
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Since this was a non-interventional study, adverse event and serious adverse event data were not collected. Standard ADR reporting followed regulations for the post-marketing setting. Figures on ADR are not reported here. Death was assessed from study baseline up to 12 months post-enrollment and is reported.
Death data are reported from the Full Analysis Set (FAS) that consisted of all patients from the Baseline Analysis Set (BAS) with any available follow-up data.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | High Risk and Very High Risk Dyslipidemic Participants | Participants were stratified as High and Very High Risk (as assessed by the Framingham risk score for High Risk participants and the SMART score for Very High Risk participants) as well as if previously or newly diagnosed. | 153 | 9,136 | 0 | 0 | 0 | 0 |
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Medication selection and adherence, lifestyle and other risk factors were decided on by routine care and patient choices, leading to potential bias: a selection bias of the included patients, an information bias on data collected, and a confounding bias in the treatment administration. In the current analysis, all eligible patients were included and no specific methods were employed to minimize bias or confounding effects.
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Contact for Clinical Trial Information | Daiichi Sankyo | 908-992-6400 | CTRinfo@dsi.com |
| Jun 30, 2023 |
| Prot_SAP_000.pdf |
| ID | Term |
|---|---|
| D050171 | Dyslipidemias |
| D002318 | Cardiovascular Diseases |
| D006937 | Hypercholesterolemia |
| D050197 | Atherosclerosis |
| ID | Term |
|---|---|
| D052439 | Lipid Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D006949 | Hyperlipidemias |
| D001161 | Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |
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