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HypercholesterolemiaARMOLIPID-DTNCT07892092

Long-Term Cardiovascular Impact of ArmoLIPID Cholesterol Plus: An In Silico Study Using Digital Twins

An observational study of Hypercholesterolemia and Cardiovascular Risk, run by Aeterna Medical Solutions SL at 1 site in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The goal of this study, conducted entirely using computer simulations, is to evaluate the projected long-term cardiovascular impact of the new ArmoLIPID Cholesterol Plus formulation in adults with mild-to-moderate hypercholesterolemia and low-to-moderate cardiovascular risk. Read more about this study

Who is it for?
Ages 30 to 65 years
Conditions the study is for
Hypercholesterolemia, Cardiovascular Risk
Type of treatment
Pill or oral medicine
How many people
100,000 participants
Where
1 siteSpain
Study dates
1 Sep 2026to 14 Oct 2026
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 30 to 65 years
  • All sexes
  • Adult, Older adult

Study population: The study population consists of 100,000 synthetic digital twins representing adults aged 30 to 65 years with mild-to-moderate hypercholesterolemia, baseline LDL-C levels between 115 and 189 mg/dL, and low-to-moderate estimated cardiovascular risk according to SCORE2. The synthetic population excludes individuals with established atherosclerotic cardiovascular disease, diabetes mellitus, or high-to-very-high cardiovascular risk at baseline. Digital twins are generated and analyzed using the Aeterna Deep computational platform to simulate individual cardiovascular trajectories over a 20-year period. Three virtual management strategies are evaluated: lifestyle management alone, lifestyle management combined with one daily tablet of the new ArmoLIPID Cholesterol Plus formulation, and an exploratory two-tablet daily scenario assuming a hypothetical sustained 32% reduction in LDL-C. The study is conducted entirely in silico. No human participants are

Who may be able to join

  • Synthetic digital twins representing adults aged 30 to 65 years.
  • Baseline low-density lipoprotein cholesterol (LDL-C) levels between 115 and 189 mg/dL.
  • Low-to-moderate estimated 10-year cardiovascular risk according to Systematic Coronary Risk Evaluation 2 (SCORE2).
  • No history of established atherosclerotic cardiovascular disease (ASCVD).
  • No diagnosis of diabetes mellitus at baseline.
  • Availability of the simulated baseline characteristics required for cardiovascular risk estimation and longitudinal computational modeling.

Who cannot join

  • Synthetic profiles representing individuals younger than 30 years or older than 65 years.
  • Baseline LDL-C levels below 115 mg/dL or above 189 mg/dL.
  • High or very high estimated cardiovascular risk according to SCORE2.
  • History of established ASCVD, including previous myocardial infarction, ischemic stroke, or peripheral arterial disease.
  • Diagnosis of diabetes mellitus at baseline.
  • Synthetic profiles with missing or inconsistent baseline variables required for cardiovascular risk estimation or simulation.

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • Aeternal Medical Solutions SL

    Madrid, Madrid, 28009

Other trials in Spain

About this study

Official title: Long-Term Cardiovascular Impact of the New ArmoLIPID Cholesterol Plus Formulation: An In Silico Clinical Study Using 100,000 Digital Twins

The goal of this study, conducted entirely using computer simulations, is to evaluate the projected long-term cardiovascular impact of the new ArmoLIPID Cholesterol Plus formulation in adults with mild-to-moderate hypercholesterolemia and low-to-moderate cardiovascular risk.

The main questions this study aims to answer are:

Read more
  • Does the addition of ArmoLIPID Cholesterol Plus to lifestyle management reduce the projected incidence of major adverse cardiovascular events (MACE), including cardiovascular death, non-fatal myocardial infarction, and non-fatal stroke?
  • How does sustained LDL cholesterol reduction influence cumulative cardiovascular risk over 5, 10, 15, and 20 years?
  • Could the use of ArmoLIPID Cholesterol Plus delay the projected need for statin therapy?

Researchers will compare two simulated strategies: lifestyle management alone versus lifestyle management combined with one daily tablet of the new ArmoLIPID Cholesterol Plus formulation.

No human participants will be recruited, treated, or followed in this study. Using the Aeterna Deep computational platform, researchers will generate a synthetic population of 100,000 digital twins whose characteristics reflect those of adults with mild-to-moderate hypercholesterolemia. The simulations will incorporate clinical evidence from previous studies and model individual cardiovascular trajectories over a 20-year period.

All cardiovascular outcomes will be computational projections rather than events observed in human participants.

Keywords
Hypercholesterolemia, Cardiovascular Prevention, ArmoLIPID Cholesterol Plus, Nutraceuticals, Digital Twins, In Silico Clinical Trial, Major Adverse Cardiovascular Events (MACE), Low-density lipoprotein (LDL) cholesterol
Medical subject headings
Hypercholesterolemia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT07892092
Study groupRoleWhat they receive
Lifestyle Management (Reference Group)Synthetic digital twins receiving simulated standard lifestyle management, including dietary recommendations, regular physical activity, and cardiovascular risk factor management, without ArmoLIPID Cholesterol Plus supplementation. This group serves as the reference comparator for estimating long-term cardiovascular outcomes over 5, 10, 15, and 20 years.
Lifestyle Management + ArmoLIPID Cholesterol PlusSynthetic digital twins receiving simulated standard lifestyle management combined with one daily tablet of the new ArmoLIPID Cholesterol Plus formulation, without red yeast rice. The simulation estimates the long-term effects of LDL cholesterol (LDL-C) reduction on cumulative cardiovascular exposure and the projected incidence of major adverse cardiovascular events (MACE) over 5, 10, 15, and 20 years.
Exploratory Scenario - Enhanced LDL-C Reduction (Two Tablets Daily)Synthetic digital twins receiving simulated standard lifestyle management combined with two tablets daily of the new ArmoLIPID Cholesterol Plus formulation, without red yeast rice. This exploratory scenario assumes a sustained 32% reduction in LDL cholesterol (LDL-C) from baseline and evaluates its potential long-term impact on cumulative LDL-C exposure and the projected incidence of major adverse cardiovascular events (MACE) over 5, 10, 15, and 20 years. The assumed LDL-C reduction represents a hypothetical enhanced-response scenario and has not been clinically demonstrated for the two-tablet daily regimen. No human participants receive treatment in this simulation.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Projected Cumulative Incidence of First Major Adverse Cardiovascular Event (MACE)

    Estimation of the projected cumulative incidence of a first major adverse cardiovascular event (MACE), defined as the composite of cardiovascular death, non-fatal myocardial infarction, or non-fatal stroke, using the Aeterna Deep digital twin simulation platform. The outcome will be assessed across three simulated strategies: lifestyle management alone, lifestyle management combined with one daily tablet of the new ArmoLIPID Cholesterol Plus formulation, and an exploratory scenario involving two tablets daily with an assumed 32% LDL cholesterol LDL-C reduction. Cumulative event probabilities, absolute risk differences, and model-derived hazard ratios will be estimated at 5, 10, 15, and 20 years. All events are computationally projected and are not observed clinical events in human participants.

    Measured: From simulation baseline to 5, 10, 15, and 20 years

Secondary outcomes (7)
  1. Projected Cumulative LDL Cholesterol Exposure Over 20 Years

    Estimation of cumulative exposure to low-density lipoprotein cholesterol (LDL-C) over 5, 10, 15, and 20 years, calculated as the area under the simulated LDL-C concentration-time curve and expressed in mg/dL-years. The analysis will compare lifestyle management alone with lifestyle management plus one tablet daily of the new ArmoLIPID Cholesterol Plus formulation and an exploratory two-tablet daily scenario assuming a sustained 32% reduction in LDL-C. Differences in cumulative LDL-C exposure between simulated strategies will be assessed to characterize the potential long-term impact of sustained cholesterol lowering. All LDL-C trajectories are computationally simulated and do not represent longitudinal measurements obtained from human participants.

    Measured: From simulation baseline to 5, 10, 15, and 20 years

  2. Projected Incidence of Statin Therapy Indication

    Estimation of the projected proportion of synthetic digital twins meeting predefined clinical criteria for initiation of statin therapy over 5, 10, 15, and 20 years. The analysis will compare three simulated strategies: lifestyle management alone, lifestyle management combined with one tablet daily of the new ArmoLIPID Cholesterol Plus formulation, and an exploratory two-tablet daily scenario assuming a sustained 32% reduction in LDL cholesterol (LDL-C). Statin therapy indication will be determined using the cardiovascular risk and LDL-C thresholds specified in the simulation model. Differences between strategies will be assessed to estimate the potential impact of sustained LDL-C lowering on the future need for lipid-lowering pharmacotherapy. All outcomes are computational projections and do not represent treatment decisions made for human participants.

    Measured: From simulation baseline to 5, 10, 15, and 20 years

  3. Projected Time to First Statin Therapy Indication

    Estimation of the simulated time from baseline to the first occurrence of predefined clinical criteria for statin therapy initiation, expressed in years. The analysis will compare lifestyle management alone, lifestyle management combined with one tablet daily of the new ArmoLIPID Cholesterol Plus formulation, and an exploratory two-tablet daily scenario assuming a sustained 32% reduction in LDL cholesterol (LDL-C). Time-to-event analyses will assess whether sustained LDL-C lowering may delay the projected indication for statin therapy. All outcomes are derived from computational simulations and do not represent actual prescribing decisions or clinical follow-up of human participants.

    Measured: From simulation baseline up to 20 years

  4. Projected Cardiovascular Outcomes According to Supplementation Adherence

    Assessment of the association between simulated long-term adherence to ArmoLIPID Cholesterol Plus supplementation and the projected cumulative incidence of major adverse cardiovascular events (MACE), defined as cardiovascular death, non-fatal myocardial infarction, or non-fatal stroke. The analysis will evaluate adherence scenarios incorporated into the Aeterna Deep computational model and compare their projected cardiovascular outcomes over 5, 10, 15, and 20 years. All adherence patterns and cardiovascular events are computationally simulated and do not represent observed behavior or clinical outcomes in human participants.

    Measured: From simulation baseline to 5, 10, 15, and 20 years

  5. Projected Number Needed to Treat (NNT) to Prevent One Major Adverse Cardiovascular Event

    Estimation of the model-derived number needed to treat (NNT) to prevent one first major adverse cardiovascular event (MACE), defined as cardiovascular death, non-fatal myocardial infarction, or non-fatal stroke. The NNT will be calculated as the inverse of the absolute difference in projected cumulative MACE incidence between lifestyle management alone and each simulated ArmoLIPID Cholesterol Plus supplementation strategy at 5, 10, 15, and 20 years. The analysis will include the one-tablet daily strategy and the exploratory two-tablet daily scenario assuming a sustained 32% reduction in LDL cholesterol. NNT estimates represent hypothetical benefits derived from computational simulations and should not be interpreted as clinically demonstrated treatment effects.

    Measured: From simulation baseline to 5, 10, 15, and 20 years

  6. Projected Major Adverse Cardiovascular Event-Free Survival Time

    Estimation of the projected time free from a first major adverse cardiovascular event (MACE), defined as cardiovascular death, non-fatal myocardial infarction, or non-fatal stroke, over a 20-year simulation horizon. Restricted mean MACE-free survival time will be estimated from the simulated event-free survival curves and expressed in years. The analysis will compare lifestyle management alone with lifestyle management plus one tablet daily of the new ArmoLIPID Cholesterol Plus formulation and an exploratory two-tablet daily scenario assuming a sustained 32% reduction in LDL cholesterol (LDL-C). Between-strategy differences will be used to quantify the projected gain in MACE-free survival time. All estimates are derived from computational simulations and do not represent observed clinical outcomes in human participants.

    Measured: From simulation baseline up to 20 years

  7. Model-Derived Hazard Ratio for First Major Adverse Cardiovascular Event (MACE)

    Estimation of model-derived hazard ratios (HRs) for the time to first major adverse cardiovascular event (MACE), defined as cardiovascular death, non-fatal myocardial infarction, or non-fatal stroke. Hazard ratios will compare simulated lifestyle management alone with lifestyle management combined with one tablet daily of the new ArmoLIPID Cholesterol Plus formulation and, separately, an exploratory two-tablet daily scenario assuming a sustained 32% reduction in LDL cholesterol (LDL-C). Estimates will be accompanied by uncertainty intervals derived from the computational model. All hazard ratios represent simulated associations and should not be interpreted as treatment effects demonstrated in a clinical trial involving human participants.

    Measured: From simulation baseline up to 20 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Oct 2026
  2. Study start1 Sep 2026
  3. Primary completion3 Oct 2026
  4. Study completion14 Oct 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Prospective
Enrolment
100,000 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07892092
Sponsor's protocol ID
AETERNA-ARMOLIPID-001
Acronym
ARMOLIPID-DT
Status last verified
Oct 2026
First submitted
17 Oct 2026
Last updated
28 Oct 2026
Results posted
No
Individual data sharing
No: This study is conducted entirely in silico using 100,000 synthetic digital twins generated and analyzed through the Aeterna Deep computational platform. No individual participant data from enrolled human subjects are collected or generated. The underlying synthetic datasets and simulation outputs are not planned for public sharing, as they form part of the proprietary computational framework of Aeterna Medical Solutions SL. Aggregated study findings will be disseminated through scientific publications and reports.

Publications

  • SCORE2-OP working group and ESC Cardiovascular risk collaboration. SCORE2-OP risk prediction algorithms: estimating incident cardiovascular event risk in older persons in four geographical risk regions. Eur Heart J. 2021 Jul 1;42(25):2455-2467. doi: 10.1093/eurheartj/ehab312.

    PubMed 34120185
  • Cholesterol Treatment Trialists' (CTT) Collaboration; Baigent C, Blackwell L, Emberson J, Holland LE, Reith C, Bhala N, Peto R, Barnes EH, Keech A, Simes J, Collins R. Efficacy and safety of more intensive lowering of LDL cholesterol: a meta-analysis of data from 170,000 participants in 26 randomised trials. Lancet. 2010 Nov 13;376(9753):1670-81. doi: 10.1016/S0140-6736(10)61350-5. Epub 2010 Nov 8.

    PubMed 21067804
  • SCORE2 working group and ESC Cardiovascular risk collaboration. SCORE2 risk prediction algorithms: new models to estimate 10-year risk of cardiovascular disease in Europe. Eur Heart J. 2021 Jul 1;42(25):2439-2454. doi: 10.1093/eurheartj/ehab309.

    PubMed 34120177
  • Visseren FLJ, Mach F, Smulders YM, Carballo D, Koskinas KC, Back M, Benetos A, Biffi A, Boavida JM, Capodanno D, Cosyns B, Crawford C, Davos CH, Desormais I, Di Angelantonio E, Franco OH, Halvorsen S, Hobbs FDR, Hollander M, Jankowska EA, Michal M, Sacco S, Sattar N, Tokgozoglu L, Tonstad S, Tsioufis KP, van Dis I, van Gelder IC, Wanner C, Williams B; ESC National Cardiac Societies; ESC Scientific Document Group. 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice. Eur Heart J. 2021 Sep 7;42(34):3227-3337. doi: 10.1093/eurheartj/ehab484. No abstract available.

    PubMed 34458905
  • Ference BA, Ginsberg HN, Graham I, Ray KK, Packard CJ, Bruckert E, Hegele RA, Krauss RM, Raal FJ, Schunkert H, Watts GF, Boren J, Fazio S, Horton JD, Masana L, Nicholls SJ, Nordestgaard BG, van de Sluis B, Taskinen MR, Tokgozoglu L, Landmesser U, Laufs U, Wiklund O, Stock JK, Chapman MJ, Catapano AL. Low-density lipoproteins cause atherosclerotic cardiovascular disease. 1. Evidence from genetic, epidemiologic, and clinical studies. A consensus statement from the European Atherosclerosis Society Consensus Panel. Eur Heart J. 2017 Aug 21;38(32):2459-2472. doi: 10.1093/eurheartj/ehx144.

    PubMed 28444290
  • Fogacci F, Di Micoli V, Veronesi M, Cicero AFG. Comparative effect of a nutraceutical compound based on a flavonoid complex from bergamot on plasma lipids, glucose metabolism, and liver enzymes: a 3-arm, double-blind, placebo-controlled, randomized clinical trial. Arch Med Sci. 2022 Sep 9;19(5):1180-1185. doi: 10.5114/aoms/152791. eCollection 2023.

    PubMed 37732027

Questions about this trial

What is this clinical trial studying?

An observational study of Hypercholesterolemia and Cardiovascular Risk, run by Aeterna Medical Solutions SL at 1 site in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Projected Cumulative Incidence of First Major Adverse Cardiovascular Event (MACE) (time frame: From simulation baseline to 5, 10, 15, and 20 years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07892092, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Oct 2026.

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