Funding grants have just been announced, and Sophia Zoungas and the team in charge of the STAtins for
Reducing Events in the Elderly (STAREE) trial are on the winners list. The trial
will be the first randomised controlled trial of statin therapy in an apparently
healthy elderly cohort living independently in the community and will be administered through the SPHPM. Earlier trials
have shown the cardiovascular benefits to younger people with established CVD
or at high risk of CVD no studies thus far have focused on the elderly.
Amongst the issues likely to influence the balance of the
risks and benefits to the elderly are: myopathy, diabetes, cognitive impairment,
cancer and polypharmacy. STAREE will determine the effects of statin therapy
versus placebo on overall survival (all-causes of death) or disability-free survival
(need for permanent residential care) over an average 5-year treatment period
amongst elderly Australians equal to or older than 75. The study will be
conducted in Australian general practice and utilise the resources and
expertise in community-based research generated by the ASPREE study. Given the
demographic transition to an older population and the increasing health care
costs incurred by governments and individuals, this study could possibly
influence health expenditure and change the way that preventative drugs are
evaluated in this age group.
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