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Statistical analysis plan for the TRIDENT trial

Billot, L.; Shan, S.; Rodgers, A.; Anderson, C. S.; Bliss, R.

2025-08-26 neurology
10.1101/2025.08.24.25334319 medRxiv
Show abstract

The TRIDENT trial aims to determine the effectiveness and safety of a single pill combination of three low-dose components (telmisartan 20mg, amlodipine 2.5mg and indapamide 1.25mg) versus placebo on top of standard of care, in patients with a history of stroke due to intracerebral hemorrhage. It is designed as an international, multicenter, double-blind, placebo-controlled, parallel-group, randomized controlled trial. The primary outcome is time from randomization to first occurrence of recurrent stroke, whether intracerebral hemorrhage, ischemic or undifferentiated. This statistical analysis plan pre-specifies the method of analysis for key outcomes and variables collected in the trial. The primary analysis will consist of a Cox proportional hazard adjusted for stratification variables. The analysis plan also includes planned sensitivity analyses including covariate adjustments and subgroup analyses. An investigator initiated and conducted, multicenter, international, double-blind, placebo-controlled, parallel-group, randomized controlled trial to determine the effectiveness of more intensive blood pressure control provided by a fixed low-dose of blood pressure lowering agents as a single pill combination Triple Pill strategy on top of standard of care, on the time to first occurrence of recurrent stroke in patients with a history of stroke due to intracerebral hemorrhage.

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