WHF Roadmap on Single Pill Combination Therapies

  • Enrico G. Ferro
  • , Gautam Satheesh
  • , José Castellano
  • , Albertino Damasceno
  • , Okeoma Erojikwe
  • , Mark Huffman
  • , Vilma Irazola
  • , Philip Joseph
  • , Fernando Lanas
  • , Elijah Ogola
  • , Pedro Ordunez
  • , Pablo Perel
  • , Daniel Pineiro
  • , Izabela Uchmanowicz
  • , Orly Vardeny
  • , Ruth Webster
  • , Habib Gamra
  • , Thomas Gaziano
  • , Adrianna Murphy

Research output: Contribution to journalArticlepeer-review

Abstract

Cardiovascular diseases (CVDs) are the leading global cause of mortality, with treatment adherence posing a major barrier to effective prevention and control. Single pill combinations (SPCs), also known as fixed-dose combinations, simplify treatment by combining multiple agents into one pill, improving adherence and reducing cardiovascular risk. This World Heart Federation Roadmap synthesizes the latest clinical evidence and identifies key barriers to SPC implementation, including limited manufacturing, affordability, regulatory complexity, and inconsistent guideline inclusion. Drawing on global expert input and health systems analysis, the Roadmap outlines practical, context-specific solutions to improve access, scale-up, and integration of SPCs into national strategies, especially in low- and middle-income countries. It serves as a tool for policymakers, clinicians, and advocates to drive progress in aligning cardiovascular prevention efforts with evidence-based, people-centred care.

Original languageEnglish
Article number73
JournalGlobal Heart
Volume20
Issue number1
DOIs
StatePublished - 2025

Keywords

  • Cardiovascular disease
  • polypill
  • prevention
  • single pill combinations

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