News Release

World Health Organization includes the cardiovascular polypill in its list of essential medicines after a groundbreaking study led by the president of Mount Sinai Heart

Business Announcement

The Mount Sinai Hospital / Mount Sinai School of Medicine

Valentin Fuster, MD, PhD, President of Mount Sinai Heart, Physician-in-Chief of The Mount Sinai Hospital, and General Director of CNIC

image: Dr. Fuster helped develop the cardiovascular polypill that was just added to World Health Organization's List of Essential Medicines view more 

Credit: Mount Sinai Health System

The cardiovascular polypill, developed by the Spanish National Centre for Cardiovascular Research (CNIC) and the pharmaceutical company Ferrer, has been included by the World Health Organization (WHO) in its List of Essential Medicines.

The medication, known as a “polypill,” includes three active ingredients (acetylsalicylic acid, ramipril, and atorvastatin) and is effective in preventing secondary adverse cardiovascular events in people who have previously had a heart attack, reducing cardiovascular mortality by 33 percent in this population. Those are findings from the SECURE trial led by Valentin Fuster, MD, PhD, President of Mount Sinai Heart, Physician-in-Chief of The Mount Sinai Hospital, and General Director of CNIC. The groundbreaking results were published in August 2022 in The New England Journal of Medicine.

“The SECURE results showed for the first time that the cardiovascular polypill that we helped develop led to clinically relevant reductions in recurrent cardiovascular events in patients who had suffered a myocardial infarction,” said Dr. Fuster. “Adherence to treatment after an acute myocardial infarction is essential for effective secondary prevention. This cardiovascular polypill, as a strategy that combines three of the baseline treatments for these patients, has proven its value, because increased adherence means that patients are being treated for longer and, as a result, have a lower risk of cardiovascular events.”

The Essential Medicines List contains medicines that the WHO considers to be the minimum requirements for any health care system. It is updated every two years, and is internationally recognized, helping to prioritize effective and affordable medicines. As stated in the WHO report, “Essential medicines are those that satisfy the priority health care needs of a population. They are intended to be available in functioning health systems at all times, in appropriate dosage forms, of assured quality, and at prices individuals and health systems can afford.”

The polypill is marketed under the brand names Trinomia®, Sincronium®, and Iltria®, depending on the country. It is the only polypill designed exclusively for patients who have experienced a cardiovascular event that is commercially available in 25 countries, and the feasibility of extending its distribution to additional territories, including the United States, is under analysis.

“The 33 percent reduction in cardiovascular mortality demonstrates the efficacy of treatment with Trinomia4 compared to standard treatment. The inclusion of this therapeutic solution in the WHO's List of Essential Medicines confirms our aim to make a positive impact in society and is an important step in our mission to bring significant and differential value to people with cardiovascular disease,” explains Oscar Pérez, Chief Marketing, Market Access, and Business Development Officer at Ferrer.

Dr. Fuster adds, “Since our groundbreaking study was published, we have seen an increase in polypill usage across the world and we are looking forward to have this medicine available in the United States and the rest of the countries where it is not available yet. This cardiovascular polypill could become an integral part of global strategies to prevent cardiovascular events in patients who have suffered a heart attack and who are currently already being treated with separate mono-components. This approach has the potential to reduce the risk of recurrent disease and cardiovascular death.”

Mount Sinai Heart is one of the nation’s top 4 hospitals in Cardiology/Heart Surgery

Mount Sinai Heart is among the top 4 in the nation for cardiology and cardiac surgery according to U.S. News & World Report®.  Newsweek’s “The World’s Best Specialized Hospitals” ranks Mount Sinai Heart as No. 1 in New York and No. 4 globally.

It is part of Mount Sinai Health System, which is New York City's largest academic medical system, encompassing eight hospitals, a leading medical school, and a vast network of ambulatory practices throughout the greater New York region. We advance medicine and health through unrivaled education and translational research and discovery to deliver care that is the safest, highest-quality, most accessible and equitable, and the best value of any health system in the nation. The Health System includes approximately 7,400 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. Hospitals within the System are consistently ranked by Newsweek’s® “The World’s Best Smart Hospitals” and by U.S. News & World Report's® “Best Hospitals” and “Best Children’s Hospitals.” The Mount Sinai Hospital is on the U.S. News & World Report's® “Best Hospitals” Honor Roll for 2023-2024.

For more information, visit or find Mount Sinai on FacebookTwitter and YouTube.

About the CNIC

The Centro Nacional de Investigaciones Cardiovasculares (CNIC), directed by Dr. Valentín Fuster, is dedicated to cardiovascular research and the translation of knowledge gained into real benefits for patients. The CNIC, recognized by the Spanish government as a Severo Ochoa center of excellence, is financed through a pioneering public-private partnership between the government (through the Carlos III Institute of Health) and the Pro CNIC Foundation, which brings together 12 of the most important Spanish private companies.


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