Utility and Effectiveness of Polygenic Risk Scoring (PRS) for Coronary Artery Disease (CAD)

Overview

About this study

This study aims to identify how useful polygenic risk score (PRS) and integrated risk scoring (IRS) is in both helping doctors to treat and manage their patients and identifying people at risk of developing coronary artery disease.

The purpose of this research is to answer the following questions:

  • Does PRS/IRS influence how doctors treat or manage patients?
  • Does PRS/IRS identify patients with increased risk for coronary artery disease?
  • Does PRS/IRS influence patient outcomes, including cholesterol levels, occurrence of heart attack, and presence of coronary artery disease risk factors?
  • Does PRS/IRS affect patient understanding of risk for developing coronary artery disease?

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

* ASCVD risk ≥5% and below 20% over the following 10 years as defined by the standard pooled cohort equations
* No previous CAD event (inclusive of myocardial infarction, diagnosis of CAD, stroke)
* Previously genotyped as part of a research study that enables recontact of participants
* Receiving primary care at a participating institution.

Exclusion Criteria:

* Prior diagnosis of CAD: inclusive of prior myocardial infarction and revascularization (stent or coronary artery bypass grafting)
* Currently treated with lipid-lowering therapy, including statins, ezetimibe, PCSK9 inhibitors, inclisiran, or bempedoic acid
* Future use of statins contraindicated
* Prior diagnosis of Cerebrovascular disease: Inclusive of history of ischemic stroke, transient ischaemic attack (TIA), carotid endarterectomy, carotid artery stenting
* Prior diagnosis of Peripheral arterial disease: Inclusive of history of claudication, revascularization (stents or bypass)
* Severe hypercholesterolemia (LDL-C ≥ 190 mg/dL)

Note: Other protocol defined Inclusion/Exclusion Criteria may apply.

Eligibility last updated 01/20/2025. Questions regarding updates should be directed to the study team contact.

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Rochester, Minn.

Mayo Clinic principal investigator

Iftikhar Kullo, M.D.

Contact us for the latest status

Contact information:

Preventive Heart Research Team

(507) 538-7425

RSTCRVRUPREVENT@mayo.edu

More information

Publications

Publications are currently not available
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CLS-20579583

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