NCT04417387

Brief Summary

The Genetics and Vascular Health Check study (GENVASC) is a large study run in conjunction with Clinical Commissioning Groups and Primary Care practices across Leicester, Leicestershire and Northamptonshire. The purpose of GENVASC is to help determine whether gathering genetic information can improve the prediction of risk of Coronary Artery Disease (CAD). Currently, coronary risk scores are used to put individuals into low (\<10%), medium (10-20%) and high (\>20%) risk groups to help target prevention in individuals at the highest risk of developing CAD. While this approach has merit, since the majority of individuals fall into low or medium risk groups, in absolute terms more people develop CAD in these groups than in the high risk group (despite their proportional risk being lower). Therefore, improving the accuracy of risk categorisation for CAD has important public health and clinical benefits. In the last 5 years there has been remarkable progress in identifying genetic variants that affect risk of CAD, with much of this work being co-led from Leicester. These discoveries provide a framework for testing whether the addition of genetic information in the form of a genetic risk score can improve current risk prediction of CAD. The GENVASC study capitalises on the unique opportunity provided by the NHS Health Check Programme, which is being widely promoted and specifically targets all individuals aged 40-74 years who are free of cardiovascular disease. Consenting participants taking part in the health check programme are asked to provide an additional sample of blood to subsequently determine whether the addition of genetic information would have improved prediction of risk for coronary disease in individuals at low/medium risk. To date more than 100 GP surgeries in Leicester and Leicestershire are involved in the study, and recruitment has recently commenced in Northamptonshire . We aim to recruit and follow-up over 30,000 participants over the course of the study.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
30,000

participants targeted

Target at P75+ for all trials

Timeline
9mo left

Started Sep 2012

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress95%
Sep 2012Mar 2027

Study Start

First participant enrolled

September 9, 2012

Completed
7.7 years until next milestone

First Submitted

Initial submission to the registry

June 1, 2020

Completed
3 days until next milestone

First Posted

Study publicly available on registry

June 4, 2020

Completed
6.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 31, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 31, 2027

Last Updated

November 30, 2023

Status Verified

November 1, 2023

Enrollment Period

14.6 years

First QC Date

June 1, 2020

Last Update Submit

November 29, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • To retrospectively analyse whether the addition of a genetic risk score would have improved risk prediction of Coronary Artery Disease (CAD) in an otherwise healthy population.

    10 years

Interventions

Eligibility Criteria

Age40 Years - 74 Years
Sexall
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

All patients in Leicestershire and Northamptonshire who are eligible for the NHS Health Check.

You may qualify if:

  • Male and female patients who are eligible for an NHS Health Check
  • Aged between 40 and 74 years of age
  • Able to provide informed consent

You may not qualify if:

  • History of preexisting cardiovascular disease
  • History of blood borne infection (such as HIV, Hepatitis B)
  • Unable to provide informed consent

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Primary Care, LLR and Northamptonshire

Leicester, United Kingdom

RECRUITING

Related Publications (1)

  • Debiec R, Lawday D, Bountziouka V, Beeston E, Greengrass C, Bramley R, Sehmi S, Kharodia S, Newton M, Marshall A, Krzeminski A, Zafar A, Chahal A, Heer A, Khunti K, Joshi N, Lakhani M, Farooqi A, Patel R, Samani NJ. Evaluating the clinical effectiveness of the NHS Health Check programme: a prospective analysis in the Genetics and Vascular Health Check (GENVASC) study. BMJ Open. 2023 May 30;13(5):e068025. doi: 10.1136/bmjopen-2022-068025.

Biospecimen

Retention: SAMPLES WITH DNA

EDTA sample for DNA extraction and plasma.

MeSH Terms

Conditions

Cardiovascular Diseases

Interventions

Watchful Waiting

Intervention Hierarchy (Ancestors)

Outcome Assessment, Health CareOutcome and Process Assessment, Health CareQuality of Health CareHealth Services Administration

Study Officials

  • Nilesh J Samani, Professor

    NIHR Leicester Biomedical Research Centre-Cardiovascular Theme

    STUDY DIRECTOR

Central Study Contacts

Christopher Greengrass

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 1, 2020

First Posted

June 4, 2020

Study Start

September 9, 2012

Primary Completion (Estimated)

March 31, 2027

Study Completion (Estimated)

March 31, 2027

Last Updated

November 30, 2023

Record last verified: 2023-11

Data Sharing

IPD Sharing
Will share

Anonymised data to be shared with partner organisations

Locations