NCT05883878

Brief Summary

The goal of this clinical trial is to study innovative approaches for personalized primary preventive interventions for cardiovascular diseases (CVD) in the population. The main questions it aims to answer are:

  • efficacy and safety of the intervention
  • how to implement the interventions in the NHS Participants will be randomized in one of the four parallel arms:
  • standard of care;
  • genetic testing for cardiovascular genetic risk (through the cardiovascular Polygenic Risk Score or PRS);
  • digital intervention with a wearable device and its app;
  • digital intervention and genetic testing (PRS) The primary outcome we are going to evaluate is the efficacy of returning PRS information of CVD measured at baseline, alone or in combination with the use of a wearable device, on two endpoints: i) change in lifestyle pattern; ii) CVD risk profile modification. The postulated hypothesis is that the achievement of these endpoints is more likely in presence of at least one of the aforementioned interventions than among subjects who receive only traditional risk assessment at baseline, nor respect to subjects receiving traditional risk assessment plus adopting wearable devices.

Trial Health

57
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
1,020

participants targeted

Target at P75+ for not_applicable cardiovascular-diseases

Timeline
Completed

Started Jul 2023

Typical duration for not_applicable cardiovascular-diseases

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

First Submitted

Initial submission to the registry

May 17, 2023

Completed
15 days until next milestone

First Posted

Study publicly available on registry

June 1, 2023

Completed
2 months until next milestone

Study Start

First participant enrolled

July 24, 2023

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2025

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2026

Completed
Last Updated

August 22, 2025

Status Verified

August 1, 2025

Enrollment Period

2.3 years

First QC Date

May 17, 2023

Last Update Submit

August 17, 2025

Conditions

Keywords

Coronary Artery Disease (CAD)

Outcome Measures

Primary Outcomes (2)

  • Change in the Lifestyle Category

    The lifestyle category will be measured using the Life's Essential 8 tool. A change will be considered achieved if there is a shift towards a more favorable lifestyle category.

    12 months

  • Modification of the Lipid Profile

    We will evaluate whether there is a change in the lipid profile compared to the baseline value. The modification of the lipid profile can also be considered as an indicator of the modification of the cardiovascular risk profile measured with the SCORE 2 charts.

    12 months

Study Arms (4)

Standard of Care

NO INTERVENTION

Participants will receive traditional lifestyle advices in order to reduce the risk.

Genetic testing - PRS

EXPERIMENTAL

Participants will receive the information of the genetic cardiovascular risk (PRS) and personalized advices.

Genetic: PRS

Digital intervention - app and wearable device

EXPERIMENTAL

Participants will receive an app and a wearable device for the evaluation of various parameters.

Device: Digital app and wearable device

Digital intervention and genetic testing - PRS

EXPERIMENTAL

Participants will receive both app and wearable device and PRS information

Genetic: PRSDevice: Digital app and wearable device

Interventions

PRSGENETIC

genetic test for the evaluation of PRS cardiovascular risk

Digital intervention and genetic testing - PRSGenetic testing - PRS

a wearable device connected with its app

Digital intervention - app and wearable deviceDigital intervention and genetic testing - PRS

Eligibility Criteria

Age40 Years - 69 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • high cardiovascular risk based on the SCORE 2 (between 2.5% and 10%)
  • age between 40 and 69 years

You may not qualify if:

  • diabetes.
  • familiar hypercholesterolemia.
  • established CVD.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Dipartimento Universitario di Scienze della Vita e Sanità Pubblica

Roma, Italia, 00168, Italy

RECRUITING

Related Publications (1)

  • Lloyd-Jones DM, Allen NB, Anderson CAM, Black T, Brewer LC, Foraker RE, Grandner MA, Lavretsky H, Perak AM, Sharma G, Rosamond W; American Heart Association. Life's Essential 8: Updating and Enhancing the American Heart Association's Construct of Cardiovascular Health: A Presidential Advisory From the American Heart Association. Circulation. 2022 Aug 2;146(5):e18-e43. doi: 10.1161/CIR.0000000000001078. Epub 2022 Jun 29.

    PMID: 35766027BACKGROUND

MeSH Terms

Conditions

Cardiovascular DiseasesCoronary Artery Disease

Interventions

Wearable Electronic Devices

Condition Hierarchy (Ancestors)

Coronary DiseaseMyocardial IschemiaHeart DiseasesArteriosclerosisArterial Occlusive DiseasesVascular Diseases

Intervention Hierarchy (Ancestors)

Electrical Equipment and SuppliesEquipment and Supplies

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Full Professor of Hygiene and Preventive Medicine

Study Record Dates

First Submitted

May 17, 2023

First Posted

June 1, 2023

Study Start

July 24, 2023

Primary Completion

November 1, 2025

Study Completion

May 1, 2026

Last Updated

August 22, 2025

Record last verified: 2025-08

Data Sharing

IPD Sharing
Will not share

Locations