Evidence map›Paper›PMID 42203295›Full record

ArticleBMJ open2026

Pragmatic trial assessing polygenic risk driven statin therapy for cardiovascular disease prevention: study protocol for the EE-PRS trial.

Ave Voit, Aet Elken, Margus Viigimaa, Ruth Kalda, Krista Fischer, Karolin Toompere, Alar Irs, Lili Milani, Helene Alavere, Sander Pajusalu and 4 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06820086 (The Pragmatic EE-PRS Trial Assessing Polygenic Risk Driven Statin Therapy for Cardiovascular Disease Prevention), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06820086 phase4active not recruitingnot on this map

The Pragmatic EE-PRS Trial Assessing Polygenic Risk Driven Statin Therapy for Cardiovascular Disease Prevention

TypeinterventionalSponsorMikk JÜRISSONRan2025 to 2034Enrolled2,714ConditionsPRS-based Primary Prevention of CVDArmsRosuvastatin 20mg
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Ave VoitUniversity of Tartu Institute of Family Medicine and Public Health, Tartu, Estonia ave.voit@ut.ee.ORCID http://orcid.org/0000-0001-8188-4909
Aet ElkenNorth Estonia Medical Centre Cardiology Centre, Tallinn, Estonia.
Margus ViigimaaUniversity of Tartu Institute of Family Medicine and Public Health, Tartu, Estonia.
Ruth KaldaUniversity of Tartu Institute of Family Medicine and Public Health, Tartu, Estonia.
Krista FischerUniversity of Tartu Institute of Mathematics and Statistics, Tartu, Estonia.
Karolin ToompereUniversity of Tartu Institute of Family Medicine and Public Health, Tartu, Estonia.ORCID http://orcid.org/0000-0002-4905-4873
Alar IrsHeart Clinic, Tartu University Hospital, Tartu, Estonia.
Lili MilaniUniversity of Tartu Institute of Genomics, Tartu, Estonia.
Helene AlavereUniversity of Tartu Institute of Genomics, Tartu, Estonia.
Sander PajusaluInstitute of Clinical Medicine, University of Tartu, Tartu, Estonia.
Elin OrgUniversity of Tartu Institute of Genomics, Tartu, Estonia.
Janika AllojaUniversity of Tartu Institute of Family Medicine and Public Health, Tartu, Estonia.
Katrin KaarnaInstitute of Clinical Medicine, University of Tartu, Tartu, Estonia.
Mikk JürissonUniversity of Tartu Institute of Family Medicine and Public Health, Tartu, Estonia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAtherosclerotic cardiovascular disease (ASCVD) continues to be a leading cause of preventable death globally. Polygenic risk scores (PRS) offer a way to detect individuals at higher relative risk of developing ASCVD, but they have not yet been incorporated into routine clinical practice. Pragmatic trials offer a way to evaluate the integration of PRS into cardiovascular disease prevention in primary care, allowing for a more accurate assessment of their effectiveness in everyday clinical practice. METHODS AND ANALYSIS: This trial evaluates the effectiveness of preventive statin treatment on reducing the incidence of cardiovascular events and death over 5 years in women (aged 55-80) and men (aged 45-80) with a high coronary artery disease PRS. This is a pragmatic, multicentre, open-label, parallel group, randomised clinical trial with a 1:1 allocation ratio to intervention (n=1350), receiving preventive rosuvastatin 20 mg treatment or control (n=1350), receiving current standard of care. Following the intention-to-treat principle, all randomised participants are analysed according to their allocated group, with the primary outcome defined as time to first major adverse cardiovascular event, comprising ischaemic heart disease, stroke or transient ischaemia, peripheral vascular occlusion and stenosis, revascularisation or cardiovascular death. ETHICS AND DISSEMINATION: This trial has received ethical approval from the Estonian Committee on Bioethics and Human Research (13.06.2024 nr 1.1-12/1531) and the Estonian Ethics Committee for Medicinal Products (19.12.2024 nr RKU-4/92). TRIAL REGISTRATION NUMBER: NCT06820086.

Indexed as

Cardiovascular DiseasesCoronary Artery DiseaseHydroxymethylglutaryl-CoA Reductase InhibitorsRosuvastatin CalciumAgedAged, 80 and overFemaleGenetic Risk ScoreHumansMaleMiddle AgedMulticenter Studies as TopicPragmatic Clinical Trials as TopicRandomized Controlled Trials as TopicRisk AssessmentHydroxymethylglutaryl-CoA Reductase InhibitorsRosuvastatin CalciumCoronary heart diseasePragmatic Clinical TrialPrimary PreventionRandomized Controlled Trial

Identifiers

PMID42203295
PMCPMC13218102

What OpenQuestion holds

Texttitle and abstract
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.