Evidence map›Paper›PMID 42420749›Full record

Trial reportDiabetes, obesity & metabolism2026

Baseline Computed Tomography Coronary Angiography and Polygenic Risk Profiles in Adults With Type 2 Diabetes: A Cross-Sectional Analysis From the VOLTAIRE Study.

Ruofei Trophy Chen, Adam J Nelson, Sophia Zoungas, Robyn A Clark, Sean Tan, Esther F Davis, Melissa C Southey, Andrew Lin, Giuseppe Di Giovanni, Masashi Fujino and 4 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes, obesity & metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07091162 (EValuation Of poLygenic Scores and CT imAging In Risk Factor Modification in Patients With diabEtes), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT07091162 narecruitingnot on this map

EValuation Of poLygenic Scores and CT imAging In Risk Factor Modification in Patients With diabEtes

TypeinterventionalSponsorMonash UniversityRan2023 to 2026Enrolled90ConditionsCardiovascular Diseases, Type 2 Diabetes Mellitus (T2DM)ArmsCTCA results, PRS results
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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.

Ruofei Trophy ChenMonash Victorian Heart Institute, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0002-1026-9922
Adam J NelsonMonash Victorian Heart Institute, Monash University, Melbourne, Victoria, Australia.
Sophia ZoungasSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0003-2672-0949
Robyn A ClarkCaring Future Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
Sean TanMonash Victorian Heart Institute, Monash University, Melbourne, Victoria, Australia.
Esther F DavisMonash Victorian Heart Institute, Monash University, Melbourne, Victoria, Australia.
Melissa C SoutheyMonash Victorian Heart Institute, Monash University, Melbourne, Victoria, Australia.
Andrew LinMonash Victorian Heart Institute, Monash University, Melbourne, Victoria, Australia.
Giuseppe Di GiovanniMonash Victorian Heart Institute, Monash University, Melbourne, Victoria, Australia.
Masashi FujinoMonash Victorian Heart Institute, Monash University, Melbourne, Victoria, Australia.
Jennifer WongDepartment of Diabetes, Monash Health, Melbourne, Victoria, Australia.
Robert L O'ReillyMonash Victorian Heart Institute, Monash University, Melbourne, Victoria, Australia.
Jacqueline S DronCentre for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Stephen J NichollsMonash Victorian Heart Institute, Monash University, Melbourne, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo characterise baseline clinical, anatomical, and genetic cardiovascular risk profiles in participants enrolled in the VOLTAIRE (Evaluation of Polygenic Scores and CT Imaging in Risk Factor Modification in Patients with Type 2 Diabetes) study and examine concordance across these domains.

methodsThis analysis included adults with T2D who completed baseline computed tomography coronary angiography (CTCA) and polygenic risk score (PRS) assessment prior to randomisation in the VOLTAIRE study. Coronary atherosclerosis was evaluated using coronary artery calcium (CAC) score and CTCA-derived stenosis severity. Clinical risk was assessed using the New Zealand Society for the Study of Diabetes 5-year cardiovascular risk calculator. Polygenic risk for coronary artery disease was assessed using a genome-wide PRS and categorised into tertiles.

resultsAmong 126 participants with T2D (mean age 57.5 ± 8.7 years; 62.7% male), coronary atherosclerotic burden was highly heterogeneous: 34.9% had CAC = 0, whereas 19.8% had CAC ≥ 400. Moderate-to-severe coronary stenosis (≥ 50%) was present in 40.5% of participants overall, including 20.4% of those classified as low clinical risk. PRS distribution was variable (low 37.3%, intermediate 35.7%, high 27.0%). Overlap between anatomical, genetic, and clinical domains was limited, with only 8.7% of participants classified as high risk across all three.

conclusionsSubstantial heterogeneity and limited overlap exist between anatomical, genetic, and clinical cardiovascular risk measures in T2D. These findings support a multimodal approach to risk assessment integrating imaging and genetic profiling.

trial registrationhttps://www. CLINICALTRIALS: gov; ID: NCT07091162.

Indexed as

Computed Tomography AngiographyCoronary AngiographyCoronary Artery DiseaseDiabetes Mellitus, Type 2Diabetic AngiopathiesAgedCross-Sectional StudiesFemaleGenetic Risk ScoreHeart Disease Risk FactorsHumansMaleMiddle AgedNew ZealandRisk Factorscardiovascular diseasecomputed tomography coronary angiographypolygenic risk scoretype 2 diabetes mellitus

Identifiers

PMID42420749
PMCPMC13538738

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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.