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Cardiovascular DiseasesPHCNCT06888466

Personalised HeartCare: Poligenic Risk Scores Disclosure for Cardiovascular Prevention

A study testing The result of the Polygenic Risk Score will be communicated to the patient with the aim of encouraging a change in behavior in people with Cardiovascular Diseases, run by Catholic University of the Sacred Heart at 1 site in Italy.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to evaluate whether the disclosure of Polygenic Risk Scores (PRS) combined with personalized coaching on risk factors can lead to significant improvements in lifestyle behaviors among staff members at Fondazione Policlinico Universitario Agostino Gemelli IRCCS. Read more about this study

Who is it for?
Ages 40 years and olderHealthy volunteers can take part
Conditions the study is for
Cardiovascular Diseases
What is being tested?
The result of the Polygenic Risk Score will be communicated to the patient with the aim of encouraging a change in behavior
Could I receive a placebo?
No, everyone receives an active treatment
How many people
650 participants
Where
1 siteItaly
Study dates
1 Jun 2025to Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Traditional cardiovascular risk: The risk will be assessed using SCORE 2 (low risk < 2.5%, moderate risk between 2.5% and 5%, high risk between 5% and 10%) or SCORE 2-OP (moderate risk < 7.5%, high risk between 7.5% and 15%).
  • Blood tests: Participants must have had blood tests performed within the past 6 months.
  • Age: Participants must be at least 40 years old.

Who cannot join

  • Very high cardiovascular risk, as measured by SCORE 2 (very high risk > 10%) or SCORE 2-OP (very high risk > 15%).
  • Diabetes.
  • Familial hypercholesterolemia.
  • Previous cardiovascular events or established CVD

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Italy1 site, 1 recruiting
  • Dipartimento Universitario di Scienze della Vita e Sanità Pubblica

    Roma, Italia, 00168

    Stefania Boccia, 0630154396, stefania.boccia@policlinicogemelli.it

    Recruiting

Other trials in Italy

About this study

Official title: Personalised HeartCare: Poligenic Risk Scores Disclosure for Cardiovascular Prevention and Behavioral Change

The goal of this clinical trial is to evaluate whether the disclosure of Polygenic Risk Scores (PRS) combined with personalized coaching on risk factors can lead to significant improvements in lifestyle behaviors among staff members at Fondazione Policlinico Universitario Agostino Gemelli IRCCS. The study includes staff members from Fondazione Policlinico Universitario Agostino Gemelli IRCCS, enrolled at the outpatient clinics of the Cardiology Department.

Main Research Questions:

Read more
  1. Does receiving PRS disclosure and personalized coaching lead to significant improvements in lifestyle behaviors compared to baseline measurements?
  2. How do different levels of genetic predisposition to cardiovascular diseases (CVD) impact behavioral changes following intervention? This is a single arm, pre-post clinical trial.

Participant will:

  • Undergo genetic testing to assess their Polygenic Risk Score for CVDs
  • receive personalized, in-person consultation with a medical cardiologis, together with and individualized recommendations for CVD prevention based on PRS results and traditional risk factors.
Read the detailed description

This study aims to evaluate the efficacy of disclosing cardiovascular genetic risk-specifically through the Polygenic Risk Score (PRS)-in promoting the adoption of healthier lifestyle behaviors.

The enrollment period will last 18 months, with each participant taking part in the study for six months. There are three key time points in the study, T0 or baseline (enrollment phase), T1 or disclosure visit, T2 or final visit at six months. At enrollment, participants will be classified into risk categories based on cardiovascular risk using the SCORE-2 or SCORE 2-OP tool. Individuals with a SCORE-2 <10% or SCORE 2-OP <15% will be invited to join the PHC pilot study.

Study Procedures Baseline Evaluations (T0)

After providing informed consent specific to the PHC study, participants will undergo the following assessments:

  • Personal and Family History, Socioeconomic and Professional Status, and Demographic Information: a structured questionnaire will be administered at T0 to collect data on medical history, family history, socioeconomic and professional status, and demographic information.
  • LE'8 Lifestyle Questionnaire: the Life's Essential 8 (LE'8) lifestyle questionnaire will be administered at T0 and T2. It generates a lifestyle score that categorizes participants into three groups: favorable, intermediate, or unfavorable. Validated in European populations and widely used in clinical studies, the scale ranges from 0 to 100.
  • Medical Examination: includes biometric measurements such as BMI, body circumference, heart rate, and blood pressure.
  • Blood Test Results: participants will provide recent blood test results (within the last six months) for lipid profiles, C-reactive protein (CRP), and glucose or hemoglobin A1c, which will be used to calculate the SCORE-2/SCORE 2-OP score.
  • Blood Sampling: blood samples will be collected to perform genetic testing and assess cardiovascular disease risk through Polygenic Risk Scores (PRS).
  • Anxiety Assessment (GAD-7): Participants will complete the Generalized Anxiety Disorder (GAD-7) questionnaire at T0 and T2 to assess anxiety levels.
  • Work Ability: Participants will complete the Work Ability Index (WAI) questionnaire at T0 and T2 to assess their work ability.

Disclosure Visit (T1)

Approximately one month after T0, participants will undergo a telematic follow-up visit, during which:

  • Their lifestyle score will be explained.
  • Personalized preventive advice will be provided to encourage healthier lifestyle changes.
  • PRS results will be disclosed, along with the corresponding genetic risk category (high, intermediate, or normal).

Follow-up Visit (T2)

Six months after the disclosure visit (T1), participants will undergo a comprehensive follow-up evaluation, which will include:

  • Lifestyle Questionnaire: Assessment of lifestyle changes since T0.
  • Recalculation of Lifestyle Category: Based on updated responses to the lifestyle questionnaire.
  • Biometric Measurements: Includes weight, BMI, body circumference, heart rate, and blood pressure.
  • Acceptability Questionnaire: Both participants and medical professionals will complete a questionnaire on the acceptability of the intervention.
  • Preferences on Technology Use: A questionnaire assessing participants' values and preferences regarding new technologies in healthcare.
  • Genetic Testing Reaction (FACToR): A modified version of the MICRA questionnaire will be used to evaluate participants' reactions to genetic testing.
  • WAI questionnaire to evaluate their work ability
Being tested
The result of the Polygenic Risk Score will be communicated to the patient with the aim of encouraging a change in behavior
Keywords
Cardiovascular prevention, Polygenic Risk Score
Medical subject headings
Cardiovascular Diseases, Genetic Risk Score

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • The result of the Polygenic Risk Score will be communicated to the patient with the aim of encouraging a change in behaviorBehavioural

    Blood samples collected for the calculation of the genetic predisposition profile for Cardiovascular risk will be used for DNA extraction and genotyping, and the PRS will subsequently be calculated. Based on the results, individuals will be classified into three main CVD risk categories (high risk, intermediate risk, low risk)

Study groups in NCT06888466
Study groupRoleWhat they receive
PRSExperimentalLifestyle coaching and genetic intervention: calculation of the Polygenic Risk Score (PRS)
Receives: Behavioral: The result of the Polygenic Risk Score will be communicated to the patient with the aim of encouraging a change in behavior

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in the lifestyle profile

    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 at final follow-up at 6 months compared to baseline. The overall score ranges from 0 to 100, and the categories are three:

    • 0-49:Poor cardiovascular health
    • 50-79: Intermediate cardiovascular health
    • 80-100: Optimal cardiovascular health

    Measured: From enrollment to the final follow-up at 6 months.

Secondary outcomes (11)
  1. Change in the LDL-Cholesterol

    LDL-cholesterol (LDL-C) will be measured in mg/dL from fasting blood samples. The outcome will be defined as the change in LDL-C levels between baseline (enrollment) and final follow-up at 6 months.

    Measured: From enrollmentto the final follow-up at 6 months

  2. Change in cardiovascular disease risk

    The CVD risk of participants will be estimated using the SCORE2 (for individuals aged 40-69 years) and SCORE2-OP (for individuals aged ≥70 years) charts. A change will be defined as a shift towards a lower estimated risk at 6-month follow-up compared to baseline. The SCORE2 and SCORE2-OP classify individuals into four categories of 10-year risk of CVD events:

    • Low to moderate risk: <5% (SCORE2, age 40-49), <7.5% (age 50-69), <10% (SCORE2-OP, age ≥70)
    • High risk: 5-10% (age 40-49), 7.5-15% (age 50-69), 10-20% (age ≥70)
    • Very high risk: >10% (age 40-49), >15% (age 50-69), >20% (age ≥70)

    Measured: From enrollment to the final follow-up at 6 months.

  3. Smoking habit modification

    Number of participants who have quit or reduced smoking at the final follow-up at 6 months compared to baseline.

    Measured: From enrollment to the final follow-up at 6 months.

  4. Change in Alcohol Consumption

    Number of participants who have quit or reduced alcohol consumption at the final follow-up at 6 months compared to baseline.

    Measured: From enrollment to the final follow-up at 6 months.

  5. Anxiety

    Level of anxiety before and after the administration of Polygenic Risk Score testing and the disclosure of results, measured through the GAD-7 questionnaire. The total score ranges from 0 to 21, with higher scores indicating greater anxiety severity (0-4: Minimal anxiety; 5-9: Mild anxiety; 10-14: Moderate anxiety; 15-21: Severe anxiety)

    Measured: Measured at enrollment and again one month after receiving PRS results.

  6. Reaction to genetic test

    Evaluation of the psychosocial impact of returning genomic findings to patients, through the FACToR questionnaire. It consists of 12 items divided into four subscales: negative emotions, positive emotions, uncertainty, and privacy concerns.

    Measured: Measured 1 month after the baseline visit

  7. Change in dietary habits score (Life's Essential 8 questionnaire)

    Dietary habits will be assessed using the diet component of the Life's Essential 8 questionnaire. Scores range from 0 (poor) to 100 (ideal), based on frequency and quality of food intake (e.g., fruit/vegetable consumption, whole grains, sugar-sweetened beverages, fish, sodium intake). A higher score indicates healthier dietary habits. The outcome will be defined as the change in diet score from baseline to 6-month follow-up.

    Measured: From enrollment to the final follow-up at 6 months

  8. Change in physical activity score (Life's Essential 8 questionnaire)

    Physical activity will be assessed using the activity component of the Life's Essential 8 questionnaire. Scores range from 0 (poor) to 100 (ideal), based on self-reported weekly minutes of moderate-to-vigorous physical activity. A higher score indicates more favorable physical activity behavior. The outcome will be defined as the change in activity score from baseline to 6-month follow-up.

    Measured: From enrollment to the final follow-up at 6 months

  9. Accetability of PRS testing

    Acceptability of PRS testing will be assessed with a 7-item structured questionnaire completed by clinicians. Each item is rated on a 1-4 Likert scale (1 = strongly disagree, 4 = strongly agree). The outcome will be defined as the proportion of clinicians and of patients reporting high acceptability (scores of 3-4).

    Measured: Measured at 6 months at the final follow-up

  10. Feasibility of the PRS testing

    Feasibility of integrating PRS testing into the clinical care pathway will be evaluated using an 11-item questionnaire administered to physicians. Responses are rated on a 1-4 Likert scale (1 = strongly disagree, 4 = strongly agree). The endpoint will be the proportion of clinicians reporting high acceptability (scores of 3-4) of PRS testing.

    Measured: Measured at 6 months at the final follow-up

  11. Change in self-assessed work ability (Work Ability Index, WAI)

    Work ability will be evaluated among employed participants using the Work Ability Index (WAI). The questionnaire consists of approximately 60 items across seven subscales: (1) current work ability compared with lifetime best, (2) work ability in relation to job demands, (3) number of current diseases diagnosed by a physician, (4) estimated work impairment due to diseases, (5) sick leave during the past year, (6) own prognosis of work ability in two years, and (7) mental resources.

    The outcome will be defined as the change in WAI total score from baseline to 6-month follow-up.

    Measured: From enrollment to the final follow-up at 6 months.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Mar 2025
  2. Study start1 Jun 2025
  3. Primary completionMar 2026 (estimated)
  4. Study completionDec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
650 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06888466
Sponsor's protocol ID
6732
Acronym
PHC
Status last verified
Feb 2026
First submitted
24 Feb 2025
Last updated
20 Feb 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Russo L, Proto L, Farina S, Pascucci E, Galarducci R, Pasciuto T, Severino A, Liuzzo G, Urbani A, Iavicoli I, Pastorino R, Boccia S. Polygenic Risk Scores disclosure for cardiovascular prevention: Protocol of the Personalized HeartCare (PHC) trial. PLoS One. 2026 Apr 6;21(4):e0345294. doi: 10.1371/journal.pone.0345294. eCollection 2026.

    PubMed 41941500

Questions about this trial

What is this clinical trial studying?

A study testing The result of the Polygenic Risk Score will be communicated to the patient with the aim of encouraging a change in behavior in people with Cardiovascular Diseases, run by Catholic University of the Sacred Heart at 1 site in Italy.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 20 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Italy. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Stefania Boccia (+39 0630154396, stefania.boccia@policlinicogemelli.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in the lifestyle profile (time frame: From enrollment to the final follow-up at 6 months.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06888466, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Feb 2026.

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