Pharmacogenomic Informed Statin Prescribing
Eligible age
40–75 yrs
Accepts
All genders
Locations
2 states
Healthy volunteers
No
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About this study
Statins are the most cost-effective medications to lower cholesterol and cardiovascular disease (CVD) risk. However, many patients at high-risk for CVD do not accept or adhere to statins. This gap in patient's use of statins limits the full impact of these effective medications resulting in higher cholesterol levels and CVD risk. The main barriers to using statins are patients' perceived lack of benefit, excess risk of statin toxicity as well as their misperceptions of their CVD risk. Statin pharmacogenomic testing - an application of precision medicine - is a readily available, feasible, and inexpensive intervention that addresses this barrier by using genetic testing to identify the nearly 1 out of 2 patients with enhanced benefit and/or reduced risk of statin toxicity or increased risk for CVD. By communicating statin pharmacogenomic test results to Veterans at high-risk for CVD not taking statin therapy, the investigators aim to improve patients' perceptions of their risk of CVD and statins and, in turn, their acceptance of and adherence to statins to reduce their cholesterol levels and CVD risk.
Sponsor: VA Office of Research and Development
You may qualify if…
- ✓ Patients will be included in the analysis if they:
- ✓ Are a Veteran
- ✓ Aged 40-75 years
- ✓ Diabetes mellitus or cardiovascular disease (coronary, cerebral, or peripheral artery disease)
- ✓ An upcoming primary care appointment in the next 4 months
- ✓ No active statin prescription (any time/dose, VA, or non-VA) in the prior 6 months
- ✓ English speaking
- ✓ At least 1 current active VA prescription
You may not qualify if…
- ✕ Non-Veterans
- ✕ End-stage renal disease
- ✕ History of rhabdomyolysis
- ✕ Active treatment for non-dermatologic cancer
- ✕ Known, prior SLCO1B1 genetic test results
- ✕ Liver cirrhosis
- ✕ Palliative care or hospice in 1-year prior to admission, during hospital stay, or at discharge
- ✕ Active prescription for PCSK9 inhibitor
Where it's recruiting
Indianapolis
Durham
Source: ClinicalTrials.gov · NCT06568601 · last updated 2026-04-13