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Cardiovascular RiskCVRISK-ITNCT06832644

Novel Risk Prediction Approaches for the Primary Prevention of Cardiovascular Diseases in Italy: the CVRISK-IT Trial (CVRISK-IT)

A study testing Lifestyle Management in people with Cardiovascular Risk and Genetic Cardiovascular Risk, run by IRCCS Policlinico S. Donato at 17 sites 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 CVRISK-IT study aims to evaluate the health benefit of measuring genetic and imaging risk information in men and women considered at 'low-to-moderate' or 'high' risk of developing cardiovascular diseases (CVD) in a randomized controlled trial in Italian primary care settings. Read more about this study

Who is it for?
Ages 40 to 80 yearsHealthy volunteers can take part
What is being tested?
Lifestyle Management
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30,000 participants
Where
17 sitesItaly
Study dates
22 Jan 2025to 1 Jan 2030
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 to 80 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Age: 40-80 years
  • Apparently healthy individuals without previous medical history of CVD or diabetes (based on medical diagnosis)
  • Participant recruitment arranged only at selected IRCCS (and associated Spokes) as part of the 'Rete Cardiologica'
  • Participants must have signed the Informed Consent and Data Privacy Treatment forms
  • Participants must have a personal e-mail address and internet connection

Who cannot join

  • Age ≤40 or ≥80 years
  • Individuals have previous medical history related to CVD (e.g., heart failure, congenital heart disorder, coronary heart disease) based on medical diagnosis
  • Candidates have previously participated in clinical studies of 'Rete Cardiologica' (e.g., PREVITAL)
  • Medical diagnosis of mental disorders
  • Pregnancy based on self-reported information
  • Previous history of type 1 or type 2 diabetes (based on medical diagnosis)
  • Oncology patients (based on physician indication)

Trial locations and contacts

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

17 sites in 1 country

Italy17 sites, 17 recruiting
  • Irccs Inrca

    Ancona

    Roberto Antonicelli, MD, +390718003450, r.antonicelli@inrca.it

    Recruiting
  • IRCCS San Martino

    Genova

    Pietro Ameri, MD, pietro.ameri@unige.it

    Not yet recruiting
  • IRCCS Auxologico Italiano

    Milan

    Gianfranco Parati, MD, 02-61911.1, gianfranco.parati@unimib.it

    Recruiting
  • IRCCS Cardiologico Monzino

    Milan

    Damiano Baldassarre, MD, +39 02.58002369, damiano.baldassarre@cardiologicomonzino.it

    Recruiting
  • IRCCS Fondazione Cà Granda- Policlinico Milano

    Milan

    Stefano Carugo, MD, stefano.carugo@policlinico.mi.it

    Not yet recruiting
  • IRCCS Istituto Clinico Humanitas

    Milan

    Giuseppe Ferrante, MD, giuseppe.ferrante@hunimed.eu

    Not yet recruiting
  • IRCCS Mario Negri

    Milan

    Maria Carla Roncaglioni, MD, 0239014-501, cvrisk-it_fase1@marionegri.it

    Recruiting
  • IRCCS Multimedica

    Milan

    Francesco Bandera, MD, 02.242091, francesco.bandera@multimedica.it

    Recruiting
  • IRCCS Ospedale San Raffaele

    Milan

    Paolo Camici, MD, 02 2643 8190/8191, cvriskit@hsr.it

    Recruiting
  • Irccs Synlab Sdn

    Naples

    Carlo Cavaliere, MD, carlo.cavaliere@synlab.it

    Not yet recruiting
  • Irccs Ismett

    Palermo

    Manlio Cipriani, MD, mcipriani@ismett.edu

    Not yet recruiting
  • IRCCS Fondazione Policlinico San Matteo

    Pavia

    Eloisa Arbustini, MD, e.arbustini@smatteo.pv.it

    Not yet recruiting
  • IRCCS Istituti Clinici Scientifici Maugeri

    Pavia

    Maria Teresa La Rovere, MD, mariateresa.larovere@icsmaugeri.it

    Not yet recruiting
  • IRCCS Neuromed

    Pozzilli

    Maria Benedetta Donati, MD, mariabenedetta.donati@neuromed.it

    Not yet recruiting
  • IRCCS Fondazione Policlinico Gemelli

    Rome

    Giovanna Liuzzo, MD, giovanna.liuzzo@policlinicogemelli.it

    Not yet recruiting
  • IRCCS San Raffaele Roma

    Rome

    Massimo Volpe, MD, massimo.volpe@sanraffaele.it

    Not yet recruiting
  • IRCCS Policlinico San Donato

    San Donato Milanese

    Chiara Barberio, PhD, 02-52774838, cvriskit@grupposandonato.it

    Ambra Cerri, PhD

    Recruiting

Other trials in Italy

About this study

Official title: Novel Risk Prediction Approaches for the Primary Prevention of Cardiovascular Diseases in Italy: the CVRISK-IT Trial

The CVRISK-IT study aims to evaluate the health benefit of measuring genetic and imaging risk information in men and women considered at 'low-to-moderate' or 'high' risk of developing cardiovascular diseases (CVD) in a randomized controlled trial in Italian primary care settings. Our primary objective is to answer a fundamental question in the prevention and prediction of CVD in Italy and globally: is there any benefit in including additional information (such as genetic and/or imaging data) in estimating risk, in conjunction with lifestyle advice and medical treatment for primary prevention of CVD?

As a key secondary objective of the CVRISK-IT study, the goal is to build a large bioresource with clinical information and biological samples to facilitate a new generation of discovery and translational research that will advance understanding of the genetic, molecular and behavioural determinants as well as mechanisms of multiple chronic diseases in the Italian population. By contributing to the Rete Cardiologica database and the BBDCARDIO biobank, the CVRISK-IT study will also serve as a cornerstone for future investigations into the development and testing of early diagnostic technologies and preventive (or 'personalised precision health') interventions for chronic diseases.

Read the detailed description

This multicenter, open randomized trial will investigate the effects of providing additional CVD risk information alongside personalised lifestyle advice and medical treatment in a primary prevention context across Italy. Healthy individuals aged 40 to 80 years, with no prior history of CVD or diabetes, will be recruited in two phases from the cohort of 17 participating IRCCS across Italy and affiliated enrolling centers. The population enrolled in this study consists of subjects who have never participated in other cardiovascular prevention studies of the Rete Cardiologica.

Phase 1 - Identification of the study population and development of the bioresource: various recruitment sources will be used, including institutions, primary care centres/services, government agencies, occupational health services, and volunteer organizations (e.g., blood donors). Participants will provide informed consent, a blood sample, and complete an electronic questionnaire. Approximately 30,000 individuals will be recruited and assessed using SCORE2/SCORE2-OP risk prediction models. Those identified as 'very high' risk will receive immediate medical treatment and will not proceed to phase 2.

Phase 2 - Randomization and novel risk prediction interventions: Participants identified as 'low-to-moderate' or 'high' CVD risk during phase 1 will be randomized, following a 2x2 factorial design into four groups within 1 week upon enrolment: a control group (no additional risk information), and three intervention groups (genetic, imaging-based and genetic + imaging-based risk information). The goal is to randomize around 12,000 participants in phase 2 (~3,000 per trial arm). All individuals will receive tailored lifestyle advice along with medical treatment based on their newly estimated CVD risk. The remaining 18,000 participants who won't proceed to phase 2 will still be involved in the study and contacted through a phone call follow-up with specialist at the 5◦ and 10◦ year.

Being tested
Lifestyle Management
Keywords
Primary Prevention, Cardiovascular Risk, SCORE2/2-OP

What participants receive

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

  • Lifestyle ManagementBehavioural

    All individuals will receive tailored lifestyle advice along with medical treatment based on their newly estimated CVD risk. The control group will also receive lifestyle advice along with medical treatment based only on their CVD risk provided at the baseline visit during phase I.

Study groups in NCT06832644
Study groupRoleWhat they receive
ControlNo interventionNo additional cardiovascular risk information/recommendation is provided to the subject other than SCORE2/SCORE2-OP results of phase I. Thereby, the control group does not undergo neither imaging nor genetic analysis.
ImagingExperimentalSubjects randomized in the imaging arm receive personalized recommendations on lifestyle and, if necessary, therapeutic intervention based on imaging data analysis (i.e., carotid ultrasound or calcium score)
Receives: Behavioral: Lifestyle Management
Polygenic Risk Score (PRS)ExperimentalSubjects randomized in this arm receive personalized recommendations on lifestyle and, if necessary, therapeutic intervention based on polygenic risk score (PRS) analysis obtained from blood samples collected at the baseline visit
Receives: Behavioral: Lifestyle Management
Imaging and Polygenic Risk Score (PRS)ExperimentalSubjects randomized in this arm receive personalized recommendations on lifestyle and, if necessary, therapeutic intervention based on both imaging data (e.g., carotid ultrasound and/or calcium score) and genetic analysis (e.g., PRS).
Receives: Behavioral: Lifestyle Management

What is being measured

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

  1. Change in CVD risk using SCORE2/SCORE2-OP

    The primary short-term outcome (i.e., 12 months after communication of the newly estimated CVD risk, following the randomisation step) is the change in CVD risk measured using SCORE2/SCORE2-OP risk prediction models. The CVD risk categories used to classify healthy people according to these scores are: 1) Low-to-moderate CVD risk: <50 years = <2.5 %; 50-69 years = <5%; ≥ 70 years = <7.5%. High CVD risk: <50 years = 2.5 to <7.5%; 50-69 years = 5 to <10%; ≥ 70 years 7.5 to <15%; Very high CVD risk: <50 years = ≥7.5%; 50-69 years = ≥10%; ≥ 70 years = ≥ 15%.

    Measured: 12 months

Secondary outcomes (5)
  1. Change in cardiovascular modifiable risk factors

    Secondary short-term outcomes will include changes in objectively measured risk factors, such as cholesterol levels (i.e., total cholesterol, HDL cholesterol, LDL cholesterol, triglycerides) (mg/dl)

    Measured: 12 months

  2. Change in cardiovascular modifiable risk factors

    Secondary short-term outcomes will include changes in objectively measured risk factors, such as blood pressure which will be measured 3 times in a row, and its average calculated (mmHg)

    Measured: 12 months

  3. Change in cardiovascular modifiable risk factors

    Secondary short-term outcomes will include changes in objectively measured risk factors, such as smoking habits (e.g., switch from "usual smoker" to "not smoking anymore" categories)

    Measured: 12 months

  4. Change in CVD prevention-drugs prescription

    Secondary short-term outcomes will include changes in CVD prevention-drugs prescription with respect to the baseline visit

    Measured: 12 months

  5. Evaluation of participant's adherence to ESC recommendations

    By means of validated questionnaires, the assessment of participants' adherence to the lifestyle and dietary guidelines of the European Society of Cardiology (ESC) will be performed. If and where applicable, drugs prescription adherence will be evaluated as well as psychological outcomes

    Measured: 12 months

Timeline

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

  1. First posted18 Feb 2025
  2. Study start22 Jan 2025
  3. Primary completion1 Jan 2028 (estimated)
  4. Study completion1 Jan 2030 (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
Randomised
Intervention model
Factorial
Masking
None (open label)
Enrolment
30,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06832644
Sponsor's protocol ID
CVRISK-IT
Acronym
CVRISK-IT
Status last verified
Nov 2026
First submitted
4 Feb 2025
Last updated
6 Nov 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Timmis A, Vardas P, Townsend N, Torbica A, Katus H, De Smedt D, Gale CP, Maggioni AP, Petersen SE, Huculeci R, Kazakiewicz D, de Benito Rubio V, Ignatiuk B, Raisi-Estabragh Z, Pawlak A, Karagiannidis E, Treskes R, Gaita D, Beltrame JF, McConnachie A, Bardinet I, Graham I, Flather M, Elliott P, Mossialos EA, Weidinger F, Achenbach S; Atlas Writing Group, European Society of Cardiology. European Society of Cardiology: cardiovascular disease statistics 2021. Eur Heart J. 2022 Feb 22;43(8):716-799. doi: 10.1093/eurheartj/ehab892.

    PubMed 35016208
  • Di Angelantonio E, Piepoli M, Castelvecchio S, Barberio C, Chiarello C, Cerri A, Boveri S, Cardani R, Ambrogi F, Guelfi S, Baldassarre D, Colombo G, Amato M, Baetta R, Arbustini E, Liuzzo G, Kaptoge S, Severino A, Ferrante G, La Rovere MT, Parati G, Pengo MF, Latini R, Roncaglioni MC, Rigoni M, De Curtis A, Frati L, Ameri P, Camici PG, Volpe M, Menicanti L. Integrating genetic and imaging information to enhance cardiovascular risk stratification: rationale and design of the CVRISK-IT randomised controlled trial. Eur Heart J Qual Care Clin Outcomes. 2026 Mar 4:qcag032. doi: 10.1093/ehjqcco/qcag032. Online ahead of print.

    PubMed 41778587

Questions about this trial

What is this clinical trial studying?

A study testing Lifestyle Management in people with Cardiovascular Risk and Genetic Cardiovascular Risk, run by IRCCS Policlinico S. Donato at 17 sites 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 5 inclusion and 7 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 6 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 17 sites 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?

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in CVD risk using SCORE2/SCORE2-OP (time frame: 12 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 NCT06832644, which also lists 2 linked publications.

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 6 Nov 2026.

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