Prevention & lipidsTrial design

CorCal Outcomes: A randomized trial using the pooled cohort equation or coronary artery calcium to select statin therapy in primary prevention patients. Study design and baseline characteristics

Am Heart JPublished

  • randomized trial
  • noninferiority design
  • modified per-protocol approach

Study context

Population
Nondiabetic primary prevention patientsagreed to be enrolled and were randomized (2886 per arm), 75,539 screened, 5,329 completed testing for primary analysis · pooled cohort equation (PCE) 2,642 · coronary artery calcium (CAC) 2,687
Participants
5,772 patients
Planned comparison
CAC compared to the PCE as a guide to statin initiation in preventing atherosclerotic cardiovascular disease (ASCVD) events
  • CACn = 2,687
  • PCEn = 2,642

No results yet. This paper sets out the design of a trial; its results are to come.

Baseline

Baseline characteristics

Average age
64.3 ± 6.8 years
Female
51.5%
Baseline demographics are well-matched between arms

Study status

Study projected to end in second quarter of 2026
  • Data Safety Monitoring Board recommendations of December 9, 2024, and the Study Team's response are reported

Original publication

CorCal Outcomes: A randomized trial using the pooled cohort equation or coronary artery calcium to select statin therapy in primary prevention patients. Study design and baseline characteristics. Am Heart J. Published 7 May 2026. doi:10.1016/j.ahj.2026.107473

Summarised from the published abstract; every number is checked against it