Prevention & lipids

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

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
Methodological detailsnoninferiority design, modified per-protocol approach
  • Noninferiority design
  • Modified per-protocol approach

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

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