Coronary disease & ACS

Future myocardial infarction after an acute coronary syndrome and pharmacogenetic response to dalcetrapib

Eur J Prev CardiolPublished Secondary analysis of the Dal-Outcomes and Dal-GenE randomised trials

Primary result · MI, adjusted for the prediction indexResult — go to the resultHazard ratio 0.77 95% CI 0.63–0.94

Authors' conclusion

In the Dal-GenE AA genotype patients, dalcetrapib reduced the rate of MI, independently of those variables.

Study context

Population
Acute coronary syndrome (ACS) survivors; index developed in Dal-Outcomes placebo patients, applied in Dal-GenE participants (AA genotype at rs1,967,309 in ADCY9)Dal-GenE
Participants
5,989 survivors
Comparison
Dalcetrapib vs placebo, adjusted for an myocardial infarction (MI) prediction index
Primary endpoint
Subsequent fatal and non-fatal MI following ACS
Methodological detailsprediction index (Cox proportional hazards model)
  • Prediction index (Cox proportional hazards model)

Primary result

MI, adjusted for the prediction index

Hazard ratio

0.77

95% CI 0.63–0.94

Dalcetrapibvs Placebo
HR 0.77 (95% CI 0.63–0.94)

As reported in the abstract

Further findings

OutcomeHR (95% CI)
MI per SD increase in prediction index score (Dal-GenE AA genotype)1.92 (1.78–2.08)

Prediction index discrimination (Dal-Outcomes placebo)

18 of 36 baseline variables contributed; Harrell's C-index
0.72 (95% CI 0.69-0.75)

Original publication

Future myocardial infarction after an acute coronary syndrome and pharmacogenetic response to dalcetrapib. Eur J Prev Cardiol. Published 14 October 2025. doi:10.1093/eurjpc/zwaf661

Composed by AI from the published abstract and checked against it. How Briefs are made →

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