Evidence mapPaperPMID 30262460Full record

Trial reportDiabetes care2018

Genetic Tools for Coronary Risk Assessment in Type 2 Diabetes: A Cohort Study From the ACCORD Clinical Trial.

Mario Luca Morieri, He Gao, Marie Pigeyre, Hetal S Shah, Jennifer Sjaarda, Christine Mendonca, Timothy Hastings, Patinut Buranasupkajorn, Alison A Motsinger-Reif, Daniel M Rotroff and 9 more

Registry-linked trialOpen access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Diabetes care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05542147 (Physiopathological Study of Genetic Modulation of Cardiovascular Effect of PPAR-Alpha Activation), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05542147 nacompletednot on this mapstarted 2022, after this paper: background citation

Physiopathological Study of Genetic Modulation of Cardiovascular Effect of PPAR-Alpha Activation (MAGNETIC-PPARA)

TypeinterventionalSponsorMario Luca MorieriRan2022 to 2024Enrolled200ConditionsType 2 Diabetes, Cardiovascular Diseases, Pharmacogenomic Drug InteractionArmsFenofibrate 145 mg, Placebo
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 42 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 8 institutions in 3 countries.

Mario Luca MorieriSection on Genetics and Epidemiology, Research Division, Joslin Diabetes Center, Boston, MA.ORCID 0000-0001-6864-0547
He GaoSection on Genetics and Epidemiology, Research Division, Joslin Diabetes Center, Boston, MA.
Marie PigeyreDepartment of Pathology and Molecular Medicine and Population Health Research Institute, McMaster University, Hamilton, Ontario, Canada.
Hetal S ShahSection on Genetics and Epidemiology, Research Division, Joslin Diabetes Center, Boston, MA.
Jennifer SjaardaDepartment of Pathology and Molecular Medicine and Population Health Research Institute, McMaster University, Hamilton, Ontario, Canada.
Christine MendoncaSection on Genetics and Epidemiology, Research Division, Joslin Diabetes Center, Boston, MA.
Timothy HastingsSection on Genetics and Epidemiology, Research Division, Joslin Diabetes Center, Boston, MA.
Patinut BuranasupkajornSection on Genetics and Epidemiology, Research Division, Joslin Diabetes Center, Boston, MA.
Alison A Motsinger-ReifBioinformatics Research Center and Department of Statistics, North Carolina State University, Raleigh, NC.ORCID 0000-0003-1346-2493
Daniel M RotroffBioinformatics Research Center and Department of Statistics, North Carolina State University, Raleigh, NC.
Ronald J SigalDepartments of Medicine, Cardiac Sciences, and Community Health Sciences, Cumming School of Medicine, and Faculties of Medicine and Kinesiology, University of Calgary, Calgary, Alberta, Canada.
Santica M MarcovinaDepartment of Medicine, University of Washington, and Northwest Lipid Metabolism and Diabetes Research Laboratories, Seattle, WA.
Peter KraftDepartments of Epidemiology and Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA.
John B BuseDepartment of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC.
Michael J WagnerCenter for Pharmacogenomics and Individualized Therapy, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Hertzel C GersteinDepartment of Medicine and Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
Josyf C MychaleckyjCenter for Public Health Genomics, University of Virginia, Charlottesville, VA.
Guillaume ParèDepartment of Pathology and Molecular Medicine and Population Health Research Institute, McMaster University, Hamilton, Ontario, Canada.
Alessandro DoriaSection on Genetics and Epidemiology, Research Division, Joslin Diabetes Center, Boston, MA alessandro.doria@joslin.harvard.edu.ORCID 0000-0002-3830-4304
Joslin Diabetes Center · USPopulation Health Research Institute · CANorth Carolina State University · USUniversity of North Carolina at Chapel Hill · USHarvard University · USUniversity of Calgary · CAUniversity of Virginia · USUniversity of Washington · US

Funding

PILOT STUDY--SECRETORY TARGETING IN PANCREATIC B CELLSP30DK036836 · JOSLIN DIABETES CENTER · 1986 to 2025
$12.1M
PREVENTION OF CARDIOVASCULAR DISEASE IN DIABETES MELLITUN01HC095183 · MINNEAPOLIS MEDICAL RESEARCH FDN, INC. · 1999 to 2000
$1.9M
PREVENTION OF CARDIOVASCULAR DISEASE IN DIABETES MELLITUN01HC095181 · CASE WESTERN RESERVE UNIVERSITY · 1999 to 2000
$1.8M
PREVENTION OF CARDIOVASCULAR DISEASE IN DIABETES MELLITUN01HC095184 · COLUMBIA UNIVERSITY HEALTH SCIENCES · 1999 to 2000
$1.7M
PREVENTION OF CARDIOVASCULAR DISEASE IN DIABETES MELLITUN01HC095182 · WAKE FOREST UNIVERSITY · 1999 to 2000
$1.6M
PREVENTION OF CARDIOVASCULAR DISEASE IN DIABETES MELLITUS-N01HC95178N01HC095178 · WAKE FOREST UNIVERSITY HEALTH SCIENCES · 1999 to 2005
$1.5M
PREVENTION OF CARDIOVASCULAR DISEASE IN DIABETER MELLLITN01HC095180 · UNIVERSITY OF WASHINGTON · 1999 to 2000
$1.5M
PREVENTION OF CARDIOVASCULAR DISEASE IN DIABETES MELLITUN01HC095179 · MCMASTER UNIVERSITY · 1999 to 2000
$1.3M
Statistical Genetics of Outcomes and Drug Response in Patients with Type 2 Diabetes.ZIAES103338 · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · 2025 to 2025
$337k
NCATS NIH HHS UL1 TR001111NHLBI NIH HHS N01 HC095178NHLBI NIH HHS N01 HC095179NHLBI NIH HHS N01 HC095180NHLBI NIH HHS N01 HC095181NHLBI NIH HHS N01 HC095182NHLBI NIH HHS N01 HC095183NHLBI NIH HHS N01 HC095184NHLBI NIH HHS R01 HL110380NHLBI NIH HHS R01 HL110400NHLBI NIH HHS Y01 HC001010NHLBI NIH HHS Y01 HC009035NIDDK NIH HHS P30 DK036836
6 · The paper itself

Abstract

objectiveWe evaluated whether the increasing number of genetic loci for coronary artery disease (CAD) identified in the general population could be used to predict the risk of major CAD events (MCE) among participants with type 2 diabetes at high cardiovascular risk. RESEARCH DESIGN AND

methodsA weighted genetic risk score (GRS) derived from 204 variants representative of all the 160 CAD loci identified in the general population as of December 2017 was calculated in 5,360 and 1,931 white participants in the Action to Control Cardiovascular Risk in Diabetes (ACCORD) and Outcome Reduction With Initial Glargine Intervention (ORIGIN) studies, respectively. The association between GRS and MCE (combining fatal CAD events, nonfatal myocardial infarction, and unstable angina) was assessed by Cox proportional hazards regression.

resultsThe GRS was associated with MCE risk in both ACCORD and ORIGIN (hazard ratio [HR] per SD 1.27, 95% CI 1.18-1.37,

conclusionsWhen combined into a GRS, CAD loci identified in the general population are associated with CAD also in type 2 diabetes. This GRS provides a significant improvement in the ability to correctly predict future MCE, which may increase further with the discovery of new CAD loci.

Indexed as

Genetic Association StudiesGenetic MarkersAgedCohort StudiesCoronary Artery DiseaseDiabetes Mellitus, Type 2Diabetic AngiopathiesFemaleFenofibrateGenetic Predisposition to DiseaseHumansMaleMiddle AgedMolecular Diagnostic TechniquesPolymorphism, Single NucleotideRisk AssessmentFenofibrateGenetic MarkersSimvastatin

Identifiers

PMID30262460
PMCPMC6196830
OpenAlexW2892570596

What Socratic holds

Texttitle and abstract
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.