Evidence map›Paper›PMID 39578928›Full record

Trial reportEuropean journal of clinical investigation2025

Ceramide and phosphatidylcholine lipids-based risk score predicts major cardiovascular outcomes in patients with heart failure.

Angelika Witoslawska, Jennifer M T A Meessen, Mika Hilvo, Antti Jylhä, Faiez Zannad, Marianna Cerrato, Patrick Rossignol, Deborah Novelli, Kevin Duarte, Giovanni Targher and 3 more

Abstract readMulticenter StudyPragmatic Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report in European journal of clinical investigation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Observational
  5. Review
  6. Review
  7. Article
  8. The Role of Ceramides in Metabolic and Cardiovascular Diseases.Journal of cardiovascular development and disease · 2026
    Review
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

13 authors.

Angelika WitoslawskaFinnish Cardiovascular Research Center, University of Tampere, Tampere, Finland.
Jennifer M T A MeessenDepartment of Acute Brain and Cardiovascular Injury, Institute for Pharmacological Research Mario Negri IRCCS, Milan, Italy.ORCID https://orcid.org/0000-0002-1744-6899
Mika HilvoZora Biosciences Oy, Espoo, Finland.
Antti JylhäZora Biosciences Oy, Espoo, Finland.
Faiez ZannadCentre d'Investigation Clinique Plurithémathique Pierre Drouin & Département de Cardiologie, Institut Lorrain du Coeur et des Vaisseaux, CHU de Nancy, France.
Marianna CerratoDepartment of Acute Brain and Cardiovascular Injury, Institute for Pharmacological Research Mario Negri IRCCS, Milan, Italy.ORCID https://orcid.org/0009-0007-6254-8337
Patrick RossignolCentre d'Investigation Clinique Plurithémathique Pierre Drouin & Département de Cardiologie, Institut Lorrain du Coeur et des Vaisseaux, CHU de Nancy, France.
Deborah NovelliDepartment of Acute Brain and Cardiovascular Injury, Institute for Pharmacological Research Mario Negri IRCCS, Milan, Italy.ORCID https://orcid.org/0000-0002-2749-304X
Kevin DuarteCentre d'Investigation Clinique Plurithémathique Pierre Drouin & Département de Cardiologie, Institut Lorrain du Coeur et des Vaisseaux, CHU de Nancy, France.
Giovanni TargherDepartment of Medicine, University of Verona, Verona, Italy.
Roberto LatiniDepartment of Acute Brain and Cardiovascular Injury, Institute for Pharmacological Research Mario Negri IRCCS, Milan, Italy.
Nicolas GirerdCentre d'Investigation Clinique Plurithémathique Pierre Drouin & Département de Cardiologie, Institut Lorrain du Coeur et des Vaisseaux, CHU de Nancy, France.
Reijo LaaksonenFinnish Cardiovascular Research Center, University of Tampere, Tampere, Finland.

Funding

European Union's Horizon 2020 research and innovation programme 848056Horizon Europe 101095413
6 · The paper itself

Abstract

backgroundCeramide and phosphatidylcholine lipids-based risk score (CERT2) has shown a strong prognostic value in predicting cardiovascular (CV) events in patients with ischemic heart disease. This study aimed to investigate the prognostic value of CERT2 risk score in patients with heart failure (HF).

methodsThe current study combines data for 4234 subjects from the COMMANDER-HF trial and 1227 subjects from the GISSI-HF trial, which enrolled patients with a history of HF. The CERT2 risk score was calculated for all the participants as previously described. The primary outcome was CV death, but all-cause death and major adverse CV events (three-point MACE) were analysed as well.

resultsAfter adjustment for established CV risk factors and potential confounders, patients with the highest CERT2 risk category remained at almost three-fold higher risk of CV death (COMMANDER-HF: HR 2.80, 95% CI 2.18-3.60, GISSI-HF: 2.84, 95% CI 1.70-4.74), all-cause death (COMMANDER-HF: HR 2.97, 95% CI 2.36-3.75, GISSI-HF: 2.83, 95% CI 1.83-4.38) and MACE (COMMANDER-HF: HR 2.73, 95% CI 2.20-3.38, GISSI-HF: 2.67, 95% CI 1.67-4.26) compared to those with the lowest CERT2 risk category.

conclusionsThe CERT2 risk score is strongly associated with an increased risk of CV death, all-cause death and MACE in patients with HF.

Indexed as

CeramidesHeart FailurePhosphatidylcholinesAgedCardiovascular DiseasesCause of DeathFemaleHumansMaleMiddle AgedPrognosisRisk AssessmentRisk FactorsCeramidesPhosphatidylcholinescardiovascular eventceramidesplasma biomarkersrisk scoresphingolipids

Identifiers

PMID39578928
PMCPMC11810540

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.