Table 3.
Age-adjusted Cox models relating COMT rs4680 val allele (met allele as reference) and rs4818 G allele associations (C allele as reference) to incident major CVD and total CVD, stratified by randomized treatment assignment.
| SNP* | Outcome† | Treatment Arm | HR[95% CI], p‡ | Gene-drug int. p§ |
|---|---|---|---|---|
| rs4680 | Major CVD | Placebo‖ | 0.66 [0.51-0.84], p=0.0007 | -- |
| Aspirin only | 1.13 [0.88-1.45], p=0.34 | 0.002 | ||
| Vitamin E only | 1.08 [0.84-1.38], p= 0.52 | 0.004 | ||
|
| ||||
| Total CVD | Placebo | 0.77 [0.63-0.93], p=0.0075 | -- | |
| Aspirin only | 1.10 [0.90-1.40], p=0.23 | 0.011 | ||
| Vitamin E only | 1.09 [0.90-1.32], p=0.38 | 0.011 | ||
|
| ||||
| rs4818 | Major CVD | Placebo | 0.67 [0.51-0·86], p=0.0022 | -- |
| Aspirin only | 1.22 [0.95-1.56], p=0.11 | 0.0009 | ||
| Vitamin E only | 1.03 [0.80-1.32], p=0.80 | 0.016 | ||
|
| ||||
| Total CVD | Placebo | 0.70 [0.57-0.87], p=0.001 | -- | |
| Aspirin only | 1.14 [0.93-1.40], p=0.20 | 0.001 | ||
| Vitamin E only | 1.06 [0.87-1.29], p=0.57 | 0.005 | ||
rs4680 coded allele = G(val), reference allele = A(met); rs4818 coded allele = G, reference allele = C.
Major CVD, the primary WHS outcome is a composite of myocardial infarction, stroke or death from cardiovascular causes. Total CVD, is a composite of revascularization procedures (percutaneous transluminal coronary angioplasty, coronary bypass graft), in addition to events in the primary outcome.
Hazard ratios refer to SNP associations with incident CVD in designated treatment arms.
Gene-drug interaction p-value refers to the significance of the difference between the SNP association among placebo allocated WGHS participants and participants allocated to the designated treatment arm.
Placebo results are also reported in Table 1.