ClinicalTrials.gg
Not yet recruitingNCT07914777Updated Nov 4, 2026

EHR Nudges: Optimizing a Clinical Decision Support System for Evidence-Based Statin Medication Prescribing to Reduce the Risk of Cardiovascular Disease

An interventional study of EHR Nudge in Atherosclerotic Cardiovascular Disease, sponsored by NYU Langone Health. Not yet recruiting at 1 site in United States. Open to participants aged 40 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-04.

Sponsored by NYU Langone Health · Not applicable, Interventional, and Health services research

Updated Nov 4, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
7,501
Allocation
Randomized
Ages
40 Years to 75 Years
Sex
All
01

Study summary

The overall objective of this proposal is to develop and optimize a CDSS, including several nudges, to increase guideline-concordant statin prescribing for CVD risk (Nudge-CVD-CDSS). Potential nudges will be developed, usability tested and refined and then evaluated in a factorial trial. The aim of this trial is to develop, based on a conceptual model of the prescribing process, a set of potential intervention components (EHR-nudges) to promote and support AHA/ACC guideline-concordant statin prescribing. A user-centered design process will be employed. EHR audit log data will be used to identify technical workflows of current provider prescribing patterns. Provider- and patient-directed default, peer comparison, and salient messaging nudges will be developed (5 total). Patient-directed nudges will encourage patients to prompt their providers to prescribe guideline-concordant statins.

02

Conditions studied

  • Atherosclerotic Cardiovascular Disease

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Keywords

  • Atherosclerotic Cardiovascular Disease
  • CVD
03

In context

Atherosclerosis

1,517 studies on the registry are indexed under Atherosclerosis; 224 are open to participants now.

This study's planned enrollment of 7,501 is above the median of 100 across 879 interventional studies indexed under Atherosclerosis.

Browse Atherosclerosis studies →

Lead sponsor

NYU Langone Health is the lead sponsor of 1,430 studies on the registry; 258 are open to participants now.

Of its 235 completed or terminated interventional studies of FDA-regulated products, 197 (84%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Providers:

1. Medical doctor, nurse practitioner, and physician assistants practicing at any NYULH Internal or Family Medicine practice.

Patients:

  1. Age 40-75 years old
  2. Had a previous visit in the past 12 months with a provider at any NYULH Internal or Family Medicine practice.
  3. Had blood pressure documented in the last 12 months
  4. Had LDL results completed in the last 12 months
  5. Has either a diagnosis of cardiovascular disease, LDL > 190, or ASCVD risk score ≥ 20%

Exclusion criteria

Exclusion Criteria:

Providers - N/A

Patients:

  1. Pregnant
  2. Has allergy or to statin
  3. Already taking a high-intensity statin
  4. Has diagnosis of dementia
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Factorial assignment
Masking
Single (Care provider)
Enrollment
7,501 participants (estimated)

Study arms

  • Experimental
    Provider

    Providers will be randomly assigned into 1 of 31 conditions. Each condition will have a unique combination of nudges A-E.

    Other: EHR Nudge

  • No intervention
    Control

    Providers randomized to this arm will receive no EHR nudges.

  • Experimental
    Patient

    Patients will be randomly assigned into 1 of 31 conditions. Each condition will have a unique combination of nudges A-E.

    Other: EHR Nudge

Interventions

  • OtherEHR Nudge

    A clinical decision support system (CDSS) inside of the electronic health record (EHR) to support and encourage providers to prescribe statins for at risk patients, in concordance with guidelines. EHR Nudges consist of 5 different nudges (A, B, C, D, E).

06

What researchers measure

Primary outcomes

  1. Percentage of patients indicated for statin therapy who were prescribed a guideline-approved statin at the correct dose during the study period

    Time frame: Month 18

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Study locations

1 site
08

References and documents

Individual participant data

Plan to share: Yes — The de-identified participant data from the final research dataset used in the published manuscript will be shared upon reasonable request beginning 9 months and ending 36 months following article publication or as required by a condition of awards and agreements supporting the research provided the investigator who proposes to use the data executes a data use agreement with NYU Langone Health. Requests may be directed to Nicole.Redfern@nyulangone.org. The protocol and statistical analysis plan will be made available on Clinicaltrials.gov only as required by federal regulation or as a condition of awards and agreements supporting the research.

Supporting information: Study protocol, Statistical analysis plan

Time frame: Beginning 9 months and ending 36 months following article publication or as required by a condition of awards and agreements supporting the research.

Access criteria: The investigator who proposed to use the data will be provided access upon reasonable request. Requests should be directed to Nicole.Redfern@nyulangone.org. To gain access, data requestors will need to sign a data access agreement.

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Jan 2027; primary completion for May 2028, 16 months later.

Of 177 non-industry interventional studies with no phase under Atherosclerosis, half reached primary completion within 30 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 56. This study's planned 16 months is below that.

Counting every sponsor, half of 197 studies reached it within 30 months; a quarter within 17 and three quarters within 56.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 29, 2026
First posted
Nov 4, 2026
StartEst.
Jan 1, 2027
Primary completionEst.
May 31, 2028
CompletionEst.
May 31, 2028
Last update
Nov 4, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Nov 4, 2026
Show all 1 update
  1. Nov 4, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07914777
Lead sponsor
NYU Langone Health
Responsible party
Sponsor
First posted
Nov 4, 2026
Start date
Jan 1, 2027 (estimated)
Primary completion
May 31, 2028 (estimated)
Completion
May 31, 2028 (estimated)
Last update
Nov 4, 2026

Study contacts

Nicole Redfern
Contact
Nicole.Redfern@nyulangone.org
646-501-2501
Safiya Richardson, MD, MPH
principal investigator · NYU Langone Health

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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