Status:

NOT_YET_RECRUITING

Impact of Gut Microbiota on Clinical Outcomes and Left Ventricular Remodeling After Primary Percutaneous Coronary Intervention

Lead Sponsor:

Assiut University

Conditions:

Primary Percutaneous Coronary Intervention

Eligibility:

All Genders

18-80 years

Brief Summary

Left ventricular remodeling (LVR) refers to the structural and functional changes that occur in the left ventricle following myocardial injury. These changes can include alterations in left ventricula...

Eligibility Criteria

Inclusion

  • Age ≥ 18 years .
  • Confirmed diagnosis of ST-elevation myocardial infarction (STEMI) and indication for PCI based on clinical guidelines.
  • Patients scheduled to undergo primary PCI for STEMI.
  • Ability and willingness to provide informed consent for participation and for the collection of stool samples.
  • No significant comorbidities that may confound the results (e.g., chronic kidney disease, liver cirrhosis).
  • No prior use of antibiotics, probiotics, or prebiotics within the last 3 months, as these may significantly alter gut microbiota composition.
  • Willingness and ability to complete follow-up assessments as required by the study protocol.
  • Absence of major gastrointestinal disorders (e.g., inflammatory bowel disease, gastrointestinal infections) that could affect gut microbiota.

Exclusion

  • Age \< 18 years.
  • Chronic Diseases:
  • Chronic kidney disease (stage 3 or higher).
  • Chronic liver disease (e.g., cirrhosis).
  • Active malignancies.
  • Acute infections or active inflammatory conditions at the time of PCI.
  • Gastrointestinal Disorders:
  • Inflammatory bowel disease.
  • Celiac disease.
  • Diverticulitis.
  • Recent use of antibiotics, probiotics, or prebiotics within the last 3 months.
  • Use of immunosuppressive medications or chemotherapy.
  • Uncontrolled diabetes or hypertension.

Key Trial Info

Start Date :

October 1 2025

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

December 1 2026

Estimated Enrollment :

144 Patients enrolled

Trial Details

Trial ID

NCT07175181

Start Date

October 1 2025

End Date

December 1 2026

Last Update

September 17 2025

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