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NCT05368896: POPIMAGE

Peri-operative Inflammaging in the Elderly After Surgery

Status unknown Last updated 28 February 2023
What this trial tests

trial in Aging in 150 participants. Status unknown.

Timeline
1 December 2022
Primary endpoint
30 December 2024
30 March 2025

Quick facts

Lead sponsorUniversity of Bonn
StatusStatus unknown
Study typeOBSERVATIONAL
Enrollment150
Start date1 December 2022
Primary completion30 December 2024
Estimated completion30 March 2025
Sites1 location across Germany

Conditions studied

Sponsor

University of Bonn

Who can join

80 and older, any sex, with Aging or Immunology. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

The population older than 80 years will significantly increase in the near future. Older patients' cognitive and physical status is known to deteriorate after surgery, leading to a high 30-day mortality due to post-operative comorbidities. Aging and related diseases share immune-related pathomechanisms. During aging, a chronic, low-grade sterile inflammation, called inflamaging, gradually develops. This likely results from low-grade innate immune activation and a functional, epigenomic and transcriptomic reprogramming of immune cells. Based on the hypothesis that surgical trauma leads to misplaced or altered self-molecules, which exacerbate inflammation and the postoperative risk for morbidity and mortality in elderly patients. There is increasing evidence that the individual's pre-operative immunobiography determines the susceptibility to peri-operative inflammation and post-operative outcome. Current exploratory pilot study will thus perform phenotyping of patients above 80 years undergoing major surgery. Participants will be evaluated for acute and long-term outcomes, including all-cause mortality, physical and cognitive function. To assess the individual's immunobiography, participants will be characterised by inflammation biomarkers combined with immunophenotyping, functional assays, and (epi-) genomic analyses before and after surgery. The cognitive impairment will be evaluated by measuring markers of neurodegeneration and neuropsychiatric testing and relate findings to volumetric imaging using high-resolution MRI to identify brain changes associated with cognitive decline.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other recruiting trials for Aging

Currently open trials in the same condition.

Other University of Bonn trials

Trials by the same sponsor.

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Data sources for this page

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