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NCT05475028: PRESMET

Network Medicine Approaches to Classify Heart Failure With PReserved Ejection Fraction by Signatures of DNA Methylation and Point-of-carE Risk calculaTors (PRESMET)

Completed Last updated 26 July 2022
What this trial tests

trial testing RRBS in Heart Failure, Diastolic in 60 participants. Completed in 14 June 2022.

Timeline
14 September 2021
Primary endpoint
14 January 2022
14 June 2022

Quick facts

Lead sponsorUniversity of Campania Luigi Vanvitelli
StatusCompleted
Study typeOBSERVATIONAL
Enrollment60
Start date14 September 2021
Primary completion14 January 2022
Estimated completion14 June 2022
Sites1 location across Italy

Drugs / interventions tested

Conditions studied

Sponsor

University of Campania Luigi Vanvitelli

Who can join

18 and older, any sex, with Heart Failure, Diastolic or Heart Failure, Systolic. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Heart failure (HF) is a syndrome, resulting from structural or functional impairment of ventricular filling or ejection of blood. Effective HF management depends on accurate and rapid diagnosis requiring assessment of symptoms and physical signs in combination with advanced and expensive imaging tools. However, several challenges arise from the traditional symptom-based diagnosis because co-morbidities of HF have similar presentations. This implies the need for a deeper knowledge of mechanistic links among genetic and epigenetic events governing the pathophysiology of HF leading to a novel molecular-based system to differentiate HF phenotypes. Now, it is emerging that the pathophysiology of HFpEF and HFrEF is different, it provides an opportunity to identify biomarker candidates that could aid in HF diagnosis and stratification between these two forms of the disease. The aim of PRESMET project is to perform liquid biopsy strategies to identify novel putative non-invasive epigenetic-sensitive biomarkers that could be used either alone or in combination with established diagnostic tests, such as natriuretic peptide, to help differentiate HFpEF from HFrEF. The Investigators will perform DNA methylation analysis on CD4+ T cells isolated from patients versus controls. Remarkably, big data generated from NGS tools will be analyzed by advanced network-oriented algorithms. Our results may provide a useful clinical roadmap in order to improve precision medicine and personalized therapy of HF.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. A pilot study on DNA methylation changes for non-invasive molecular diagnostics in heart failure.
    Benincasa G, Cacciatore F, Pepin ME, Curcio F, et al · · 2025 · cited 1× · PMID 40898655 · DOI 10.1002/ehf2.15402

Verify or expand the search:

Other recruiting trials for Heart Failure, Diastolic

Currently open trials in the same condition.

Other University of Campania Luigi Vanvitelli trials

Trials by the same sponsor.

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Data sources for this page

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