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NCT07175181

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

Not yet recruiting Last updated 17 September 2025
What this trial tests

trial in Primary Percutaneous Coronary Intervention in 144 participants. Not yet recruiting.

Timeline
1 October 2025
Primary endpoint
1 October 2026
1 December 2026

Quick facts

Lead sponsorAssiut University
StatusNot yet recruiting
Study typeOBSERVATIONAL
Enrollment144
Start date1 October 2025
Primary completion1 October 2026
Estimated completion1 December 2026

Conditions studied

Sponsor

Assiut University

Who can join

Adults 18 to 80, any sex, with Primary Percutaneous Coronary Intervention. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

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 ventricular shape, size, wall thickness, and volume, which can ultimately lead to decreased cardiac function and increased risk of heart failure. The remodeling process is often maladaptive and can worsen the prognosis of patients with CAD. Recent advances in microbiome research have unveiled the critical role of gut microbiota in modulating systemic health, including cardiovascular health. The gut microbiome consists of trillions of microorganisms that engage in complex interactions with the host, influencing various physiological processes. Among these interactions is the production of metabolites that can directly affect cardiovascular physiology. Notably, Trimethylamine N-oxide (TMAO). Elevated TMAO levels have been associated with increased risk of atherosclerosis and cardiovascular events, including those following PCI. Data suggest that TMAO may promote endothelial dysfunction and enhance inflammatory pathways, thereby exacerbating vascular injury and LV remodeling. These findings indicate that the interaction between gut microbiota composition, TMAO production, and cardiovascular risk could represent a novel therapeutic target for improving patient outcomes after PCI . Understanding the dynamics of these relationships can provide critical insights into individualized treatment strategies and dietary interventions that may mitigate cardiovascular risk.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other recruiting trials for Primary Percutaneous Coronary Intervention

Currently open trials in the same condition.

Other Assiut University trials

Trials by the same sponsor.

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Data sources for this page

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