Myocardial InfarctionAGLIANICONCT05112731
Role of Glycation and Inflammation in Acute Ischemic Heart Disease
An observational study of Myocardial Infarction and Glycation End Products, Advanced, run by GEK Srl at 1 site in Italy.
Trial summary
This study requires the consecutive enrollment of 60 patients following the first event of acute myocardial infarction, evaluating B-Cell Activating Factor (BAFF) and methylglyoxal (MGO) levels in the acute setting (pre-reperfusion) and 3 months after reperfusion. Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Myocardial Infarction, Glycation End Products, Advanced, Inflammation
- What is being tested?
- BAFF and MGO
- How many people
- 16 participants
- Where
- 1 siteItaly
- Study dates
- 1 Feb 2022to 31 Dec 2023
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: 60 consecutive patients admitted in the ED for first myocardial infarction who meet eligibility criteria
Who may be able to join
- hospitalization for first myocardial infarction (STEMI or NSTEMI)
- age between 18 and 80
Who cannot join
- uncompensated T2DM (HbA1c >53mmol/mol)
- use of anti-CD20 treatment
- chronic anti-inflammatory treatment for autoimmune disease (i.e. DMARDs, high dose FANS, cortisonic drugs)
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Action of Glycation and Inflammation in Operative Ischemic Heart Disease
This study requires the consecutive enrollment of 60 patients following the first event of acute myocardial infarction, evaluating B-Cell Activating Factor (BAFF) and methylglyoxal (MGO) levels in the acute setting (pre-reperfusion) and 3 months after reperfusion.
Read the detailed description
This study requires the consecutive enrollment of 60 patients at admission for first acute myocardial infarction. At enrollment, before reperfusion, a blood sample is obtained to measure B-Cell Activating Factor (BAFF) and methylglyoxal (MGO) levels in the acute setting. This measure is then repeated at follow-up visit 3 months after reperfusion. The aim of the study is to identify specific subsets of patients and evaluate biomarkers variations.
- Conditions
- Myocardial Infarction, Glycation End Products, Advanced, Inflammation, Heart Injuries, Heart Inflammation
- Being tested
- BAFF and MGO
- Keywords
- AGEs, BAFF, Myocardial Infarction
- Medical subject headings
- Myocardial Infarction, Inflammation, Heart Injuries
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BAFF and MGODiagnostic test
measurement of BAFF and MGO levels before reperfusion and after 3 months
| Study group | Role | What they receive |
|---|---|---|
| First Ischemic Cardiac Event | Measurement of BAFF and MGO at hospitalization (before reperfusion) and after 3 months during follow-up Receives: Diagnostic Test: BAFF and MGO |
What is being measured
The primary outcome is the main question the study is designed to answer.
Identification of Inflammatory Biomarkers (BAFF) linked to ischemic event and outcome
elevation of BAFF levels
Measured: Day 0
Identification of Glycation Biomarkers (MGO) linked to ischemic event and outcome
elevation of MGO levels
Measured: Day 0
Secondary outcomes (2)
Identification of biomarkers variations (BAFF) complications and outcome
variation of BAFF from baseline
Measured: After 3 months
Identification of biomarkers variations (MGO) complications and outcome
variation of MGO from baseline
Measured: After 3 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Nov 2021
- Study start1 Feb 2022
- Primary completion31 Dec 2023
- Study completion31 Dec 2023
Why it stopped: Missing enrollment at study centre
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for Myocardial InfarctionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 16 participants (actual)
Sponsor and investigators
- Lead sponsor
- GEK Srl
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Istituto Clinico Città Studi
- Responsible party
- Sponsor
- Investigators
- Michele Bianchi, MD, Principal investigator, Istituto Clinico Città StudiAltin Palloshi, MD, Principal investigator, Istituto Clinico Città Studi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05112731
- Sponsor's protocol ID
- 2021AGLIANICO
- Acronym
- AGLIANICO
- Status last verified
- Feb 2024
- First submitted
- 20 Oct 2021
- Last updated
- 16 Feb 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Evans JDW, Dobbin SJH, Pettit SJ, Di Angelantonio E, Willeit P. High-Sensitivity Cardiac Troponin and New-Onset Heart Failure: A Systematic Review and Meta-Analysis of 67,063 Patients With 4,165 Incident Heart Failure Events. JACC Heart Fail. 2018 Mar;6(3):187-197. doi: 10.1016/j.jchf.2017.11.003. Epub 2018 Jan 10.
PubMed 29331272Mariathas M, Allan R, Ramamoorthy S, Olechowski B, Hinton J, Azor M, Nicholas Z, Calver A, Corbett S, Mahmoudi M, Rawlins J, Simpson I, Wilkinson J, Kwok CS, Cook P, Mamas MA, Curzen N. True 99th centile of high sensitivity cardiac troponin for hospital patients: prospective, observational cohort study. BMJ. 2019 Mar 13;364:l729. doi: 10.1136/bmj.l729.
PubMed 30867154Francis Stuart SD, De Jesus NM, Lindsey ML, Ripplinger CM. The crossroads of inflammation, fibrosis, and arrhythmia following myocardial infarction. J Mol Cell Cardiol. 2016 Feb;91:114-22. doi: 10.1016/j.yjmcc.2015.12.024. Epub 2015 Dec 29.
PubMed 26739214Zouggari Y, Ait-Oufella H, Bonnin P, Simon T, Sage AP, Guerin C, Vilar J, Caligiuri G, Tsiantoulas D, Laurans L, Dumeau E, Kotti S, Bruneval P, Charo IF, Binder CJ, Danchin N, Tedgui A, Tedder TF, Silvestre JS, Mallat Z. B lymphocytes trigger monocyte mobilization and impair heart function after acute myocardial infarction. Nat Med. 2013 Oct;19(10):1273-80. doi: 10.1038/nm.3284. Epub 2013 Sep 15.
PubMed 24037091Akhand AA, Hossain K, Mitsui H, Kato M, Miyata T, Inagi R, Du J, Takeda K, Kawamoto Y, Suzuki H, Kurokawa K, Nakashima I. Glyoxal and methylglyoxal trigger distinct signals for map family kinases and caspase activation in human endothelial cells. Free Radic Biol Med. 2001 Jul 1;31(1):20-30. doi: 10.1016/s0891-5849(01)00550-0.
PubMed 11425486Khan MA, Schultz S, Othman A, Fleming T, Lebron-Galan R, Rades D, Clemente D, Nawroth PP, Schwaninger M. Hyperglycemia in Stroke Impairs Polarization of Monocytes/Macrophages to a Protective Noninflammatory Cell Type. J Neurosci. 2016 Sep 7;36(36):9313-25. doi: 10.1523/JNEUROSCI.0473-16.2016.
PubMed 27605608Blackburn NJR, Vulesevic B, McNeill B, Cimenci CE, Ahmadi A, Gonzalez-Gomez M, Ostojic A, Zhong Z, Brownlee M, Beisswenger PJ, Milne RW, Suuronen EJ. Methylglyoxal-derived advanced glycation end products contribute to negative cardiac remodeling and dysfunction post-myocardial infarction. Basic Res Cardiol. 2017 Sep 1;112(5):57. doi: 10.1007/s00395-017-0646-x.
PubMed 28864889
Study at a glance
From the registry record, last updated by the sponsor on 16 Feb 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Action of Glycation and Inflammation in Operative Ischemic Heart Disease
- ClinicalTrials.gov ID
- NCT05112731
- Acronym / sponsor ID
- AGLIANICO / 2021AGLIANICO
- Conditions
- Myocardial Infarction, Glycation End Products, Advanced, Inflammation, Heart Injuries, Heart Inflammation
- Keywords
- AGEs, BAFF, Myocardial Infarction
- Study type
- Observational
- Recruitment status
- TerminatedReason stopped: Missing enrollment at study centre
- Enrolment
- 16 participants (actual)
- Lead sponsor
- GEK SrlIndustry (pharma, biotech, devices)
- Collaborators
- Istituto Clinico Città Studi
- Study start
- 1 Feb 2022 (actual)
- Primary completion
- 31 Dec 2023 (actual)
- Study completion
- 31 Dec 2023 (actual)
- First posted
- 9 Nov 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study requires the consecutive enrollment of 60 patients following the first event of acute myocardial infarction, evaluating B-Cell Activating Factor (BAFF) and methylglyoxal (MGO) levels in the acute setting (pre-reperfusion) and 3 months after reperfusion.
Detailed description
This study requires the consecutive enrollment of 60 patients at admission for first acute myocardial infarction. At enrollment, before reperfusion, a blood sample is obtained to measure B-Cell Activating Factor (BAFF) and methylglyoxal (MGO) levels in the acute setting. This measure is then repeated at follow-up visit 3 months after reperfusion. The aim of the study is to identify specific subsets of patients and evaluate biomarkers variations.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| First Ischemic Cardiac Event | – | Diagnostic Test: BAFF and MGOMeasurement of BAFF and MGO at hospitalization (before reperfusion) and after 3 months during follow-up |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- 60 consecutive patients admitted in the ED for first myocardial infarction who meet eligibility criteria
Key inclusion criteria (2 listed)
- hospitalization for first myocardial infarction (STEMI or NSTEMI)
- age between 18 and 80
Key exclusion criteria (3 listed)
- uncompensated T2DM (HbA1c >53mmol/mol)
- use of anti-CD20 treatment
- chronic anti-inflammatory treatment for autoimmune disease (i.e. DMARDs, high dose FANS, cortisonic drugs)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BAFF and MGOmeasurement of BAFF and MGO levels before reperfusion and after 3 months | Diagnostic test | First Ischemic Cardiac Event |
Primary outcome
Identification of Inflammatory Biomarkers (BAFF) linked to ischemic event and outcome
Time frame: Day 0
elevation of BAFF levels
Identification of Glycation Biomarkers (MGO) linked to ischemic event and outcome
Time frame: Day 0
elevation of MGO levels
2 secondary outcomes
Identification of biomarkers variations (BAFF) complications and outcome
Time frame: After 3 months
Identification of biomarkers variations (MGO) complications and outcome
Time frame: After 3 months
Results and safety
The study was stopped early (reason given: Missing enrollment at study centre). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Feb 2024.
- Background: PubMed 29331272Evans JDW, Dobbin SJH, Pettit SJ, Di Angelantonio E, Willeit P. High-Sensitivity Cardiac Troponin and New-Onset Heart Failure: A Systematic Review and Meta-Analysis of 67,063 Patients With 4,165 Incident Heart Failure Events. JACC Heart Fail. 2018 Mar;6(3):187-197. doi: 10.1016/j.jchf.2017.11.003. Epub 2018 Jan 10.
- Background: PubMed 30867154Mariathas M, Allan R, Ramamoorthy S, Olechowski B, Hinton J, Azor M, Nicholas Z, Calver A, Corbett S, Mahmoudi M, Rawlins J, Simpson I, Wilkinson J, Kwok CS, Cook P, Mamas MA, Curzen N. True 99th centile of high sensitivity cardiac troponin for hospital patients: prospective, observational cohort study. BMJ. 2019 Mar 13;364:l729. doi: 10.1136/bmj.l729.
- Background: PubMed 26739214Francis Stuart SD, De Jesus NM, Lindsey ML, Ripplinger CM. The crossroads of inflammation, fibrosis, and arrhythmia following myocardial infarction. J Mol Cell Cardiol. 2016 Feb;91:114-22. doi: 10.1016/j.yjmcc.2015.12.024. Epub 2015 Dec 29.
- Background: PubMed 24037091Zouggari Y, Ait-Oufella H, Bonnin P, Simon T, Sage AP, Guerin C, Vilar J, Caligiuri G, Tsiantoulas D, Laurans L, Dumeau E, Kotti S, Bruneval P, Charo IF, Binder CJ, Danchin N, Tedgui A, Tedder TF, Silvestre JS, Mallat Z. B lymphocytes trigger monocyte mobilization and impair heart function after acute myocardial infarction. Nat Med. 2013 Oct;19(10):1273-80. doi: 10.1038/nm.3284. Epub 2013 Sep 15.
- Background: PubMed 11425486Akhand AA, Hossain K, Mitsui H, Kato M, Miyata T, Inagi R, Du J, Takeda K, Kawamoto Y, Suzuki H, Kurokawa K, Nakashima I. Glyoxal and methylglyoxal trigger distinct signals for map family kinases and caspase activation in human endothelial cells. Free Radic Biol Med. 2001 Jul 1;31(1):20-30. doi: 10.1016/s0891-5849(01)00550-0.
- Background: PubMed 27605608Khan MA, Schultz S, Othman A, Fleming T, Lebron-Galan R, Rades D, Clemente D, Nawroth PP, Schwaninger M. Hyperglycemia in Stroke Impairs Polarization of Monocytes/Macrophages to a Protective Noninflammatory Cell Type. J Neurosci. 2016 Sep 7;36(36):9313-25. doi: 10.1523/JNEUROSCI.0473-16.2016.
- Background: PubMed 28864889Blackburn NJR, Vulesevic B, McNeill B, Cimenci CE, Ahmadi A, Gonzalez-Gomez M, Ostojic A, Zhong Z, Brownlee M, Beisswenger PJ, Milne RW, Suuronen EJ. Methylglyoxal-derived advanced glycation end products contribute to negative cardiac remodeling and dysfunction post-myocardial infarction. Basic Res Cardiol. 2017 Sep 1;112(5):57. doi: 10.1007/s00395-017-0646-x.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Michele Bianchi, MD principal investigator
Istituto Clinico Città Studi
Altin Palloshi, MD principal investigator
Istituto Clinico Città Studi
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Myocardial Infarction and Glycation End Products, Advanced, run by GEK Srl at 1 site in Italy.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 16 Feb 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Italy. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study was stopped early (reason given: Missing enrollment at study centre). Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Identification of Inflammatory Biomarkers (BAFF) linked to ischemic event and outcome (time frame: Day 0). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05112731, which also lists 7 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Feb 2024.