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Myocardial InfarctionCORDIOPREVNCT00924937

CORonary Diet Intervention With Olive Oil and Cardiovascular PREVention

A study testing Mediterranean Diet and Low Fat Diet in people with Myocardial Infarction and Unstable Angina, run by Hospital Universitario Reina Sofia de Cordoba at 1 site in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to compare the effects of the consumption of two different dietary patterns (low fat versus Mediterranean Diet) on the incidence of cardiovascular events of persons with coronary disease. Read more about this study

Who is it for?
Ages 20 to 75 years
Conditions the study is for
Myocardial Infarction, Unstable Angina, Malignancy
What is being tested?
Mediterranean Diet and Low Fat Diet
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,002 participants
Where
1 siteSpain
Study dates
Nov 2009to May 2021
Phase
Interventional
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 20 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Informed Consent
  • Clinical: Unstable coronary disease with documented vessel/myocardial damage
  • Acute Myocardial Infarction
  • Revascularization

Who cannot join

  • Age < 20 or > 75 years (or life expectancy lower than 5 years).
  • Patients already planned for revascularization.
  • Patients submitted to revascularization in the last 6 months
  • Grade II-IV Heart failure.
  • Left ventricle dysfunction with ejection fraction lower than 35%.
  • Patients unable to follow a protocol.
Show all 15Show fewer
  • Patients with severe uncontrol of Diabetes Mellitus, or those with Renal Insufficiency with plasma creatinine higher than 2mg/dl, or cerebral complications of Diabetes mellitus.
  • Other chronic diseases:
  • Psychiatric diseases
  • Renal Insufficiency
  • Chronic Hepatopathy
  • Active Malignancy
  • Chronic obstructive pulmonary disease
  • Diseases of the digestive tract Endocrine disorders
  • Patients participating in other Clinical trials (in the enrollment moment or 30 days prior).

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • Reina Sofia University Hospital

    Córdoba, 14001

Other trials in Spain

About this study

Official title: Randomized Clinical Trial on the Effects of Mediterranean Diet (Rich on Olive Oil) in the Reduction of Coronary Events of Patients With Coronary Disease

The purpose of this study is to compare the effects of the consumption of two different dietary patterns (low fat versus Mediterranean Diet) on the incidence of cardiovascular events of persons with coronary disease.

Read the detailed description

Randomized clinical trial involving 1002 patients with coronary disease that are undergoing one of two diets in a randomized design (two groups; Mediterranean Diet 502 patients, Low Fat 500 patients) for 7 years. The two diets are: a)Low fat diet: <30% fat (12-14% monounsaturated fatty acids (MUFA); 6-8% polyunsaturated fatty acid (PUFA) ; <10% SAT) and b) Mediterranean Diet: >35% fat (22% MUFA; 6% PUFA ; <10% SAT).

Primary Objective:

Combined apparition of hard cardiovascular events (myocardial infarction, revascularization, ischemic stroke, documented peripheral artery disease or cardiovascular death).

Secondary Objectives:

Those related in the Outcome Measures section of this webpage

Being tested
Mediterranean Diet, Low Fat Diet
Keywords
Cardiovascular events, Blood pressure, Incidence of Cancer, Cognitive decline, Mediterranean Diet, Secondary Prevention, Low fat diet
Medical subject headings
Myocardial Infarction, Angina, Unstable, Neoplasms, Cognitive Dysfunction, Diabetes Mellitus, Metabolic Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Mediterranean DietBehavioural

    Mediterranean Diet:35-38% fat (22% MUFA; 6% PUFA; <10% SAT).

  • Low Fat DietBehavioural

    Low fat diet: <30% fat (12% MUFA; 6-8%PUFA; <10% SAT)

Study groups in NCT00924937
Study groupRoleWhat they receive
Low Fat DietActive comparatorDietary Intervention with a Low fat diet: <30% fat (12% monounsaturated fatty acids; 6-8%polyunsaturated fatty acids; <10% saturated fatty acids)
Receives: Behavioral: Low Fat Diet
Mediterranean DietExperimentalDietary Intervention with a Mediterranean Diet: 35-38% fat (22% monounsaturated fatty acids; 6% polyunsaturated fatty acids; <10% saturated fatty acids).
Receives: Behavioral: Mediterranean Diet

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Combined apparition of hard cardiovascular events (myocardial infarction, revascularization, ischemic stroke, documented peripheral artery disease or cardiovascular death) after a median follow-up of 7 years.

    Combined apparition of hard cardiovascular events (myocardial infarction, revascularization, ischemic stroke, documented peripheral artery disease or cardiovascular death) after a median follow-up of 7 years.

    Measured: Seven Years

Secondary outcomes (23)
  1. Evolution of arteriosclerosis: Evaluation of arteriosclerosis at different vascular beds. Silent arteriosclerosis.

    Data from clinical and/or diagnostic tests will be analyzed

    Measured: Seven Years

  2. Concentration of LDL cholesterol.

    Concentration of LDL cholesterol in blood samples

    Measured: Seven Years

  3. Atherogenic ratio, and Total cholesterol/HDL and LDL/HDL.

    Comparison of Atherogenic ratio, and Total cholesterol/HDL and LDL/HDL during the study

    Measured: Seven Years

  4. Metabolic control of carbohydrates (assessed by glycemic and insulin responses to intravenous tolerance test to glucose, basal glycemia and hba1c).

    Study of the metabolism of carbohydrates during the trial

    Measured: Seven Years

  5. Blood pressure.

    Study of blood pressure in response to the study

    Measured: Seven Years

  6. Incidence of malignancy.

    Appearance of malignancy

    Measured: Seven Years

  7. Progression of Cognitive Decline.

    Cognitive decline will be evaluated by validated questionnaires

    Measured: Seven Years

  8. Extended composite of cardiovascular disease progression

    Incidence of cardiac death, myocardial infarction, angina event, coronary revascularization or cardiac transplant, stroke, symptomatic heart failure, or any other clinical manifestation of cardiovascular event.

    Measured: Seven Years

  9. Extended composite of heart events

    Incidence of cardiac death , myocardial infarction , unstable angina , revascularization, heart failure, heart transplantation, cardiac arrest

    Measured: Seven Years

  10. Incidence of type 2 Diabetes Mellitus

    Incidence of type 2 Diabetes Mellitus during the study

    Measured: Up to Seven Years

  11. Anthropometric changes. Metabolic disease

    Clinical features of metabolic disease: Metabolic Syndrome, Metabolic Phenotypes of Obesity or other classifications based on anthropometric features will be assessed during the study

    Measured: Up to Seven Years

  12. Gut Microbiota

    Changes in the percentage of different families of Microbiota will be analyzed during the study, and their impact on clinical events.

    Measured: Up to Seven Years

  13. Arrhythmias

    Study of relationship between existing or new Arrhythmias on clinical events

    Measured: Up to Seven Years

  14. Individual evaluation of all components of the primary outcome.

    Individual apparition of hard cardiovascular events:

    • myocardial infarction
    • revascularization
    • ischemic stroke
    • documented peripheral artery disease
    • cardiovascular death

    Measured: Up to Seven Years

  15. Global Metabolomics

    Global metabolomics in plasma, as well as techniques targeting specific sets of metabolites such as lipid-based lipid species, protein by proteomics, etc.

    Measured: Up to Seven Years

  16. Specific metabolomics

    Specific metabolomics in plasma fractions, specific bioparticles such as lipoproteins or specific cells, lipidomics, proteomics, targeted metabolomics, etc

    Measured: Up to Seven Years

  17. Gene Expression

    Changes in Gene Expression using transcriptomic techniques such as gene expression microarrays, quantitative PCR, GeneChip, etc

    Measured: Up to Seven Years

  18. Inflammation and oxidative stress

    Different physiological processes or metabolic pathways related to inflammation and oxidative stress will be studied

    Measured: Up to Seven Years

  19. AGEs

    Metabolism of advanced glycation end products.

    Measured: Up to Seven Years

  20. Mineral metabolism

    Impact of mineral metabolism on atherosclerosis

    Measured: Up to Seven Years

  21. Echographic markers of cardiac function and clinical outcomes

    Cardiac function studies by Echocardiography at baseline and during the study

    Measured: Up to Seven Years

  22. Microparticles

    Study of endothelial microparticles (vesicles formed from endothelial cells membrane after injury). The quantification of the EPCs and EMPs will be performed by flow cytometry

    Measured: Up to Seven Years

  23. Subgroup analysis

    1. Differential impact on certain subgroups: Sex, age, anthropometry, genetics, genomics, metabolism of immediate principles, cardiovascular risk factors, cancer, vascular function

    Measured: Up to Seven Years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Jun 2009 (estimated)
  2. Study startNov 2009
  3. Primary completionJul 2018
  4. Study completionMay 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Investigator
Enrolment
1,002 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00924937
Sponsor's protocol ID
CORDIOPREV
Acronym
CORDIOPREV
Status last verified
May 2021
First submitted
18 Jun 2009
Last updated
3 Jun 2021
Results posted
No
Data monitoring committee
Yes
Individual data sharing
No

Publications

  • Garaulet M, Romero-Cabrera JL, Alcala-Diaz JF, Arenas-de Larriva AP, Torres-Pena D, Rodriguez-Cantalejo F, Sotos-Prieto M, Kales SN, Delgado-Lista J, Perez-Martinez P, Garcia-Rios A, Miranda JL. Short siesta habit and cardiometabolic health: A 7-year follow-up in coronary heart disease patients from the CORDIOPREV study. Metabolism. 2026 Aug 4:156724. doi: 10.1016/j.metabol.2026.156724. Online ahead of print.

    PubMed 42551629
  • Arenas-Montes J, Garcia-Fernandez H, Alcala-Diaz JF, Boughanem H, Allais A, Gutierrez-Mariscal FM, Arenas-de Larriva AP, Ojeda-Rodriguez A, Malagon MM, Priego-Capote F, Delgado-Lista J, Perez-Martinez P, Camargo A, Lopez-Miranda J. High postprandial endotoxemia is associated with recurrence of cardiovascular events in patients with coronary heart disease: from the CORDIOPREV randomized clinical trial. Am J Clin Nutr. 2026 Jul;124(1):101323. doi: 10.1016/j.ajcnut.2026.101323. Epub 2026 Jun 8.

    PubMed 42386249
  • Delgado-Lista J, Alcala-Diaz JF, Torres-Pena JD, Quintana-Navarro GM, Arenas Larriva AP, Fuentes F, Garcia-Rios A, Yubero-Serrano EM, Rangel-Zuniga OA, Camargo A, Rodriguez-Cantalejo F, Katsiki N, Perez-Martinez P, Lopez-Miranda J; CORDIOPREV Investigators. Incidence of major adverse cardiovascular events decreases with greater adherence to both Mediterranean and low-fat dietary patterns in secondary prevention patients: a randomized controlled trial. Eur J Intern Med. 2026 May;147:106733. doi: 10.1016/j.ejim.2026.106733. Epub 2026 Jan 28.

    PubMed 41611577
  • Garcia-Rios A, Romero-Cabrera JL, Alcala-Diaz JF, Quintana-Navarro GM, Martin-Piedra L, Arenas-de Larriva AP, Torres-Pena JD, Rodriguez-Cantalejo F, Kales SN, Ordovas JM, Perez-Martinez P, Delgado-Lista J, Lopez-Miranda J. Long sleep duration pattern is associated with increased cardiovascular recurrence: Effect of long-term Mediterranean diet from the CORDIOPREV study. J Intern Med. 2025 Sep;298(3):237-250. doi: 10.1111/joim.20119. Epub 2025 Jul 17.

    PubMed 40677148
  • Boughanem H, Gutierrez-Mariscal FM, Arenas-de Larriva AP, Torres-Pena JD, Romero-Cabrera JL, Rangel-Zuniga OA, Garcia-Fernandez H, Podadera-Herreros A, Rodriguez-Cantalejo F, Soehnlein O, Macias-Gonzalez M, Tinahones FJ, Yubero Serrano EM, Perez-Martinez P, Delgado-Lista J, Lopez-Miranda J. Effect of long-term Mediterranean versus low-fat diet on neutrophil count, and type 2 diabetes mellitus remission in patients with coronary heart disease: results from the CORDIOPREV study. Nutr Diabetes. 2025 Mar 27;15(1):11. doi: 10.1038/s41387-025-00360-3.

    PubMed 40148287
  • Gutierrez-Mariscal FM, Lopez-Moreno A, Torres-Pena JD, Gomez-Luna P, Arenas-de Larriva AP, Romero-Cabrera JL, Luque RM, Uribarri J, Perez-Martinez P, Delgado-Lista J, Yubero-Serrano EM, Lopez-Miranda J. Modulation of circulating levels of advanced glycation end products and its impact on intima-media thickness of both common carotid arteries: CORDIOPREV randomised controlled trial. Cardiovasc Diabetol. 2024 Oct 14;23(1):361. doi: 10.1186/s12933-024-02451-4.

    PubMed 39402581
  • Podadera-Herreros A, Arenas-de Larriva AP, Gutierrez-Mariscal FM, Alcala-Diaz JF, Ojeda-Rodriguez A, Rodriguez-Cantalejo F, Cardelo MP, Rodriguez-Cano D, Torres-Pena JD, Luque RM, Ordovas JM, Perez-Martinez P, Delgado-Lista J, Lopez-Miranda J, Yubero-Serrano EM. Mediterranean diet as a strategy for preserving kidney function in patients with coronary heart disease with type 2 diabetes and obesity: a secondary analysis of CORDIOPREV randomized controlled trial. Nutr Diabetes. 2024 May 16;14(1):27. doi: 10.1038/s41387-024-00285-3.

    PubMed 38755195
  • Ojeda-Rodriguez A, Rangel-Zuniga OA, Arenas-de Larriva AP, Gutierrez-Mariscal FM, Torres-Pena JD, Romero-Cabrera JL, Podadera-Herreros A, Garcia-Fernandez H, Porras-Perez E, Luque RM, Kales SN, Perez-Martinez P, Delgado-Lista J, Yubero-Serrano EM, Lopez-Miranda J. Telomere length as biomarker of nutritional therapy for prevention of type 2 diabetes mellitus development in patients with coronary heart disease: CORDIOPREV randomised controlled trial. Cardiovasc Diabetol. 2024 Mar 16;23(1):98. doi: 10.1186/s12933-024-02175-5.

    PubMed 38493287
  • Garcia-Fernandez H, Arenas-de Larriva AP, Lopez-Moreno J, Gutierrez-Mariscal FM, Romero-Cabrera JL, Molina-Abril H, Torres-Pena JD, Rodriguez-Cano D, Malagon MM, Ordovas JM, Delgado-Lista J, Perez-Martinez P, Lopez-Miranda J, Camargo A. Sex-specific differences in intestinal microbiota associated with cardiovascular diseases. Biol Sex Differ. 2024 Jan 19;15(1):7. doi: 10.1186/s13293-024-00582-7.

    PubMed 38243297
  • Rivas-Garcia L, Quintana-Navarro GM, Torres-Pena JD, Arenas-de Larriva AP, Alcala-Diaz JF, Yubero-Serrano EM, Perez Caballero AI, Ortiz-Morales AM, Rangel-Zuniga OA, Lopez-Moreno A, Ordovas JM, Perez-Martinez P, Lopez-Miranda J, Delgado-Lista J. Dietary antioxidant intake reduces carotid intima-media thickness in coronary heart disease patients: From the CORDIOPREV study. Free Radic Biol Med. 2024 Jan;210:221-229. doi: 10.1016/j.freeradbiomed.2023.11.026. Epub 2023 Nov 29.

    PubMed 38036071
  • Villasanta-Gonzalez A, Mora-Ortiz M, Alcala-Diaz JF, Rivas-Garcia L, Torres-Pena JD, Lopez-Bascon A, Calderon-Santiago M, Arenas-Larriva AP, Priego-Capote F, Malagon MM, Eichelmann F, Perez-Martinez P, Delgado-Lista J, Schulze MB, Camargo A, Lopez-Miranda J. Plasma lipidic fingerprint associated with type 2 diabetes in patients with coronary heart disease: CORDIOPREV study. Cardiovasc Diabetol. 2023 Aug 3;22(1):199. doi: 10.1186/s12933-023-01933-1.

    PubMed 37537576
  • Gutierrez-Mariscal FM, Alcala-Diaz JF, Quintana-Navarro GM, de la Cruz-Ares S, Torres-Pena JD, Cardelo MP, Arenas-Larriva AP, Malagon MM, Romero-Cabrera JL, Ordovas JM, Perez-Martinez P, Delgado-Lista J, Yubero-Serrano EM, Lopez-Miranda J. Changes in quantity plant-based protein intake on type 2 diabetes remission in coronary heart disease patients: from the CORDIOPREV study. Eur J Nutr. 2023 Jun;62(4):1903-1913. doi: 10.1007/s00394-022-03080-x. Epub 2023 Mar 4.

    PubMed 36869909
  • Mora-Ortiz M, Alcala-Diaz JF, Rangel-Zuniga OA, Arenas-de Larriva AP, Abollo-Jimenez F, Luque-Cordoba D, Priego-Capote F, Malagon MM, Delgado-Lista J, Ordovas JM, Perez-Martinez P, Camargo A, Lopez-Miranda J. Metabolomics analysis of type 2 diabetes remission identifies 12 metabolites with predictive capacity: a CORDIOPREV clinical trial study. BMC Med. 2022 Oct 27;20(1):373. doi: 10.1186/s12916-022-02566-z.

    PubMed 36289459
  • Yubero-Serrano EM, Gutierrez-Mariscal FM, Gomez-Luna P, Alcala-Diaz JF, Perez-Martinez P, Lopez-Miranda J. Dietary modulation of advanced glycation end products metabolism on carotid intima-media thickness in type 2 diabetes patients: From the CORDIOPREV study. Clin Investig Arterioscler. 2023 May-Jun;35(3):105-114. doi: 10.1016/j.arteri.2022.08.004. Epub 2022 Sep 29. English, Spanish.

    PubMed 36184301
  • Delgado-Lista J, Alcala-Diaz JF, Torres-Pena JD, Quintana-Navarro GM, Fuentes F, Garcia-Rios A, Ortiz-Morales AM, Gonzalez-Requero AI, Perez-Caballero AI, Yubero-Serrano EM, Rangel-Zuniga OA, Camargo A, Rodriguez-Cantalejo F, Lopez-Segura F, Badimon L, Ordovas JM, Perez-Jimenez F, Perez-Martinez P, Lopez-Miranda J; CORDIOPREV Investigators. Long-term secondary prevention of cardiovascular disease with a Mediterranean diet and a low-fat diet (CORDIOPREV): a randomised controlled trial. Lancet. 2022 May 14;399(10338):1876-1885. doi: 10.1016/S0140-6736(22)00122-2. Epub 2022 May 4.

    PubMed 35525255

Questions about this trial

What is this clinical trial studying?

A study testing Mediterranean Diet and Low Fat Diet in people with Myocardial Infarction and Unstable Angina, run by Hospital Universitario Reina Sofia de Cordoba at 1 site in Spain.

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 4 inclusion and 15 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: finished, as of the sponsor's last update on 3 Jun 2021. 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 Spain. 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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Combined apparition of hard cardiovascular events (myocardial infarction, revascularization, ischemic stroke, documented peripheral artery disease or cardiovascular death) after a median follow-up of 7 years. (time frame: Seven Years). 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 NCT00924937, which also lists 38 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 3 Jun 2021.

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