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Infections in Acute Myocardial Infarction PatientsNCT05412732

Study for the Validation of a New Biomarker to Determine Predisposition to Infections in Patients With Acute Myocardial Infarction.

An observational study of Infections in Acute Myocardial Infarction Patients, run by Instituto de Investigación Hospital Universitario La Paz at 1 site in Spain.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Prospective biomedical research study Read more about this study

Who is it for?
Ages 18 to 100 years
What is being tested?
prospective biomedical research study
How many people
300 participants
Where
1 siteSpain
Study dates
21 Jul 2021to 21 Jul 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 100 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: The study is aimed at those patients who have suffered an AMI or OUT-OF-HOSPITAL CARDIORRESPIRATORY ARREST and are admitted to the Critical Care Unit.

Who may be able to join

  • Patients who have suffered AMI or cardiorespiratory arrest after AMI, have been admitted to hospital within the first 24 hours of the event and are required to be admitted to any Critical Care Unit. In addition, one of the following criteria must be met:
  • Symptoms of cardiac ischaemia.
  • New ischaemic patterns in the ECG.
  • Development of pathological QW waves on the ECG.
  • Obvious suspicion or loss of myocardial viability or new abnormal motility regions in a pattern consistent with ischaemic pathology.
  • Intracoronary thrombus detected on angiography or autopsy. 2. They must be of legal age, have read the Patient Information Sheet (HIP) and have signed the Informed Consent (IC).
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  • Depending on the group in which they are to be classified, patients must meet specific inclusion criteria:
  • Group A: Patients who have suffered MI (myocardial infarction), are in the CRITICAL UNIT and their DNAmit values are below 0.25-105 copies.
  • Group B: Patients who have suffered an MI, are in the CRITICAL UNIT and their mtDNA values are above 0.25-105 copies.

Who cannot join

  • Patients who meet any of the following criteria shall not be eligible for inclusion in the clinical trial:
  • Chronic inflammatory diseases
  • Transplantation of any organ (except cornea).
  • Patients receiving or who have received in the last 3 months anti-inflammatory, immunosuppressive or biological treatment targeting the immune system (TNF blockers, anakinra, rituximab, abatacept or tocilizumab), except NSAIDs and colchicine.
  • Patients with overt and/or severe immunocompromise
  • History of chronic kidney or liver disease (dialysis or creatinine clearance < 30%).
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  • Decompensated diabetes
  • Active tumour process. Patients considered to be in complete remission may be included in the study.
  • Major surgical intervention (in the 3 MONTHS PRIOR to inclusion in the study).
  • Pregnancy, childbirth or breastfeeding in the last 3 months.
  • Symptomatic patients with type IV heart failure (NYHA).
  • Life expectancy of less than 3 months.
  • Long-term urinary catheter or vascular catheter wearers

Trial locations and contacts

1 site in 1 country.

Miguel Ángel Llamas Matías contact

+034 924 951 112

mallamas@crazyscience.es

Beatriz Salvador Esteban contact

salvador.bea@gmail.com

Spain1 site, 1 recruiting
  • Hospital Universitario La Paz

    Madrid, 28046

    Esteban López de Sa, MD, e.lopezdesa@gmail.com

    Recruiting

Other trials in Spain

About this study

Official title: Study for the Clinical Validation of a New Biomarker to Determine Predisposition to Infections in Patients With Acute Myocardial Infarction.

Prospective biomedical research study

Read the detailed description

The aim is to validate a new biomarker, based on the levels of DNAmit present in blood, to assess the predisposition of an individual to suffer an infection. To validate this hypothesis, the DNAmit levels of patients with myocardial infarction will be analysed and their relationship with the probability of these patients developing an infectious process or not.

Being tested
prospective biomedical research study

What participants receive

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

  • prospective biomedical research studyOther

    A prospective biomedical study, in which a comparison will be made of the outcome of a specific disease (in this case, AMI).

Study groups in NCT05412732
Study groupRoleWhat they receive
group A low risk of infectionNot described
Receives: Other: prospective biomedical research study
group B high risk of infectionNot described
Receives: Other: prospective biomedical research study

What is being measured

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

  1. Clinical validation of the presence of elevated mitochondrial DNA levels as a prognostic biomarker of infection risk in AMI patients

    Level of circulating DNAmit

    Measured: 18-30 hours

Secondary outcomes (5)
  1. Correlating mitochondrial DNA levels with the patient's "immune" tolerant status

    Refractory state of circulating monocytes/macrophages [pg/mL]

    Measured: 18-30 hours

  2. To determine the relationship between ADNmit levels and infarct location

    Infarct location (anterior or non-anterior)

    Measured: 0-24 hours

  3. To determine the relationship between ADNmit levels and Left Ventricular Ejection Fraction

    LVEF [%]

    Measured: 0-24 hours

  4. To determine the relationship between ADNmit levels and ultrasensitive troponin I

    ultrasensitive troponin I [pg/mL]

    Measured: 0-24 hours

  5. To determine the relationship between ADNmit levels and GRACE Score

    GRACE Score [numerical values that determine risk of death: 0-258]

    Measured: 0-24 hours

Timeline

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

  1. First posted9 Jun 2022
  2. Study start21 Jul 2021
  3. Primary completion21 Jul 2022 (estimated)
  4. Study completion21 Jul 2023 (estimated)

Resources

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
Other
Time perspective
Prospective
Enrolment
300 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05412732
Sponsor's protocol ID
BIOMIN-001
Status last verified
Jun 2022
First submitted
19 May 2022
Last updated
9 Jun 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Infections in Acute Myocardial Infarction Patients, run by Instituto de Investigación Hospital Universitario La Paz 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 9 inclusion and 13 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: status not confirmed, as of the sponsor's last update on 9 Jun 2022. 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Miguel Ángel Llamas Matías (+034 924 951 112, mallamas@crazyscience.es), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Clinical validation of the presence of elevated mitochondrial DNA levels as a prognostic biomarker of infection risk in AMI patients (time frame: 18-30 hours). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 9 Jun 2022.

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