Serum Testosterone Level on Angiographic Complexity of Coronary Lesions in Premature Ischemic Egyptian Males

NCT ID: NCT07076771

Last Updated: 2025-07-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

50 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-01-01

Study Completion Date

2025-08-01

Brief Summary

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This study aims to investigate the association between serum testosterone levels and the angiographic complexity of coronary artery lesions in male patients under 45 years of age presenting with premature ischemic heart disease.

Detailed Description

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Coronary artery disease (CAD) remains a leading cause of morbidity and mortality worldwide. While traditionally associated with older populations, there is a growing incidence of premature CAD.

Testosterone, the primary male sex hormone, exerts various physiological effects beyond its role in reproductive function. It influences muscle mass, fat distribution, insulin sensitivity, and vascular tone. Low testosterone levels have been associated with adverse metabolic profiles, including increased adiposity, dyslipidemia, and insulin resistance, all of which are established risk factors for atherosclerosis. Furthermore, testosterone deficiency has been linked to endothelial dysfunction, a critical early event in the development of atherosclerotic plaques.

Conditions

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Testosterone Angiographic Complexity Coronary Lesion Premature Ischemia Males

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Significant coronary artery disease (CAD) group

Patients with significant coronary artery disease

Coronary Angiography

Intervention Type OTHER

All angiographic procedures will be performed. Coronary artery disease will be defined as \>70% stenosis in at least one major epicardial artery or \>50% the left main coronary artery.

Syntax Score

Intervention Type OTHER

The angiographic complexity of coronary artery disease (CAD) will be assessed using the SYNTAX score.

Non-significant coronary artery disease (CAD) group

Patients with non-significant coronary artery disease

Coronary Angiography

Intervention Type OTHER

All angiographic procedures will be performed. Coronary artery disease will be defined as \>70% stenosis in at least one major epicardial artery or \>50% the left main coronary artery.

Syntax Score

Intervention Type OTHER

The angiographic complexity of coronary artery disease (CAD) will be assessed using the SYNTAX score.

Interventions

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Coronary Angiography

All angiographic procedures will be performed. Coronary artery disease will be defined as \>70% stenosis in at least one major epicardial artery or \>50% the left main coronary artery.

Intervention Type OTHER

Syntax Score

The angiographic complexity of coronary artery disease (CAD) will be assessed using the SYNTAX score.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Male patients aged \<45 years.
* Diagnosed with premature ischemic heart disease.
* Undergoing elective coronary angiography for suspected coronary artery disease (CAD) .

Exclusion Criteria

* History of acute coronary syndrome within the preceding 3 months.
* Prior diagnosis of hypogonadism or history of testosterone replacement therapy or anabolic steroid use.
* Active neoplasm or history of chemotherapy.
* Known hepatic cirrhosis, chronic kidney disease, or end-stage renal disease.
* Use of medications known to affect sex hormone levels (e.g., spironolactone, ketoconazole).
* Endocrine disorders such as sickle cell anemia or celiac disease.
Maximum Eligible Age

45 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Sohag University

OTHER

Sponsor Role lead

Responsible Party

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Remon Saleh Adly

Lecturer of Cardiovascular, Faculty of Medicine, Sohag University, Sohag, Egypt.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Sohag University

Sohag, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Remon S Adly, MD

Role: CONTACT

00201221878986

Facility Contacts

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Remon S Adly, MD

Role: primary

00201221878986

Other Identifiers

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Soh-Med-25-5-9PD

Identifier Type: -

Identifier Source: org_study_id

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