Inflammation, Epigenetics in CHF Patients With AF

NCT ID: NCT07152301

Last Updated: 2025-09-04

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

COMPLETED

Total Enrollment

164 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-01-01

Study Completion Date

2022-05-31

Brief Summary

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the goal of this case-control cross-sectional study is assessing in a cohort of patients with CHF and permanent AF

* The serum levels of some candidate cytokine variables and their relationship with some selected metabolic variables and some echocardiographic variables.
* the expression degree of some selected miRNA with a pathogenetic relation to atrial fibrillation and the related cardiac remodelling.
* to analyze the correlation between selected miRNA and the selected cytokines.

Detailed Description

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Conditions

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Congestive Heart Failure Chronic Atrial Fibrillation (Permanent)

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Patients with CHF and atrial fibrillation (CHF + AF)

patients with chronic heart failure (CHF) and permanent non-valvular atrial fibrillation (AF)

No interventions assigned to this group

Patients with CHF and no atrial fibrillation (CHF no-AF)

patients with CHF no prior history of atrial fibrillation

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* ≥18 years
* Left ventricular ejection fraction \>40%
* New York Heart Association class II-IV symptoms
* NT-proBNP ≥600 pg/mL, or ≥900 pg/mL if AF was present on baseline electrocardiography

Exclusion Criteria

\- Other AF subtypes (paroxysmal, persistent, long-standing persistent)

At least one of the following criteria:

* Acute heart failure
* NYHA IV
* NT-proBNP \>4000 pg/mL
* Significant valvular disease
* Mechanical prosthesis
* Cardiovascular implantable devices
* Active malignancy
* Inflammatory or infectious diseases
* Severe renal (eGFR \<30 mL/min/m²) or hepatic failure
* Chronic steroid/anti-inflammatory therapy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Palermo

OTHER

Sponsor Role lead

Responsible Party

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Antonino Tuttolomondo

Prof.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Internal Medicine and Stroke Care Ward, Policlinic Hospital of Palermo, Sicily

Palermo, PA, Italy

Site Status

Countries

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Italy

References

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Hage C, Michaelsson E, Linde C, Donal E, Daubert JC, Gan LM, Lund LH. Inflammatory Biomarkers Predict Heart Failure Severity and Prognosis in Patients With Heart Failure With Preserved Ejection Fraction: A Holistic Proteomic Approach. Circ Cardiovasc Genet. 2017 Feb;10(1):e001633. doi: 10.1161/CIRCGENETICS.116.001633.

Reference Type BACKGROUND
PMID: 28100627 (View on PubMed)

Harada M, Van Wagoner DR, Nattel S. Role of inflammation in atrial fibrillation pathophysiology and management. Circ J. 2015;79(3):495-502. doi: 10.1253/circj.CJ-15-0138. Epub 2015 Feb 16.

Reference Type BACKGROUND
PMID: 25746525 (View on PubMed)

Carr JJ, Hendel RC, White RD, Patel MR, Wolk MJ, Bettmann MA, Douglas P, Rybicki FJ, Kramer CM, Woodard PK, Shaw LJ, Yucel EK; American College of Cardiology Foundation; American College of Cardiology Foundation. 2013 appropriate utilization of cardiovascular imaging: a methodology for the development of joint criteria for the appropriate utilization of cardiovascular imaging by the American College of Cardiology Foundation and American College of Radiology. J Am Coll Radiol. 2013 Jun;10(6):456-63. doi: 10.1016/j.jacr.2013.03.019. Epub 2013 Apr 15.

Reference Type BACKGROUND
PMID: 23598154 (View on PubMed)

Other Identifiers

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UPalermo8

Identifier Type: -

Identifier Source: org_study_id

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