Triglycerides Glucose Index on Angiographic Profiling of Non-Diabetic Premature Coronary Artery Disease Patients

NCT ID: NCT07154186

Last Updated: 2025-09-05

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

180 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-09-04

Study Completion Date

2026-02-01

Brief Summary

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This study aims to evaluate the impact of the triglyceride-glucose (TyG) index on the angiographic profiling of non-diabetic patients with premature coronary artery disease (CAD).

Detailed Description

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Premature coronary artery disease (CAD), defined as CAD occurring before the age of 55 in men and 65 in women, has emerged as a growing health concern worldwide.

Insulin resistance and associated metabolic alterations are strongly implicated in premature atherosclerosis. Even in non-diabetic individuals, subclinical insulin resistance promotes endothelial dysfunction, oxidative stress, and low-grade inflammation, leading to early vascular damage.

The triglyceride-glucose (TyG) index, calculated using fasting glucose and triglyceride levels, has emerged as a cost-effective surrogate marker for insulin resistance.

Conditions

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Triglycerides Glucose Index Angiographic Profiling Non-Diabetic Premature Coronary Artery Disease

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Group L

Patients with a low triglyceride-glucose (TyG) index tertile.

Coronary Angiographic Assessment

Intervention Type OTHER

Coronary angiographic assessment will be performed for all patients.

Group H

Patients with a high triglyceride-glucose (TyG) index tertile.

Coronary Angiographic Assessment

Intervention Type OTHER

Coronary angiographic assessment will be performed for all patients.

Interventions

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Coronary Angiographic Assessment

Coronary angiographic assessment will be performed for all patients.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age ≥18 years old.
* Both sexes.
* Non-diabetic patients \[no history of diabetes, hemoglobin A1C (HbA1C) \< 6.5%, fasting glucose \< 126 mg/dL\].
* Confirmed diagnosis of coronary artery disease (CAD) by coronary angiography.

Exclusion Criteria

* Known diabetes mellitus (type 1 or type 2).
* Previous history of coronary revascularization.
* Severe hepatic or renal dysfunction \[alanine transaminase (ALT)/aspartate aminotransferase (AST) ≥ 5× upper limit of normal (ULN), estimated glomerular filtration rate (eGFR)\< 30 mL/min/1.73 m²\].
* Malignant disease, autoimmune disease, or systemic inflammatory disorders.
* Current use of triglyceride-lowering medications.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

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-25-5-5PD

Identifier Type: -

Identifier Source: org_study_id

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