Nutritional Effects in Cardiovascular Surgery
Nutritional Intervention in the Modulation of Postoperative Metabolism in Cardiovascular Surgery
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Background: Cardiovascular diseases remain the leading cause of mortality worldwide. Recent research has highlighted the role of gut microbiota and its metabolites-such as trimethylamine-N-oxide, phenylacetylglutamine, and p-cresyl sulfate-in the pathogenesis of cardiovascular disease through mechanisms involving inflammation, oxidative stress, and vascular dysfunction. However, little is known about the actual distribution of these metabolites in human cardiac tissues or their correlation with circulating levels. No clinical studies to date have systematically examined both tissue and blood samples in this context.
Methods: Preoperative blood samples and intraoperative cardiac tissue specimens will be collected. Both targeted and untargeted metabolomics analyses will be performed using mass spectrometry to detect key gut microbiota-derived metabolites. A subset of patients will receive postoperative probiotic supplementation. Serial blood will be collected to monitor changes in the metabolome and gut microbial composition.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Ke-Yun Chao, PhD
- Phone Number: +886-905-301-879
- Email: C00152@mail.fjuh.fju.edu.tw
Study Locations
-
-
-
New Taipei City, Taiwan, 24352
- Recruiting
- Fu Jen Catholic University Hospital, Fu Jen Catholic University
-
Contact:
- Ke-Yun Chao, PhD
- Phone Number: +886-905-301-879
- Email: ck_qq@hotmail.con
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Scheduled to undergo cardiovascular surgery
- Completed preoperative clinical and imaging evaluations
- Willing to provide informed consent
- Willing to receive potential probiotic supplementation
Exclusion Criteria:
- Use of antibiotics, probiotics, or other treatments affecting gut microbiota within 4 weeks
- History of major gastrointestinal disease
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Probiotic group
Received standard postoperative care with probiotic supplementation
|
probiotic supplementation will be administered, while participants continue undergoing standard postoperative care
|
|
Placebo Comparator: Placebo group
Received standard postoperative care with placebo supplementation
|
Undergo routine standard postoperative care with placebo intervention
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Trimethylamine-N-oxide
Time Frame: From enrollment to the end of intervention at 3 weeks
|
Gut microbiota-derived metabolites
|
From enrollment to the end of intervention at 3 weeks
|
|
Phenylacetylglutamine
Time Frame: From enrollment to the end of intervention at 3 weeks
|
Gut microbiota-derived metabolites
|
From enrollment to the end of intervention at 3 weeks
|
|
P-cresyl sulfate
Time Frame: From enrollment to the end of intervention at 3 weeks
|
Gut microbiota-derived metabolites
|
From enrollment to the end of intervention at 3 weeks
|
|
Indoxyl sulfate
Time Frame: From enrollment to the end of intervention at 3 weeks
|
Gut microbiota-derived metabolites
|
From enrollment to the end of intervention at 3 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Ke-Yun Chao, PhD, Fu Jen Catholic University
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- FJUH114505
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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