- ICH GCP
- Registro de ensaios clínicos dos EUA
- Ensaio Clínico NCT04820556
Gut Microbiota in Chronic Noncommunicable Diseases
The Development of Preventive Methods for Chronic Noncommunicable Diseases Based on Modulation of Gut Microbiota Composition and Function
Visão geral do estudo
Status
Tipo de estudo
Inscrição (Real)
Contactos e Locais
Locais de estudo
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Moscow, Federação Russa, 101990
- National Medical Research Center for Therapy and Preventive Medicine of the Ministry of Healthcare of the Russian Federation
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Moscow, Federação Russa, 119121
- Centre for Strategic Planning and Management of Biomedical Health Risks of the Federal Medical Biological Agency
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Método de amostragem
População do estudo
Descrição
Criteria for groups with arterial hypertension, chronic obstructive pulmonary disease (COPD), asthma, type 2 diabetes mellitus and nonalcoholic fatty liver disease (NAFLD) (both prospective and retrospective)
Inclusion criteria:
All mentioned groups:
- Men and women aged ≥ 18 and <80
- Signed informed consent form
Group of arterial hypertention (inclusion criteria):
- No current treatment of hypertension
- Systolic blood pressure <180 mm Hg and diastolic blood pressure <110 mm Hg
- No clinical signs of other cardiovascular diseases
Group of COPD and asthma (inclusion criteria)
- Medical records, confirming COPD or asthma
- Regular stable treatment of COPD, asthma or any chronic disease for ≥ 4 weeks before the enrollment. If inhaled corticosteroids are being used, regular treatment is required for ≥12 weeks.
- Absence of acute exacerbations of COPD, asthma or any concomitant diseases 4 weeks before the enrollment
- No use of genetically engineered biological drugs
- For patients with COPD after inhalation of salbutamol (400 mcg) the ratio FEV1/FVC is less than 0,70
Group of type 2 diabetes mellitus (inclusion criteria)
- Confirmed type 2 diabetes mellitus
- Stable glucose lowering treatment for ≥ 1 month
- No systemic corticosteroid treatment 4 weeks before the enrollment
Group of NAFLD (inclusion criteria)
- Ultrasound criteria of non-alcoholic fatty liver disease or
- Confirmed non-alcoholic fatty liver disease using FibroMax test
Control group inclusion criteria
- Men and women aged ≥ 18 and <80 years
- Signed informed consent form
Control group for arterial hypertension (inclusion criteria):
1. No history of cardiovascular diseases, COPD or asthma
Control group for COPD and asthma (inclusion criteria):
1. No history of diabetes mellitus, NAFLD, COPD and asthma
Exclusion criteria for all groups
- Age < 18 years and ≥80 years
- Denial of further participation
- Obesity with BMI≥40 kg/m2
- History of organ transplantion
- Psychiatric disorder, limiting participation in the study
- Acute infections
- Exacerbation of chronic infection 2 weeks before the enrollment
- Cancer with no radical treatment
- Pregnancy and lactation
- Alcohol and drug addition
- Chronic kidney disease with GFR <30 ml/min/1.73m2
- Systemic autoimmune diseases
- Inflammatory bowel disease
- Antimicrobial and probiotic treatment 3 months before the enrollment
Additional exclusion criteria adjusted for each group
Group of arterial hypertension (exclusion criteria):
- Ischemic heart disease (angina pectoris, myocardial infarction), cerebrovascular disease (stroke, transient ischemic attack), occlusive peripheral arterial disease, revascularization of any vascular bed.
- Cardiomyopathies
- Symptomatic arterial hypertension
- Diabetes mellitus
- Signs of previous myocardial infarction on ECG
- Arrhythmias (parohysmal arrhythmias, atrial fibrillation, sinoatrial block, atrioventricular block grade II-III)
- Signs of current myocardial ischemia on ECG
- Decompensated heart failure
Group of COPD and asthma (exclusion criteria):
Exacerbation of COPD or asthma 3 months before the enrollment which required antibiotic treatment or systemic corticosteroids.
Group of type 2 diabetes mellitus (exclusion criteria):
- Type 1 diabetes mellitus and other specific types of diabetes
- Severe microangiopathy: proliferative and terminal stage of diabetic retinopathy, chronic kidney disease (GFR < 30 ml/min/1,73 m2) for patients with type 2 diabetes
- The history of moderate, severe and very severe COPD
- The history of moderate or severe asthma
- Vegetarians or vegans
Group of non-alcoholic fatty liver disease (exclusion criteria):
- Chronic liver diseases except NAFLD
- The history of moderate, severe and very severe COPD
- The history of moderate or severe asthma
- Vegetarians or vegans
- Diabetes mellitus
Criteria for groups of heart failure and obstructive atherosclerosis (retrospective)
Inclusion criteria for HF-pEF group:
- Men and women aged ≥ 18 and <80 years
- Signs and symptoms of heart failure
- Left ventricular diastolic dysfunction
- Left ventricular ejection fraction ≥50%
- NT-pro BNP >125 pg/ml
- Signed study informed consent form
Inclusion criteria for HF-rEF group:
- Men and women aged ≥ 35 and <80 years
- Signs and symptoms of heart failure
- Left ventricular ejection fraction <50%
- Signed study informed consent form
Inclusion criteria for obstructive atherosclerosis group:
- Men and women aged ≥ 35 and <80 years
Symptoms and signs of obstructive atherosclerosis of any vascular bed:
- Ischemic heart disease or
- Revascularization of coronary, renal, brachiocephalic or lower extremity arteries or
- carotid endarterectomy or
- chronic lower extremity ischemia or
- history of myocardial infarction, stroke, transient ischemic attack or
- renovascular AH
- atherosclerotic aorta aneurysm
- Signed study informed consent form
Inclusion criteria for control group for HF-pEF, HF-rEF and obstructive atherosclerosis
- Men and women aged ≥ 18 and <80 years.
- No signs or symptoms of chronic heart failure
- No signs of left ventricular diastolic dysfunction
- No history, signs or symptoms of obstructive atherosclerosis of any vascular bed
- Signed study informed consent form
Exclusion criteria for groups with HF-pEF, HF-rEF and obstructive atherosclerosis:
- Age <18 and ≥80 years.
- Refuse to sign study informed consent form
- Body mass index ≥35 kg/m2
- Chronic kidney disease with GFR <30 ml/min/1,73 m2
- Current smoking
- Moderate or severe COPD
- Moderate or severe asthma
- Acute infections or exacerbation of chronic infections 2 weeks prior to study enrollment
- History of allergic reactions to gadolinium contrast
- Hypertrophic cardiomyopathy, dilated cardiomyopathy, restrictive cardiomyopathy: primary, amyloidosis, glycogen storage diseases, hemochromatosis, sarcoidosis, drug induced cardiomyopathy, radiation heart disease, constrictive pericarditis).
- Connective tissue disease
- Cancer with no radical treatment
- Pregnancy or lactation
- Inflammatory bowel disease
- Use of antimicrobial agents, probiotics or systemic corticosteroids 3 months before the enrollment
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
Coortes e Intervenções
Grupo / Coorte |
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Grupo de controle
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Arterial hypertension
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Atherosclerosis occlusive disease
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Heart failure with preserved ejection fraction
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Heart failure with reduced ejection fraction
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Diabetes mellitus, type 2
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Chronic obstructive pulmonary disease and asthma
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Nonalcoholic fatty liver disease
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O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Prazo |
---|---|
Significant (p<0,05) correlation (r>0,5) between abundance of Faecalibacterium genus and concentration of lipopolysaccharide
Prazo: on enrollment
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on enrollment
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Colaboradores e Investigadores
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Conclusão Primária (Real)
Conclusão do estudo (Real)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Termos MeSH relevantes adicionais
- Doenças do aparelho digestivo
- Processos Patológicos
- Doenças cardíacas
- Doenças cardiovasculares
- Doenças Vasculares
- Distúrbios do Metabolismo da Glicose
- Doenças Metabólicas
- Doenças Respiratórias
- Arteriosclerose
- Doenças Arteriais Oclusivas
- Doenças pulmonares
- Doenças do Sistema Endócrino
- Atributos da doença
- Diabetes Mellitus
- Doenças do Fígado
- Insuficiência cardíaca
- Hipertensão
- Diabetes Mellitus, Tipo 2
- Doenças Pulmonares Obstrutivas
- Fígado gordo
- Doença hepática gordurosa não alcoólica
- Aterosclerose
- Doenças não comunicáveis
Outros números de identificação do estudo
- 3162021
Plano para dados de participantes individuais (IPD)
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