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RecruitingNCT03268135RNA-HF-ASUpdated Nov 4, 2026

Heart Failure and Aortic Stenosis Transcriptome

An observational study in Heart Failure and Aortic Stenosis, sponsored by IRCCS Policlinico S. Donato. Recruiting at 2 sites in Italy. Open to participants aged 40 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-11-04.

Sponsored by IRCCS Policlinico S. Donato · Observational

From the registry’s dates

  • Started May 2016; still recruiting 10 years 5 months later.
Updated Nov 4, 20261 site added1 site removedGo to Updates ↓
Study type
Observational
Model
Case-control
Time perspective
Retrospective
Enrollment
500
Ages
40 Years to 75 Years
Sex
All
01

Study summary

This study is aimed to investigate the global transcriptome in order to determine the expression profile of messenger RNAs (mRNAs), as well as long noncoding- (lncRNAs) and micro noncoding-RNAs (miRNAs) in heart failure (HF) and in aortic stenosis (AS). The aim is to clarify their role in cardiac disease pathogenesis, as well as their potential as biomarkers. To this purpose, both tissue and blood specimens will be collected and patients will be compared to individuals not affected by cardiovascular diseases.

Read the detailed description

The investigators will collect plasma and cardiac tissue specimens from consenting subjects. The investigators will evaluate the expression of mRNAs, miRNAs and lncRNAs in patients affected by both end-stage and not end-stage HF as well as in patients affected by aortic stenosis and undergoing valve replacement and requiring cardiac myectomy. The tissue dysregulated RNAs will be next measured in plasma samples in order to clarify their potential as biomarkers.

02

Conditions studied

  • Heart Failure
  • Aortic Stenosis

Keywords

  • miRNA
  • lncRNAs
  • transcriptome
  • heart failure
  • aortic stenosis
  • biomarkers
03

In context

Heart Failure

6,331 studies on the registry are indexed under Heart Failure; 1,396 are open to participants now.

This study's planned enrollment of 500 is above the median of 200 across 1,983 observational studies indexed under Heart Failure.

Browse Heart Failure studies →

Lead sponsor

IRCCS Policlinico S. Donato is the lead sponsor of 103 studies on the registry; 51 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Cardiac surgery patients

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Non end-stage heart failure

    • left ventricle restoration surgery (SVR)
    • End Systolic Volume Index (ESVI) >35 ml/m2
    • (EF)\<40%
    • previous transmural anterior myocardial infarction (MI)
    • age: 40-75
  2. End-stage heart failure

    • left ventricle assisted device (LVAD) surgery
    • age: 40-75
    • Ejection Fraction (EF) \<25%
    • End Systolic Volume Index (ESVI)≥60 ml/m2
  3. Aortic Stenosis

    • aortic valve replacement
    • intracardial pressure difference >40 mmHg
    • septal diameter ≥1.3 cm

Exclusion criteria

Exclusion Criteria:

  1. Non end-stage heart failure

    • End Systolic Volume Index (ESVI)\<35 ml/m2
    • (EF)>40%
    • Time from MI unknown
    • Pregnancy
    • Other genetic diseases
    • Neoplasms
    • Collagenopathies
    • Chemo/radiotherapy
    • Prolonged use of
    • Infections
    • (HIV), Virus (HBV) (not vaccination) and Virus (HCV) positive
  2. End-stage heart failure

    • EF>25%
    • Time from MI unknown
    • Pregnancy
    • Other genetic diseases
    • Neoplasms
    • Collagenopathies
    • Chemo/radiotherapy
    • Prolonged use of corticosteroids
    • Infections
    • Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV) (not vaccination) and Hepatitis C Virus (HCV) positive
  3. Aortic Stenosis

    • coronaropathies
    • Pregnancy
    • Other genetic diseases
    • Neoplasms
    • Collagenopathies
    • Chemo/radiotherapy
    • Prolonged use of corticosteroids
    • Infections
    • Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV) (not vaccination) and Hepatitis C Virus (HCV) positive
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

05

Study design

Observational model
Case-control
Time perspective
Retrospective
Enrollment
500 participants (estimated)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Non end-stage heart failure

    Measurement of RNAs in non end-stage heart failure patients undergoing to left ventricle reconstruction

    Diagnostic Test: measurement of RNAs

  • End-stage heart failure

    Measurement of RNAs in end-stage heart failure patients undergoing to left ventricular assisted device (LVAD)

    Diagnostic Test: measurement of RNAs

  • Aortic Stenosis

    Measurement of RNAs in patients affected by cardiac hypertrophy leading to aortic stenosis and requiring cardiac myectomy

    Diagnostic Test: measurement of RNAs

  • Controls

    Measurement of RNAs in individuals not affected by cardiovascular diseases

    Diagnostic Test: measurement of RNAs

Interventions

  • Diagnostic testmeasurement of RNAs
06

What researchers measure

Primary outcomes

  1. Cardiac tissutal mRNAs signatures

    The mRNAs cardiac tissutal signatures of non- and end-stage heart failure patients and of aortic stenosis patients compared to controls

    Time frame: from Year 1 to Year 3

  2. Cardiac tissutal miRNAs signatures

    The miRNAs cardiac tissutal signatures of non- and end-stage heart failure patients and of aortic stenosis patients compared to controls

    Time frame: from Year 1 to Year 3

  3. Cardiac tissutal lncRNAs signatures

    The lncRNAs cardiac tissutal signatures of non- and end-stage heart failure patients and of aortic stenosis patients compared to controls

    Time frame: from Year 1 to Year 3

Secondary outcomes

  1. Non end-stage, end-stage heart failure, aortic stenosis mRNAs signatures in plasmas

    The mRNAs dysregulated in cardiac tissues will be measured in blood plasma samples of non- and end-stage heart failure patients and of aortic stenosis patients compared to controls

    Time frame: from Year 3 to Year 5

  2. Non end-stage, end-stage heart failure, aortic stenosis miRNAs signatures in plasmas

    The miRNAs dysregulated in cardiac tissues will be measured in blood plasma samples of non- and end-stage heart failure patients and of aortic stenosis patients compared to controls

    Time frame: from Year 3 to Year 5

  3. Non end-stage, end-stage heart failure, aortic stenosis lncRNAs signatures in plasmas

    The lncRNAs dysregulated in cardiac tissues will be measured in blood plasma samples of non- and end-stage heart failure patients and of aortic stenosis patients compared to controls

    Time frame: from Year 3 to Year 5

07

Study locations

2 of 2 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from May 2016 to primary completion in Dec 2024, 103 months.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 17, 2017
First posted
Aug 31, 2017
StartActual
May 30, 2016
Primary completionActual
Dec 31, 2024
CompletionEst.
Dec 31, 2027
Last update
Nov 4, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
1 site added, 1 site removed
Show site
  • Ospedale San Raffaele · Milan, Italy
Show 1 removed
  • Ospedale San Raffaele · Milano, Italy
Nov 4, 2026
Show all 1 update
  1. Nov 4, 2026
    1 site added, 1 site removed
    Show site
    • Ospedale San Raffaele · Milan, Italy
    Show 1 removed
    • Ospedale San Raffaele · Milano, Italy
    + 3 other changes: verification date, oversight details and index terms

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT03268135
Collaborators
Ospedale San Raffaele
Responsible party
Fabio Martelli (Dr, PhD, Molecular Cardiology Laboratory Director, IRCCS Policlinico S. Donato) — Principal investigator
First posted
Aug 31, 2017
Start date
May 30, 2016
Primary completion
Dec 31, 2024
Completion
Dec 31, 2027 (estimated)
Last update
Nov 4, 2026

Study contacts

Fabio Martelli, Dr
Contact
fabio.martelli@grupposandonato.it
+39 02 26437762
Fabio Martelli, Dr
principal investigator · IRCCS Policlinico S. Donato

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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