CClinicalTrials.gg
Status unknownNCT04406805TASTEUpdated Jun 5, 2020

TMAO in Patients With Severe Aortic Stenosis

An observational study in Aortic Stenosis and Heart Failure, sponsored by Medical University of Warsaw. Status unknown at 1 site in Poland. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2020-06-05.

Sponsored by Medical University of Warsaw · Observational

The sponsor has not verified this record recently (last verified Mar 2020), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
70
Ages
18 Years to 99 Years
Sex
All
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Study summary

Trimethylamine N-oxide (TMAO) has recently gained increasing scientific interest in the field of cardiovascular disease, including its role in cell protection against osmotic and hydrostatic stress. Aortic stenosis (AS) is the most common valvular heart disease, affecting about 7.6 million people over 75 years of age in North America and Europe alone. We hypothesized that TMAO plays a role in protection of the cardiomyocytes against pressure overload in patients with AS. The primary aim of this study is to assess the correlation between the serum and urine TMAO concentration, and (i) echocardiographic, (ii) biochemical and (iii) histopathological parameters of heart failure in patients with severe AS. The secondary aim of this study is to evaluate a correlation between the baseline TMAO concentrations and the post-treatment clinical status, as well as the post-treatment echocardiographic and biochemical parameters.

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Conditions studied

  • Aortic Stenosis
  • Heart Failure

Keywords

  • Aortic Stenosis
  • Heart Failure
  • Trimethylamine
  • TMAO
  • Bacterial Metabolites
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In context

Heart Failure

5,701 studies on the registry are indexed under Heart Failure; 1,220 are open to participants now.

This study's planned enrollment of 70 is below the median of 200 across 1,679 observational studies indexed under Heart Failure.

Browse Heart Failure studies →

Lead sponsor

Medical University of Warsaw is the lead sponsor of 316 studies on the registry; 87 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Sampling method
Probability sample

Study population

Patients will be enrolled among those who will be (i) aged from 18 to 99 years, (ii) admitted to the 1st Chair and Department of Cardiology or Department of Cardiosurgery, Medical University of Warsaw due to severe AS, and (iii) qualified for treatment with either surgical aortic valve replacement or transcatheter aortic valve implantation.

Inclusion criteria

  • Informed consent to participate in the study
  • Severe aortic stenosis, defined as aortic valve area \<1.0 cm2 or aortic valve area index \<0.6 cm2/m2 as calculated by the continuity equation on transthoracic echocardiography, regardless of the transvalvular gradient, with or without coexisting symptoms of heart failure
  • Qualification for surgical aortic valve replacement or transcatheter aortic valve implantation by the Heart Team in accordance with European Society of Cardiology guidelines

Exclusion criteria

Exclusion Criteria:

  • Heart failure of etiology other than aortic stenosis
  • Coexisting, haemodynamically significant aortic regurgitation
  • Myocardial infarction within the last 3 months
  • Coronary revascularization within the last month or planned during transcatheter aortic valve implantation or surgical aortic valve replacement
  • Chronic kidney disease with estimated glomerular filtration rate \<45 ml/min/1.73 m2
  • Acute gastrointestinal disease within the last month
  • Active neoplastic disease
  • Chronic inflammatory disease
  • Autoimmune disease
  • Chronic intestinal disease
  • Antibiotic therapy within the last 2 months
  • Dietary supplements within the last 7 days
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
70 participants (estimated)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Severe aortic stenosis

    Patients will be enrolled among those who will be (i) aged from 18 to 99 years, (ii) admitted to the hospital due to severe aortic stenosis, and (iii) qualified for treatment with either surgical aortic valve replacement or transcatheter aortic valve implantation

    Diagnostic Test: Measurement of plasma and urine trimethylamine-N-oxide concentration

Interventions

  • Diagnostic testMeasurement of plasma and urine trimethylamine-N-oxide concentration

    Information already included in arm/group descriptions.

    Also known as: N-terminal pro-brain natriuretic peptide measurement, echocardiography, biopsy of a myocardium in patients undergoing surgical aortic valve replacement

06

What researchers measure

Primary outcomes

  1. Correlation between the serum and urine trimethylamine N-oxide concentration and aortic valve area index

    Time frame: January 15, 2019 - February 15, 2023

Secondary outcomes

  1. Correlation between the serum and urine trimethylamine N-oxide concentration and (i) other echocardiographic, (ii) biochemical and (iii) histopathological parameters of heart failure.

    Time frame: January 15, 2019 - February 15, 2023

  2. Correlation between the baseline trimethylamine N-oxide concentrations and the post-treatment clinical status, as well as the post-treatment echocardiographic and biochemical parameters.

    Time frame: January 15, 2019 - February 15, 2023

07

Study locations

1 of 1 sites recruiting
  • 1st Chair and Department of Cardiology and Department of Cardiosurgery, Medical University of Warsaw
    Warsaw, Masovia, Poland
    • Aleksandra Gąsecka, PhD · Contact · gaseckaa@gmail.com · +48225991951
    • Agnieszka Kapłon-Cieślicka, Ass. Prof. · Principal investigator
    • Aleksandra Gasecka, PhD · Sub investigator
    • Michał Konwerski, MD · Sub investigator
    • Marcin Ufnal, Prof. · Sub investigator
    • Radosław Wilimski, PhD · Sub investigator
    • Paweł Czub, PhD · Sub investigator
    • Monika Budnik, PhD · Sub investigator
    Recruiting
08

References and documents

Publications

  • Jaworska K, Hering D, Mosieniak G, Bielak-Zmijewska A, Pilz M, Konwerski M, Gasecka A, Kaplon-Cieslicka A, Filipiak K, Sikora E, Holyst R, Ufnal M. TMA, A Forgotten Uremic Toxin, but Not TMAO, Is Involved in Cardiovascular Pathology. Toxins (Basel). 2019 Aug 26;11(9):490. doi: 10.3390/toxins11090490. PubMed 31454905 ↗

Individual participant data

Plan to share: Undecided — The individual participant shared only in case the identity of the participant has been made unrecognizable.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 5, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04406805
Lead sponsor
Medical University of Warsaw
Responsible party
Sponsor
First posted
May 28, 2020
Start date
Jan 15, 2019
Primary completion
Feb 15, 2022 (estimated)
Completion
Feb 15, 2023 (estimated)
Last update
Jun 5, 2020

Study contacts

Aleksandra Gąsecka, MD
Contact
gaseckaa@gmail.com
+48225991951

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Mar 2020. You cannot join it, but the record below documents what was studied.

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