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RecruitingNCT06209723FRESH-MIUpdated Aug 14, 2026

Vegetarian Diet and Innate Immunity in Patients With Myocardial Infarction and in Healthy Volunteers (FRESH-MI Study)

An interventional study of Vegetarian diet in Myocardial Infarction, sponsored by Radboud University Medical Center. Recruiting at 1 site in Netherlands. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-14.

Sponsored by Radboud University Medical Center · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Started Jan 2024; still recruiting 2 years 8 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to assess the effect of a vegetarian diet on innate immunity of patients with a recent acute myocardial infarction and healthy participants. Also, we will assess the willingness to adapt a more vegetarian eating habit. Study subjects will follow a vegetarian diet for five weeks, whereafter a stabilisation period of six weeks will follow. Then, participants will follow to the other dietary intervention for five weeks. Blood will be drawn at given time points to analyse inflammatory parameters.

Read the detailed description

We will perform a proof-of-concept study according to a prospective randomized open label blinded endpoint (PROBE) design. Patients with an acute myocardial infarction (AMI) and their healthy life partners / spouses will be randomly assigned to an immediate vegetarian diet or their habitual diet. Patients with AMI will be stratified for non-ST-elevation myocardial infarction (NSTEMI) or ST-elevation myocardial infarction (STEMI). The dietary intervention will start one week after the index event and will comprise a period of five weeks. After a stabilisation phase (six weeks), to assure normalisation of the inflammatory response secondary to the acute myocardial infarction, patients and their spouses will follow the other dietary intervention arm. Then, half of them will start directly with the other dietary intervention and half of them will start after a period of five weeks. Blood samples will be taken at the time points. Also, all participants will be asked to complete a questionnaire at baseline, after twelve weeks and at nine months follow-up. Infarct size as assessed by Cardiovascular Magnetic Resonance (CMR) imaging will be used to adjust cytokine levels.

02

Conditions studied

  • Myocardial Infarction
03

In context

Myocardial Infarction

2,744 studies on the registry are indexed under Myocardial Infarction; 418 are open to participants now.

This study's planned enrollment of 120 is below the median of 148 across 1,595 interventional studies indexed under Myocardial Infarction.

Browse Myocardial Infarction studies →

Lead sponsor

Radboud University Medical Center is the lead sponsor of 959 studies on the registry; 134 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Acute myocardial infarction (STEMI/NSTEMI) with a clear culprit lesion on angiography and successful primary percutaneous coronary intervention (PCI) \<1 week before randomisation
  • Body mass index between 18.5 and 35 kg/m2
  • Written informed consent

Inclusion Criteria for healthy volunteers (life partners / souses)

  • Body mass index between 18.5 and 35 kg/m2
  • Written informed consent

Exclusion Criteria for patients and healthy volunteers:

  • Already on a vegetarian or vegan diet
  • Previous myocardial infarction
  • Diabetes Mellitus
  • Medical history of any disease associated with immune deficiency (either congenital or acquired, including chemotherapy, chronic steroid use, organ transplant)
  • Use of immunomodulatory drugs
  • Vaccination less than one month before start of intervention
  • Clinically significant infections within 1 months prior to start of intervention (defined as fever >38.5 degrees Celsius)
  • Active malignant haematological disease
  • Known eating disorder (e.g., Anorexia nervosa, Bulimia nervosa)

Exclusion criteria

Exclusion Criteria for healthy volunteers

- Use of lipid lowering therapy

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
120 participants (estimated)

Study arms

  • Experimental
    Vegetarian diet

    Vegetarian diet during five weeks

    Other: Vegetarian diet

  • No intervention
    No change diet

    The 'habitual' diet during five weeks. There are no specific restrictions to their diet.

Interventions

  • OtherVegetarian diet

    Participants will follow a vegetarian diet during a period of five weeks

06

What researchers measure

Primary outcomes

  1. The difference in cytokine production capacity (including TNF-α, IL-6, IL-10, IL-1β) of isolated peripheral blood mononuclear cells (PBMCs) after ex-vivo stimulation before and after the vegetarian diet compared to the habitual diet in patients with AMI

    Time frame: five weeks

Secondary outcomes

  1. The cytokine production capacity (including TNF-α, IL-6, IL-10, IL-1β) of isolated peripheral blood mononuclear cells after ex-vivo stimulation before and after following a vegetarian diet in participants without cardiovascular history.

    Time frame: five weeks

  2. The frequency of the consumption of vegetables per week at nine months follow-up will be compared between patients with a recent acute myocardial infarction, who directly start with a vegetarian diet compared to a deferred start.

    Time frame: 9 months

07

Study locations

1 of 1 sites recruiting
  • Radboudumc
    Nijmegen, Netherlands
    • Robin Nijveldt, MD · Contact
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — No individual participant data will be shared. Results will be published by the investigators in academic journals. Sharing of generated study data will be carried out in several different ways. We plan to make our results available to researchers and potential collaborators.

Supporting information: Study protocol, Sap

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06209723
Lead sponsor
Radboud University Medical Center
Responsible party
Robin Nijveldt (Prof. dr., Radboud University Medical Center) — Principal investigator
First posted
Jan 17, 2024
Start date
Jan 26, 2024
Primary completion
Sep 1, 2027 (estimated)
Completion
Sep 1, 2027 (estimated)
Last update
Aug 14, 2026

Study contacts

Robin Nijveldt, MD, PhD
Contact
robin.nijveldt@radboudumc.nl
0031243616785
Saloua El Messaoudi, MD, PhD
Contact
Saloua.ElMessaoudi@radboudumc.nl
0031243616785
Robin Nijveldt, MD, PhD
principal investigator · Radboud University Medical Center
Saloua El Messaoudi, MD, PhD
study chair · Radboud University Medical Center

Oversight

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

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