Cooling and dilution during heart attack treatment to protect the heart
Official title: Trans-coronary Cooling and Dilution for Cardioprotection During Revascularisation for ST-elevation Myocardial Infarction
Run by Royal Brompton & Harefield NHS Foundation Trust · NCT06128993 · Data updated 2026-11-12
This study is testing if cooling and diluting the blood during heart attack treatment can help protect the heart and improve recovery for patients undergoing a specific procedure.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 60 (estimated) |
| Sponsor | Royal Brompton & Harefield NHS Foundation Trust Academic / other |
| Locations | 1 site (Uxbridge) |
| Status | Recruiting |
| Started | November 1, 2023 |
| Main results expected | January 2025 |
| Study ends | January 2026 |
| Registry record updated | January 31, 2025 |
| Trial ID | NCT06128993 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are individuals presenting with ST-elevation myocardial infarction within 12 hours of symptom onset.
✕Probably not a fit
Patients with severe asthma, pregnancy, or severe concomitant diseases with a life expectancy of less than one year may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This pilot trial involves 60 patients with ST-Elevation Myocardial Infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI) at Harefield Hospital. The study aims to assess the feasibility and safety of using trans-coronary cooling and dilution during PCI to reduce the size of myocardial infarction. Patients will be randomly assigned to receive either the cooling intervention or standard care, with evaluations of coronary flow, microvascular function, and myocardial salvage through MRI. The study will also analyze blood biomarkers before and after the intervention.
Why it matters
Potential benefit: If successful, this approach could significantly reduce heart damage during heart attacks, improving patient outcomes.
How similar studies have gone: While similar approaches have been explored, this specific method of trans-coronary cooling and dilution is relatively novel and has not been extensively tested.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Clinical ST-elevation myocardial infarction or equivalent (e.g. new onset LBBB) * \<12 Hrs after symptom onset * Thrombolysis in myocardial infarction (TIMI) 0-1 coronary flow in a target vessel Exclusion Criteria: * History of severe asthma * Pregnancy * Severe concomitant disease or conditions with a life expectancy of less than one year.
Where it's running
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Harefield Hospital
Uxbridge, United Kingdom Recruiting
Study contacts
- Principal investigator: Miles C Dalby, MD — Royal Brompton & Harefield NHS Foundation Trust
- Study coordinator: Miles C Dalby, MD
- Email: m.dalby@rbht.nhs.uk
- Phone: +441895 823737
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.