Clinical trial Recruiting at 1 site Interventional Ages 18 and up

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.

More Myocardial Infarction trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment60 (estimated)
SponsorRoyal Brompton & Harefield NHS Foundation Trust
Academic / other
Locations1 site (Uxbridge)
StatusRecruiting
StartedNovember 1, 2023
Main results expectedJanuary 2025
Study endsJanuary 2026
Registry record updatedJanuary 31, 2025
Trial IDNCT06128993 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

  • 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

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.