Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Local and systemic macrophage activation in coronary and peripheral artery disease

Official title: Local And Systemic Macrophage Activation in Coronary and Peripheral Artery Disease: the LAST-COP Study

Run by Maria Cecilia Hospital · NCT07588295 · Data updated 2026-11-12

This study tests whether macrophage activity inside coronary and peripheral arteries relates to circulating monocyte subtypes in people with stable and acute artery disease.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment60 (estimated)
SponsorMaria Cecilia Hospital
Academic / other
Locations1 site (Cotignola, Ravenna)
StatusRecruiting
StartedMarch 18, 2024
Main results expectedDecember 2026
Study endsDecember 2026
Registry record updatedMay 14, 2026
Trial IDNCT07588295 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with chronic coronary artery disease, non-ST elevation ACS, chronic claudication (Rutherford II-III), or critical limb ischemia (Rutherford IV-V) who can undergo OCT assessment.

Probably not a fit

Patients with severe renal dysfunction, advanced heart or liver disease, chronic inflammatory or autoimmune diseases, or recent infections or surgeries 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

The study uses Optical Coherence Tomography to assess macrophage presence and activation in both coronary and peripheral atherosclerotic lesions. It aims to compare intraplaque macrophages with circulating monocyte subpopulations and understand how these patterns relate across different vascular beds. Participants include adults with chronic coronary disease, non-ST elevation ACS, chronic claudication, and critical limb ischemia. Exclusion criteria cover major organ dysfunction, autoimmune conditions, recent infection, and recent surgeries to reduce confounding factors. The lead site is Maria Cecilia Hospital, Cotignola, with no listed collaborators.

Why it matters

Potential benefit: If successful, findings could clarify the link between blood monocytes and arterial macrophage activity, potentially guiding personalized risk assessment and future therapies.

How similar studies have gone: Prior research has shown associations between circulating monocytes and arterial macrophages in vascular disease, but this precise intraplaque/systemic comparison is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients with chronic coronary artery disease;
* Patients with no-ST elevation acute coronary syndrome;
* Patients with chronic claudication (Rutherford II-III)
* Patients with critical limb ischemia (Rutherford IV-V).

Exclusion Criteria:

* Severe renal dysfunction
* Severe valve disease
* Advanced heart failure
* Advanced liver disease
* Chronic inflammatory or autoimmune disease
* Use of antinflammatory drugs
* Acute infection
* Recent surgical procedures

Where it's running

  • Maria Cecilia Hospital
    Cotignola, Ravenna, Italy
    Recruiting

Study contacts

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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.