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 type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 60 (estimated) |
| Sponsor | Maria Cecilia Hospital Academic / other |
| Locations | 1 site (Cotignola, Ravenna) |
| Status | Recruiting |
| Started | March 18, 2024 |
| Main results expected | December 2026 |
| Study ends | December 2026 |
| Registry record updated | May 14, 2026 |
| Trial ID | NCT07588295 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
- Study coordinator: Roberto Nerla, MD, PhD
- Email: robertonerla83@gmail.com
- Phone: +390545217032
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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.