Clinical trial Recruiting at 1 site Interventional Ages 30 to 70

Restoring gut balance with natural and probiotic extracts for people with acute coronary syndromes

Official title: Metabolomic and Cellular Inflammaging Investigation Study of Patients With Acute Coronary Syndrome (ACS)

Run by Casa di Cura Dott. Pederzoli · NCT07429227 · Data updated 2026-11-12

This test checks whether high-bioavailability essential oil formulations and probiotic approaches can restore healthy gut bacteria in adults aged 30–70 hospitalized with acute coronary syndromes.

More Acute Coronary Syndromes (ACS) trials

Quick facts

Study typeInterventional
Ages30 Years to 70 Years
SexAll
Enrollment15 (estimated)
SponsorCasa di Cura Dott. Pederzoli
Academic / other
Drugs / interventionsEvolocumab, Alirocumab
Locations1 site (Peschiera del Garda, Verona)
StatusRecruiting
StartedMarch 2026
Main results expectedMarch 2027
Study endsMarch 2027
Registry record updatedFebruary 24, 2026
Trial IDNCT07429227 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 30–70 with a confirmed diagnosis of acute coronary syndrome (unstable angina or AMI) who can give informed consent and are not taking excluded lipid-lowering medications are eligible.

Probably not a fit

People with HIV, cancer, type 1 or type 2 diabetes, those taking excluded lipid-lowering drugs or nutraceuticals, and pregnant women are unlikely to be eligible or to receive benefit from this protocol.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Patients admitted with unstable angina or acute myocardial infarction provide baseline urine and blood samples at admission and additional timed urine samples over the first 24 hours to capture intestinal permeability and dysbiosis markers. Participants then receive a two-month course of specified essential oil formulations and non-pharmacological therapy and return for a first-morning urine collection for metabolomics and dysbiosis testing. The study compares the initial 'snapshot' of gut-related biomarkers to the results after two months and records any adverse events or treatment discontinuations. Individuals using certain lipid-lowering drugs or with major comorbidities are excluded to reduce confounding.

Why it matters

Potential benefit: If successful, this could offer a non-drug approach to help restore gut balance after an acute coronary event, potentially lowering inflammation-related complications.

How similar studies have gone: Some prior small studies have linked microbiome changes to cardiovascular risk, but using targeted high-bioavailability essential oil formulations in ACS patients is largely novel and not well established.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* 1\. Signing of informed consent
* 2\. Diagnosis of Acute Coronary Syndrome (ACS)
* 3\. Age 30-70

Exclusion Criteria:

1. Use in the three months preceding the signing of the informed consent of:

   i) Lipid-lowering drugs containing statins, ezetimibe, fibrates ii) Lipid-lowering nutraceuticals containing monacolin K iii) Monoclonal antibodies that inhibit PCSK9 (proprotein convertase subtilisin/kexin type 9) such as Evolocumab and Alirocumab
2. Diagnosis of conditions such as HIV, cancer and diabetes I and II Furthermore, if a female patient becomes pregnant during the trial, this will be one of the reasons for early exit from the study.

Where it's running

  • Ospedale P. Pederzoli Casa di Cura Privata S.p.A.
    Peschiera del Garda, Verona, Italy
    Recruiting

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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.