Clinical trial Recruiting at 1 site Interventional Ages 18 to 100

Using Ezetimibe After Heart Attacks

Official title: Ezetimibe Utilization Early After Acute Myocardial Infarction. "EzAMI Trial"

Run by Cairo University · NCT04701242 · Data updated 2026-11-12

This study tests if starting a cholesterol-lowering drug called Ezetimibe right after a heart attack can help people lower their bad cholesterol and prevent future heart problems when used with statins.

Quick facts

Study typeInterventional
Ages18 Years to 100 Years
SexAll
Enrollment500 (estimated)
SponsorCairo University
Academic / other
Drugs / interventionsEvolocumab
Locations1 site (Aswān)
StatusRecruiting
StartedMarch 24, 2021
Main results expectedDecember 2026
Study endsDecember 2026
Registry record updatedOctober 22, 2026
Trial IDNCT04701242 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults over 18 who have had a heart attack within the last 48 hours and have elevated LDL-C levels.

Probably not a fit

Patients who are already on high-intensity statins or have proven intolerance to statins 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 trial investigates the early use of Ezetimibe, a cholesterol-lowering medication, in patients who have experienced an acute myocardial infarction (heart attack). The study aims to determine if initiating Ezetimibe alongside high-intensity statin therapy can more effectively lower LDL cholesterol levels and reduce the risk of recurrent heart events. Patients will be monitored for their LDL-C levels and overall cardiovascular health following the intervention. The trial focuses on individuals who have not achieved target cholesterol levels with statins alone.

Why it matters

Potential benefit: If successful, this approach could significantly lower the risk of further heart complications in patients recovering from a heart attack.

How similar studies have gone: Previous studies have shown promise in using combination therapies for cholesterol management after acute coronary events, indicating potential for success in this approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age more than 18 years. Both genders are eligible.
* Acute myocardial infarction (STEMI or NSTEMI) within 48 hours from the onset of symptoms.
* Baseline LDL-C above 125 mg/dl for those who were not on consistent lipid lowering therapy; or above 100 mg/dl for those who were compliant (≥ 90 days) on moderate intensity statin therapy.

Exclusion Criteria:

* Refusal to participate in the study.
* Proved intolerance to statins on previous use.
* Having conditions (or taking medications) that would not allow concomitant safe statins use. \[such as patients receiving Cyclosporine - Gemfibrozil -Pazopanib - Tipranavir - Itraconazole - Ketoconazole\]
* Those who are already compliant on high intensity statins.
* Those who are already on statins plus non-statin agent (ezetimibe-PCSK9i-BAS).
* Known familial dyslipidemia or having TG\>500 mg/dl or LDL-C\>190 mg/dl which are highly suggestive of familial or secondary causes.
* Pregnant or contemplating pregnancy in the following 12 months. \[relevant for females in the child-bearing period\]

Where it's running

  • Aswan Heart Centre
    Aswān, Egypt
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.