Clinical Trials Directory

Trials / Unknown

UnknownNCT06215300

The Effect of Polymorphism of the GUCY1A3 rs7692387 Gene on Cardiovascular Events After Coronary Artery Bypass Grafting.

Status
Unknown
Phase
Study type
Observational
Enrollment
800 (estimated)
Sponsor
Novosibirsk Scientific Research Institute for Circulatory Pathology · Academic / Other
Sex
All
Age
18 Years – 90 Years
Healthy volunteers
Not accepted

Summary

Polymorphism in the GUCY1A3 gene worsens the activity of rCC, causing vasoconstriction and increased platelet aggregation. Studies have shown the association of the GUCY1A3 gene with the risk of coronary heart disease and its complications, with ischemic stroke

Detailed description

Acetylsalicylic acid is indicated for the prevention of cardiovascular complications after CABG. Class I. The level of evidence A. ECS recommendations, Russian recommendations of cardiologists. However, the main problem of CABG remains thrombotic and thromboembolic complications in the immediate and long-term postoperative period, despite taking acetylsalicylic acid. According to various sources, the resistance to ASA among the population ranges from 5 to 45%. Resistance to ASA is primarily associated with genetic factors: the presence of polymorphisms of genes encoding platelet receptor proteins, and the functional activity of soluble guanylate cyclase (rCC), the synthesis of which is controlled by the GUCY1A3 gene. Studies have shown a link between the GUCY1A3 gene and the risk of coronary heart disease and its complications. The presence of polymorphism in the GUCY1A3 gene significantly worsens the activity of rCC, causing vasoconstriction and increased platelet aggregation. At the same time, acetylsalicylic acid cannot provide effective prevention of thrombotic and thromboembolic complications.

Conditions

Interventions

TypeNameDescription
GENETICcoronary artery bypass graftingcoronary artery bypass grafting

Timeline

Start date
2022-12-01
Primary completion
2025-11-01
Completion
2025-11-01
First posted
2024-01-22
Last updated
2024-01-22

Locations

2 sites across 1 country: Russia

Source: ClinicalTrials.gov record NCT06215300. Inclusion in this directory is not an endorsement.