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Not yet taking people in FinlandPhase 4

Tests antibiotics in people with acute heart attacks

Tests whether antibiotics can reduce serious heart events in adults with acute heart attacks.

Key facts

Who runs it
TAYS Sydaenkeskus Oy
Where
Tampere, FinlandSee the site
Registry title
Antibiotic Treatment Trial in Acute Coronary Syndrome
Status
Not yet recruiting
Phase
Phase 4
People taking part
1,070 people, planned
Started
1 Nov 2025
Expected to end
31 Dec 2034
Type of study
Interventional
Record updated
27 August 2025

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults who have had a heart attack (STEMI or NSTEMI), are having an angiography, and have several heart risk factors. It tests whether antibiotic treatment lowers later heart events.

Age
18 years or older
Sex
Men and women can join
Disease stage
A clinically diagnosed heart attack, either STEMI or NSTEMI, with an invasive strategy chosen, meaning angiography is performed
Earlier treatment
People on on-going antibiotic therapy or on-going methotrexate medication cannot join

Main reasons for not taking part

  • Cardiogenic shock
  • Pregnancy
  • Severe valvular disease
  • On-going bleeding or very high bleeding risk
  • Allergy to cephalosporin

The registry criteria, word for word

Show all 17 criteriaShow less

Who can take part

  • Clinically diagnosed ST-elevation myocardial infarction (STEMI) or non-ST-elevation myocardial infarction (NSTEMI)
  • Invasive strategy has been chosen, i.e. angiography is performed
  • Age ≥18 years
  • Informed consent has been obtained
  • at least 3 of following high risk criteria are met (hypertension, DM, moderate renal insufficiency eGFR<60ml/min, peripheral arterial disease ASO, multivessel coronary artery disease, previous myocardial infraction, previous stroke or TIA)

Who cannot take part

  • On-going methotrexate medication
  • On-going antibiotic therapy
  • Clinical diagnosis of Takotsubo syndrome
  • Severe valvular disease
  • On-going bleeding or very high bleeding risk
  • Severe allergy to contrast agents or ASA
  • Allergy to cephalosporin
  • Cardiogenic shock
  • Pregnancy
  • Probable finding of SCAD (spontaneous coronary dissection)
  • Definite coronary embolism
  • < 1 year life expectancy

Where in Finland

  • TAYS Sydaenkeskus OyTampere, FinlandNot yet recruiting

About the trial

What the trial wants to find out

To assess whether the number of clinical endpoints (MACCE) can be reduced by antibiotic treatment, targeting mainly bacteria that have in previous studies been shown to be involved in complex atherosclerotic plaques, such as those found in patients suffering from acute myocardial infarction.

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record

Print a page for my doctor

Data and sources

Registry record
Listed on the EU's official list of trials (CTIS).
Official title
Antibiotic Treatment Trial in Acute Coronary Syndrome
Plain-language title
Tests antibiotics in people with acute heart attacksGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 9 November 2026.
Record updated
27 August 2025