RecruitingNot ApplicableNCT06400290

Multivessel Balloon Occlusion to Investigate Obstructive Coronary Artery Disease and aNgina


Sponsor

Imperial College London

Enrollment

60 participants

Start Date

Jun 13, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

ORBITA-MOON is a double-blinded, placebo-controlled experimental study that aims to understand how the different coronary artery stenoses contribute to overall clinical angina in patients with multi-vessel coronary artery disease. This study will investigate the symptoms conferred by each stenosis, induced by experimental ischaemia, for 60 patients with multi-vessel coronary artery disease.


Eligibility

Min Age: 18 Years

Inclusion Criteria9

  • Eligibility for PCI due to angina
  • Anatomical evidence of significant multi-vessel coronary stenosis defined by either:
  • ≥70% stenosis in two or more coronary arteries of ≥2.5mm visual diameter stenosis, on invasive coronary angiography (ICA)
  • Severe stenosis in ≥2 coronary arteries of ≥ 2.5mm visual diameter stenosis, on CTCA
  • Physiological evidence of ischaemia with a positive test corresponding to the coronary arteries to be stented, on at least one of the following:
  • dobutamine stress echocardiogram
  • cardiac MRI
  • myocardial perfusion study
  • invasive metrics of coronary physiology

Exclusion Criteria11

  • Recent acute coronary syndrome
  • Previous coronary artery by-pass graft surgery (CABG)
  • Significant left main stem disease
  • Chronic total occlusion in the target artery(s)
  • Moderate to severe valvular disease
  • Moderate to severe left ventricular impairment
  • Contraindication to PCI or a drug-eluting stents
  • Contraindication to antiplatelet therapy
  • Contraindication to adenosine
  • Pregnant
  • Inability to consent

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Interventions

PROCEDUREPercutaneous coronary intervention (PCI)

Coronary artery stenting for stable angina

DIAGNOSTIC_TESTSymptom assessment during experimentally induced ischaemia

Transient experimental balloon occlusion across coronary stenosis to determine the symptoms conferred by ischaemia at this stenosis.


Locations(9)

Essex Cardiothoracic Centre

Basildon, United Kingdom

Royal Bournemouth Hospital

Bournemouth, United Kingdom

Royal Sussex County Hospital

Brighton, United Kingdom

Imperial College NHS Trust

London, United Kingdom

Royal Free London NHS Foundation Trust

London, United Kingdom

St Georges University Hospital

London, United Kingdom

Nottingham City Hospital

Nottingham, United Kingdom

Portsmouth Hospitals University NHS Trust

Portsmouth, United Kingdom

University Hospital Southampton

Southampton, United Kingdom

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NCT06400290


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