COSIMA: COronary SInus Reducer for the Treatment of Refractory Microvascular Angina
NCT04606459 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 144
Last updated 2023-09-28
Summary
Patients with refractory microvascular angina fulfilling the predefined inclusion and exclusion criteria will be enrolled in this randomized trial. The primary objective is to investigate whether the proportion of patients reporting an improvement in Canadian Cardiovascular Society (CCS) angina class (≥2 classes) is different at six months after implantation of a Coronary Sinus Reducer followed by optimal medical therapy (OMT) compared to OMT alone.
Conditions
- Coronary Microvascular Disease
- Refractory Angina
Interventions
- DEVICE
-
Coronary sinus reducer
The Reducer System comprises the Reducer device (Reducer) pre-mounted on the Reducer Balloon Catheter. The Reducer System is available in one model size. The Reducer is a sterile, single-use, implantable device designed to establish a narrowing in the coronary sinus (CS) and is intended to improve perfusion to ischemic myocardium in the presence of reversible ischemic heart disease to alleviate the symptoms of refractory angina. The device is implanted percutaneously through the right internal jugular vein into the CS. The Reducer is pre-mounted (crimped) on the Reducer Balloon Catheter which, after inflation, causes device expansion and apposition with the vessel wall. The balloon catheter is then deflated and removed from the CS, leaving the device permanently implanted.
- OTHER
-
Optimal medical therapy
Guideline-directed medical therapy
Sponsors & Collaborators
-
Shockwave Medical, Inc.
collaborator INDUSTRY -
Johannes Gutenberg University Mainz
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 85 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-04-01
- Primary Completion
- 2025-10-20
- Completion
- 2029-10-20
Countries
- Germany
Study Locations
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