Coronary Sinus Reducer in Patients With Angina With no Obstructive Coronary Disease

Official title

Coronary Sinus Reducer in Patients With Angina With no Obstructive Coronary Disease: a Prospective Single-arm Study

Overview

Even half of patients with angina undergoing invasive coronary angiography presents without any significant epicardial stenosis. In these cases, symptoms are usually caused by coronary microvascular dysfunction (CMD), developing as a result of several potential underlying pathophysiologies. A wide range of underlying pathomechanisms makes it challenging to develop molecular-targeted pharmacological solutions; thus, direct physiology modification has been introduced as a promising concept. The coronary sinus reducer (CSR) narrows the coronary sinus, which causes symptom relief in patients with refractory angina and coronary stenosis. CSR implantation aims to increase the coronary sinus pressure, which raises venous back pressure into the myocardium. Despite several hypotheses, the exact physiological mechanisms remain not fully elucidated. Recent data from observational studies also suggest the beneficial effect of CMD on microvascular indices. To date, there are limited data regarding the efficacy of this solution in patients with angina with no obstructive coronary artery disease (ANOCA). Of note, patients with ANOCA are frequently burdened with other comorbidities, such as heart failure with preserved ejection fraction (HFpEF). HFpEF presence relates to worse prognosis and higher risk of future cardiovascular events. Previous works showed that HFpEF is significantly associated with the appearance of CMD. Due to the small variety of drugs for HFpEF, treatment targeting CMD may be a promising therapeutic target for this disease. To date, there is also no data regarding the impact of CSR implantation on function of left ventricle and echocardiographic indexes impaired in diastolic dysfunction in patients with ANOCA. Proposed study aims to evaluate the CSR as a therapeutic strategy in patients with ANOCA to improve angina, as well as quality of life and will deliver the results regarding CSR impact on diastolic function of left and right ventricle. This study will also evaluate the mechanisms standing behind the benefits of CSR use. Neovasc reducer produced by Shockwave Medical inc will be used as CSR device in this study. Proposed study may lead to the introduction of the Neovasc reducer to the guidelines for ANOCA patients. It will also provide the data on Neovasc reducer potential use as a supportive therapy in patients with HFpEF. Prospective, single-arm cohort study including patients with angina with no obstructive coronary artery disease. Enrolled patients will undergo the Neovasc reducer implantation with periprocedural evaluation of coronary microcirculation before and directly after the device implantation. All patients will be assessed with echocardiography (evaluation by external corelab) at baseline and at six months of follow-up. Patients will also undergo exercise testing (six-minute walk test) and assessment of quality of life (SF-36), as well as angina severity (Seattle Angina Questionnaire, Dedicated app and Canadian Cardiovascular Society grade).

Interventions

• Device Coronary Sinus Reducer
  Patients will undergo implantation of Coronary Sinus Reducer

Primary outcome measures

• Clinical endpoint - Difference in summary Seattle Angina Questionnaire results between follow-up and baseline [Time frame: 6 months]
• Mechanical endpoint - difference in left ventricle global longitudinal strain between follow-up and baseline [Time frame: 6 months]

Secondary outcome measures (12)

• Difference in Coronary Flow Reserve measured directly post-procedure and pre-procedure [Time frame: Peri-procedural]
• Difference in Index of Microcirculatory Resistance and Resistance measured directly post-procedure and pre-procedure [Time frame: Peri-procedural]
• Difference in Microvascular Resistance Reserve measured directly post-procedure and pre-procedure [Time frame: Peri-procedural]
• Difference in Canadian Cardiovascular Society Class between follow-up and baseline [Time frame: 6 months]
• Difference in each Seattle Angina Questionnaire domain between follow-up and baseline [Time frame: 6 months]
• Difference in Short Form-36 Health Survey results between follow-up and baseline [Time frame: 6 months]
• Difference in six-minute walk test between follow-up and baseline [Time frame: 6 months]
• Difference in right ventricle four chamber longitudinal strain between follow-up and baseline [Time frame: 6 months]
• Difference in left atrial strain conduit (%) between follow-up and baseline [Time frame: 6 months]
• Difference in left atrial strain pump (%) between follow-up and baseline [Time frame: 6 months]
• Difference in left atrial strain reservoir (%) between follow-up and baseline [Time frame: 6 months]
• Difference in average E/e' ratio between follow-up and baseline [Time frame: 6 months]

Eligibility criteria

Inclusion criteria

• Stable angina symptoms without significant obstruction of coronary artery (defined as coronary artery stenosis diameter ≤ 50% or coronary artery stenosis diameter >50% and ≤70% with FFR>0.8), with coronary microvascular dysfunction confirmed in invasive test (defined as coronary flow reserve ≤ 2.5 or index of microvascular resistance ≥ 25)
• No future options for antianginal therapy (maximum antianginal therapy for at least three months)

Exclusion criteria

• Vasospastic angina (positive test with acetylcholine),
• Evidence of cardiac ischemia,
• Coronary flow limiting myocardial bridge,
• Severe valvular disease
• Hospitalization for acute heart failure < 3 months
• Hypertrophic cardiomyopathy,
• Ejection fraction ≤ 30%,
• Permanent pacemaker or defibrillator leads in the right heart,
• Recent acute coronary syndrome < 6 months,
• Recent revascularization < 2 months,
• Right atrial pressure of 15 mmHg or higher,
• Severe renal impairment,
• Indication for cardiac resynchronization therapy,
• Pregnancy,
• Life expectancy of less than 1 year,
• Inclusion in another clinical trial

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation

N/A

Model

Single group

Masking

Open label

Primary purpose

Treatment

Study locations

Poland · 1 center

• Medical University of Warsaw — Warsaw

Identifiers

NCT: NCT07010029 · REDUCE-ANOCA

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗