Changes in Ischemia and Angina Over 1 Year Among ISCHEMIA Trial Screen Failures With no Obstructive CAD on Coronary CT Angiography
CIAO
1 other identifier
interventional
212
1 country
1
Brief Summary
Serial assessment of angina status and ischemia on stress echo over one year among patients with moderate ischemia on stress imaging and non-obstructive CAD on coronary CT angiography.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Aug 2014
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2014
CompletedFirst Submitted
Initial submission to the registry
January 14, 2015
CompletedFirst Posted
Study publicly available on registry
January 27, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2019
CompletedFebruary 17, 2020
February 1, 2020
5.3 years
January 14, 2015
February 13, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Seattle Angina Questionnaire (SAQ) score
baseline-one year comparison
Secondary Outcomes (5)
Ischemia severity
baseline-one year comparison
Coronary atherosclerosis severity (comparison with SAQ score and with ischemia severity)
baseline
Ischemia severity (comparison with SAQ score and with ischemia severity)
baseline
Medical therapy used for angina (comparison with SAQ score and ischemia severity)
one year
Major adverse cardiac events
one year
Study Arms (1)
All patients
OTHERAll patients undergo quality of life assessment at 2-3 time points and stress imaging at two time points
Interventions
Eligibility Criteria
You may qualify if:
- Enrolled but not randomized in ISCHEMIA trial
- Stress echocardiography used for enrollment\*
- No obstructive CAD on study coronary CT angiography (defined as no ≥50% stenosis in a major epicardial vessel)
- Ischemic symptoms (chest pain or other potential ischemic equivalent).
- Participant is willing to give written informed consent
- Age ≥ 21 years
You may not qualify if:
- Inability to comply with protocol
- Prior PCI or CABG
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- NYU Langone Healthlead
- Duke Clinical Research Institutecollaborator
- Massachusetts General Hospitalcollaborator
Study Sites (1)
NYU Medical Center and Bellevue Hospital Center
New York, New York, 10016, United States
Related Publications (2)
Hausvater A, Anthopolos R, Seltzer A, Spruill TM, Spertus JA, Peteiro J, Lopez-Sendon JL, Celutkiene J, Demchenko EA, Kedev S, Beleslin BD, Sidhu MS, Grodzinsky A, Fleg JL, Maron DJ, Hochman JS, Reynolds HR; CIAO-ISCHEMIA Research Group. Sex Differences in Psychosocial Factors and Angina in Patients With Chronic Coronary Disease. J Am Heart Assoc. 2025 Mar 4;14(5):e037909. doi: 10.1161/JAHA.124.037909. Epub 2025 Feb 25.
PMID: 39996455DERIVEDReynolds HR, Picard MH, Spertus JA, Peteiro J, Lopez Sendon JL, Senior R, El-Hajjar MC, Celutkiene J, Shapiro MD, Pellikka PA, Kunichoff DF, Anthopolos R, Alfakih K, Abdul-Nour K, Khouri M, Bershtein L, De Belder M, Poh KK, Beltrame JF, Min JK, Fleg JL, Li Y, Maron DJ, Hochman JS. Natural History of Patients With Ischemia and No Obstructive Coronary Artery Disease: The CIAO-ISCHEMIA Study. Circulation. 2021 Sep 28;144(13):1008-1023. doi: 10.1161/CIRCULATIONAHA.120.046791. Epub 2021 Jun 1.
PMID: 34058845DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Judith Hochman, MD
New York Langone Medical Center
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 14, 2015
First Posted
January 27, 2015
Study Start
August 1, 2014
Primary Completion
December 1, 2019
Study Completion
December 1, 2019
Last Updated
February 17, 2020
Record last verified: 2020-02