Intensive Medical Treatment vs Usual Care in Women with ANOCA/INOCA

Clinical Score: 0.950 Price: $0.50 angina with no obstructive coronary artery disease (ANOCA/INOCA) human patients Status: proposed

What This Experiment Tests

Clinical experiment designed to assess clinical efficacy targeting N/A in human patients. Primary outcome: major adverse cardiovascular events (MACE): all-cause death, myocardial infarction, stroke/transient

Description

This was a randomized, prospective, blinded-outcomes evaluation clinical trial conducted across 71 sites in the USA to determine if intensive medical treatment (IMT) reduces major ischemic events among women with angina due to suspected ischemia but no obstructive coronary artery disease (ANOCA/INOCA). The trial randomized 2,476 women to either intensive medical treatment consisting of high-intensity statin, ACE inhibitor or angiotensin receptor blocker, and aspirin versus usual care. The study population had a mean age of 64 years with well-controlled blood pressure and low-density lipoprotein cholesterol at baseline, and relatively high rates of baseline statin and ACEI/ARB use. The trial followed participants for 2.5 years to assess cardiovascular outcomes.

TARGET GENE
N/A
MODEL SYSTEM
human patients
ESTIMATED COST
$0
TIMELINE
0 months
PATHWAY
cardiovascular risk reduction pathway
SOURCE
extracted_from_pmid_41932694
PRIMARY OUTCOME
major adverse cardiovascular events (MACE): all-cause death, myocardial infarction, stroke/transient ischemic attack, hospitalization for angina or heart failure

Scoring Dimensions

Info Gain 0.00 (25%) Feasibility 0.00 (20%) Hyp Coverage 0.00 (20%) Cost Effect. 0.00 (15%) Novelty 0.00 (10%) Ethical Safety 0.00 (10%) 0.950 composite

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Protocol

Randomized controlled trial with participants assigned to intensive medical treatment (high-intensity statin + ACE inhibitor or ARB + aspirin) versus usual care. Blinded outcomes evaluation conducted over 2.5 years of follow-up across 71 US sites.

Expected Outcomes

Reduction in major adverse cardiovascular events with intensive medical treatment compared to usual care

Success Criteria

Statistically significant reduction in MACE in the intensive medical treatment group compared to usual care group

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