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Objective Randomised Blinded Investigation With Optimal Medical Therapy of Angioplasty in Stable Angina (ORBITA)

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ClinicalTrials.gov Identifier: NCT02062593
Recruitment Status : Completed
First Posted : February 13, 2014
Last Update Posted : September 25, 2017
Sponsor:
Collaborator:
Information provided by (Responsible Party):

Study Description
Brief Summary:
In this study the investigators will use careful scientific blinding of patient and their subsequent healthcare staff so that the investigators can determine exactly how much difference coronary angioplasty makes to symptoms and blood supply to the heart. After the 6 weeks blinded phase, all patients will be unblinded and the patients who had undergone sham procedure will be offered the active therapy.

Condition or disease Intervention/treatment
Stable Angina Procedure: Coronary angioplasty

Detailed Description:
The investigators will perform a multi-centre prospective randomised double-blinded comparison of the treatment of stable angina with percutaneous coronary intervention (PCI) and optimal medical therapy (OMT) versus a sham procedure and OMT. Two hundred patients with stable angina and one or more angiographically significant coronary stenosis of 70% or more in a single vessel that is suitable for angioplasty will be recruited. Baseline investigation of functional capacity and myocardial ischaemic burden will be performed. This will be followed by a coronary angiogram and invasive physiological investigation followed by randomisation to PCI or a sham procedure. Follow-up investigation of functional capacity and myocardial ischaemic burden at 6 weeks will then be performed.

Study Design

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 230 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Defining a Gold Standard for Ischaemia: Effects of Interventional Revascularisation Versus Optimum Medical Therapy on Exercise Capacity in Patients With Stable Coronary Artery Disease
Actual Study Start Date : December 2013
Primary Completion Date : August 2017
Study Completion Date : September 2017

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Angina Angioplasty
U.S. FDA Resources

Arms and Interventions

Arm Intervention/treatment
Active Comparator: Coronary angioplasty and optimum medical therapy
Percutaneous coronary intervention and optimal medical therapy
Procedure: Coronary angioplasty
Percutaneous coronary intervention with drug-eluting stents and modern techniques
Other Name: Percutaneous coronary intervention
Placebo Comparator: Sham procedure and optimum medical therapy
Placebo percutaneous coronary intervention and optimal medical therapy with risk factor modification and anti-anginal therapy
Procedure: Coronary angioplasty
Percutaneous coronary intervention with drug-eluting stents and modern techniques
Other Name: Percutaneous coronary intervention


Outcome Measures

Primary Outcome Measures :
  1. Exercise time on treadmill [ Time Frame: 6 weeks ]

Eligibility Criteria

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 85 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Stable angina and at least 1 lesion with angiographic stenosis ≥70% in a single vessel suitable for stent implantation

Exclusion Criteria:

  • Acute coronary syndrome
  • Previous coronary artery bypass graft surgery
  • Left main stem disease
  • Contraindications to PCI or drug-eluting stent (DES) implantation
  • Heavily calcified or tortuous vessels
  • Chronic total occlusion in target vessel
  • Life expectancy <2yr
  • Pregnancy
  • Age <18yr or >85yr
  • Angiographic stenosis ≥ 50% in non-target vessel
  • Inability to consent
Contacts and Locations

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02062593


Locations
United Kingdom
East Sussex Healthcare NHS Trust
Saint Leonards-on-sea, East Sussex, United Kingdom, TN37 7RD
Basildon and Thurrock University Hospitals NHS Trust
Basildon, United Kingdom, SS16 5NL
The Royal Bournemouth and Christchurch Hospitals NHS Trust
Bournemouth, United Kingdom, BH7 7DW
Royal Devon & Exeter Foundation Trust
Exeter, United Kingdom, EX2 5DW
Imperial College Healthcare NHS Trust
London, United Kingdom
Sponsors and Collaborators
Imperial College London
Volcano Corporation
Investigators
Principal Investigator: Justin E Davies, MRCP, PhD Imperial College London
Study Chair: Darrel P Francis, MRCP, MD Imperial College London
Study Director: Rasha K Al-Lamee, MRCP Imperial College London
More Information

Additional Information:
Responsible Party: Imperial College London
ClinicalTrials.gov Identifier: NCT02062593     History of Changes
Other Study ID Numbers: ORBITA-1
First Posted: February 13, 2014    Key Record Dates
Last Update Posted: September 25, 2017
Last Verified: February 2017

Keywords provided by Imperial College London:
Stable angina
Percutaneous coronary intervention
Optimal medical therapy
Sham-control

Additional relevant MeSH terms:
Angina Pectoris
Angina, Stable
Chest Pain
Pain
Neurologic Manifestations
Nervous System Diseases
Myocardial Ischemia
Heart Diseases
Cardiovascular Diseases
Vascular Diseases
Signs and Symptoms