Multivessel Balloon Occlusion to Investigate Obstructive Coronary Artery Disease and aNgina
This research, called ORBITA-MOON, is looking into why people with several narrowed heart arteries (multivessel coronary artery disease) experience chest pain, known as angina. It's a special type of study where neither the patients nor the researchers will know which artery is being tested at a given time. The main goal is to understand how each individual blockage in the heart's arteries contributes to someone's overall chest pain. To do this, doctors will temporarily and safely block one artery at a time in 60 patients. This helps them see which specific blockage causes symptoms. The hope is that this information will lead to better ways to treat angina and improve the quality of life for people with this condition.
At a glance
What is this study about?
Imagine your heart is a house and the arteries are pipes that deliver water (blood and oxygen) to different rooms. If several pipes are narrowed, some rooms might not get enough water, causing problems. In people with angina, it can be tricky for doctors to know which specific narrowed pipe is causing the most trouble.
This study, ORBITA-MOON, is designed to help us understand this better. It focuses on people who have several narrowed heart arteries (what doctors call 'multivessel coronary artery disease') and experience chest pain, or angina. The research aims to find out which of these individual narrowed arteries is responsible for causing your symptoms. It's like checking each pipe individually to see which one, when it's temporarily blocked even more, truly makes a difference to the water flow.
To do this, a procedure called a percutaneous coronary intervention (PCI), often known as a 'stent procedure,' will be used in a very specific way. During this procedure, doctors will temporarily block each narrowed artery one by one and carefully watch for any symptoms you might experience. This helps them pinpoint which blockage is causing the angina. The information gathered from 60 patients will be incredibly valuable in improving how we treat angina in the future.
Key takeaways
- This study aims to discover which specific heart artery blockages cause angina.
- It involves temporarily testing individual narrowed arteries during a stent-like procedure.
- The goal is to improve future treatments for angina.
- You would need to have angina and multi-vessel heart artery disease to be considered.
- Participation is voluntary, and you can withdraw at any time.
Who may be eligible?
To join this study, you would need to have chest pain (angina) that doctors think could be helped by a procedure to open up your heart arteries (a PCI or stenting). You'd also need to have clear evidence from scans or other tests that you have significant narrowing in two or more of your heart arteries that are at least 2.5mm wide.
There are some reasons why you might not be able to take part. For example, if you've recently had a heart attack, if you've previously had major heart bypass surgery, if you have severe narrowing in a very important main heart artery, or if you have a completely blocked artery that can't be easily opened. Other reasons might include severe problems with your heart valves, very weak heart pump function, or if you can't have the PCI procedure or are allergic to certain medications used during the procedure, like antiplatelet drugs or adenosine. Pregnant individuals are also not able to participate.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Do I have ongoing chest pain (angina)?
- Do doctors think I might need a procedure to open my heart arteries (a stent)?
- Have scans or tests shown significant narrowings in two or more of my heart arteries?
- Have I recently had a heart attack or major heart bypass surgery?
- Do I have any severe heart valve problems or very weak heart function?
- Am I allergic to any medications used in heart procedures like anti-clotting drugs?
What does participation involve?
If you decide to take part in this study, you will undergo a procedure where doctors treat your heart arteries. During this procedure (which is similar to putting in a stent), they will carefully assess each narrowed artery one by one. This involves temporarily and safely blocking individual narrowed arteries and monitoring any symptoms you might experience. This part of the study will involve careful observation to see how each blockage contributes to your angina.
After the procedure, you will likely have regular check-ups and assessments to monitor your health and symptoms. The full duration of your participation, including follow-up appointments, will be clearly explained by the study team. You will be given full details about any medications you need to take before, during, and after the procedure.
Potential risks and benefits
Locations (9)
- Essex Cardiothoracic CentreVerified postcodeBasildon, United Kingdom· Recruiting
- Royal Bournemouth HospitalVerified postcodeBournemouth, United Kingdom· Recruiting
- Royal Sussex County HospitalVerified postcodeBrighton, United Kingdom· Recruiting
- Imperial College NHS TrustVerified postcodeLondon, United Kingdom· Recruiting
- Royal Free London NHS Foundation TrustVerified postcodeLondon, United Kingdom· Recruiting
- St Georges University HospitalVerified postcodeLondon, United Kingdom· Recruiting
- Nottingham City HospitalVerified postcodeNottingham, United Kingdom· Recruiting
- Portsmouth Hospitals University NHS TrustVerified postcodePortsmouth, United Kingdom· Not yet recruiting
- University Hospital SouthamptonVerified postcodeSouthampton, United Kingdom· Recruiting
Common questions
What is angina?
Angina is a type of chest pain or discomfort caused by reduced blood flow to the heart muscle. It often feels like squeezing, pressure, fullness, or pain in the middle of your chest.
What does 'multivessel coronary artery disease' mean?
This means you have blockages or narrowings in two or more of the important blood vessels that supply your heart (coronary arteries).
What is a PCI (Percutaneous Coronary Intervention)?
PCI, often called 'stenting,' is a procedure to open narrowed or blocked heart arteries. A small balloon is inflated to widen the artery, and often a small mesh tube (stent) is left in place to keep it open.
Will I know if I'm in the 'treatment' or 'placebo' group?
In this specific study, 'double-blinded' means neither you nor the doctors assessing you will know which specific artery is being tested at any given moment during the procedure. This is to ensure the results are as unbiased as possible.
How long will the study participation last?
The study team will provide you with a clear timeline for your involvement, including the procedure and any follow-up appointments. They can give you exact dates and durations.
How to find out more
Shayna Chotai, MBBS MRCP
Always speak to your GP or specialist before deciding to take part in a study.
Interested in taking part?
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