Exercise Therapy for Women With ANOCA
Starting soon · Not applicable
Conditions studied: Angina Patients With Non-obstructive Coronary Artery Disease
In brief
Angina is a feeling of chest pain or discomfort which can happen if there is reduced blood flow to the heart. Patients can experience angina with no obstructive coronary arteries (ANOCA) which is a difficult condition to treat (ie relieve angina) since few randomised, controlled therapy trials have been undertaken for ANOCA. Until now, angina has been mainly studied in men even though women are at least two-fold more likely than men to experience ANOCA. In 2023, a Scientific Statement from the American Heart Association affirmed that resistance exercise training can improve or maintain muscle mass and strength and confer favourable physiological and clinical effects on cardiovascular disease and risk factors. Resistance exercise has not been assessed in ANOCA and it offers an important opportunity to study non drug alternatives to treatment for women. This study will use a resistance based exercise programme to investigate if symptoms of ANOCA can be improved in women. It will recruit at least 76 patients (maximum 152 patients) across 13 hospitals in the UK and the Netherlands. The study will use a randomised wait list control design. This means all participants will be offered the intervention, but the randomisation will decide when they undergo it. It is part of a platform of trials for women with ANOCA. We are also setting up a drug study called ANOCA Therapy and a cohort study called ANOCA- Diagnosis.
Key facts
- Study ID
- NCT07733986
- Run by
- NHS Greater Glasgow and Clyde
- People needed
- 76
- Starts
- 2026-09-14
- Expected to finish
- 2029-06-30
- Last updated by the study team
- 2026-07-29
Who can join
Age: 18 and older. Sex: female. Healthy volunteers: not accepted.
You may qualify if…
- Angina with no obstructive coronary arties (ANOCA)
- Myocardial perfusion reserve or coronary flow reserve recorded within three years
- Seattle Angina Questionnaire frequency score ≤60
- Duke Activity Status Index ≤34
- Female sex
You may not qualify if…
- Age <18 years
- Unable to provide informed consent
- - Unable to comply with the protocol
- Pregnancy
- Currently undertaking resistance exercise activities
Where it is running
- Basildon University Hospital — Basildon, United Kingdom
- Royal United Hospital Bath — Bath, United Kingdom
- Royal Papworth Hospital — Cambridge, United Kingdom
- Queen Elizabeth University Hospital Clinical Research Facility — Glasgow, United Kingdom
- Leeds General Infirmary — Leeds, United Kingdom
- Brompton Hospital — London, United Kingdom
- Guy and St Thomas Hospital — London, United Kingdom
- Kings College Hospital — London, United Kingdom
- Freeman Hospital — Newcastle upon Tyne, United Kingdom
- Nottingham City Hospital — Nottingham, United Kingdom
- Sunderland Royal hospital — Sunderland, United Kingdom
Full record on ClinicalTrials.gov
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