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Trial · NCT04777045

Efficacy of Diltiazem to Improve Coronary Microvascular Dysfunction: a Randomized Clinical Trial

NCT04777045, Phase 3, Active not recruiting, Radboud University Medical Center

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Efficacy of Diltiazem to Improve Coronary Microvascular Dysfunction: a Randomized Clinical Trial. Trials, record NCT04777045. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04777045

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Efficacy of Diltiazem to Improve Coronary Microvascular Dysfunction: a Randomized Clinical Trial
NCT number
NCT04777045
Status
Active not recruiting
Phases
Phase 3
Enrollment
85 participants, estimated
Lead sponsor
Radboud University Medical Center
Conditions
Microvascular Angina, Coronary Vasospasm, Microvascular Ischemia of Myocardium
Interventions
Diltiazem Hydrochloride, Placebo
First posted
2021-03-02
Last updated
2023-03-30
Other registries' IDs
eudract:2018-003518-41

Source ClinicalTrials.gov

Registered outcomes12

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryThe proportion of patients having a successful treatment with diltiazem, defined as normalization of at least one abnormal parameter and none of the normal parameters becoming abnormal.6 weeks
A normal IMR is specified as IMR \< 25, a normal CFR being a CFR \> 2 and a normal acetylcholine test is specified as one without spasm, without ischemic ECG abnormalities and without (recognizable) angina at the same acetylcholine dose used at baseline.
SecondaryChange in index of microvascular resistance (IMR)6 weeksthe delta between 1st and 2nd coronary function test
SecondaryChange in Coronary Flow Reserve (CFR)6 weeksthe delta between 1st and 2nd coronary function test
SecondaryChange in Acetylcholine test parameters6 weeks
his is defined as the difference between the dose of acetylcholine at which the baseline CFT showed signs of spasm, compared to the dose at the second CFT. This will be compared between treatment and placebo group using a multinominal logistic regression. The efficacy population will be used for this analysis.
SecondaryChange in Absolute flow parameters - flow (Q) (ml/min)6 weeks
These are derived by subtracting the outcome from the second CFT from the outcome of the first CFT. To compare change in CFT parameters between treatment and placebo group, we will use independent sample t-test. Bonferroni correction will be applied to account for multiple testing. The efficacy population will be used for this analysis.
SecondaryChange in Absolute flow parameters - Resistance (R)6 weeks
These are derived by subtracting the outcome from the second CFT from the outcome of the first CFT. To compare change in CFT parameters between treatment and placebo group, we will use independent sample t-test. Bonferroni correction will be applied to account for multiple testing. The efficacy population will be used for this analysis.
OtherSafety endpoints6 weeksThe occurrence of complications related to the coronary angiography and/or CFT will be collected, as well as adverse events related to the IMP.
OtherFollow-up (MACE)5 years
Number of major adverse cardiovascular events (MACE) at 1 and 5 year follow-up. MACE is defined as nonfatal stroke, nonfatal myocardial infarction, cardiovascular death, all-cause death, hospitalization for heart failure.
OtherChange in angina frequency reporting in the patient diary5 years
Change in patient reported outcome measures (PROs). These are derived by subtracting the outcome from the PROs from visit 104 to those from visit 1. The efficacy population will be used for this analysis.To compare change in PROs between treatment and placebo group, we will use independent sample t-test.
OtherChange in the Seattle Angina Questionnaire (SAQ)5 years
Change in patient reported outcome measures (PROs). These are derived by subtracting the outcome from the PROs from visit 104 to those from visit 1. The efficacy population will be used for this analysis.To compare change in PROs between treatment and placebo group, we will use independent sample t-test.

Outcomes0

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

None in this release.

Results by group0

Each measurement the trial posted, group by group, in the words and numbers it posted.

None in this release.

Participant flow0

How many started, completed or left each group, period by period.

None in this release.

Adverse events0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

None in this release.

Adverse event totals0

The totals the trial posted for each group.

None in this release.

Papers7

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
16134130BACKGROUNDPubMed
22761709BACKGROUNDPubMed
24256699BACKGROUNDPubMed
24699059BACKGROUNDPubMed
28268085BACKGROUNDPubMed
35466050DERIVEDPubMed
37889203DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04777045

GET https://conductscience.org/api/trials/v1/NCT04777045/registered