Patients with angina pectoris and coronary microvascular dysfunction without significant stenosis og major coronary vessels MedDRA version: 18.0 Level: LLT Classification code 10065566 Term: Microvascular angina System Organ Class: 100000004849
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Women aged 40-75 with angina-like symptoms assessed by the Seattle Angina Questionnaire (SAQ) - Referred for ischemic heart disease (IHD) assessment with no significant coronary stenosis (>50%) at coronary angiography or CT-angiography - Impaired coronary flow reserve assessed by echo Doppler flow - BMI=25kg/m2 Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 16 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 17
Exclusion criteria
Exclusion criteria: - Allergy to dipyridamole, Teofyllamine or Liraglutide - Previous myocardial infarction or revascularization - No episodes of chest pain within 6 months before inclusion - Diabetes (reported, noted in journal or patient on antidiabetic medication) - Other causes of chest discomfort deemed highly likely - LVEF1st degree - chronic or previous acute pancreatitis - inflammatory bowel disease - history of thyroid adenoma/carcinoma - participation in other RCT if relevant for the present study. - Language- or other barrier to giving informed consent - No signed informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the effect of treatment with Liraglutide on the coronary microvasculature and angina symptoms in overweight patients with microvascular dysfunction and angina pectoris but no coronary artery stenosis;Secondary Objective: To evaluate the effect of Liraglutide on - endothelial function assessed by flow mediated dilation (FMD) of the brachial artery by ultrasound. - cardiac function assessed by speckle tracking echocardiography - Weight loss - Change in body composition assessed by DEXA scan - serological markers ;Primary end point(s): - Changes in coronary flow reserve assessed by transthoracic doppler stress echocardiography (TTDSE). - Changes in symptoms assessed by Seattle Angina Questionnaire (SAQ) ;Timepoint(s) of evaluation of this end point: The endpoints will be evaluated after a control period of approximately 4 weeks not receiving any treatment and after 18 weeks (12 weeks of liraglutide treatment + 2 weeks of weight maintenance diet) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - Changes in endothelial function assessed by flow mediated dilation (FMD) of the brachial artery by ultrasound. - Changes in cardiac function assessed by speckle tracking echocardiography - Weight loss - Change in body composition assessed by dual X-ray absoptionmetry (DEXA) scan - Changes in serological markers ;Timepoint(s) of evaluation of this end point: The endpoints will be evaluated after a control period of approximately 4 weeks not receiving treatment and after 18 weeks (12 weeks of liraglutide treatment + 2 weeks of weight maintenance diet) with the exception of the DEXA scan which will only be performed at baseline and after 18 weeks and with the exeption of weight, which will be assessed at each visit after initiation of treatment (7 visits). | — |
Countries
Denmark
Contacts
Bispebjerg University Hospital