Impact of Exercise Training on Ischemia With Non-Obstructive Coronary Arteries (INOCA): The ExINOCA Study

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age50+
SponsorBispebjerg Hospital

About this trial

The purpose of the study is to identify causes of chest pain in patients experiencing chest pain with no signs of narrowing of the coronary arteries of the heart, and to investigate whether physical exercise can improve coronary microvascular function.

Hypotheses:

The first hypothesis is that in INOCA, with reduced function of microvasculature of the heart, this reduced function also occurs in other organs of the body.

The second hypothesis is that regular physical activity (aerobic exercise training) can improve coronary microvascular function, reduce symptoms, and that there is a parallel improvement in vascular function in other organs of the body.

Eligibility criteria

Qualifiers

Coronary microvascular dysfunction, defined as myocardial bloodflow reserve (MBFR) < 2.5 or hyperemic myocar-dial blood flow (hMBF)<2.3 ml/g/min using [15O]H2O-PET

No obstructive coronary artery disease

Disqualifiers

Females of childbearing potential (defined as a premeno-pausal female capable of becoming pregnant). The female patient must either be postmenopausal, defined as amen-orrhea for at least 1 year, or surgically sterile

Heart failure, defined as left ventricular ejection fraction of less than 40%

Uncontrolled hypertension defined as blood pressure above target 140/90 for all

Co-morbidity resulting in <1 year expected survival

Trial design

Treatments tested in this trial

  • Exercise training

Treatment groups

100 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Bispebjerg Hospital

Lead sponsor

University of Copenhagen

Collaborator