New device aims to quiet chronic chest pain
NCT ID NCT02710435
First seen Jun 26, 2026 · Last updated Jul 31, 2026 · Updated 3 times
Summary
This study is testing a device called the Neovasc Reducer in 400 people with chronic stable angina who have not found relief from standard treatments. The device is implanted to improve blood flow and reduce chest pain. Researchers will track symptom improvement and any serious side effects over several years.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Neovasc Reducer device
- What this could lead to
- If successful, this device could offer a new way to reduce chest pain in people with chronic angina who have few other treatment options.
- What could go wrong
- This is an observational study, not a controlled trial, so results may be less definitive. The device also carries risks like heart attack or arrhythmia.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 400 people
The number the study aims to enrol. It can still change while the study runs.
- Start date
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Mar 2016
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Subjects with refractory angina pectoris who demonstrate objective evidence of reversible myocardial ischemia, who have limited or no options for revascularization, or subjects who have received the Reducer in the COSIRA study, or under CE Mark prior to the REDUCER-I study.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria - ALL Arms: * Subject has been informed about the study and provides written informed consent prior to enrollment * Subject is willing to comply with specified follow-up evaluations Inclusion Criteria - Arm 1: * Symptomatic Coronary Artery Disease (CAD) with chronic refractory angina pectoris despite attempted optimal medical therapy * Subject has limited treatment options for revascularization by Coronary Artery Bypass Grafting (CABG) or by Percutaneous Coronary Intervention (PCI) * Evidence of reversible myocardial ischemia * Left Ventricular ejection fraction (LVEF) greater than or equal to 30% * Male or non-pregnant female Inclusion Criteria - Arm 2: * Subjects previously implanted in the Reducer (treatment) arm of the COSIRA study Inclusion Criteria - Arm 3: * Subjects in whom the Reducer was implanted under CE Mark (unrelated to the COSIRA study), prior to enrollment in the Reducer-I study Exclusion Criteria - Arm 1: * Acute coronary syndrome within three months prior to enrollment * Recent successful revascularization by PCI or CABG within six months prior to enrollment * Recent unsuccessful PCI (no relief from symptoms) within 30 days prior to enrollment * Unstable angina (recent onset angina, crescendo angina, or rest angina with electrocardiogram \[ECG\] changes) during the 30 days prior to enrollment * Decompensated congestive heart failure (CHF) or hospitalization due to CHF during the three months prior to enrollment * Severe chronic obstructive pulmonary disease (COPD) as indicated by a forced expiratory volume in one second that is less than 55% of the predicted value * Subject cannot undergo exercise tolerance test * Subject cannot undergo 6-minute walk test * Severe valvular heart disease * Subject with pacemaker electrode in the coronary sinus (CS) * Subject with recent placement of a new pacemaker or defibrillator electrode in the right atrium within 3 months prior to enrollment. * Subject having undergone tricuspid valve replacement or repair * Chronic renal failure (serum creatinine \>2 mg/dL), including subjects on chronic hemodialysis * Moribund subjects, or subjects with comorbidities limiting life expectancy to less than one year * Known severe reaction to required procedural medications * Known allergy to stainless steel or nickel * Magnetic Resonance Imaging (MRI) planned within 8 weeks after Reducer implantation * Currently enrolled in another device or drug trial that has not completed the primary endpoint or that clinically interferes with the current study endpoints Angiographic Exclusion: * Mean right atrial pressure greater than 15mmHg * Subject with anomalous or abnormal CS anatomy (e.g., tortuosity, aberrant branch, persistent left superior vena cava \[SVC\]) * CS diameter at the site of planned Reducer implantation less than 9.5 mm or greater than 13 mm
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Bolognini General Hospital
Seriate, 24068, Italy
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Bradford Royal Infirmary
Bradford, BD9 6RJ, United Kingdom
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Contilia Heart and Vascular Centre, Elisabeth Krankenhaus Essen, Klinik fϋr Kardiologie und Angiologie
Essen, 45138, Germany
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Dresden University
Dresden, 01307, Germany
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HFR Fribourg/University of Fribourg
Fribourg, 1708, Switzerland
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Hopitaux Universitaires Geneve (HUG)
Geneva, 1205, Switzerland
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Hospital Clinico San Carlos
Madrid, 28040, Spain
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Institut Coeur Poumon
Lille, France
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Istituto Cardiocentro Ticino
Lugano, 6900, Switzerland
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Kerckhoff Klinik
Bad Nauheim, 61231, Germany
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King's College Hospital
London, SE5 9RS, United Kingdom
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Royal Brompton Hospital
London, SW3 6NP, United Kingdom
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Royal Infirmary of Edinburgh
Edinburgh, EH16 4SA, United Kingdom
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San Raffaele Hospital
Milan, 20132, Italy
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St. Antonius Ziekenhuis
Nieuwegein, 3435CM, Netherlands
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St. Thomas Hospital
London, SE1 7EH, United Kingdom
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UMC Utrecht
Utrecht, 3584 CX, Netherlands
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University Giessen
Giessen, 35392, Germany
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University Heart Center Freiburg - Bad Krozingen
Freiburg im Breisgau, 79106, Germany
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University Heart Center Hamburg
Hamburg, 20246, Germany
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University Hospital Basel
Basel, CH-4031, Switzerland
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University Hospital of Brest
Brest, France
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University of Graz
Graz, 8010, Austria
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ZNA Middelheim Hospital
Antwerp, 2020, Belgium
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Zienkenhuis Oost-Limburg
Genk, 3600, Belgium
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