Last reviewed · How we verify
Coronary Sinus Reducer in Coronary Microvascular Disease (REDUCE CMD)
Coronary microvascular dysfunction (CMD) is a common cause of treatment- resistant angina that lacks evidence-based treatment options. The coronary sinus reducer (CSR) is an hourglass-shaped stainless steel mesh, designed to create a controlled narrowing of the coronary sinus (CS). By augmenting CS pressure, CSR implantation was shown to improve myocardial perfusion, potentially providing a novel treatment for patients with CMD. REDUCE CMD is a placebo-controlled study of CSR in 50 patients with CMD. The main study endpoints are the change in coronary flow reserve from baseline to 6 months in the CSR-arm versus the placebo arm, and the difference in number of daily episodes of angina recorded on the ORBITA-app at 6 month follow-up in the CSR-arm versus the placebo arm.
Details
| Lead sponsor | UMC Utrecht |
|---|---|
| Phase | NA |
| Status | ENROLLING_BY_INVITATION |
| Enrolment | 50 |
| Start date | Thu Nov 20 2025 00:00:00 GMT+0000 (Coordinated Universal Time) |
| Completion | Wed Nov 01 2028 00:00:00 GMT+0000 (Coordinated Universal Time) |
Conditions
- Angina (Stable)
- Coronary Microvascular Disease
Interventions
- Coronary sinus reducer
- Sham CSR procedure
Countries
Netherlands