SHINE-CTO

  • Research type

    Research Study

  • Full title

    Sham-Controlled Intervention to Improve Quality of Life in Chronic Total Occlusions

  • IRAS ID

    245263

  • Contact name

    Paul Kelly

  • Contact email

    Paul.Kelly@btuh.nhs.uk

  • Sponsor organisation

    Basildon and Thurrock University Hospitals NHS Foundation Trust

  • Clinicaltrials.gov Identifier

    NCT02784418

  • Duration of Study in the UK

    2 years, 0 months, 1 days

  • Research summary

    Does angioplasty for coronary chronic total occlusions improve quality of life?

    Coronary chronic total occlusions (CTO) are vessels supplying blood to the heart that are chronically blocked. Nowadays, we can open these vessels with a high procedural success and low complications rates. The main aimed benefit by doing so is to improve patients' quality of life (reduce symptoms and increase exercise capacity). Although in our everyday clinical practice we see a huge benefit in our patients there are limited data (clinical trials) to support this practice.
    New medication are usually tested in placebo-controlled trials, where one group of participants is getting the medication and the other is getting a tablet with no effect (placebo). This way researchers aim to diminish any potential inclination or prejudice (bias) for or against the tested medication.

    We will use the same methodology in elective patients with CTO and stable angina in the SHINE-CTO trial. SHINE-CTO will be a multicentre randomised control trial with recruiting centres in USA and Europe. Participants will be randomised to undergo PCI or a placebo procedure. Both groups will be on optimal medical therapy. Subsequently,we will evaluate symptoms and exercise capacity improvement between the two groups at 3 months. At the end of the evaluation period, participants will be offered PCI if needed.

  • REC name

    East of England - Cambridge East Research Ethics Committee

  • REC reference

    18/EE/0170

  • Date of REC Opinion

    6 Aug 2018

  • REC opinion

    Further Information Favourable Opinion