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RecruitingNCT04440761Updated Nov 18, 2025

Barts-MINOCA Registry

An observational study in Myocardial Infarction, Gender and Coronary Microvascular Disease, sponsored by Queen Mary University of London. Recruiting at 1 site in United Kingdom. Open to participants aged 16 Years and older. Per ClinicalTrials.gov, last updated 2025-11-18.

Sponsored by Queen Mary University of London · Observational

From the registry’s dates

  • Started Jul 2020; still recruiting 6 years 4 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
3,000
Ages
16 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 175 studies in Myocardial Infarction with a site in United Kingdom — 24 open to participants now, 36 under way, 7 of them phase 3. Myocardial Infarction · United Kingdom.

Planned enrollment
37th of 77
3,000 · median 2,285
Started
2020
with 10 others
Observational
77 of 175
10 open now
Primary completion
2026-09
later than 8 of 35 live
Registered
130th of 175
by date
Lead sponsor
6 of 175
Queen Mary University of London

Among the 175 studies in Myocardial Infarction with a site in United Kingdom, this one is the 37th largest by planned enrollment of the 77 observational ones, is one of 11 that started in 2020, is one of 77 observational ones, reaches primary completion later than 8 of the 35 other live ones, and was the 130th registered.

By phase

175 studies; the count open now beside each. This study's row is marked.

Observationalthis study77 · 10 open
No phase32 · 9 open
Phase 331 · 2 open
Phase 219 · 2 open
Phase 413 · 0 open
Phase 11 · 0 open
Phase 1/21 · 0 open
Phase 2/31 · 1 open

By the year they started

First in 1998; this study’s year is marked. 11 started in 2020.

Size and results

Median enrollment 345 across the 98 interventional studies, 2,285 across the 77 observational. Of the 113 that completed or were terminated, 36 (32%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 175 studies in Myocardial Infarction with a site in United Kingdom, or all of them as a file.
02

Study summary

The last 15 years the introduction of primary angioplasty has radically improved outcomes for acute myocardial infarction (AMI). However, the system wide availability of prompt investigation has revealed an important group of patients where progress has stalled, the diagnosis is unclear and therapeutic approaches are uncertain. Myocardial infarction with non-obstructive coronary arteries (MINOCA) is found in 1 - 13% of all patients with a clinical diagnosis of AMI.

These patients present a therapeutic predicament since coronary revascularization is not appropriate. Guidelines do not exist for their management - yet the condition is not benign - the 12-month prognosis, although better than obstructive coronary artery disease patients is still guarded with recent data suggesting many questions remain unanswered.

Read the detailed description

This study utilises a prospectively collected clinical database. All patients referred to the Interventional Cardiology team are included onto this database. No patients will be contacted solely for research purposes. Patients will not have any investigations/procedures performed for research purposes. All data will only be available for access by named members of the Interventional Cardiology team. Data will be anonymised by the clinical care team and passed onto the research team before it is used and no patient identifiable information will be used in the analysis of the study or the publications of its results.

The database started in April 2015 and has collected data on all patients so far and will continue to do so for the duration of clinical work by the Interventional Cardiology team. As a result this study will continue indefinitely.

This study will include all patients admitted to or reviewed in clinic at Barts Health NHS Trust with either a diagnosis of MINOCA or who do not have a clear cause of a troponin rise. These patients range from young adults to the elderly and will include any patient ≥16 years of age. Patients who are followed up with and without any intervention (i.e. both medically managed patients as well as patients undergoing intervention) are equally as important and therefore the investigators shall include both groups of patients.

Patients will be included from referrals made by other clinicians either as in or outpatients. All these patients have their clinical data captured on a database or hospital based clinical programme.

This study aims to assess, in a real-world setting, the safety, efficacy and feasibility of further investigations in patients diagnosed with MINOCA among all patients with coronary artery disease.

The study will test various hypothesis including but not limited to:

  1. The efficacy of diagnosis rates of CMR in patients diagnosed with MINOCA
  2. Outcomes in patients diagnosed with MINOCA treated medically
  3. Long-term outcome of patients diagnosed with MINOCA
03

Conditions studied

  • Myocardial Infarction
  • Gender
  • Coronary Microvascular Disease
04

Who can participate

Ages eligible
16 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

This study will include all patients admitted to or reviewed in clinic at Barts Health NHS Trust with either a diagnosis of MINOCA or who do not have a clear cause of a troponin rise. These patients range from young adults to the elderly and will include any patient ≥16 years of age. Patients who are followed up with and without any intervention (i.e. both medically managed patients as well as patients undergoing intervention) are equally as important and therefore we shall include both groups of patients.

Patients will be included from referrals made by other clinicians either as in or outpatients. All these patients have their clinical data captured on a database or hospital based clinical programme.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Both male and female patients ≥16 years of age will be included
  • All patients will have a diagnosis MINOCA. Any patient who does not have a clear cause of troponin rise

Exclusion criteria

Exclusion Criteria:

  • Patients \<16 years will not be included in this study.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
3,000 participants (estimated)
Target follow-up
5 Years
Patient registry
Yes

Groups and cohorts

  • Troponin rise/ diagnosis of MINOCA

    This study aims to assess, in a real-world setting, the safety, efficacy and feasibility of further investigations in patients diagnosed with MINOCA among all patients with coronary artery disease.

    Other: Observation only

Interventions

  • OtherObservation only

    Observation only

06

What researchers measure

Primary outcomes

  1. Mortality

    Assessment of mortality

    Time frame: 30 days

  2. Mortality

    Assessment of mortality

    Time frame: 1 year

  3. Formal diagnosis made of the cause of troponin rise

    Diagnosis

    Time frame: Baseline

  4. Timing of diagnosis made of the cause of troponin rise

    Time to first diagnosis

    Time frame: Baseline

  5. Questionnaire to assess change in symptoms at 2 months post-initial review in clinic/ward

    Change in symptoms assessed by Questionnaire

    Time frame: 2 months

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jul 2020 (actual). Primary completion is estimated for Sep 2026, 74 months after the start.

Of 296 non-industry observational studies under Myocardial Infarction, half reached primary completion within 54 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 140. This study's planned 74 months is above that.

Counting every sponsor, half of 333 studies reached it within 48 months; a quarter within 17 and three quarters within 114.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 15, 2020
First posted
Jun 22, 2020
StartActual
Jul 1, 2020
Primary completionEst.
Sep 16, 2026
CompletionEst.
Sep 16, 2026
Last update
Nov 18, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 18, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04440761
Responsible party
Sponsor
First posted
Jun 22, 2020
Start date
Jul 1, 2020
Primary completion
Sep 16, 2026 (estimated)
Completion
Sep 16, 2026 (estimated)
Last update
Nov 18, 2025

Study contacts

Daniel Jones, MBBS, PhD
Contact
dan.jones8@nhs.net
020 7377 7000
Krishnaraj Rathod, MBBS, PhD
Contact
krishnaraj.rathod1@nhs.net
020 7377 7000
Daniel Jones, MBBS, PhD
principal investigator · Queen Mary University of London

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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