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RecruitingNCT05459051ORBITA-FIREUpdated Mar 6, 2024

Finding the Invasive Haemodynamic Threshold for Symptom Relief in Stable Angina

An observational study in Stable Angina, sponsored by Imperial College London. Recruiting at 6 sites in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-03-06.

Sponsored by Imperial College London · Observational

From the registry’s dates

  • Primary completion was expected by Apr 2025, 1 year 7 months ago, but the record still lists the study as recruiting.
  • Started Sep 2022; still recruiting 4 years 2 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
58
Ages
18 Years and older
Sex
All
01

Study summary

ORBITA-FIRE is a randomised, double-blinded, placebo controlled experimental study that will identify the fractional flow reserve (FFR) and non-hyperemic pressure ratio (NHPR) thresholds that correlate with symptoms of angina for 58 patients measured invasively under experimental conditions.

02

Conditions studied

  • Stable Angina

Keywords

  • Symptoms
  • Angina
  • Physiology
  • Placebo
03

In context

Angina, Stable

343 studies on the registry are indexed under Angina, Stable; 56 are open to participants now.

This study's planned enrollment of 58 is below the median of 508 across 103 observational studies indexed under Angina, Stable.

Browse Angina, Stable studies →

Lead sponsor

Imperial College London is the lead sponsor of 843 studies on the registry; 180 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 6 (67%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patient with stable angina

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

  • Eligibility for percutaneous coronary intervention (PCI) due to angina or angina-equivalent symptoms on exertion
  • Anatomical evidence of significant single-vessel coronary stenosis defined by either:

    • ≥70% stenosis on invasive coronary angiography (ICA)
    • Severe stenosis on CT coronary angiography (CTCA)
  • Physiological evidence of ischaemia with a positive test on at least one of the following:

    • Stress echocardiography
    • Cardiac magnetic resonance perfusion
    • Myocardial perfusion scintigraphy
    • Invasive metrics of coronary physiology

Exclusion criteria

Exclusion Criteria:

  • Age \<18 years
  • Recent acute coronary syndrome
  • Previous coronary artery by-pass graft
  • Significant left main stem disease
  • Multivessel disease (defined as >50% angiographic stenosis in other vessels)
  • Chronic total occlusion in the target artery
  • Moderate to severe valvular disease
  • Moderate to severe left ventricular impairment
  • Chronotropic incompetence with a pacemaker
  • to PCI or a drug-eluting stents
  • Contraindication to antiplatelet therapy
  • Contraindication to adenosine
  • Moderate to severe respiratory disease
  • Physical inability to exercise
  • Pregnant
  • Inability to consent
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
58 participants (estimated)
Patient registry
No

Groups and cohorts

  • Patients with stable angina

    * Symptomatic * Anatomically severe single-vessel coronary artery disease * Physiological evidence of myocardial ischaemia

    Diagnostic Test: Rest-angina physiological assessment · Diagnostic Test: Exercise-angina physiological assessment

Interventions

  • Diagnostic testRest-angina physiological assessment

    The degree of stenosis required to cause angina at rest will be measured under double-blinded placebo controlled conditions using sequential intracoronary balloon inflations. This will then be correlated with various physiological indices, including FFR and NHPR.

  • Diagnostic testExercise-angina physiological assessment

    The degree of stenosis required to cause angina during exercise will be measured under double-blinded placebo controlled conditions using sequential intracoronary balloon inflations. This will then be correlated with various physiological indices, including FFR and NHPR.

06

What researchers measure

Primary outcomes

  1. The FFR and NHPR value at which the patient experiences angina in a rest state

    Values 0.00-1.00 (Lower = More significant disease)

    Time frame: Intra-procedural

  2. The FFR and NHPR value at which the patient experiences angina in an exercise state

    Values 0.00-1.00 (Lower = More significant disease)

    Time frame: Intra-procedural

Secondary outcomes

  1. The FFR difference between the rest and exercise states

    Values 0.00-1.00 (Lower = More significant disease)

    Time frame: Intra-procedural

  2. The NHPR difference between the rest and exercise states

    Values 0.00-1.00 (Lower = More significant disease)

    Time frame: Intra-procedural

  3. Angina severity score at the angina threshold

    The patient scores the severity of the angina experienced during the procedure between 0-10 (Higher = More severe)

    Time frame: Intra-procedural

  4. Angina similarity score at the angina threshold

    The patient scores the similarity of the angina experienced during the procedure against the angina experienced before the procedure between 0-10 (Higher = Most similar)

    Time frame: Intra-procedural

  5. Angina symptom type at the angina threshold

    The patient will list all symptoms experienced at the angina threshold

    Time frame: Intra-procedural

07

Study locations

6 of 6 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 6, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05459051
Collaborators
Royal Free Hospital NHS Foundation Trust, Mid and South Essex NHS Foundation Trust, St George's University Hospitals NHS Foundation Trust, Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust, Portsmouth Hospitals NHS Trust
Responsible party
Sponsor
First posted
Jul 14, 2022
Start date
Sep 1, 2022
Primary completion
Apr 8, 2025 (estimated)
Completion
Apr 8, 2025 (estimated)
Last update
Mar 6, 2024

Study contacts

Fiyyaz Ahmed-Jushuf, MBBS MRCP
Contact
fiyyaz.ahmed-jushuf09@imperial.ac.uk
020 7594 5735
Rasha Al-Lamee, PhD MRCP
Contact
r.al-lamee13@imperial.ac.uk
020 7594 5735
Rasha Al-Lamee, PhD MRCP
principal investigator · Imperial College London

Oversight

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

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