ClinicalTrials.gg
CompletedNCT06212466MICRO2Updated Jul 10, 2025

MCG as a Noninvasive Diagnostic Strategy for Suspected INOCA (MICRO2)

An observational study in Ischemic Heart Disease, Coronary Microvascular Disease and Angina, sponsored by Genetesis Inc.. Completed at 8 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-07-10.

Sponsored by Genetesis Inc. · Observational

Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
136
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 218 studies in Myocardial Ischemia with a site in United States — 23 open to participants now, 26 under way, none of them phase 3. Myocardial Ischemia · United States.

Enrollment
41st of 67
136 · median 205
Started
2024
with 5 others
Observational
67 of 218
8 open now
Registered
202nd of 218
by date
Lead sponsor
3 of 218
Genetesis Inc.

Among the 218 studies in Myocardial Ischemia with a site in United States, this one is the 41st largest by enrollment of the 67 observational ones that give a count, is one of 6 that started in 2024, is one of 67 observational ones, and was the 202nd registered.

Myocardial Ischemia

1,123 studies on the registry are indexed under Myocardial Ischemia; 177 are open to participants now.

Browse Myocardial Ischemia studies →

Open to participants now

23 of the 218 studies in Myocardial Ischemia with a site in United States are open now. Recruiting first, the newest first:

18 more — sign in →

All 23 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 135 Myocardial Ischemia studies recruiting now, 92 (68%) set no upper age limit and 6 (4%) stop at 75 or younger; 14 take children under 18; 20 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 218 studies in Myocardial Ischemia with a site in United States, or all of them as a file.
02

Study summary

A prospective, multicenter, observational, single-arm trial to validate CardioFlux MCG's ability to diagnose myocardial ischemia caused by coronary microvascular dysfunction in patients with suspected ischemia and confirmed no obstructive coronary artery disease (suspected INOCA) by using diagnostic measures of coronary flow reserve (CFR) via invasive angiography as a reference standard for diagnosis.

Read the detailed description

Magnetocardiography (MCG) is a noninvasive imaging modality that has been extensively studied over the past several decades as a diagnostic imaging solution for various forms of cardiovascular disease. MCG measures the magnetic field that arises from the electrical activity of the heart's pacemaker activity, the very same activity which yields surface electric field potentials as measured by the electrocardiogram. Unlike electrocardiographic signals, however, MCG signals are undistorted by conductive tissue noise, and are highly sensitive to ischemic injury and vortex currents missed by the same electrocardiographic measurements. Accordingly, numerous clinical trials suggest the usefulness of MCG for the evaluation of ischemia in patients with suspected acute coronary syndrome.

There is a growing body of evidence demonstrating the usefulness of MCG in the detection of myocardial ischemia, both in patients with symptoms of ACS, and in patients with stable angina. Since MCG is a functional assessor of depolarization and repolarization heterogeneity, it is hypothesized that MCG may be a useful frontline diagnostic modality to identify CMD in patients who would otherwise have normal coronary CT angiograms and/or stress tests. The proposed study intends to study the diagnostic accuracy of MCG in patients with suspected INOCA.

This demonstrates a significant unmet clinical need in the assessment of patients, and especially women, with INOCA. The current standard of care for these patients is resource/time intensive and associated with a significant rate of non-diagnostic clinical data requiring expensive and invasive evaluation for safe patient management. Magnetocardiography offers the potential for rapid, safe, noninvasive, non-radiologic assessment of the INOCA population, and may lead to earlier treatment strategies for CMD patients.

From the participating clinical sites, patients age ≥18 years who presented with chest pain or exertional dyspnea concerning for myocardial ischemia with no obstructive epicardial CAD on invasive or computed tomographic coronary angiography will be screened and subsequently enrolled when meeting criteria. This is a prospective observational study used for clinical data collection for the clinical validation testing of the CardioFlux MCG system. There will be no intervention introduced by the study device. The interpretation of the CardioFlux MCG data made by the study reader(s) will not be known to the patient's treating physician. Similarly, the patient's coronary physiology data, diagnosis, or interventions made by the patient's treating physician in following the standard of care will not be known to any of the scan readers. Except for the introduction of the MCG scan, there will be no other alteration to the patient standard of care.

03

Conditions studied

  • Ischemic Heart Disease
  • Coronary Microvascular Disease
  • Angina
  • Myocardial Ischemia

Keywords

  • Magnetocardiography
  • CardioFlux
  • Coronary Flow Reserve
04

Who can participate

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

Study population

Men and women aged 18 years and older with chronic/stable angina and no obstructive coronary artery disease (suspected INOCA) with completed invasive CFR measurement within 180 days or are scheduled to undergo invasive angiography with CFR assessment by bolus thermodilution within 30 days of informed consent at an enrolling clinical trial center.

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

In order to be eligible to participate in this study, an individual must meet all the following criteria:

  1. ≥ 18 years of age at the time of enrollment.
  2. Willing to provide written .
  3. Signs and symptoms of chest pain prompted further evaluation by a coronary angiogram within the previous 5 years.
  4. Invasive CFR (via bolus thermodilution) completed within 180 days, or scheduled within 30 days, of informed consent.

    4.1. CFR must be performed in the mid Left Anterior Descending (LAD) vessel.

  5. Successfully passing CardioFlux MCG Quality Preview prior to MCG study scan. 5.1. Patients must be able to fit into the device. 5.2. Patients must be able to lie supine for 5 minutes. 5.3. Patients must not have any of the following: 5.3.1. Presence of ferromagnetic metal between the sternal notch and costal margin of the rib cage.

5.3.2. Implanted pacemakers or cardioverter/defibrillators. 5.3.3. Implanted infusion pumps and/or neuro stimulators. 5.3.4. Note: sternotomy wires and stents are acceptable. 5.3.5. Note: Failure to meet inclusion criteria 5.3 will render the MCG scan uninterpretable. However, any patient who may be scanned with the presence of any of the above objects is not at any risk of harm by the device. Prosthetic joints are allowed if the MCG Quality Preview is acceptable.

Exclusion criteria

EXCLUSION CRITERIA

An individual who meets any of the following criteria will be excluded from participation in this study:

  1. Obstructive CAD (either anatomical or physiological) defined as:

    1.1. ≥ 70% lesion in any major epicardial or branch vessel by CT or invasive Angiography; 1.2. ≥ 50% lesion in the Left Main (LM) vessel by CT or invasive Angiography; 1.3. or either an FFR\<0.80 or iFR or RFR \<0.89 in the obstructed vessel,

  2. Any of the following cardiac pathologies:

    2.1. Epicardial spasm. 2.2. History of non-ischemic dilated or hypertrophic cardiomyopathy. 2.3. Suspected myocarditis. 2.4. Documented acute coronary syndrome (ACS) within previous 30 days. 2.5. Known (LVEF) \<45% on most recent assessment (can be via ECHO), or hospitalization for Reduced ejection fraction within 180 days. (HFpEF is allowed).

    2.6. Currently in atrial fibrillation or atrial flutter at the time of enrollment.

    2.7. Complete Bundle Branch Block. 2.8. Known moderate or severe valvular disease (anything besides mild). 2.9. Known severe Left ventricular hypertrophy (LVH) as determined by Echocardiography.

    2.10. Dextrocardia.

  3. Known estimated (eGFR) \<30 ml/min.
  4. \<3-yrs. due to non-cardiovascular comorbidity.
  5. Concurrent enrollment in a clinical trial in which therapeutic intervention is administered within 30 days of enrollment.
  6. Prior enrollment in MICRO 1.0 and/or MICRO(T) data development study.
  7. Pregnancy.
Terms in these criteria, in plain language(4)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Observational model
Cohort
Time perspective
Other
Enrollment
136 participants (actual)
Patient registry
No

Groups and cohorts

  • CMD Positive

    Patients who have confirmed presence of CMD via invasive angiography/CFR

    Device: CardioFlux

  • CMD Negative

    Patients who have confirmed absence of CMD via invasive angiography/CFR

    Device: CardioFlux

Interventions

  • DeviceCardioFlux

    The device is a magnetocardiography (MCG) scanner named CardioFlux, which is paired with a cloud processing software for the acquisition, display, and analysis of magnetic fields generated by cardiac electrical activity.

06

What researchers measure

Primary outcomes

  1. Diagnostic accuracy of CardioFlux MCG in determining the presence of CMD

    Diagnostic accuracy of CardioFlux MCG in determining the presence of coronary microvascular dysfunction, as measured by AUC with ground truth defined as an invasive CFR \<2.5 for bolus thermodilution method. H0: AUC\<0.55 Ha: AUC≥0.55

    Time frame: 6 months

Secondary outcomes

  1. Sensitivity and specificity in determining presence of CMD (Rule In)

    Patients who have confirmed presence of CMD via invasive CFR: Sensitivity and specificity of CardioFlux MCG in determining the presence of CMD with the gold standard defined as an invasive CFR \<2.5 for thermodilution method as determined by a positive MCG scan output as defined by a Magnetic Dispersion Dynamics (MDD) score less than 41 fT/ms. Sensitivity * H0\<0.30 * Ha≥0.30 Specificity * H0\<0.70 * Ha ≥0.70

    Time frame: 6 months

  2. Sensitivity and specificity in determining presence of CMD (Rule Out)

    Patients who have confirmed absence of CMD via invasive CFR: Sensitivity * H0\<0.70 * Ha≥0.70 Specificity * H0\<0.30 * Ha ≥0.30

    Time frame: 6 months

  3. ROC/AUC, sensitivity and specificity at CFR cut-offs of <2.0 and 3.0.

    ROC/AUC, sensitivity and specificity for invasive CFR by thermodilution methods at CFR cut-offs of \<2.0 and 3.0.

    Time frame: 6 months

  4. Patient-Reported Experiences with CardioFlux

    Self-reported questionnaire (5 questions scored 1 (very dissatisfied) to 5 (very satisfied) with a minimum score of 5 and a maximum score of 25.

    Time frame: 6 months

  5. Participant Age

    Age (years)

    Time frame: 6 months

  6. Participant Height

    in meters; if known

    Time frame: 6 months

  7. Participant Weight

    in kilograms; if known

    Time frame: 6 months

  8. Participant Gender at Birth

    Male/Female

    Time frame: 6 months

  9. Index of Microvascular Resistance (IMR)

    Sensitivity, Specificity, and ROC/AUC for CardioFlux will also be calculated against Index of Microvascular Resistance (IMR), defined as \>25.

    Time frame: 6 months

  10. Comparison of bolus vs. continuous thermodilution

    Comparison of bolus thermodilution (CFR-bolus) and continuous thermodilution (CFR-cont) against MCG when CFR-cont is available.

    Time frame: 6 months

  11. Number of Adverse Events

    Safety will be monitored by the reporting of adverse events (related and non-related to the device) throughout the trial.

    Time frame: 6 months

Other outcomes

  1. Seattle Angina Questionnaire - 7

    For patients whose CFR was completed within 30 days of MCG scan, SAQ-7 scores may be measured and analyzed.

    Time frame: 30 days

  2. Comparison of functional vs structural CMD

    Comparison of functional vs structural CMD will be analyzed (endothelial dependent vs independent).

    Time frame: 6 months

07

Study locations

8 sites
  • University of Florida, Division of Cardiovascular Medicine
    Gainesville, Florida 32610, United States
  • Saint Elizabeth Medical Center
    Edgewood, Kentucky 41017, United States
  • Ascension St. John Hospital
    Detroit, Michigan 48236, United States
  • Mayo Clinic, Cardiovascular Research
    Rochester, Minnesota 55905, United States
  • St. Luke's Health System, Cardiovascular Research
    Kansas City, Missouri 64111, United States
  • Hackensack Meridian Mountainside Medical Center
    Montclair, New Jersey 07042, United States
  • The Christ Hospital
    Cincinnati, Ohio 45219, United States
  • Cleveland Clinic, Cardiovascular Medicine Research
    Cleveland, Ohio 44195, United States
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

Ran from Jun 2024 to primary completion in Apr 2025, 10 months.

Of 39 industry-sponsored observational studies under Myocardial Ischemia, half reached primary completion within 27 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 40. This study's 10 months is below that.

Counting every sponsor, half of 204 studies reached it within 40 months; a quarter within 21 and three quarters within 90.

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

Registered
Nov 29, 2023
First posted
Jan 18, 2024
StartActual
Jun 3, 2024
Primary completionActual
Apr 15, 2025
CompletionActual
Apr 15, 2025
Last update
Jul 10, 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 Jul 10, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06212466
Lead sponsor
Genetesis Inc.
Responsible party
Sponsor
First posted
Jan 18, 2024
Start date
Jun 3, 2024
Primary completion
Apr 15, 2025
Completion
Apr 15, 2025
Last update
Jul 10, 2025

Study contacts

Zoe E Swann, PhD
study director · Genetesis Inc.

Oversight

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

Not currently enrolling

This study is completed, as verified in Jul 2025. You cannot join it, but the record below documents what was studied.

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