NCT03217006Recruiting
Randomization of Single vs Multiple Arterial Grafts
Randomized Comparison of the Clinical Outcome of Single Versus Multiple Arterial Grafts: the ROMA Trial
Source: ClinicalTrials.gov · Last updated 20 Aug 2026
Brief summary (registry, in English)
The primary hypothesis of ROMA is that in patients undergoing primary isolated non-emergent coronary artery bypass surgery (CABG), the use of two or more arterial grafts compared to a single arterial graft is associated with a reduction in the composite outcome of death from any cause, any stroke, post discharge myocardial infarction and/or repeat revascularization. The secondary hypothesis is that in patients undergoing primary isolated non-emergent CABG, the use of two or more arterial grafts compared to a single arterial graft is associated with improved survival. Prospective event-driven unblinded randomized multicenter trial of at least 4,300 subjects enrolled in at least 25 international centers. Patients will be randomized to a single arterial graft (SAG) or multiple arterial grafts (MAG). Patients will be randomized in a 1:1 fashion between the two groups. Permuted block randomization with random blocks stratified by the center and the type of second arterial graft will be used to provide treatment distribution in equal proportion.
- Status (registry)
- Recruiting
- Study type
- Interventional
- Enrollment
- 4300 (estimated)
- First submitted
- 6 Jul 2017
- Start date
- 7 Jan 2018
- Primary completion date
- 31 Dec 2029
- Lead sponsor
- Weill Medical College of Cornell University
- Diseases
- Coronary artery disease
- NCT number
- NCT03217006
What you commit to
- Study type: Interventional
- Planned participants: 4300
- From 7 Jan 2018 to the primary completion date, 31 Dec 2029
- 59 sites in 17 countries
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Prior treatment
- Any concomitant cardiac or non-cardiac procedure
- Previous cardiac surgery
Other illness
- Evolving myocardial infarction within 48 hours of surgery
- Preoperative severe end-organ dysfunction (dialysis, liver failure, respiratory failure), cancer or any co-morbidity that reduce life expectancy to less than 5 years.
Lab values
- Left ventricular ejection fraction of \< 35%
Age
- Age \> 70 years
Other
- Single graft
- Emergency operation
- Inability to use the saphenous vein or to use both radial and right internal thoracic arteries
- Anticipated need for coronary thrombo-endarterectomy
- Planned hybrid revascularization
Who the study is looking for
- Primary isolated CABG patients with disease of the left main coronary artery and/or of the left anterior descending and the circumflex coronary system with or without disease of the right coronary artery.
Age in the registry: 18 years to 70 years · Sex: All · Does not accept healthy volunteers
Sites (59)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Innsbruck (Medical University) Austria Coordinator of this site? Confirm its status | Innsbruck | Austria | Recruiting |
| Krankenhaus Nord Vienna North Hospital Coordinator of this site? Confirm its status | Vienna | Austria | Recruiting |
| MU Vienna Austria Coordinator of this site? Confirm its status | Vienna | Austria | Recruiting |
| Federal University of Sao Paulo Coordinator of this site? Confirm its status | São Paulo | Brazil | Recruiting |
| Hamilton General Hospital Coordinator of this site? Confirm its status | Hamilton | Canada | Recruiting |
| London Health Sciences Ontario Canada Coordinator of this site? Confirm its status | London | Canada | Recruiting |
| University Hospital of Montreal (CHUM) Coordinator of this site? Confirm its status | Montreal | Canada | Recruiting |
| University of Ottawa Heart Institute Canada Coordinator of this site? Confirm its status | Ottawa | Canada | Recruiting |
| Universite Laval Quebec (CRIUCPQ) Canada Coordinator of this site? Confirm its status | Québec | Canada | Recruiting |
| Royal Victoria Hospital (McGill) Coordinator of this site? Confirm its status | Québec | Canada | Recruiting |
| Toronto General Hospital Coordinator of this site? Confirm its status | Toronto | Canada | Recruiting |
| Sunnybrook Health Sciences Centre Coordinator of this site? Confirm its status | Toronto | Canada | Recruiting |
| St. Boniface General Hospital / WHRA Coordinator of this site? Confirm its status | Winnipeg | Canada | Recruiting |
| Fuwai Hospital Coordinator of this site? Confirm its status | Beijing | China | Recruiting |
| Jilin Heart Hospital Coordinator of this site? Confirm its status | Changchun | China | Recruiting |
| Ruijin Hospital, Shanghai Jiao Tong University School of Medicine Coordinator of this site? Confirm its status | Shanghai | China | Recruiting |
| National Taiwan University Hospital Coordinator of this site? Confirm its status | Taiwan | China | Recruiting |
| Teda Hospital (TICH) Coordinator of this site? Confirm its status | Tianjin | China | Recruiting |
| General University Hospital Prague Coordinator of this site? Confirm its status | Prague | Czechia | Recruiting |
| Essen University Coordinator of this site? Confirm its status | Duisburg | Germany | Recruiting |
| Duisburg Heart Center Coordinator of this site? Confirm its status | Duisburg | Germany | Recruiting |
| Düsseldorf University Coordinator of this site? Confirm its status | Düsseldorf | Germany | Recruiting |
| University Hospital Erlangen Coordinator of this site? Confirm its status | Erlangen | Germany | Recruiting |
| Giessen Hospital Coordinator of this site? Confirm its status | Giessen | Germany | Recruiting |
| University Medical Center of Goettingen Coordinator of this site? Confirm its status | Göttingen | Germany | Enrolling by invitation |
| Jena University Hospital Coordinator of this site? Confirm its status | Jena | Germany | Recruiting |
| Heart Center (Herzzentrum) Coordinator of this site? Confirm its status | Leipzig | Germany | Recruiting |
| HDZ NRW Bad Coordinator of this site? Confirm its status | Oeynhausen | Germany | Recruiting |
| Robert-Bosch-Hospital Coordinator of this site? Confirm its status | Stuttgart | Germany | Recruiting |
| Krankenhaus der Barmherzigen Brüder Trier Coordinator of this site? Confirm its status | Trier | Germany | Recruiting |
| Hospital Univeritario Del Vinalopo Coordinator of this site? Confirm its status | Alicante | Spain | Recruiting |
| Hospital Clinic de Barcelona (ICCV) Coordinator of this site? Confirm its status | Barcelona | Spain | Recruiting |
| University Hospital Dubrava Coordinator of this site? Confirm its status | Zagreb | Croatia | Recruiting |
| Anthea Hospital Coordinator of this site? Confirm its status | Bari | Italy | Recruiting |
| Fondazione Poliambulanza Coordinator of this site? Confirm its status | Brescia | Italy | Recruiting |
| Maria Cecilia Hospital GVM Coordinator of this site? Confirm its status | Cotignola | Italy | Recruiting |
| Universita Cattolica del Sacro Cuore Coordinator of this site? Confirm its status | Roma | Italy | Recruiting |
| European Hospital Coordinator of this site? Confirm its status | Rome | Italy | Recruiting |
| Ospedale Le Molinette Coordinator of this site? Confirm its status | Torino | Italy | Recruiting |
| Saitama Medical University Coordinator of this site? Confirm its status | Saitama | Japan | Recruiting |
| Severance Cardiovascular Hospital, Yonsei University College of Medicine Coordinator of this site? Confirm its status | Sinchŏn-dong | South Korea | Recruiting |
| MUMC Maastricht (University Medical Centre) Coordinator of this site? Confirm its status | Maastricht | Netherlands | Recruiting |
| Medical University of Silesia (Katowice) Coordinator of this site? Confirm its status | Katowice | Poland | Recruiting |
| Hospitalar de Lisboa Central Coordinator of this site? Confirm its status | Capuchos | Portugal | Recruiting |
| University Hospital (Praceta Mota Pinto) Coordinator of this site? Confirm its status | Coimbra | Portugal | Recruiting |
| Centro Hospitalar e Universitário Sao João Coordinator of this site? Confirm its status | Porto | Portugal | Recruiting |
| Dedinje Cardiovascular Institute Coordinator of this site? Confirm its status | Belgrade | Serbia | Recruiting |
| National University of Singapore Coordinator of this site? Confirm its status | Singapore | Singapore | Recruiting |
| University of Colorado Coordinator of this site? Confirm its status | Boulder | United States | Recruiting |
| NewYork-Presbyterian Brooklyn Methodist Hospital Coordinator of this site? Confirm its status | Brooklyn | United States | Recruiting |
| Cleveland Clinic Foundation Coordinator of this site? Confirm its status | Cleveland | United States | Recruiting |
| Nebraska Heart Hospital Coordinator of this site? Confirm its status | Lincoln | United States | Recruiting |
| Weil Cornell Medical College Department of Cardiothoracic Surgery Coordinator of this site? Confirm its status | New York | United States | Recruiting |
| NewYork-Presbyterian Queens Coordinator of this site? Confirm its status | New York | United States | Recruiting |
| Icahn School of Medicine Mount Sinai Coordinator of this site? Confirm its status | New York | United States | Recruiting |
| Lenox Hill Hospital (Northwell) Coordinator of this site? Confirm its status | New York | United States | Recruiting |
| University of Nebraska Medical Center Coordinator of this site? Confirm its status | Omaha | United States | Recruiting |
| Allegheny General Hospital (Cardiovascular Institute) Coordinator of this site? Confirm its status | Pittsburgh | United States | Recruiting |
| Baystate Health Coordinator of this site? Confirm its status | Springfield | United States | Recruiting |
This page is information, not medical advice. Discuss any trial with your doctor.