NCT03417388Active, not recruitingPhase 4
Women's IschemiA TRial to Reduce Events In Non-ObstRuctive CAD
Source: ClinicalTrials.gov · Last updated 30 Oct 2026
Brief summary (registry, in English)
The Ischemia-IMT (Ischemia-Intensive Medical Treatment Reduces Events in Women with Non-Obstructive CAD), subtitle: Women's Ischemia Trial to Reduce Events in Non-Obstructive CAD (WARRIOR) trial is a multicenter, prospective, randomized, blinded outcome evaluation (PROBE design) evaluating intensive statin/ACE-I (or ARB)/aspirin treatment (IMT) vs. usual care (UC) in 4,422 symptomatic women patients with symptoms and/or signs of ischemia but no obstructive CAD. The hypothesis is that IMT will reduce major adverse coronary events (MACE) 20% vs. UC. The primary outcome is first occurrence of MACE as death, nonfatal MI, nonfatal stroke/transient ischemic attack (TIA) or hospitalization for heart failure or angina. Secondary outcomes include quality of life, time to "return to duty"/work, health resource consumption, angina, cardiovascular (CV) death and primary outcome components. Events will be adjudicated by an experienced Clinical Events Committee (CEC). Follow-up was planned to be 3-years using 50 sites: primarily VA and Active Duty Military Hospitals/Clinics and a National Patient-Centered Clinical Research Network (PCORnet) clinical data research network (CDRN)(OneFlorida Consortium). The number of sites were increased and follow up was modified to continue until the last patient enrolled was followed until trial follow up was completed. Recruitment was complete January 6, 2024. This study is being conducted to determine whether intensive medication treatment to modify risk factors and vascular function in women patients with coronary arteries showing no flow limit obstruction but with cardiac symptoms (i.e., chest pain, shortness of breath) will reduce the patient's likelihood of dying, having a heart attack, stroke/TIA or being hospitalized for cardiac reasons. The results will provide evidence data necessary to inform future guidelines regarding how best to treat this growing population of patients, and ultimately improve the patient's cardiac health and quality of life and reduce health-care costs.
- Status (registry)
- Active, not recruiting
- Phase (registry)
- Phase 4
- Study type
- Interventional
- Enrollment
- 2476 (actual)
- First submitted
- 24 Jan 2018
- Start date
- 9 Feb 2018
- Primary completion date
- 31 May 2024
- Lead sponsor
- Cedars-Sinai Medical Center
- Diseases
- Coronary artery disease
- NCT number
- NCT03417388
What you commit to
- Study type: Interventional · Phase 4
- Participants enrolled: 2476
- From 9 Feb 2018 to the primary completion date, 31 May 2024
- 80 sites in 2 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
- Documented acute coronary syndrome(ACS) within previous 30 days
- Stroke within previous 180 days or intracranial hemorrhage at any time
- Prior intolerance to both an ACE-I and ARB
- Pregnancy (all pre-menopausal females must have negative urine pregnancy test if randomized to IMT before study drugs are prescribed. If they have not gone through menopause, had a hysterectomy, oophorectomy, or sterilization such as tubal ligation procedure)
Other illness
- History of noncompliance (with medical therapy, protocol, or follow-up)
- History of non-ischemic dilated or hypertrophic cardiomyopathy
- Severe valvular disease or likely to require surgery/Transcatheter aortic valve replacement (TVAR) within 3 years
Lab values
- Left ventricular ejection fraction (LVEF) \<40%, New York Heart Association heart failure (NYHA HF) class III-IV, or hospitalization for Reduced ejection fraction (HFrEF) within 180 days
- End-stage renal disease, on dialysis, or estimated glomerular filtration rate (eGFR) \<30 ml/min.
Other
- Life expectancy \<3-yrs. due to non-cardiovascular comorbidity
- Enrolled in a competing clinical trial
- If intolerant to a statin unless taking a PCSK9 as a statin replacement by their clinical provider
Who the study is looking for
- Signs and symptoms of suspected ischemia prompting referral for further evaluation by cardiac catheterization or coronary angiogram or coronary CT angiogram within 5 years from consent
- Willing to provide written informed consent
- Non-obstructive CAD defined as 0 to 49% diameter reduction of a major epicardial vessel or a FFR\>0.80
Age in the registry: 18 years to 100 years · Sex: Female · Does not accept healthy volunteers
Sites (80)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| VA Caribbean Healthcare System Coordinator of this site? Confirm its status | San Juan | Puerto Rico | Unknown status |
| Peak Clinical Trials, LLC Coordinator of this site? Confirm its status | Apex | United States | Unknown status |
| Emory University Coordinator of this site? Confirm its status | Atlanta | United States | Unknown status |
| Seton Heart Institute Coordinator of this site? Confirm its status | Austin | United States | Unknown status |
| Austin Heart Coordinator of this site? Confirm its status | Austin | United States | Unknown status |
| Walter Reed National Military Medical Center Coordinator of this site? Confirm its status | Bethesda | United States | Unknown status |
| Western Kentucky Heart And Lung Coordinator of this site? Confirm its status | Bowling Green | United States | Unknown status |
| University of Virginia Health System Coordinator of this site? Confirm its status | Charlottesville | United States | Unknown status |
| Loyola University Chicago Coordinator of this site? Confirm its status | Chicago | United States | Unknown status |
| Trihealth Heart Institute Coordinator of this site? Confirm its status | Cincinnati | United States | Unknown status |
| The Christ Hospital Coordinator of this site? Confirm its status | Cincinnati | United States | Unknown status |
| Clearwater Cardiovascular Consultants Clinical Research Coordinator of this site? Confirm its status | Clearwater | United States | Unknown status |
| Bassett Healthcare Network Coordinator of this site? Confirm its status | Cooperstown | United States | Unknown status |
| South Palm Cardiovascular Research Institute Coordinator of this site? Confirm its status | Delray Beach | United States | Unknown status |
| Essentia Institute of Rural Health Coordinator of this site? Confirm its status | Duluth | United States | Unknown status |
| Midwest Cardiovascular Research and Education Foundation Coordinator of this site? Confirm its status | Elkhart | United States | Unknown status |
| Medicoricium Coordinator of this site? Confirm its status | Fairview Heights | United States | Unknown status |
| Brooke Army Medical Center Coordinator of this site? Confirm its status | Fort Sam Houston | United States | Unknown status |
| Lutheran Health Physicians Coordinator of this site? Confirm its status | Fort Wayne | United States | Unknown status |
| Spring Hill Cardiology Coordinator of this site? Confirm its status | Gainesville | United States | Unknown status |
| Internal Medicine at UF Health Medical Plaza Coordinator of this site? Confirm its status | Gainesville | United States | Unknown status |
| Family Medicine at Eastside Community Practice Coordinator of this site? Confirm its status | Gainesville | United States | Unknown status |
| Internal Medicine at Tower Hill Coordinator of this site? Confirm its status | Gainesville | United States | Unknown status |
| Malcom Randall VA Medical Center Coordinator of this site? Confirm its status | Gainesville | United States | Unknown status |
| Family Medicine at Old Town (Adults and Peds) Coordinator of this site? Confirm its status | Gainesville | United States | Unknown status |
| Cardiovascular Clinic at UF Health UF Coordinator of this site? Confirm its status | Gainesville | United States | Unknown status |
| Family Medicine at Haile Plantation (Adults & Peds) Coordinator of this site? Confirm its status | Gainesville | United States | Unknown status |
| Family Medicine at 4th Ave Coordinator of this site? Confirm its status | Gainesville | United States | Unknown status |
| Family Medicine at Hampton Oaks Medical Plaza (Adults and Peds) Coordinator of this site? Confirm its status | Gainesville | United States | Unknown status |
| Dignity Health-Mercy Gilbert Medical Center Coordinator of this site? Confirm its status | Gilbert | United States | Unknown status |
| Silver State Cardiology Coordinator of this site? Confirm its status | Henderson | United States | Unknown status |
| Naval Hospital Jacksonville Coordinator of this site? Confirm its status | Jacksonville | United States | Unknown status |
| Mayo Clinic- Jacksonville Coordinator of this site? Confirm its status | Jacksonville | United States | Unknown status |
| Baptist Health Coordinator of this site? Confirm its status | Jacksonville | United States | Unknown status |
| University of Florida - Jacksonville Coordinator of this site? Confirm its status | Jacksonville | United States | Unknown status |
| UF Primary Care at Lake City West Coordinator of this site? Confirm its status | Lake City | United States | Unknown status |
| UF Primary Care at Lake City SW Coordinator of this site? Confirm its status | Lake City | United States | Unknown status |
| University of Kentucky Coordinator of this site? Confirm its status | Lexington | United States | Unknown status |
| The Research Group of Lexington LLC Coordinator of this site? Confirm its status | Lexington | United States | Unknown status |
| University of Arkansas Coordinator of this site? Confirm its status | Little Rock | United States | Unknown status |
| Cedars-Sinai Heart Institute Coordinator of this site? Confirm its status | Los Angeles | United States | Unknown status |
| UCLA Medical Center Coordinator of this site? Confirm its status | Los Angeles | United States | Unknown status |
| Charles H. Croft MDPA Coordinator of this site? Confirm its status | Melbourne | United States | Unknown status |
| Mid Michigan Health Coordinator of this site? Confirm its status | Midland | United States | Unknown status |
| Minneapolis Heart Institute Foundation Coordinator of this site? Confirm its status | Minneapolis | United States | Unknown status |
| Cardiology Associates of Mobile, Inc. Coordinator of this site? Confirm its status | Mobile | United States | Unknown status |
| West Virginia University Coordinator of this site? Confirm its status | Morgantown | United States | Unknown status |
| Daytona Heart Group Coordinator of this site? Confirm its status | Multiple Locations | United States | Unknown status |
| Southwest Florida Research Institute Coordinator of this site? Confirm its status | Naples | United States | Unknown status |
| NYU Langone Coordinator of this site? Confirm its status | New York | United States | Unknown status |
| Weil Medical college of Cornell Coordinator of this site? Confirm its status | New York | United States | Unknown status |
| Ocala Research Institute, Inc Coordinator of this site? Confirm its status | Ocala | United States | Unknown status |
| Cardiovascular Instititute of Central Florida Coordinator of this site? Confirm its status | Ocala | United States | Unknown status |
| CHI Health Research Center Coordinator of this site? Confirm its status | Omaha | United States | Unknown status |
| Orlando Health Coordinator of this site? Confirm its status | Orlando | United States | Unknown status |
| Midwest Heart and Vascular Specialists Coordinator of this site? Confirm its status | Overland Park | United States | Unknown status |
| Naval Hospital Pensacola Coordinator of this site? Confirm its status | Pensacola | United States | Unknown status |
| Dignity Health-St. Joseph Coordinator of this site? Confirm its status | Phoenix | United States | Unknown status |
| Pinehurst Medical Clinic Coordinator of this site? Confirm its status | Pinehurst | United States | Unknown status |
| Berkshire Medical Center Coordinator of this site? Confirm its status | Pittsfield | United States | Unknown status |
| Chippenham Hospital Coordinator of this site? Confirm its status | Richmond | United States | Unknown status |
| Jamaica Hospital Medical Center Coordinator of this site? Confirm its status | Richmond Hill | United States | Unknown status |
| The Valley Hospital Coordinator of this site? Confirm its status | Ridgewood | United States | Unknown status |
| Carilion Clinic Coordinator of this site? Confirm its status | Roanoke | United States | Unknown status |
| San Antonio Endovascular and Heart Institute Coordinator of this site? Confirm its status | San Antonio | United States | Unknown status |
| Cardiovascular Center of Sarasota Coordinator of this site? Confirm its status | Sarasota | United States | Unknown status |
| Advent Sebring Coordinator of this site? Confirm its status | Sebring | United States | Unknown status |
| Heart House Research Foundation Coordinator of this site? Confirm its status | Springfield | United States | Unknown status |
| BayCare Medical Group Coordinator of this site? Confirm its status | Tampa | United States | Unknown status |
| Interventional Cardiac Consultants Coordinator of this site? Confirm its status | Tampa | United States | Unknown status |
| James A. Haley Veterans Hospital Coordinator of this site? Confirm its status | Tampa | United States | Unknown status |
| AdventHealth Tampa - Pepin Heart Institute Coordinator of this site? Confirm its status | Tampa | United States | Unknown status |
| Baylor Scott and White Coordinator of this site? Confirm its status | Temple | United States | Unknown status |
| Cardiovascular Consultants of South Georgia, LLC Coordinator of this site? Confirm its status | Thomasville | United States | Unknown status |
| Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center Coordinator of this site? Confirm its status | Torrance | United States | Unknown status |
| University of Arizona Coordinator of this site? Confirm its status | Tucson | United States | Unknown status |
| Cardiology Associates Research, LLc Coordinator of this site? Confirm its status | Tupelo | United States | Unknown status |
| Carle Foundation Hospital Coordinator of this site? Confirm its status | Urbana | United States | Unknown status |
| Georgetown University Coordinator of this site? Confirm its status | Washington D.C. | United States | Unknown status |
| Guardian Research Coordinator of this site? Confirm its status | Winter Park | United States | Unknown status |
This page is information, not medical advice. Discuss any trial with your doctor.