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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
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

Full criteria on ClinicalTrials.gov

Sites (80)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
VA Caribbean Healthcare System
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San JuanPuerto RicoUnknown status
Peak Clinical Trials, LLC
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ApexUnited StatesUnknown status
Emory University
Coordinator of this site? Confirm its status
AtlantaUnited StatesUnknown status
Seton Heart Institute
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AustinUnited StatesUnknown status
Austin Heart
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AustinUnited StatesUnknown status
Walter Reed National Military Medical Center
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BethesdaUnited StatesUnknown status
Western Kentucky Heart And Lung
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Bowling GreenUnited StatesUnknown status
University of Virginia Health System
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CharlottesvilleUnited StatesUnknown status
Loyola University Chicago
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ChicagoUnited StatesUnknown status
Trihealth Heart Institute
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CincinnatiUnited StatesUnknown status
The Christ Hospital
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CincinnatiUnited StatesUnknown status
Clearwater Cardiovascular Consultants Clinical Research
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ClearwaterUnited StatesUnknown status
Bassett Healthcare Network
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CooperstownUnited StatesUnknown status
South Palm Cardiovascular Research Institute
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Delray BeachUnited StatesUnknown status
Essentia Institute of Rural Health
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DuluthUnited StatesUnknown status
Midwest Cardiovascular Research and Education Foundation
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ElkhartUnited StatesUnknown status
Medicoricium
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Fairview HeightsUnited StatesUnknown status
Brooke Army Medical Center
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Fort Sam HoustonUnited StatesUnknown status
Lutheran Health Physicians
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Fort WayneUnited StatesUnknown status
Spring Hill Cardiology
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GainesvilleUnited StatesUnknown status
Internal Medicine at UF Health Medical Plaza
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GainesvilleUnited StatesUnknown status
Family Medicine at Eastside Community Practice
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GainesvilleUnited StatesUnknown status
Internal Medicine at Tower Hill
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GainesvilleUnited StatesUnknown status
Malcom Randall VA Medical Center
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GainesvilleUnited StatesUnknown status
Family Medicine at Old Town (Adults and Peds)
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GainesvilleUnited StatesUnknown status
Cardiovascular Clinic at UF Health UF
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GainesvilleUnited StatesUnknown status
Family Medicine at Haile Plantation (Adults & Peds)
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GainesvilleUnited StatesUnknown status
Family Medicine at 4th Ave
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GainesvilleUnited StatesUnknown status
Family Medicine at Hampton Oaks Medical Plaza (Adults and Peds)
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GainesvilleUnited StatesUnknown status
Dignity Health-Mercy Gilbert Medical Center
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GilbertUnited StatesUnknown status
Silver State Cardiology
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HendersonUnited StatesUnknown status
Naval Hospital Jacksonville
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JacksonvilleUnited StatesUnknown status
Mayo Clinic- Jacksonville
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JacksonvilleUnited StatesUnknown status
Baptist Health
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JacksonvilleUnited StatesUnknown status
University of Florida - Jacksonville
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JacksonvilleUnited StatesUnknown status
UF Primary Care at Lake City West
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Lake CityUnited StatesUnknown status
UF Primary Care at Lake City SW
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Lake CityUnited StatesUnknown status
University of Kentucky
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LexingtonUnited StatesUnknown status
The Research Group of Lexington LLC
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LexingtonUnited StatesUnknown status
University of Arkansas
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Little RockUnited StatesUnknown status
Cedars-Sinai Heart Institute
Coordinator of this site? Confirm its status
Los AngelesUnited StatesUnknown status
UCLA Medical Center
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Los AngelesUnited StatesUnknown status
Charles H. Croft MDPA
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MelbourneUnited StatesUnknown status
Mid Michigan Health
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MidlandUnited StatesUnknown status
Minneapolis Heart Institute Foundation
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MinneapolisUnited StatesUnknown status
Cardiology Associates of Mobile, Inc.
Coordinator of this site? Confirm its status
MobileUnited StatesUnknown status
West Virginia University
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MorgantownUnited StatesUnknown status
Daytona Heart Group
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Multiple LocationsUnited StatesUnknown status
Southwest Florida Research Institute
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NaplesUnited StatesUnknown status
NYU Langone
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New YorkUnited StatesUnknown status
Weil Medical college of Cornell
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New YorkUnited StatesUnknown status
Ocala Research Institute, Inc
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OcalaUnited StatesUnknown status
Cardiovascular Instititute of Central Florida
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OcalaUnited StatesUnknown status
CHI Health Research Center
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OmahaUnited StatesUnknown status
Orlando Health
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OrlandoUnited StatesUnknown status
Midwest Heart and Vascular Specialists
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Overland ParkUnited StatesUnknown status
Naval Hospital Pensacola
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PensacolaUnited StatesUnknown status
Dignity Health-St. Joseph
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PhoenixUnited StatesUnknown status
Pinehurst Medical Clinic
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PinehurstUnited StatesUnknown status
Berkshire Medical Center
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PittsfieldUnited StatesUnknown status
Chippenham Hospital
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RichmondUnited StatesUnknown status
Jamaica Hospital Medical Center
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Richmond HillUnited StatesUnknown status
The Valley Hospital
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RidgewoodUnited StatesUnknown status
Carilion Clinic
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RoanokeUnited StatesUnknown status
San Antonio Endovascular and Heart Institute
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San AntonioUnited StatesUnknown status
Cardiovascular Center of Sarasota
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SarasotaUnited StatesUnknown status
Advent Sebring
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SebringUnited StatesUnknown status
Heart House Research Foundation
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SpringfieldUnited StatesUnknown status
BayCare Medical Group
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TampaUnited StatesUnknown status
Interventional Cardiac Consultants
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TampaUnited StatesUnknown status
James A. Haley Veterans Hospital
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TampaUnited StatesUnknown status
AdventHealth Tampa - Pepin Heart Institute
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TampaUnited StatesUnknown status
Baylor Scott and White
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TempleUnited StatesUnknown status
Cardiovascular Consultants of South Georgia, LLC
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ThomasvilleUnited StatesUnknown status
Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center
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TorranceUnited StatesUnknown status
University of Arizona
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TucsonUnited StatesUnknown status
Cardiology Associates Research, LLc
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TupeloUnited StatesUnknown status
Carle Foundation Hospital
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UrbanaUnited StatesUnknown status
Georgetown University
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Washington D.C.United StatesUnknown status
Guardian Research
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Winter ParkUnited StatesUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.