NCT07476040Recruiting
Improved Management of Patients With Recent-Onset Stable Chest Pain
A Pragmatic, Cluster-randomised Stepped-wedge Trial to Evaluate the Effectiveness of a New Cross-sectoral Form of Care (NVF) in Patients With New-onset Stable Chest Pain and Suspected Coronary Artery Disease (CAD).
Source: ClinicalTrials.gov · Last updated 7 Apr 2026
Brief summary (registry, in English)
In Germany, coronary CT offers an accurate and less burdensome alternative to cardiac catheterisation for evaluating suspected coronary artery disease, but it is still underused. The IMPRO stepped-wedge trial tests a new, nationwide care model (NVF) in 16 regions to improve guideline-based intersectoral implementation of coronary CT and assess its impact on cardiovascular outcomes and healthcare costs. If effective, the model of care (NVF) could be adopted across Germany to enhance care quality while reducing unnecessary procedures and expenses.
- Status (registry)
- Recruiting
- Study type
- Interventional
- Enrollment
- 3369 (estimated)
- First submitted
- 10 Mar 2026
- Start date
- 1 Apr 2026
- Primary completion date
- Mar 2028
- Lead sponsor
- Philipps University Marburg
- Diseases
- Coronary artery disease
- NCT number
- NCT07476040
What you commit to
- Study type: Interventional
- Planned participants: 3369
- From 1 Apr 2026 to the primary completion date, Mar 2028
- 39 sites in 1 country
- 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
- Known or previously treated (with PCI or CABG) obstructive CAD (defined as at least one coronary diameter stenosis ≥50%)
Other illness
- Acute coronary syndrome
Other
- Negative invasive coronary angiography or coronary CT within the last 5 years
- Already enrolled in the study
- Not covered by statutory health insurance
- Unable to give consent
Who the study is looking for
- Age ≥30 years
- Suspected CAD with stable chest pain
- Ability to give informed consent
Age in the registry: 30 years to - · Sex: All · Does not accept healthy volunteers
Sites (39)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Universitätsklinikum Augsburg, Diagnostische und Interventionelle Radiologie und Neuroradiologie Coordinator of this site? Confirm its status | Augsburg | Germany | Recruiting |
| Universitätsklinikum Augsburg, Institut für Allgemeinmedizin Coordinator of this site? Confirm its status | Augsburg | Germany | Recruiting |
| RHOEN-Klinikum AG, Campus Bad Neustadt, Klinik für Radiologie Coordinator of this site? Confirm its status | Bad Neustadt an der Saale | Germany | Recruiting |
| Charité-Universitätsmedizin Berlin, Institut für Allgemeinmedizin Coordinator of this site? Confirm its status | Berlin | Germany | Recruiting |
| Charité - Universitätsmedizin Berlin, Klinik für Radiologie Coordinator of this site? Confirm its status | Berlin | Germany | Recruiting |
| Universitätsklinikum Köln, Institut für Allgemeinmedizin Coordinator of this site? Confirm its status | Cologne | Germany | Recruiting |
| Uniklinik Köln, Institut für Diagnostische und Interventionelle Radiologie Coordinator of this site? Confirm its status | Cologne | Germany | Recruiting |
| Universitätsklinikum Düsseldorf, Institut für Diagnostische und Interventionelle Radiologie Coordinator of this site? Confirm its status | Düsseldorf | Germany | Recruiting |
| Universitätsklinikum Düsseldorf, Institut für Allgemeinmedizin (ifam) Coordinator of this site? Confirm its status | Düsseldorf | Germany | Recruiting |
| Röntgeninstitut Coordinator of this site? Confirm its status | Düsseldorf | Germany | Recruiting |
| Universitätsklinikum Erlangen, Radiologisches Institut Coordinator of this site? Confirm its status | Erlangen | Germany | Recruiting |
| Universitätsklinikum Erlangen, Allgemeinmedizinisches Institut Coordinator of this site? Confirm its status | Erlangen | Germany | Recruiting |
| Goethe-Universität Frankfurt am Main, Institut für Allgemeinmedizin Coordinator of this site? Confirm its status | Frankfurt | Germany | Recruiting |
| Universitätsklinikum Gießen, Diagnostische und Interventionelle Radiologie und Kinderradiologie Coordinator of this site? Confirm its status | Giessen | Germany | Recruiting |
| Georg-August-Universität Göttingen, Universitätsmedizin, Institut für Diagnostische und Interventionelle Radiologie Coordinator of this site? Confirm its status | Göttingen | Germany | Recruiting |
| Universitätsmedizin Göttingen, Institut für Allgemeinmedizin Coordinator of this site? Confirm its status | Göttingen | Germany | Recruiting |
| Universitätsmedizin Greifswald, Institut für Community Medicine, Abt. Allgemeinmedizin Coordinator of this site? Confirm its status | Greifswald | Germany | Recruiting |
| Radiologische Allianz Hamburg Coordinator of this site? Confirm its status | Hamburg | Germany | Recruiting |
| Universitätsklinikum Hamburg-Eppendorf, Institut und Poliklinik für Allgemeinmedizin Coordinator of this site? Confirm its status | Hamburg | Germany | Recruiting |
| Institut für Allgemeinmedizin des Universitätsklinikums Jena Coordinator of this site? Confirm its status | Jena | Germany | Recruiting |
| Universitätsklinikum Jena, Institut für Diagnostische und Interventionelle Radiologie Coordinator of this site? Confirm its status | Jena | Germany | Recruiting |
| Christian-Albrechts-Universität zu Kiel, Medizinische Fakultät, Institut für Allgemeinmedizin Coordinator of this site? Confirm its status | Kiel | Germany | Recruiting |
| Universitätsklinikum Schleswig-Holstein, Campus Kiel, Klinik für Radiologie und Neuroradiologie Coordinator of this site? Confirm its status | Kiel | Germany | Recruiting |
| Universitätsklinikum Leipzig, Institut für Diagnostische und Interventionelle Radiologie Coordinator of this site? Confirm its status | Leipzig | Germany | Recruiting |
| Universität Leipzig, Institut für Allgemeinmedizin Coordinator of this site? Confirm its status | Leipzig | Germany | Recruiting |
| Herzzentrum Leipzig, Abteilung für Diagnostische und Interventionelle Radiologie Coordinator of this site? Confirm its status | Leipzig | Germany | Recruiting |
| Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Institut für Allgemeinmedizin Coordinator of this site? Confirm its status | Lübeck | Germany | Recruiting |
| Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Institut für Radiologie und Nuklearmedizin Coordinator of this site? Confirm its status | Lübeck | Germany | Recruiting |
| Philipps University Marburg, Institut für Allgemeinmedizin Coordinator of this site? Confirm its status | Marburg | Germany | Recruiting |
| Universitätsmedizin Rostock, Institut für Diagnostische und Interventionelle Radiologie, Kinder- und Neuroradiologie Coordinator of this site? Confirm its status | Rostock | Germany | Recruiting |
| Universitätsmedizin Rostock, Institut für Allgemeinmedizin Coordinator of this site? Confirm its status | Rostock | Germany | Recruiting |
| Universitätsklinikum Tübingen, Institut für Allgemeinmedizin & Interprofessionelle Versorgung Coordinator of this site? Confirm its status | Tübingen | Germany | Recruiting |
| Universitätsklinikum Tübingen, Diagnostische und Interventionelle Radiologie, Department für Radiologie Coordinator of this site? Confirm its status | Tübingen | Germany | Recruiting |
| Universitätsklinikum Ulm, Institut für Allgemeinmedizin Coordinator of this site? Confirm its status | Ulm | Germany | Recruiting |
| Universitätsklinikum Ulm, Klinik für Diagnostische und Interventionelle Radiologie Coordinator of this site? Confirm its status | Ulm | Germany | Recruiting |
| RNS Gemeinschaftspraxis für Radiologie und Strahlentherapie Coordinator of this site? Confirm its status | Wiesbaden | Germany | Recruiting |
| radiomed Gemeinschaftspraxis für Radiologie und Nuklearmedizin Coordinator of this site? Confirm its status | Wiesbaden | Germany | Recruiting |
| Universität Würzburg, Institut für Allgemeinmedizin Coordinator of this site? Confirm its status | Würzburg | Germany | Recruiting |
| Universitätsklinkum Würzburg, Institut für Diagnostische und Interventionelle Radiologie Coordinator of this site? Confirm its status | Würzburg | Germany | Recruiting |
This page is information, not medical advice. Discuss any trial with your doctor.