Comparing heart procedures for women with coronary artery disease
REvascularization CHoices Among Under-Represented Groups Evaluation: The RECHARGE Trial - Women
This study is testing which heart procedure, ballooning and stenting or open-heart surgery, works better for women with coronary artery disease to improve their health and quality of life.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Enrollment | 600 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Weill Medical College of Cornell University Academic / other |
| Locations | 18 sites (Glendale, California and 17 other locations) |
| Trial ID | NCT06399692 on ClinicalTrials.gov |
What this trial studies
This trial evaluates two procedures for restoring blood flow in women with coronary artery disease: percutaneous coronary intervention (PCI), which involves ballooning and stenting blockages, and coronary artery bypass grafting (CABG), an open-heart surgery that uses healthy blood vessels to bypass blockages. It is a multicenter, randomized trial where participants will be followed for 5-10 years to assess survival rates and quality of life improvements. The study aims to provide insights into the best revascularization options for women, a group often underrepresented in cardiovascular research.
Who should consider this trial
Good fit: Ideal candidates are women aged 18 and older with multivessel or left main coronary artery disease who are eligible for either CABG or PCI.
Not a fit: Patients with recent heart attacks, severe heart conditions, or those requiring other cardiac procedures may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to improved treatment options and outcomes for women with coronary artery disease.
How similar studies have performed: Other studies have shown success in comparing these revascularization techniques, but this trial specifically focuses on women, making it a novel approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Female sex 2. Patient is at least 18 years old. 3. Multivessel or left main CAD is present for which revascularization is intended and for which there is equipoise between CABG and PCI according to local Heart Team assessment. 4. Ability to provide written informed consent and comply with all follow-up procedures, including QOL questionnaires. Exclusion Criteria: 1. ST-segment elevation MI within 3 days 2. Cardiogenic shock 3. Prior PCI within 1 year or any prior CABG anytime 4. Planned hybrid revascularization (PCI after CABG or CABG after PCI) 5. Planned single vessel revascularization (other than isolated left main disease) 6. Need for any cardiac surgical or interventional procedure other than coronary revascularization at the present time or anticipated within 3 years 7. Pregnancy (women of child-bearing potential must have a negative pregnancy test within 1 week before randomization) or intent to become pregnant within 1 year after randomization 8. Unable to tolerate, obtain or comply with dual antiplatelet therapy for at least 3 months if presentation with stable CAD or 6 months if presentation with a troponin-positive acute coronary syndrome 9. Current participation in another investigational drug or device study that has not reached its primary endpoint 10. Life-expectancy less than 3 years due to concomitant non-cardiac conditions 11. Any condition(s) are present that are likely to interfere with the study protocol procedures including medication adherence and follow-up through 10 years (e.g. mental disability, substance abuse, anticipated international relocation, etc.)
Where this trial is running
Glendale, California and 17 other locations
- Adventist Health Glendale — Glendale, California, United States (Recruiting)
- Emory University — Atlanta, Georgia, United States (Recruiting)
- Ascension St. Vincent Cardiovascular Research Institute — Carmel, Indiana, United States (Recruiting)
- Baptist Health Lexington — Lexington, Kentucky, United States (Recruiting)
- Baptist Health Louisville — Louisville, Kentucky, United States (Recruiting)
- Massachusetts General Hospital — Boston, Massachusetts, United States (Recruiting)
- Englewood Hospital — Englewood, New Jersey, United States (Recruiting)
- NewYork-Presbyterian Hospital - Queens — Flushing, New York, United States (Recruiting)
- Icahn School of Medicine - Mount Sinai Morningside — New York, New York, United States (Recruiting)
- Icahn School of Medicine - Mount Sinai Hospital — New York, New York, United States (Recruiting)
- Columbia University Irving Medical Center/NewYork-Presbyterian Hospital — New York, New York, United States (Recruiting)
- Weill Cornell Medicine / NYPH — New York, New York, United States (Recruiting)
- Westchester Medical Center — Valhalla, New York, United States (Recruiting)
- Duke University — Durham, North Carolina, United States (Recruiting)
- Ohio State University — Columbus, Ohio, United States (Recruiting)
- Methodist Le Bonheur Healthcare — Memphis, Tennessee, United States (Recruiting)
- Ascension Saint Thomas Hospital — Nashville, Tennessee, United States (Recruiting)
- Baylor Scott and White — Dallas, Texas, United States (Recruiting)
Study contacts
- Principal investigator: Mario Gaudino, MD, PhD, MSCE, FEBCTS, FACC — Weill Medical College of Cornell University
- Study coordinator: Mario Gaudino, MD, PhD, MSCE, FEBCTS, FACC
- Email: mfg9004@med.cornell.edu
- Phone: 212.746.1812
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.