Clinical trial Recruiting at 1 site Interventional Ages 50 and up

Exercise training for patients with chest pain and no blocked arteries

Official title: Ischemia With No Obstruction of Coronary Arteries: Underlying Mechanisms and the Impact of Exercise Training (EXINOCA)

Run by Bispebjerg Hospital · NCT06529848 · Data updated 2026-11-12

This study tests if regular aerobic exercise can help people with chest pain but no blocked arteries feel better by improving blood flow in their heart and other organs.

More Coronary Microvascular Dysfunction trials

Quick facts

Study typeInterventional
Ages50 Years and up
SexAll
Enrollment100 (estimated)
SponsorBispebjerg Hospital
Academic / other
Locations2 sites (Copenhagen and 1 other locations)
StatusRecruiting
StartedNovember 1, 2024
Main results expectedOctober 30, 2027
Study endsMay 15, 2028
Registry record updatedFebruary 21, 2025
Trial IDNCT06529848 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are patients diagnosed with coronary microvascular dysfunction and no obstructive coronary artery disease.

Probably not a fit

Patients with heart failure, uncontrolled hypertension, or those unable to exercise will not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study investigates the causes of chest pain in patients who have no signs of coronary artery blockage, focusing on coronary microvascular dysfunction. It aims to determine whether regular aerobic exercise can improve microvascular function in the heart and other organs, potentially alleviating symptoms. The study is a randomized controlled trial involving 100 patients, who will be assigned to either an exercise training group or a control group. The primary outcome measured will be coronary microvascular function, with secondary outcomes including symptom relief and microvascular function in other tissues.

Why it matters

Potential benefit: If successful, this study could provide a non-invasive treatment option for patients suffering from chest pain due to microvascular dysfunction.

How similar studies have gone: While the specific approach of this study is novel, there is existing evidence suggesting that exercise can improve vascular function in other contexts.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Coronary microvascular dysfunction, defined as myocardial bloodflow reserve (MBFR) \< 2.5 or hyperemic myocar-dial blood flow (hMBF)\<2.3 ml/g/min using \[15O\]H2O-PET
* No obstructive coronary artery disease

Exclusion Criteria:

* Females of childbearing potential (defined as a premeno-pausal female capable of becoming pregnant). The female patient must either be postmenopausal, defined as amen-orrhea for at least 1 year, or surgically sterile
* Heart failure, defined as left ventricular ejection fraction of less than 40%
* Uncontrolled hypertension defined as blood pressure above target 140/90 for all
* Co-morbidity resulting in \<1 year expected survival
* Considered by the investigator, for any reason, to be an un-suitable candidate for the study.
* Unable or unwilling to exercise, e.g. due to arthritis or in-jury\*
* Already are regularly physically active and/or have a maxi-mal oxygen uptake \>45 ml/kg/min

Where it's running

  • Frederiksberg Hospital, Dept. of Cardiology, Building 16, Y3, Nordre Fasanvej 57
    Frederiksberg, Denmark
    Recruiting
  • Frederiksberg Hospital, Dept. of Cardiology, Building 16, Y3, Nordre Fasanvej 57, Frederiksberg, Denmark, 2000
    Copenhagen, Denmark
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.