Coronary disease & ACS

Zibotentan in Microvascular Angina: A Randomized, Placebo-Controlled, Crossover Trial

CirculationPublished Randomised controlled trial

Primary resultResult — go to the resultBetween-treatment difference −4.26 seconds 95% CI −19.60 to 11.06

Authors' conclusion

Among patients with microvascular angina, short-term treatment with a relatively high dose (10 mg daily) of zibotentan was not beneficial. Target-related adverse effects were common.

Study context

Population
Patients with microvascular angina103 with complete data
Participants
118 patients
Comparison
Zibotentan vs placebo
Primary endpoint
Treadmill exercise duration (seconds), Bruce protocol; mean within-participant difference
Methodological detailsdouble-blind, placebo-controlled, sequential crossover, enriched for RS9349379 G allele
  • Double-blind
  • Placebo-controlled
  • Sequential crossover
  • Enriched for RS9349379 G allele

Primary result

As reported in the abstract

Between-treatment difference

−4.26 seconds

95% CI −19.60 to 11.06

P = 0.5871

Zibotentanvs Placebo
between-treatment difference −4.26 seconds (95% CI −19.60 to 11.06); P = 0.5871

Secondary outcomes

Secondary outcomes

No improvement with zibotentan

BP and plasma ET-1

Zibotentan reduced BP and increased plasma ET-1

Safety

Adverse events

P < 0.001

Original publication

Zibotentan in Microvascular Angina: A Randomized, Placebo-Controlled, Crossover Trial. Circulation. Published 1 September 2024. doi:10.1161/circulationaha.124.069901

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