REvascularization CHoices Among Under-Represented Groups Evaluation: The RECHARGE Trial - Minorities

NCT ID: NCT06399705

Last Updated: 2025-10-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

600 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-10-02

Study Completion Date

2039-01-01

Brief Summary

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This is a research study in minorities to compare the outcomes of two procedures that restore blood flow to the arteries of the heart. In one procedure the blockages are ballooned and then stented with a small wire mesh tube through a small incision in the wrist or the groin. The other procedure is an open-heart operation in which healthy blood vessels from inside the chest, leg, and/or forearm are used to "bypass" the blockages (like a detour). Outcomes will be measured by comparing survival and improvement in quality-of-life.

Detailed Description

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The RECHARGE: Minorities Trial is a multicenter, 1:1 randomized, open-label superiority trial.

Patients meeting the eligibility criteria for whom there is equipoise for revascularization with CABG and PCI, as determined by the local Heart Team, will be included. Participants will be followed for 5-10 years. Telephone follow-up will be conducted by the a central follow-up coordinating center at 30 days, 3 months, 6 months, and thereafter every 6 months through 36 months post-randomization. After 36 months, follow-up will be performed every year (48, 60, 72, 84, 96, 108, 120 months). A repeat transthoracic echocardiogram and blood draw for serum creatinine, hemoglobin and lipids should be performed at 1 year, as per standard of care, at either an out-patient facility or in a hospital.

Conditions

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Coronary Artery Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors
The researchers and most study personnel (including those from the QOL follow-up center and events assessors, clinical events committee and angiographic core laboratory) will be blinded to allocated treatment.

Study Groups

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RECHARGE: Minorities - CABG

Group Type OTHER

Coronary artery bypass grafting

Intervention Type PROCEDURE

Coronary artery bypass grafting (CABG), also called heart bypass surgery, is a medical procedure to improve blood flow to the heart.

RECHARGE: Minorities - PCI

Group Type OTHER

Percutaneous coronary intervention

Intervention Type PROCEDURE

Percutaneous coronary intervention (PCI) is a non-surgical procedure used to treat the blockages in a coronary artery; it opens up narrowed or blocked sections of the artery, restoring blood flow to the heart

Interventions

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Coronary artery bypass grafting

Coronary artery bypass grafting (CABG), also called heart bypass surgery, is a medical procedure to improve blood flow to the heart.

Intervention Type PROCEDURE

Percutaneous coronary intervention

Percutaneous coronary intervention (PCI) is a non-surgical procedure used to treat the blockages in a coronary artery; it opens up narrowed or blocked sections of the artery, restoring blood flow to the heart

Intervention Type PROCEDURE

Other Intervention Names

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CABG PCI

Eligibility Criteria

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Inclusion Criteria

1. Patient must identify as a minority
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 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 Current participation in another investigational drug or device study that has not reached its primary endpoint Life-expectancy less than 3 years due to concomitant non-cardiac conditions 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.)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Patient-Centered Outcomes Research Institute

OTHER

Sponsor Role collaborator

Icahn School of Medicine at Mount Sinai

OTHER

Sponsor Role collaborator

Weill Medical College of Cornell University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mario Gaudino, MD, PhD, MSCE, FEBCTS, FACC

Role: PRINCIPAL_INVESTIGATOR

Weill Medical College of Cornell University

Gregg Stone, MD, FACC, MSCAI

Role: PRINCIPAL_INVESTIGATOR

Icahn School of Medicine at Mount Sinai

Locations

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Adventist Health Glendale

Glendale, California, United States

Site Status RECRUITING

Emory University

Atlanta, Georgia, United States

Site Status RECRUITING

Ascension St. Vincent Cardiovascular Research Institute

Carmel, Indiana, United States

Site Status RECRUITING

Baptist Health Lexington

Lexington, Kentucky, United States

Site Status RECRUITING

Baptist Health Louisville

Louisville, Kentucky, United States

Site Status RECRUITING

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Englewood Hospital

Englewood, New Jersey, United States

Site Status RECRUITING

NewYork-Presbyterian Hospital - Queens

Flushing, New York, United States

Site Status RECRUITING

Icahn School of Medicine - Mount Sinai Morningside

New York, New York, United States

Site Status RECRUITING

Icahn School of Medicine - Mount Sinai Hospital

New York, New York, United States

Site Status RECRUITING

Columbia University Irving Medical Center/NewYork-Presbyterian Hospital

New York, New York, United States

Site Status RECRUITING

Weill Cornell Medicine/NewYork-Presbyterian Hospital

New York, New York, United States

Site Status RECRUITING

Westchester Medical Center

Valhalla, New York, United States

Site Status RECRUITING

Duke University

Durham, North Carolina, United States

Site Status RECRUITING

Ohio State University

Columbus, Ohio, United States

Site Status RECRUITING

Methodist Le Bonheur Healthcare

Memphis, Tennessee, United States

Site Status RECRUITING

Ascension Saint Thomas Hospital

Nashville, Tennessee, United States

Site Status RECRUITING

Baylor Scott and White

Dallas, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Mario Gaudino, MD, PhD, MSCE, FEBCTS, FACC

Role: CONTACT

Gregg Stone, MD, FACC, MSCAI

Role: CONTACT

Other Identifiers

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23-11026800 - 2

Identifier Type: -

Identifier Source: org_study_id

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