Actively Recruiting

Phase 4
Age: 65Years +
All Genders
NCT05786417

LIVEBETTER: A Trial Comparing Medications in Older Adults With Stable Angina and Multiple Chronic Conditions

Led by Yale University · Updated on 2026-04-07

741

Participants Needed

10

Research Sites

211 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

To establish the effectiveness and tolerability of standard of care anti-anginal treatment (beta-blocker and calcium channel blocker medications) in older adults with symptomatic Stable Ischemic Heart Disease (SIHD) and multiple chronic conditions (MCC).

CONDITIONS

Official Title

LIVEBETTER: A Trial Comparing Medications in Older Adults With Stable Angina and Multiple Chronic Conditions

Who Can Participate

Age: 65Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 65 years or older
  • Have two or more chronic conditions as defined by the Centers for Medicare and Medicaid Services
  • Diagnosed with symptomatic Stable Ischemic Heart Disease with plans to start medical therapy, confirmed by positive non-invasive testing, coronary angiography with significant stenosis, or invasive physiologic testing
  • Caregivers must be 18 years or older and identified as a caregiver of a LIVEBETTER participant
Not Eligible

You will not qualify if you...

  • Currently taking both a beta-blocker and a calcium channel blocker
  • Contraindications to beta-blockers or calcium channel blockers such as significant low blood pressure, high grade AV block, severe symptomatic slow heart rate, or severe obstructive lung disease
  • Documented intolerance to beta-blockers or calcium channel blockers
  • High-risk coronary artery disease requiring immediate complete revascularization
  • Plans for complete revascularization within 2 weeks
  • Clear clinical need for beta-blockers or calcium channel blockers that prevents dose changes or switching
  • Recent acute coronary syndrome with reduced ejection fraction or heart failure with reduced ejection fraction within the past year
  • Participation in another clinical trial involving investigational treatments
  • Primary language other than English or Spanish
  • Unable to complete follow-up due to limited life expectancy or impaired decision-making
  • Previously enrolled in LIVEBETTER
  • Refused informed consent
  • Caregivers who are professional paid caregivers
  • Caregivers with primary language other than English or Spanish
  • Caregivers unable to complete follow-up
  • Caregivers previously enrolled in LIVEBETTER
  • Caregivers who refused informed consent

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 10 locations

1

Yale School of Medicine

New Haven, Connecticut, United States, 06520

Actively Recruiting

2

Wellstar Research Institute

Marietta, Georgia, United States, 30060

Actively Recruiting

3

Cook County Health

Chicago, Illinois, United States, 60612

Actively Recruiting

4

Brigham and Women's Hospital

Boston, Massachusetts, United States, 02115

Actively Recruiting

5

Mt. Sinai Health System

New York, New York, United States, 10029

Actively Recruiting

6

NYC Health and Hospitals, Harlem Hospital

New York, New York, United States, 10037-1802

Not Yet Recruiting

7

Nirvana Integrative Medicine

New York, New York, United States, 10469

Actively Recruiting

8

Duke University, School of Medicine

Durham, North Carolina, United States, 27710

Actively Recruiting

9

Cleveland Clinic

Cleveland, Ohio, United States, 44195

Not Yet Recruiting

10

Inova Health Care Services

Fairfax, Virginia, United States, 22033

Actively Recruiting

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Research Team

M

Michael Nanna, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

SUPPORTIVE_CARE

Number of Arms

2

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