Biomarker & Intervention Discovery

Ischemic Heart Disease / Coronary Artery Disease

This page lists 9 druggable gene targets and 15 recent clinical trials for Ischemic Heart Disease / Coronary Artery Disease, with each agent ranked by the strength of its evidence (clinical, mechanistic or correlative). Sources are linked so you can check every claim.

Disease Overview

Spontaneous remission
Not established
Best-intervention remission
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Gap size
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Primary barrier
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Biomarker Targets & Therapeutic Agents

Gene targets queried against DGIdb, Open Targets, ChEMBL, PubMed, and Europe PMC. Agents ranked: Clinical > Mechanistic > Correlative.

ACE 229AGTR1 249CRP 8F2 238IL6 173ITGB3 15LDLR 48NOS3 0PCSK9 170
Therapeutic Agent Effect Direction Evidence Tier Potency Source
SALVIANOLIC ACID B ? unclear Mechanistic
CANDOXATRIL ? unclear Mechanistic
CILAZAPRIL ↓ inhibits Mechanistic
TP0556351 ↓ inhibits Mechanistic
PRAVASTATIN SODIUM ? unclear Mechanistic
SILDENAFIL ? unclear Mechanistic
GEMFIBROZIL ? unclear Mechanistic
RESCINNAMINE ? unclear Mechanistic
SPIRAPRIL ? unclear Mechanistic
INDOMETHACIN ? unclear Mechanistic
HYDROCHLOROTHIAZIDE ? unclear Mechanistic
ARGIPRESSIN ? unclear Mechanistic
METOPROLOL ? unclear Mechanistic
DELAPRIL ↓ inhibits Mechanistic
ACETYLCHOLINE ? unclear Mechanistic
THERAPEUTIC GLUCOCORTICOID ? unclear Mechanistic
IMIDAPRIL ↓ inhibits Mechanistic
MALATHION ↓ inhibits Mechanistic
MOEXIPRIL ? unclear Mechanistic 56.0 nM (IC50)
VORINOSTAT ? unclear Mechanistic
ILEPATRIL ↓ inhibits Mechanistic
RXP470.1 ↓ inhibits Mechanistic
CGS-27023A ? unclear Mechanistic
NITROPRUSSIDE ? unclear Mechanistic
ENALAPRILAT ANHYDROUS ↓ inhibits Mechanistic 1.2 nM (IC50)
TORSEMIDE ? unclear Mechanistic
ATORVASTATIN CALCIUM TRIHYDRATE ? unclear Mechanistic
FOSINOPRIL ? unclear Mechanistic
FUROSEMIDE ? unclear Mechanistic
TEMOCAPRIL HYDROCHLORIDE ? unclear Mechanistic
BENAZEPRIL HYDROCHLORIDE ↓ inhibits Mechanistic
CARBARIL ↓ inhibits Mechanistic
BUPROPION HYDROCHLORIDE ? unclear Mechanistic
QUINAPRIL ? unclear Mechanistic 8.3 nM (IC50)
COMPOUND 1 [PMID: 24900526] ↓ inhibits Mechanistic
COMPOUND 20 [PMID: 22153340] ↓ inhibits Mechanistic
BUMETANIDE ? unclear Mechanistic
GALLOPAMIL ? unclear Mechanistic
FLUOXETINE HYDROCHLORIDE ? unclear Mechanistic
AZD6605 ↓ inhibits Mechanistic

Showing top 40 of 229 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
CANDESARTAN CILEXETIL ↓ inhibits Mechanistic
CHEMBL:CHEMBL586135 ? unclear Mechanistic
VALSARTAN ↓ inhibits Mechanistic 4700.0 nM (Ki)
EPROSARTAN MESYLATE ↓ inhibits Mechanistic
FIMASARTAN ↓ inhibits Mechanistic
ASCORBIC ACID ? unclear Mechanistic
OLMESARTAN MEDOXOMIL ↓ inhibits Mechanistic
AZILSARTAN MEDOXOMIL ↓ inhibits Mechanistic
THERAPEUTIC ANDROSTANOLONE ? unclear Mechanistic
CHEMBL:CHEMBL347610 ? unclear Mechanistic
CHEMBL:CHEMBL421088 ? unclear Mechanistic
LOSARTAN POTASSIUM ↓ inhibits Mechanistic 5.5 nM (IC50)
CHEMBL:CHEMBL1492017 ? unclear Mechanistic
SPARSENTAN ↓ inhibits Mechanistic
SODIUM CHLORIDE ? unclear Mechanistic
CHEMBL:CHEMBL261693 ? unclear Mechanistic
CHEMBL:CHEMBL1972216 ? unclear Mechanistic
EPROSARTAN ? unclear Mechanistic 7.3 nM (IC50)
C-FOS ANTISENSE ? unclear Mechanistic
SARALASIN ACETATE ↓ inhibits Mechanistic
IRBESARTAN ↓ inhibits Mechanistic 1.1 nM (Ki)
DISULFIRAM ? unclear Mechanistic
SAPRISARTAN ? unclear Mechanistic
H2O2 ? unclear Mechanistic
CHEMBL:CHEMBL591834 ? unclear Mechanistic
CAPTOPRIL ? unclear Mechanistic
ANGIOTENSIN II ? unclear Mechanistic
CHEMBL:CHEMBL400912 ? unclear Mechanistic
ATORVASTATIN CALCIUM TRIHYDRATE ? unclear Mechanistic
IDOXIFENE ? unclear Mechanistic
CHEMBL:CHEMBL528694 ? unclear Mechanistic
IL-6 ? unclear Mechanistic
ANGIOTENSIN II ACETATE ↑ activates Mechanistic
LEVODOPA ? unclear Mechanistic
GAMMA-INTERFERON ? unclear Mechanistic
AZILSARTAN KAMEDOXOMIL ↓ inhibits Mechanistic
HYDROCHLOROTHIAZIDE ? unclear Mechanistic
CHEMBL:CHEMBL1445650 ? unclear Mechanistic
MUSCLE RELAXANT ? unclear Mechanistic
CL-329167 ? unclear Mechanistic

Showing top 40 of 249 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
JNJ1661010 ↓ inhibits Mechanistic
ADALIMUMAB ? unclear Mechanistic
LY2077855 ↓ inhibits Mechanistic
OL135 ↓ inhibits Mechanistic
WARFARIN ? unclear Mechanistic
ASP8477 ↓ inhibits Mechanistic
URB597 ↓ inhibits Mechanistic
ROSUVASTATIN ? unclear Mechanistic
Therapeutic Agent Effect Direction Evidence Tier Potency Source
DESIRUDIN ↓ inhibits Mechanistic
BIVALIRUDIN ↓ inhibits Mechanistic
TAMOXIFEN ? unclear Mechanistic
PEGMUSIRUDIN ? unclear Mechanistic
FLOVAGATRAN ? unclear Mechanistic
ANISINDIONE ? unclear Mechanistic
HEPARIN ? unclear Mechanistic
CATECHIN ? unclear Mechanistic
DABIGATRAN ↓ inhibits Mechanistic
DABIGATRAN ETEXILATE MESYLATE ↓ inhibits Mechanistic
QUERCETIN ? unclear Mechanistic
ODIPARCIL ? unclear Mechanistic
DPOC-4088 ? unclear Mechanistic
LUSUTROMBOPAG ? unclear Mechanistic
ICHORCUMAB ↓ inhibits Mechanistic
PYRIDOXAL PHOSPHATE ANHYDROUS ? unclear Mechanistic
BORTEZOMIB ? unclear Mechanistic 13000.0 nM (Ki)
ANTITHROMBIN ALFA ↓ inhibits Mechanistic
SR-123781A ? unclear Mechanistic
ENOXAPARIN SODIUM ? unclear Mechanistic
CYANIDIN ? unclear Mechanistic
CHEMBL:CHEMBL586628 ? unclear Mechanistic
AZD-8165 ? unclear Mechanistic
STAUROSPORINE ↓ inhibits Mechanistic
AVATROMBOPAG ? unclear Mechanistic
HIRUDIN ? unclear Mechanistic
CYANIN ? unclear Mechanistic
COMPOUND 2C [PMID: 24900538] ↓ inhibits Mechanistic
SILIBININ ? unclear Mechanistic
EP-217609 ? unclear Mechanistic
APRAMIDE A ? unclear Mechanistic
EPICATECHIN ? unclear Mechanistic
ARGATROBAN ↓ inhibits Mechanistic
MELAGATRAN ? unclear Mechanistic 4700.0 nM (IC50)
ATECEGATRAN METOXIL ↓ inhibits Mechanistic
ASPIRIN TRELAMINE ? unclear Mechanistic
VITAMIN K3 ? unclear Mechanistic
XIMELAGATRAN ↓ inhibits Mechanistic
CHEMBL:CHEMBL1083499 ? unclear Mechanistic
DABIGATRAN ETEXILATE ? unclear Mechanistic

Showing top 40 of 238 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
CISPLATIN ? unclear Mechanistic
ZILTIVEKIMAB ~ modulates Mechanistic
CHINESE HERBS ? unclear Mechanistic
PF-04236921 ↓ inhibits Mechanistic
MRA 003 US ↓ inhibits Mechanistic
SIGNAL TRANSDUCTION INHIBITOR ? unclear Mechanistic
BINETRAKIN ? unclear Mechanistic
IBUDILAST ? unclear Mechanistic
INSULIN, REGULAR, HUMAN ? unclear Mechanistic
SILTUXIMAB ↓ inhibits Mechanistic
METRONIDAZOLE ? unclear Mechanistic
CLAZAKIZUMAB ↓ inhibits Mechanistic
GALLIUM NITRATE ? unclear Mechanistic
INTERFERON ALFA-2B ? unclear Mechanistic
DULOXETINE HYDROCHLORIDE ? unclear Mechanistic
MEDI-5117 ↓ inhibits Mechanistic
GEMFIBROZIL ? unclear Mechanistic
BIAFINE CREAM ? unclear Mechanistic
ETANERCEPT ? unclear Mechanistic
ELSILIMOMAB ↓ inhibits Mechanistic
SAQUINAVIR ? unclear Mechanistic
INFLIXIMAB ? unclear Mechanistic
LINEZOLID ? unclear Mechanistic
IFOSFAMIDE ? unclear Mechanistic
OLOKIZUMAB ↓ inhibits Mechanistic
HMG-COA REDUCTASE INHIBITOR ? unclear Mechanistic
MIDOSTAURIN ? unclear Mechanistic
SELENIUM ? unclear Mechanistic
SIRUKUMAB ↓ inhibits Mechanistic
PEGINTERFERON ALFA-2B ? unclear Mechanistic
ECHINACEA PREPARATION ? unclear Mechanistic
ENZYME INHIBITOR ? unclear Mechanistic
FENOFIBRATE MICRONIZED ? unclear Mechanistic
VITAMIN K ? unclear Mechanistic
PEGINTERFERON ALFA-2A ? unclear Mechanistic
RIBAVIRIN ? unclear Mechanistic
VITAMIN A PALMITATE ? unclear Mechanistic
ARSENIC TRIOXIDE ? unclear Mechanistic
DIHYDROSPHINGOSINE ? unclear Mechanistic
LEVOFLOXACIN ANHYDROUS ? unclear Mechanistic

Showing top 40 of 173 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
EPTIFIBATIDE ↓ inhibits Mechanistic
ATN-161 ↓ inhibits Mechanistic
ABCIXIMAB ↓ inhibits Mechanistic
CYPATE ? unclear Mechanistic
INTETUMUMAB ↓ inhibits Mechanistic
INTEGRIN RECEPTOR ANTAGONIST GLPG0187 ? unclear Mechanistic
ZALUNFIBAN ↓ inhibits Mechanistic
CILENGITIDE ↓ inhibits Mechanistic
ANTI-THYMOCYTE GLOBULIN ? unclear Mechanistic
TIROFIBAN HYDROCHLORIDE ↓ inhibits Mechanistic
ABITUZUMAB ↓ inhibits Mechanistic
TIROFIBAN ? unclear Mechanistic
GANTOFIBAN ? unclear Mechanistic
ETARACIZUMAB ↓ inhibits Mechanistic
TADOCIZUMAB ↓ inhibits Mechanistic
Therapeutic Agent Effect Direction Evidence Tier Potency Source
HMG-COA REDUCTASE INHIBITOR ? unclear Mechanistic
GLUCAGON (RDNA) ? unclear Mechanistic
ATENOLOL ? unclear Mechanistic
VITAMIN A ? unclear Mechanistic
COLESTIPOL HYDROCHLORIDE ? unclear Mechanistic
HEPARIN CALCIUM ? unclear Mechanistic
CHEMBL:CHEMBL233611 ? unclear Mechanistic
TRIBUTYRIN ? unclear Mechanistic
RECOMBINANT TRANSFORMING GROWTH FACTOR ? unclear Mechanistic
CHOLESTYRAMINE RESIN ? unclear Mechanistic
GEMFIBROZIL ? unclear Mechanistic
EPOETIN ALFA ? unclear Mechanistic
TETRACYCLINE ? unclear Mechanistic
HALOPERIDOL DECANOATE ? unclear Mechanistic
MIPOMERSEN ? unclear Mechanistic
PHYTOESTROGEN ? unclear Mechanistic
ANTIVIRAL AGENT ? unclear Mechanistic
FAT EMULSION ? unclear Mechanistic
VERAPAMIL ? unclear Mechanistic
LOMITAPIDE MESYLATE ? unclear Mechanistic
SOY PROTEIN ISOLATE ? unclear Mechanistic
ANTIBIOTIC ? unclear Mechanistic
BUTYRIC ACID ? unclear Mechanistic
ACTH ? unclear Mechanistic
ALIROCUMAB ? unclear Mechanistic
INCLISIRAN ? unclear Mechanistic
LOVASTATIN ? unclear Mechanistic
ACETYLCYSTEINE ? unclear Mechanistic
ROSUVASTATIN ? unclear Mechanistic
PRAVASTATIN SODIUM ? unclear Mechanistic
EVINACUMAB ? unclear Mechanistic
CHEMBL114890 ↑ activates Mechanistic 700.0 nM (EC50)
CHEMBL114705 ↑ activates Mechanistic 1200.0 nM (EC50)
CHEMBL115304 ↑ activates Mechanistic 1300.0 nM (EC50)
CHEMBL324616 ↑ activates Mechanistic 700.0 nM (EC50)
CHEMBL115205 ↑ activates Mechanistic 4000.0 nM (EC50)
CHEMBL112449 ↑ activates Mechanistic 1000.0 nM (EC50)
CHEMBL419400 ↑ activates Mechanistic 7000.0 nM (EC50)
CHEMBL419763 ↑ activates Mechanistic 1700.0 nM (EC50)
CHEMBL419042 ↑ activates Mechanistic 2000.0 nM (EC50)

Showing top 40 of 48 agents ranked by evidence tier.

Pipeline results not yet available for this target. Run the pipeline to populate.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
ALIROCUMAB ↓ inhibits Mechanistic
ONGERICIMAB ↓ inhibits Mechanistic
TAFOLECIMAB ↓ inhibits Mechanistic
LOMITAPIDE MESYLATE ? unclear Mechanistic
EVOLOCUMAB ↓ inhibits Mechanistic
RG-7652 ↓ inhibits Mechanistic
BOCOCIZUMAB ↓ inhibits Mechanistic
FROVOCIMAB ? unclear Mechanistic
RALPANCIZUMAB ↓ inhibits Mechanistic
LERODALCIBEP ↓ inhibits Mechanistic
INCLISIRAN ? unclear Mechanistic
INCLISIRAN SODIUM ? unclear Mechanistic
DIPHENYL BORINIC ACID ↓ inhibits Mechanistic 30000.0 nM (Ki)
PHENYL BUTYL BORINIC ACID ↓ inhibits Mechanistic 1000.0 nM (Ki)
CHEMBL4107804 ↓ inhibits Mechanistic 3200.0 nM (IC50)
CHEMBL4107907 ↓ inhibits Mechanistic 1700.0 nM (IC50)
CHEMBL4114159 ↓ inhibits Mechanistic 800.0 nM (IC50)
CHEMBL4108338 ↓ inhibits Mechanistic 1500.0 nM (IC50)
CHEMBL4107714 ↓ inhibits Mechanistic 1500.0 nM (IC50)
CHEMBL4110311 ↓ inhibits Mechanistic 9500.0 nM (IC50)
CHEMBL4107559 ↓ inhibits Mechanistic 1800.0 nM (IC50)
CHEMBL4114106 ↓ inhibits Mechanistic 1500.0 nM (IC50)
CHEMBL4109097 ↓ inhibits Mechanistic 11700.0 nM (IC50)
CHEMBL4108330 ↓ inhibits Mechanistic 2300.0 nM (IC50)
CHEMBL4109114 ↓ inhibits Mechanistic 4500.0 nM (IC50)
CHEMBL3961039 ↓ inhibits Mechanistic 7300.0 nM (IC50)
CHEMBL4112247 ↓ inhibits Mechanistic 10700.0 nM (IC50)
CHEMBL4109308 ↓ inhibits Mechanistic 800.0 nM (IC50)
CHEMBL4109014 ↓ inhibits Mechanistic 11820.0 nM (IC50)
CHEMBL4108567 ↓ inhibits Mechanistic 3800.0 nM (IC50)
CHEMBL4111131 ↓ inhibits Mechanistic 18000.0 nM (IC50)
CHEMBL4115372 ↓ inhibits Mechanistic 1700.0 nM (IC50)
CHEMBL4106481 ↓ inhibits Mechanistic 3050.0 nM (IC50)
CHEMBL4108186 ↓ inhibits Mechanistic 5610.0 nM (IC50)
CHEMBL4115360 ↓ inhibits Mechanistic 5800.0 nM (IC50)
CHEMBL4114503 ↓ inhibits Mechanistic 25300.0 nM (IC50)
CHEMBL4108540 ↓ inhibits Mechanistic 2970.0 nM (IC50)
CHEMBL4109409 ↓ inhibits Mechanistic 5750.0 nM (IC50)
CHEMBL4109932 ↓ inhibits Mechanistic 14300.0 nM (IC50)
CHEMBL4106569 ↓ inhibits Mechanistic 16800.0 nM (IC50)

Showing top 40 of 170 agents ranked by evidence tier.


Clinical Trials

Drug, biologic and supplement trials (treatment or prevention) from ClinicalTrials.gov whose main condition is Ischemic Heart Disease / Coronary Artery Disease: recruiting, active or completed, most recently updated first. Data retrieved 2026-10-28.

NCT05681702 Phase: 4 Started: 2023-02-15

Two strategies have both proven to be effective in reducing bleeding complications while preserving efficacy compared with maintaining long-term DAPT with aspirin and a potent P2Y12 inhibitor: a) DAPT de-escalation (i.e., switching from prasugrel or ticagrelor to clopidogrel while maintaining aspiri...

NCT05360446 Phase: 3 Started: 2022-07-08

CKJX839D12303 is a research study to determine if the study treatment, called inclisiran, in comparison to placebo taken in addition to statin medication can effectively reduce the total amount of plaque formed in the heart's vessels as measured by coronary computed tomography angiography (CCTA) fro...

NCT06767345 Phase: 4 Started: 2025-05-12

This study is a prospective, multicenter, randomized clinical trial aimed at comparing the effects of moderate-intensity statin plus ezetimibe combination therapy versus high-intensity statin monotherapy on coronary plaque stabilization. Using advanced imaging techniques such as near-infrared spectr...

NCT07865377 Phase: N/A Started: 2026-08-24

Atherosclerotic coronary artery disease (CAD) is a leading cause of mortality among postmenopausal women. Resveratrol, a phenolic compound with antioxidant properties, may influence lipid metabolism, endothelial function, and platelet aggregation, while sirtuin-1 and sirtuin-3 regulate metabolic and...

NCT07830719 Phase: 2 Started: 2026-09-18

The purpose of this Phase 2b study is to investigate the efficacy in reducing systemic inflammation, safety, tolerability, and dose response of five doses of YMI024, as compared to placebo in adult participants with stable coronary artery disease (CAD) and residual inflammatory risk defined by eleva...

NCT07795398 Phase: 4 Started: 2026-09-30

DAN-RELEASE is a national, randomized, registry-based trial including 7,000 participants in Denmark. The trial aims to determine whether discontinuation of long-term aspirin therapy is non-inferior to continued aspirin therapy in older adults with stable ischemic heart disease. Long-term aspirin the...

NCT07846462 Phase: N/A Started: 2026-03-01

This is a randomized, open-label, active-controlled, non-inferiority clinical trial (the ASPIRE-LD trial) conducted in China. It aims to compare the efficacy and safety of low-dose aspirin (50 mg once daily) versus standard-dose aspirin (100 mg once daily), both in combination with a P2Y12 inhibitor...

NCT06798714 Phase: 4 Started: 2025-01-20

Development of a new comprehensive method for perioperative prevention of atrial fibrillation paroxysms in cardiac surgery patients at the hospital stage. It is planned to recruit 70 patients who will undergo pericardial fenestration during the operation using the original technique during coronary ...

NCT07137104 Phase: 1/2 Started: 2026-08-27

This is a phase I/IIa study to investigate the safety, tolerability, and preliminary effectiveness of HeXell-2020 in patients with stable coronary artery disease (CAD). HeXell-2020 is an investigational drug product consisting of allogenic umbilical cord mesenchymal stem cells (UCMSCs) as the drug s...

NCT07524335 Phase: 3 Started: 2026-07-21

In patients with subclinical coronary artery disease, the ASCAD-P study aims to assess the feasibility of a larger phase 3 pragmatic randomized controlled trial comparing prescription versus no prescription of low-dose aspirin in routine clinical practice.

NCT05418556 Phase: 4 Started: 2022-10-21

Objectives: To assess the safety of tailored antiplatelet therapy (short DAPT followed by P2Y12 inhibitor alone strategy) in patients who received optimized DES implantation guided by intravascular imaging (IVUS or OCT) Hypothesis: Tailored antiplatelet strategy (short DAPT followed by P2Y12 inhibit...

NCT07572032 Phase: 4 Started: 2026-05-20

In patients with heart failure due to a reversible underlying cause-such as valvular heart disease or coronary artery disease-surgical or procedural correction of the underlying lesion (valve repair/replacement, TAVI, PCI, or CABG) frequently leads to spontaneous recovery of cardiac function, even w...

NCT04416581 Phase: 4 Started: 2021-05-12

The primary aim of this study is to evaluate the efficacy and safety of novel P-CAB (tegoprazan 50 mg once daily) as compared with standard PPI (rabeprazole 20 mg once daily) for protection of GI events in patients with known cardiac and vascular disease receiving chronic use of antithrombotic drugs...

NCT05500443 Phase: N/A Started: 2023-02-08

1\. Abstract Introduction Coronary artery calcification (CAC) and especially progression in CAC is a strong predictor of acute myocardial infarction and cardiovascular mortality. A substudy in the recent Danish study, AVADEC, suggested a protective role of supplementation with vitamin K2 and D in th...

NCT05638867 Phase: 4 Started: 2023-11-25

The goal of this clinical trial is to compare short-term Triple Antithrombotic Therapy (DAPT + Rivaroxaban) followed by DAPT with standard DAPT in selected ACS patients with high ischemic risk. The main questions it aims to answer are: * Whether the intervention is effective in reducing ischemic eve...


Agents Found By Disease-Level Search

Searched directly from “Ischemic Heart Disease / Coronary Artery Disease” via ClinicalTrials.gov interventions and Open Targets' disease→drug data — independent of the 9-gene target panel above. This surfaces agents whose mechanism doesn't route through a curated gene (combination therapies, standard-of-care drugs, targets outside the panel).

Not yet run. python -m biomarker_pipeline.run_disease_agent_discovery --disease "..."