Thoratec HeartMate II Left Ventricular Assist System (LVAS) for Bridge to Cardiac Transplantation
Recruitment status was Active, not recruiting
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The purpose of this study is to determine the safety and effectiveness of the Thoratec HeartMate II Left Ventricular Assist System (LVAS) as a bridge to cardiac transplantation in end-stage heart failure patients who are listed for cardiac transplant but are at imminent risk of dying.
The HeartMate II LVAS was approved by the US FDA on April 21, 2008, as a bridge to cardiac transplantation (reference PMA P060040). Patients enrolled into the clinical trial will continue to be followed until all have reached a clinical outcome. Canadian study sites continue enrollment pending review and approval of Canada Medical Device License application.
Condition | Intervention |
---|---|
Heart Failure, Congestive Ventricular Dysfunction Cardiomyopathies |
Device: Thoratec HeartMate II Left Ventricular Assist System (LVAS) |
Thoratec Corporation has indicated that access to an investigational treatment associated with this study is available outside the clinical trial.
Study Type: | Interventional |
Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
Official Title: | The HeartMate II LVAS Pivotal Study Protocol, Bridge to Cardiac Transplantation |
- Survival to cardiac transplantation or 180 days on LVAS support while remaining listed as status 1A or 1B. [ Time Frame: 180 days ] [ Designated as safety issue: No ]
- Incidence of adverse events [ Time Frame: continuous ] [ Designated as safety issue: Yes ]
- Clinical reliability (malfunctions/failures) [ Time Frame: continuous ] [ Designated as safety issue: Yes ]
- Quality of Life [ Time Frame: baseline, 1 month, 3 months, 6 months ] [ Designated as safety issue: No ]
- Functional status [ Time Frame: baseline, 1 month, 3 months, 6 months ] [ Designated as safety issue: No ]
- Reoperations [ Time Frame: continuous ] [ Designated as safety issue: Yes ]
- Neurocognitive assessments [ Time Frame: 1 month, 3 months, 6 months ] [ Designated as safety issue: Yes ]
- Post-transplant survival [ Time Frame: 30 days, 1 year ] [ Designated as safety issue: No ]
Enrollment: | 484 |
Study Start Date: | February 2005 |
Estimated Study Completion Date: | April 2009 |
Estimated Primary Completion Date: | October 2008 (Final data collection date for primary outcome measure) |
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Device: Thoratec HeartMate II Left Ventricular Assist System (LVAS)
- Thoratec
- HeartMate II
- Ventricular assist
The HeartMate II is a high speed, electric, axial flow, rotary blood pump. The pump drains blood from the left ventricular apex via a rigid inlet cannula and ejects into the aortic root via an outflow cannula joined to the aorta with an end to side anastomosis. Power and control of the pump are delivered through a percutaneous cable from the pump to the belt-worn System Driver. Patient outcomes will be compared to objective performance criteria based on historical data from other Thoratec implantable ventricular assist devices.
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
The following are general criteria; more specific conditions are included in the study protocol:
- Listed for cardiac transplantation
- NYHA Class IV heart failure symptoms
- On inotropic support, if tolerated
- Despite medical therapy, the patient must meet hemodynamic criteria for cardiogenic shock
Exclusion Criteria:
The following are general criteria; more specific conditions are included in the study protocol:
- Evidence of, or risk factors for end-organ dysfunction that would make LVAS implantation futile
- Existence of factors that would adversely affect patient survival or function of the LVAS.
- Intolerance to anticoagulant or antiplatelet therapies.
- Existence of any ongoing mechanical circulatory support other than intra-aortic balloon counterpulsation.
- Participation in any other clinical investigation that is likely to confound study results or affect study outcome.
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Study Director: | Laura Damme | Thoratec Corporation |
Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: | Laura Damme, Sr. Director, Clinical Affairs, Thoratec Corporation |
ClinicalTrials.gov Identifier: | NCT00121472 History of Changes |
Other Study ID Numbers: | TC010230-1 |
Study First Received: | July 12, 2005 |
Last Updated: | April 25, 2008 |
Health Authority: | United States: Food and Drug Administration Canada: Health Canada |
Keywords provided by Thoratec Corporation:
Heart-assist devices |
Additional relevant MeSH terms:
Heart Failure Ventricular Dysfunction Cardiomyopathies Heart Diseases Cardiovascular Diseases |
ClinicalTrials.gov processed this record on October 16, 2012