Trial Search Results

A Prospective, Randomized, Controlled, Un-blinded, Multi-Center Clinical Trial to Evaluate the HeartWare® Ventricular Assist System for Destination Therapy of Advanced Heart Failure

The purpose of this study is to determine the safety and effectiveness of the HeartWare Ventricular Assist System in patients with chronic Stage D/NYHA Class IIIB/IV left ventricular failure who have received and failed optimal medical therapy, and who are ineligible for cardiac transplantation.

Stanford is currently not accepting patients for this trial.

Lead Sponsor:

HeartWare, Inc.

Stanford Investigator(s):

Intervention(s):

  • Device: HeartWare® VAS
  • Device: Control LVAD

Phase:

N/A

Eligibility


Inclusion Criteria:

   1. Must be ≥18 years of age at consent

   2. Body Surface Area (BSA) ≥ 1.2 m2

   3. Patients with advanced heart failure symptoms (Class IIIB or IV) who are: (patient
   must meet one of the following) 3a. On optimal medical management, including dietary
   salt restriction and diuretics, for at least 45 out of the last 60 days and are
   failing to respond; or 3b. In Class III or Class IV heart failure for at least 14
   days, and dependent on intra aortic balloon pump (IABP) for 7 days and/or inotropes
   for at least 14 days

   4. Left ventricular ejection fraction (less than or equal to) 25%

   5. LVAD implant is intended as destination therapy

   6. Must be able to receive either the HeartWare® VAS or control LVAD

   7. Female patients of childbearing potential must agree to use adequate contraceptive
   precautions for the duration of the study.

   8. The patient or legally authorized representative has signed the informed consent form

Exclusion Criteria:

   1. Body Mass Index (BMI) > 40

   2. Existence of any ongoing mechanical circulatory support (MCS) other than an
   intra-aortic balloon pump (IABP)

   3. Prior cardiac transplant.

   4. History of confirmed, untreated abdominal or thoracic aortic aneurysm > 5 cm.

   5. Cardiothoracic surgery within 30 days of randomization.

   6. Acute myocardial infarction within 14 days of implant

   7. Patients eligible for cardiac transplantation

   8. On ventilator support for > 72 hours within the four days immediately prior to
   randomization and implant.

   9. Pulmonary embolus within three weeks of randomization

10. Symptomatic cerebrovascular disease, stroke within 180 days of randomization or > 80%
   stenosis of carotid or cranial vessels.

11. Uncorrected moderate to severe aortic insufficiency. Correction may include repair or
   bioprosthesis at the time of implant.

12. Severe right ventricular failure as defined by the anticipated need for right
   ventricular assist device (RVAD) support or extracorporeal membrane oxygenation (ECMO)
   or right atrial pressure > 20 mmHg on multiple inotropes, right ventricular ejection
   fraction (RVEF) <15% or clinical signs

13. Active, uncontrolled infection diagnosed by a combination of clinical symptoms and
   laboratory testing.

14. Uncorrected thrombocytopenia or generalized coagulopathy (e.g., platelet count <
   75,000, INR > 2.0 or PTT > 2.5 times control in the absence of anticoagulation
   therapy).

15. Intolerance to anticoagulant or antiplatelet therapies or any other peri- or
   postoperative therapy that the investigator may administer based upon the patient's
   health status.

16. Serum creatinine > 3.0 mg/dL within 72 hours of randomization or requiring dialysis
   (does not include use of ultra-filtration for fluid removal).

17. All three liver enzymes [AST (SGOT), ALT (SGPT), or LDH] > 3 times upper limit of
   normal or a total bilirubin > 3 mg/dl within 72 hours of randomization, or biopsy
   proven liver cirrhosis or portal hypertension.

18. Pulmonary vascular resistance is demonstrated to be unresponsive to pharmacological
   manipulation and the PVR > 6 Wood units.

19. Patients with a mechanical heart valve .

20. Etiology of heart failure is due to, or associated with, uncorrected thyroid disease,
   obstructive cardiomyopathy, pericardial disease, amyloidosis, active myocarditis or
   restrictive cardiomyopathy

21. History of severe COPD or severe restrictive lung disease

22. Participation in any other study involving investigational drugs or devices

23. Severe illness, other than heart disease, which would limit survival to < 3 years

24. Peripheral vascular disease with rest pain or ischemic ulcers of the extremities

25. Pregnancy

26. Patient unwilling or unable to comply with study requirements

27. Technical obstacles, which pose an inordinately high surgical risk, in the judgment of
   the investigator

Ages Eligible for Study

18 Years - N/A

Genders Eligible for Study

All

Not currently accepting new patients for this trial

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Philip Oyer
(650) 725-3820
Not Recruiting