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Risk Assessment and Comparative Effectiveness of Left Ventricular Assist Device (LVAD) and Medical Management
Not Recruiting
Trial ID: NCT01452802
Purpose
The purpose of this study is to evaluate and compare the effectiveness of the HeartMate II
(HM II) Left Ventricular Assist Device (LVAD) support versus OMM in ambulatory NYHA Class
IIIB/IV heart failure patients who are not dependent on intravenous inotropic support and who
meet the FDA approved indications for HM II LVAD destination therapy.
Official Title
Risk Assessment and Comparative Effectiveness of Left Ventricular Assist Device and Medical Management in Ambulatory Heart Failure Patients
Eligibility
The following are general criteria; more specific criteria are included in the study
protocol:
Inclusion Criteria:
- NYHA Class IIIB/IV (refer to Appendix IV for definitions)
- Left ventricular ejection fraction (LVEF) ≤ 25%
- Not currently listed for heart transplantation, and not planned in next 12 months
- On optimal medical management
- Limited functional status as demonstrated by 6MWT <300 meters
- At least:
- One hospitalization for HF in last 12 months or
- At least 2 unscheduled emergency room or infusion clinic visits (may include
intravenous diuretic therapy, etc.) for HF in last 12 months
Exclusion Criteria:
- Presence of mechanical aortic or mitral valve, including planned conversion to
bioprosthesis
- Platelet count < 100,000/mi within 48 prior to enrollment
- Any inotrope use within 30 days prior to enrollment
- Inability to perform 6MWT for any reason
- Any condition, other than heart failure, that could limit survival to less than 2
years
- History of cardiac or other organ transplant
- Existence of any ongoing mechanical circulatory support (including intraaortic balloon
pump, temporary circulatory support devices, etc.) at the time of enrollment
- Presence of active, uncontrolled, systemic infection
- History of an unresolved stroke within 90 days prior to enrollment, or a history of
cerebral vascular disease with significant (> 80%)extracranial stenosis
- Contraindication to anticoagulation/antiplatelet therapy
- CRT or CRT-D within 3 months prior to enrollment
- Coronary revascularization (e.g. CABG, PCI) within 3 months prior to enrollment
Intervention(s):
device: HM II (HeartMate II LVAD)
drug: OMM (Optimal Medical Management)
Not Recruiting
Contact Information
Stanford University
School of Medicine
300 Pasteur Drive
Stanford,
CA
94305
Dipanjan Banerjee
650-724-4942