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Thoratec HeartMate II Left Ventricular Assist System (LVAS) for Destination Therapy - Article


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Ventricular Septal Defects




Clinical Trial: Thoratec HeartMate II Left Ventricular Assist System (LVAS) for Destination Therapy

This study is currently recruiting patients.

Sponsored by: Thoratec Corporation
Information provided by: Thoratec Corporation

Purpose

The purpose of this study is to determine the safety and effectiveness of the Thoratec HeartMate II Left Ventricular Assist System (LVAS) as Destination Therapy in end-stage heart failure patients who do not qualify for cardiac transplantation.
Condition Intervention Phase
Heart Failure, Congestive
Ventricular Dysfunction
Cardiomyopathies
 Device: Thoratec HeartMate II Left Ventricular Assist System (LVAS)
Phase II
Phase III

MedlinePlus related topics:  Cardiomyopathy;   Heart Diseases;   Heart Failure

Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study

Official Title: The HeartMate II LVAS Pivotal Study Protocol, Destination Therapy

Further Study Details: 
Primary Outcomes: Survival to two (2) years free of: stroke, or reoperation to repair or replace the device
Secondary Outcomes: Incidence of adverse events; Clinical reliability (malfunctions/failures); Quality of Life; Functional status; Reoperations; Neurocognitive assessments; Post-transplant survival at 30 days and 1 year
Expected Total Enrollment:  200

Study start: February 2005

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.

The Destination Therapy trial is a prospective, randomized, unblinded, non-inferiority evaluation of the HeartMate II LVAS, compared to the HeartMate XVE.

Eligibility

Ages Eligible for Study:  18 Years and above,  Genders Eligible for Study:  Both
Criteria

Inclusion Criteria:

The following are general criteria; more specific conditions are included in the study protocol:

  • Subjects with advanced heart failure symptoms (NYHA Class IIIB or IV) who are: *On optimal medical management and are failing to respond; or *In Class III or Class IV heart failure and dependent on IABP and/or inotropes; or *Treated with ACE inhibitors or beta-blockers and found to be intolerant.
  • Ineligible for cardiac transplant
  • VO2max <=14 ml/kg/min
  • LVEF <=25%

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

Location and Contact Information

Please refer to this study by ClinicalTrials.gov identifier  NCT00121485

Laura Damme, RN, MPH      781-272-0139  Ext. 2415    laura.damme@thoratec.com

California
      Sharp Memorial Hospital, San Diego,  California,  92123,  United States; Recruiting
Walter Dembitsky, MD  858-541-6830    dembitsky@aol.com 
Walter Dembitsky, MD,  Principal Investigator
Brian Jaski, MD,  Sub-Investigator

      California Pacific Medical Center, San Francisco,  California,  94115,  United States; Not yet recruiting
Soon Park, MD  415-600-1386    parks@sutterhealth.org 
Soon Park, MD,  Principal Investigator
Ernest Haeusslein, MD,  Sub-Investigator

Florida
      Shands Hospital @ University of Florida, Gainesville,  Florida,  32610,  United States; Recruiting
Charles Klodell, MD  352-846-0362    klodect@surgery.ufl.edu 
Charles Klodell, MD,  Principal Investigator
Juan Aranda, MD,  Sub-Investigator

Illinois
      Advocate Christ Medical Center, Oak Lawn,  Illinois,  60453,  United States; Recruiting
Mark Slaughter, MD  708-346-4040    mscabg@aol.com 
Mark Slaughter, MD,  Principal Investigator
Marc Silver, MD,  Sub-Investigator

Indiana
      Methodist Hospital, Indianapolis,  Indiana,  46206,  United States; Recruiting
Thomas Wozniak, MD  317-962-5888    twozniak@clarian.org 
Waqas Ghumman, MD,  Sub-Investigator
Thomas Wozniak, MD,  Principal Investigator

Kentucky
      Jewish Hospital, Louisville,  Kentucky,  40202,  United States; Recruiting
Robert Dowling, MD  502-561-2180    rdowling@ucsamd.com 
Robert Dowling, MD,  Principal Investigator
Laman Gray, MD,  Principal Investigator

Maryland
      Johns Hopkins Hospital, Baltimore,  Maryland,  21287,  United States; Recruiting
John Conte, MD  410-955-1753    jconte@csurg.jhmi.jhu.edu 
John Conte, MD,  Principal Investigator
Stuart Russell, MD,  Sub-Investigator

Massachusetts
      Massachusetts General Hospital, Boston,  Massachusetts,  02114,  United States; Recruiting
Thomas MacGillivray, MD,  Principal Investigator
Marc Semigran, MD,  Sub-Investigator

Michigan
      University of Michigan, Ann Arbor,  Michigan,  48109,  United States; Recruiting
Frances Pagani, MD,  Principal Investigator
Keith Aaronson, MD,  Sub-Investigator

Minnesota
      University of Minnesota, Minneapolis,  Minnesota,  55455,  United States; Recruiting
Ranjit John, MD  612-626-3664    johnx008@umn.edu 
Ranjit John, MD,  Principal Investigator
Leslie Miller, MD,  Sub-Investigator
Andrew Boyle, MD,  Sub-Investigator
Lyle Joyce, MD,  Sub-Investigator
Monica Colvin-Adams, MD,  Sub-Investigator
Ken Liao, MD,  Sub-Investigator
Emil Missov, MD,  Sub-Investigator

Missouri
      Barnes-Jewish Hospital/Washington University, St. Louis,  Missouri,  63110,  United States; Recruiting
Nadar Moazami, MD  314-362-8008    moazamin@msnotes.wustl.edu 
Nadar Moazami, MD,  Principal Investigator
Gregory Ewald, MD,  Sub-Investigator

New York
      New York Columbia Presbyterian Medical Center, New York,  New York,  10032,  United States; Recruiting
Yohsifumi Naka, MD  212-305-0828    yn33@columbia.edu 
Yohsifumi Naka, MD,  Principal Investigator
Simon Maybaum, MD,  Sub-Investigator

      University of Rochester, Rochester,  New York,  14642,  United States; Recruiting
Todd Massey, MD  585-275-6964    todd_massey@nrmc.rochester.edu 
Todd Massey, MD,  Principal Investigator
Leway Chen, MD,  Sub-Investigator

      Montefiore Medical Center, Bronx,  New York,  10467,  United States; Not yet recruiting
Robert Michler, MD  781-920-2100    rmichler@montefiore.org 
Robert Michler, MD,  Principal Investigator
Daniel Goldstein, MD,  Sub-Investigator

North Carolina
      Duke University Medical Center, Durham,  North Carolina,  27710,  United States; Recruiting
Carmelo Milano, MD  919-684-3243    milan002@mc.duke.edu 
Carmelo Milano, MD,  Principal Investigator
Joseph Rogers, MD,  Sub-Investigator

Ohio
      Cleveland Clinic, Cleveland,  Ohio,  43210,  United States; Recruiting
Nicholas Smedira, MD  216-445-7053    smedira@ccf.org 
Nicholas Smedira, MD,  Principal Investigator
Randall Starling, MD, MPH,  Sub-Investigator

      Ohio State University, Columbus,  Ohio,  43210,  United States; Recruiting
Benjamin Sun, MD  614-293-4967    sun-3@medctr.osu.edu 
Benjamin Sun, MD,  Principal Investigator
David Feldman, MD,  Sub-Investigator
John Sirak, MD,  Sub-Investigator

Pennsylvania
      Hospital of University of PA, Philadelphia,  Pennsylvania,  19104,  United States; Recruiting
Michael Acker, MD  215-349-8305    michael.acker@uphs.upenn.edu 
Michael Acker, MD,  Principal Investigator
Shashank Desai, MD,  Sub-Investigator

      University of Pittsburgh, Pittsburgh,  Pennsylvania,  15213,  United States; Recruiting
Robert Kormos, MD  412-648-6259    kormosrl@msx.upmc.edu 
Robert Kormos, MD,  Principal Investigator

Tennessee
      Baptist Memorial Hospital, Memphis,  Tennessee,  38120,  United States; Recruiting
Edward Garrett, MD  901-747-3066    egarrettmd@cvscliic.com 
Edward Garrett, MD,  Principal Investigator
Todd Edwards, MD,  Sub-Investigator

Texas
      Texas Heart Institute, Houston,  Texas,  77030,  United States; Recruiting
O.H. Frazier, MD  832-355-3005    knowlin@heart.thi.tmc.edu 
O.H. Frazier, MD,  Principal Investigator
Frank Smart, MD,  Sub-Investigator
Reynolds Delgado, MD,  Sub-Investigator
Igor Gregoric, MD,  Sub-Investigator

      Medical City Hospital Dallas, Dallas,  Texas,  75230,  United States; Recruiting
Todd Dewey, MD  972-566-4866    tdewey@csant.com 
Todd Dewey, MD,  Principal Investigator
Mitchell Magee, MD,  Sub-Investigator

Utah
      LDS Hospital, Salt Lake City,  Utah,  84143,  United States; Recruiting
James Long, MD  801-408-8666    jimlong@ihc.com 
James Long, MD,  Principal Investigator
Karl Nelson, MD,  Sub-Investigator

Washington
      Sacred Heart Medical Center, Spokane,  Washington,  99220,  United States; Recruiting
Timothy Icenogle, MD  509-623-7575    mwcardtx@msn.com 
Timothy Icenogle, MD,  Principal Investigator

      University of Washington, Seattle,  Washington,  98195,  United States; Recruiting
Christopher Salerno, MD  206-543-3093    csalerno@u.washington.edu 
Christopher Salerno, MD,  Principal Investigator
Daniel Fishbein, MD,  Sub-Investigator

More Information

Study ID Numbers:  TC010230-2
Record last reviewed:  July 2005
Last Updated:  July 25, 2005
Record first received:  July 20, 2005
ClinicalTrials.gov Identifier:  NCT00121485
Health Authority: United States: Food and Drug Administration
ClinicalTrials.gov processed this record on 2005-07-26

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January 9, 2009



Page Updated: October 2, 2005
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