Protect II, A Prospective, Multicenter Randomized Controlled Trial (PROTECT II)
PROTECT II: A Prospective, Multi-center, Randomized Controlled Trial of the IMPELLA RECOVER LP 2.5 System Versus Intra Aortic Balloon Pump (IABP)in Patients Undergoing Non Emergent High Risk PCI
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Alberta
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Edmonton, Alberta, Canada, T6G2B7
- University of Alberta Hospital
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Edmonton, Alberta, Canada, T5H3V9
- Royal Alexandra Hospital
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Ontario
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Ottawa, Ontario, Canada, K1Y4W7
- Ottawa Heart Institute
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Toronto, Ontario, Canada, M5G1Z5
- Toronto General Hospital
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Quebec
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Montreal, Quebec, Canada, H3A1A1
- Royal Victoria Hospital at McGill
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Amsterdam, Netherlands
- Academic Medical Center
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Alabama
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Birmingham, Alabama, United States, 35294
- University of Alabama
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Arizona
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Gilbert, Arizona, United States, 85297
- Mercy Gilbert Medical Center
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Phoenix, Arizona, United States, 85006
- Banner Good Samaritan Medical Center
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California
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Fremont, California, United States, 94538
- California Cardiovascular/Washington Hospital
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La Jolla, California, United States, 92037
- Foundation for Cardiovascular Medicine
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Los Angeles, California, United States, 90033
- University of Southern California
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Florida
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Miami, Florida, United States, 33136
- University of Miami
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Ocala, Florida, United States, 34471
- Munroe Regional Medical Center
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Georgia
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Atlanta, Georgia, United States, 30308
- Emory Crawford Long Hospital
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Augusta, Georgia, United States, 30912
- Medical College of Georgia
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Illinois
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Chicago, Illinois, United States, 60637
- University Of Chicago Medical Center
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Maywood, Illinois, United States, 60153
- Loyola University Medical Center
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Maryland
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Takoma Park, Maryland, United States, 20912
- Washington Adventist Hospital
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Massachusetts
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Boston, Massachusetts, United States, 02115
- Brigham & Womens
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Boston, Massachusetts, United States, 02114
- Massach General Hospital
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Boston, Massachusetts, United States, 02135
- St. Elizabeths Medical Center
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Michigan
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Dearborn, Michigan, United States, 48124
- Oakwood Hospital Wayne State University
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Detroit, Michigan, United States, 48236
- St. John Hospital and Medical Center
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Detroit, Michigan, United States, 48201
- Harper Hospital
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Detroit, Michigan, United States, 35294
- Henry Ford Medical
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Petoskey, Michigan, United States, 49770
- Northern Michigan
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Royal Oak, Michigan, United States, 48073
- William Beaumont
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Southfield, Michigan, United States, 48075
- Providence Hospital and Medical Centers
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Missouri
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St. Louis, Missouri, United States, 63110
- St. Louis University
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Nebraska
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Lincoln, Nebraska, United States, 68506
- Bryan LGH Heart Institute
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New Jersey
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Morristown, New Jersey, United States, 07962
- Morristown Memorial
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New York
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New York, New York, United States, 10029-6574
- Mt. Sinai School of Medicine
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New York,, New York, United States, 10032
- Columbia Presbyterian Hospital
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Rochester, New York, United States, 14642
- Strong Memorial Hospital
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North Carolina
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Charlotte, North Carolina, United States, 28203
- Carolinas Medical Center
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Durham, North Carolina, United States, 27710
- Duke University Medical Center
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Winston-Salem, North Carolina, United States, 27103
- Cardiovascular Research of Forsythe Medical
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Ohio
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Cincinnati, Ohio, United States, 45267
- University of Cincinnati
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Columbus, Ohio, United States, 43214
- Riverside Methodist
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Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15213
- UPMC Presbyterian Hospital
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Sayre, Pennsylvania, United States, 18840
- Robert Packer Hospital
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Wormleysburg, Pennsylvania, United States, 17043
- Pinnacle Health
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York, Pennsylvania, United States, 17403
- York Hospital
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Texas
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Dallas, Texas, United States, 75216
- Veteran's Affairs Medical Center Dallas
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Houston, Texas, United States, 77030
- University of Texas Medical School at Houston
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Houston, Texas, United States, 77030
- Methodist Hospital
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Utah
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Murray, Utah, United States, 84157
- Intermountain Medical Center
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Washington
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Bellingham, Washington, United States, 98225
- St. Joseph's Hospital
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Seattle, Washington, United States, 98198
- University of Washington
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Informed consent
- Subject is indicated for a NON emergent percutaneous treatment of at least on de novo or restenotic lesion in a native coronary vessel or bypass graft.
Patient presents with:
- A compromised Ejection Fraction
- Intervention on the last patent coronary conduit
- Intervention on an unprotected left main artery or
- Patient presenting with triple vessel disease.
Exclusion Criteria:
- ST elevation M.I.
- Pre procedure cardiac arrest within 24 hours.
- Subject in cardiogenic shock
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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EXPERIMENTAL: IMPELLA LP 2.5
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Insertion of the LP 2.5 IMPELLA circulatory support system that can be placed across the aortic valve using a single femoral site.
The device pumps blood from the left ventricle into the ascending aorta at 2.5 L/min.
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ACTIVE_COMPARATOR: IABP Intra-aortic balloon pump
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IABP uses counterpulsation to provide 0.2L/min coronary flow
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Composite rate of 10 major adverse events including death; MI;Stroke or TIA; and repeat revascularization.
Time Frame: 30 days +/- 10 days
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30 days +/- 10 days
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Maximum CPO decrease from baseline.Rate of in hospital major events compared between the IMPELLA and IABP.
Time Frame: In hospital events
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In hospital events
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: William O'Neill, Not affilicated with Abiomed
Publications and helpful links
General Publications
- Cohen MG, Matthews R, Maini B, Dixon S, Vetrovec G, Wohns D, Palacios I, Popma J, Ohman EM, Schreiber T, O'Neill WW. Percutaneous left ventricular assist device for high-risk percutaneous coronary interventions: Real-world versus clinical trial experience. Am Heart J. 2015 Nov;170(5):872-9. doi: 10.1016/j.ahj.2015.08.009. Epub 2015 Aug 15.
- Daubert MA, Massaro J, Liao L, Pershad A, Mulukutla S, Magnus Ohman E, Popma J, O'Neill WW, Douglas PS. High-risk percutaneous coronary intervention is associated with reverse left ventricular remodeling and improved outcomes in patients with coronary artery disease and reduced ejection fraction. Am Heart J. 2015 Sep;170(3):550-8. doi: 10.1016/j.ahj.2015.06.013. Epub 2015 Jun 26.
- Kovacic JC, Kini A, Banerjee S, Dangas G, Massaro J, Mehran R, Popma J, O'Neill WW, Sharma SK. Patients with 3-vessel coronary artery disease and impaired ventricular function undergoing PCI with Impella 2.5 hemodynamic support have improved 90-day outcomes compared to intra-aortic balloon pump: a sub-study of the PROTECT II trial. J Interv Cardiol. 2015 Feb;28(1):32-40. doi: 10.1111/joic.12166.
- Henriques JP, Ouweneel DM, Naidu SS, Palacios IF, Popma J, Ohman EM, O'Neill WW. Evaluating the learning curve in the prospective Randomized Clinical Trial of hemodynamic support with Impella 2.5 versus Intra-Aortic Balloon Pump in patients undergoing high-risk percutaneous coronary intervention: a prespecified subanalysis of the PROTECT II study. Am Heart J. 2014 Apr;167(4):472-479.e5. doi: 10.1016/j.ahj.2013.12.018. Epub 2014 Jan 3.
- Dangas GD, Kini AS, Sharma SK, Henriques JP, Claessen BE, Dixon SR, Massaro JM, Palacios I, Popma JJ, Ohman M, Stone GW, O'Neill WW. Impact of hemodynamic support with Impella 2.5 versus intra-aortic balloon pump on prognostically important clinical outcomes in patients undergoing high-risk percutaneous coronary intervention (from the PROTECT II randomized trial). Am J Cardiol. 2014 Jan 15;113(2):222-8. doi: 10.1016/j.amjcard.2013.09.008.
- O'Neill WW, Kleiman NS, Moses J, Henriques JP, Dixon S, Massaro J, Palacios I, Maini B, Mulukutla S, Dzavik V, Popma J, Douglas PS, Ohman M. A prospective, randomized clinical trial of hemodynamic support with Impella 2.5 versus intra-aortic balloon pump in patients undergoing high-risk percutaneous coronary intervention: the PROTECT II study. Circulation. 2012 Oct 2;126(14):1717-27. doi: 10.1161/CIRCULATIONAHA.112.098194. Epub 2012 Aug 30.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ANTICIPATED)
Primary Completion
Study Completion (ANTICIPATED)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 7182007
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