Levacor™ Ventricular Assist Device (VAD) Bridge to Transplant Study
Evaluation of the Levacor™ Ventricular Assist Device as a Bridge to Cardiac Transplantation
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Florida
-
Tampa, Florida, United States, 33606
- Tampa General Hospital
-
-
Kentucky
-
Louisville, Kentucky, United States, 40202
- Jewish Hospital
-
-
Massachusetts
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Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital
-
-
Oklahoma
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Oklahoma City, Oklahoma, United States, 73112
- Integris Baptist Medical Center
-
-
Utah
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Salt Lake City, Utah, United States, 84132
- University of Utah Hospital
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Virginia
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Falls Church, Virginia, United States, 22042
- Inova Fairfax Hospital/Inova Heart & Vascular Institute
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patient must be at least 18 years of age at the time of VAD implantation.
- Listed for cardiac transplantation as UNOS Status 1A or 1B at the time of VAD implantation or within 72 hours of VAD implantation.
- Body Surface Area (BSA) 1.2 m2 or greater.
- If female of childbearing potential must have negative pregnancy test.
- Patient has signed an Informed Consent.
Exclusion Criteria:
- Unacceptable surgical risk according to Principal Investigator.
- Intolerance or contraindication to anticoagulation or antiplatelet therapies.
- Excessive risk of bleeding as evidenced by INR > 2.3, or PTT > 45 sec, or platelet count < 50,000 U, unresponsive to treatment.
- Excessive neurologic risk documented as TIA within the last 3 months or stroke within the last 6 months.
- Evidence of any of the following indicators of end-organ dysfunction: total bilirubin > 4 mg/dL, ALT/AST > 3 times upper limit normal, serum creatinine >3.5 mg/dL.
- Fixed pulmonary hypertension with a most recent PVR > 5 Wood units unresponsive to pharmacological intervention.
- Severe chronic obstructive pulmonary disease as evidenced by an FEV1 < 1.0 L or restrictive lung disease or prolonged (> 48 hours) intubation.
- Presence of mechanical aortic valve that will not be converted to a bioprosthesis during VAD implantation.
- Planned concomitant surgical procedures other than aortic valve repair or tissue valve placement to treat moderate to severe aortic insufficiency, tricuspid valve repair, mitral valve repair, critical lesion CABG, LV thrombectomy (apical), closure of persistent foramen ovale, atrial septal defect.
- Cardiogenic shock secondary to acute myocardial infarction.
- Presence of ongoing mechanical circulatory support other than intra-aortic balloon counterpulsation.
- Presence of uncontrolled infection.
- BMI > 40 kg/m2.
- Significant peripheral vascular disease accompanied by pain at rest, extremity ulceration or disabling claudication.
- Illness, other than heart disease, that would limit survival to less than 1 year.
- Pulmonary embolus < 2 weeks before VAD implant.
- Poor/compromising nutritional status in judgment of Principal Investigator.
- Participation in another clinical trial that, according to the Principal Investigator, is likely to affect the Study outcome or confound the results.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Success is defined as any one of the following: survival to cardiac transplantation prior to 180 days, survival on device to 180 days, device removal for recovery and survival to 60 days after device removal
Time Frame: 6 months
|
6 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Quality of life
Time Frame: 6 months
|
6 months
|
|
Survival to transplant
Time Frame: 6 months
|
6 months
|
|
Survival 30 days post-transplant
Time Frame: 6 months
|
6 months
|
|
Survival while on device
Time Frame: 6 months
|
6 months
|
|
Incidence of adverse events while on device
Time Frame: 6 months
|
6 months
|
|
Device reliability
Time Frame: 6 months
|
6 months
|
|
Reoperations
Time Frame: 6 months
|
6 months
|
|
Functional status
Time Frame: 6 months
|
6 months
|
|
Neurocognitive evaluation
Time Frame: 6 months
|
6 months
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- LEV01
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