SIRONA Trial Heart Failure NYHA Class III
A Prospective, Multi-Center, Open-Label, Single-Arm Clinical Trial Evaluating the Safety and Efficacy of the Cordella™ Heart Failure System in (New York Heart Association) NYHA Class III Heart Failure Patients
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Subject has given written informed consent
- Male or female, at least 18 years of age
- Diagnosis of HF ≥ 3 months with either preserved or reduced left ventricular ejection fraction (LVEF)
- Diagnosis of NYHA Class III HF at the time of Screening with at least 1 HF-related hospitalization, HF treatment in a hospital day-care setting, or urgent outpatient clinic HF visit within the last year
- Subjects must be receiving appropriate medical management of HF for 3 months prior to Screening and clinically stable for at least 1 month prior to study entry
- Subjects with a Body Mass Index (BMI) < 35 kg/mL2 and chest circumference < 1050 mm
- Subjects with right pulmonary artery branch diameter sized between 14 mm and 20 mm (target Sensor implant site) over a length of at least 30mm
- Subjects with distance between target implant site (right PA branch) and ventral thoracic skin surface of < 12cm
- Subjects who are physically able to hold the myCordella™ Patient Reader unit (approximate weight 600g) against the ventral thoracic surface for up to 2 minutes per day while in a seated. position, as well as dock and undock the myCordella™ Patient Reader
- Subjects with sufficient eyesight, hearing, and mental capacity to respond to the myCordella™ Patient Reader's audio/visual cues and operate the myCordella™ Patient Reader.
- Subject has sufficient Cellular and/ or Wi- Fi Internet coverage at home
- Subject agrees to return to the treating Investigator for all scheduled follow up visits and can return to the hospital for follow up
- Subject compliance as defined by data collection and transmissions at least 5 days a week (does not have to be consecutive days) using the myCordella™ Hub & Peripherals for at least 1 week during the screening period
Exclusion Criteria:
- Subjects with primary pulmonary hypertension.
- Subjects with an active infection at the Sensor Implant Visit
- Subjects with history of recurrent (> 1) pulmonary embolism or deep vein thrombosis
- Subjects who have had a major cardiovascular event (e.g., myocardial infarction, stroke) within 2 months of the Screening Visit
- Subjects whereby RHC or computed tomography pulmonary angiography (CTPA) is contraindicated
- Subjects with a Cardiac Resynchronization Device (CRT), Internal Cardiac Defibrillator (ICD) or pacemaker (if implanted less than 6 months or has more than a single lead), or Left Ventricular Assist Device (LVAD)
- Any major surgery within 30 days of the Sensor Implant Visit.
- Subjects with a Glomerular Filtration Rate (GFR) <30 ml/min or who are on chronic renal dialysis
- Specific liver enzymes [Aspartate Aminotransferase (AST) (SGOT), and Alanine Aminotransferase (ALT) (SGPT) >3 times the upper limit of normal
- Subjects likely to undergo lung and/ or heart transplantation within 24 months of the Screening Visit.
- Subjects with congenital heart disease or mechanical/tissue right heart valve(s)
- Subjects with known coagulation disorders
- Subjects with a hypersensitivity or allergy to platelet aggregation inhibitors including aspirin, clopidogrel, prasugrel, and ticagrelor; or patients unable to take dual antiplatelet or anticoagulants for one month post implant
- Subjects enrolled in another investigational trial.
- Known history of life threatening allergy to contrast dye.
- Subjects who are unwilling or deemed by the Investigator to be unwilling to comply with the study protocol, or subjects with a history of non-compliance
- Subjects with large metal implants/prostheses or any other materials in the thoracic cavity that may interfere with the Cordella™ Pulmonary Artery Sensor System performance
- Subjects with an indwelling inferior vena cava (IVC) filter
- Subjects who are pregnant or breastfeeding
- Subjects whose clinical condition, in the opinion of the Investigator, makes them an unsuitable candidate for the study
- Severe illness, other than heart disease, which would limit survival to <1 year
- Subjects who have had intractable arrhythmias within 2 month of the Screening Visit
- Subjects with patent foramen ovale (PFO)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Cordella™ Heart Failure System
Cordella™ Heart Failure System and implant of Cordella™ Pulmonary Artery Sensor System (CorPASS)
|
The Cordella™ Heart Failure System collects, records, and transmits physiologic data and communications from the patient at home to clinicians for assessment, patient communication, and patient-centered heart failure management. The system consists of the following components:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Safety Freedom form Adverse events
Time Frame: 30 days
|
Freedom from adverse events associated with use of the Cordella™ HF System
|
30 days
|
|
Efficacy: Accuracy
Time Frame: 90 days
|
Accuracy of Cordella™ Sensor PA pressure measurements, compared to standard-of-care fluid-filled catheter PA pressure measurements obtained by standard Right Heart Catheter
|
90 days
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Frequency of Adverse Events
Time Frame: 30 days and 2 years
|
Frequency of adverse events throughout the study
|
30 days and 2 years
|
|
Device/system-related complications
Time Frame: 30 days and 2 years
|
Device/system-related complications
|
30 days and 2 years
|
|
Pressure sensor failure rate
Time Frame: 30 days and 2 years
|
Pressure sensor failure rate throughout the study
|
30 days and 2 years
|
|
Accuracy of Cordella™ sensor pressure measurements
Time Frame: 2 years
|
Accuracy of Cordella™ Sensor PA pressure measurements compared with echo pulmonary artery pressure (PAP) measurements
|
2 years
|
|
Percentage of device success
Time Frame: 90 days
|
Percentage of device success as documented by ability of the System to successfully transmit collected data to a secure database
|
90 days
|
|
Change in Pulmonary Artery (PA) pressure
Time Frame: 90 days
|
Change in PA pressure pre- and post-implant
|
90 days
|
|
Heart Failure (HF) Hospitalizations
Time Frame: 90 days
|
Frequency of HF hospitalizations, HF treatments in a hospital day-care setting, or urgent outpatient clinic HF visits.
|
90 days
|
|
Adherence to regular myCordella™ Peripherals measurements
Time Frame: 90 days and 2 years
|
Adherence to regular myCordella™ Peripherals measurements
|
90 days and 2 years
|
|
Quality of Life measured by Kansas City Cardiomyopathy Questionnaire
Time Frame: 90 days and 2 years
|
Quality of Life measured by KCCQ at 90 days and 2 years post implant procedure
|
90 days and 2 years
|
|
Quality of Life measured by EuroQOL EQ-5D-5L
Time Frame: 90 days and 2 years
|
Quality of Life measured by EuroQOL EQ-5D-5L at 90 days and 2 years post implant procedure
|
90 days and 2 years
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Andrea Sauerland, Endotronix, Inc.
Study record dates
Study Major Dates
Study Start (Actual)
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 (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
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
- ETX-HFS-PA-01
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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