- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02241837
PARACHUTE III Pressure Volume Loop Sub-Study (PIII PV Loop)
June 21, 2017 updated by: CardioKinetix, Inc
PARACHUTE III: A Multinational Trial to Evaluate the Longterm Safety of the Parachute System
The primary objective is to assess the longterm safety of the CardioKinetix Parachute Implant and Delivery System in the partitioning of the left ventricle in patients with heart failure due to ischemic heart disease.
This sub-study has the additional assessment of improvement in Pressure Volume Loop and corresponding MSCT to allow improved monitoring of heart improvement after therapy.
The PV Loop Substudy studies he effects of the Parachute Implant on pressure and volume as functional parameters of the Left Ventricle.
Study Overview
Status
Terminated
Conditions
Detailed Description
While current therapies for heart failure (including but not limited to: medical management, cardiac resynchronization and ICDs) may represent the best treatment available today for the majority of HF patients, the medical community recognizes that pharmacologic therapy has been optimized to nearly the extent that is possible, and that any incremental improvements in the management of HF patients will now come from device based therapies.
With this background, CardioKinetix has developed a catheter-based intravascular approach to ventricular partitioning using an implantable device.
The purpose of this study is to assess the longterm safety of using the CardioKinetix Parachute device to isolate the malfunctioning portion of the left ventricle in patients with symptoms of HF due to ischemic heart disease.
Study Type
Observational
Enrollment (Actual)
11
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Aalst, Belgium, 9300
- OLV Hospital Aalst
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Catania, Italy, 95123
- Ferrarotto University Hospital Catania
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London, United Kingdom, SE1 7EH
- St. Thomas' Hospital
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 79 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
The study population will be open to all individuals who meet the inclusion/exclusion criteria.
This is a prospective, multi-center, non-randomized trial.
Description
Inclusion Criteria:
Candidates for this study must meet ALL of the following inclusion criteria:
- Akinesis or dyskinesis due to myocardial infarction limited to anteroapical region
- Subject is not hospitalized at time of enrollment.
NYHA Class at time of enrollment, either:
- NYHA Class III or Ambulatory IV - if predominant during the 3-month period prior to enrollment
- NYHA Class II - if diagnosed with NYHA Class III or IV during 3-month period prior to enrollment
- LVEF >15 or% and ≤ 40% as measured by echocardiography.
- Post LV MI structural heart dysfunction represented by LV wall motion abnormality (WMA) by echocardiography.
- Eligible for cardiac surgery
- Between 18 and 79 years of age (inclusive)
- Receiving appropriate medical treatment for heart failure according to the ACC/AHA 2009 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult during the three months prior to enrollment
- Provide written informed consent
- Agree to the protocol-required follow-up
Exclusion Criteria:
Candidates will be excluded from the study if ANY of the following conditions apply:
- Untreated clinically significant coronary artery disease requiring intervention.
- Acute MI (see MI definition) within 60 days of enrollment or patients with suspected evolving MI at time of enrollment
- Cardiogenic shock within 72 hours of enrollment
- Revascularization procedure (PCI or CABG) within 60 days of enrollment
- Patient has received a pacemaker, ICD, or CRT device within 60 days of enrollment
- History of aborted sudden cardiac death, if patient has not received an ICD and has potentially lethal ventricular arrhythmia, VT or VF
- A known hypersensitivity or contraindication to aspirin, heparin, warfarin, nitinol (titanium and nickel alloy), or sensitivity to contrast media, which cannot be adequately pre medicated.
- Aortic valve replacement or repair
- Blood dyscrasia, history of bleeding diathesis or coagulopathy, or hypercoagulable states.
- Active peptic ulcer or GI bleeding within the past 3 months
- Patient has suffered a cerebrovascular accident (CVA) or transient ischemic attack (TIA) within the past 6 months
- History of Kawasaki's disease
- Patient on dialysis or expected to require hemodialysis within 12 months
- Patient has chronic liver disease
- Impaired renal function that places patient at risk of contrast induced renal failure
- Ongoing sepsis, including active endocarditis.
- Co-morbidities associated with a life expectancy of less than 12-months or there are factors making echo and clinical follow-up difficult (no permanent address, etc.)
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Observational Models: Case-Only
- Time Perspectives: Prospective
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Assessment of long term safety of the Parachute system from baseline to 1 year and annually
Time Frame: 5 years
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Assessment of long term safety as measured by site-reported device related MACE in real in real-world use of the Parachute Implant through 5 years of clinical follow-up.
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5 years
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Change in Left Ventricular Volume Indices between baseline, 6 months, and annually
Time Frame: 6 months and annually to 5 years
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Change in Left Ventricular Volume Indexes (End Systolic {LVESVI} and End Diastolic {LVEDVI}) as measured by echocardiography from baseline to 6 months and annually to 5 years
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6 months and annually to 5 years
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Simon Redwood, MD, St. Thomas' Hospital
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
November 1, 2013
Primary Completion (Actual)
January 1, 2016
Study Completion (Actual)
June 1, 2017
Study Registration Dates
First Submitted
September 12, 2014
First Submitted That Met QC Criteria
September 12, 2014
First Posted (Estimate)
September 16, 2014
Study Record Updates
Last Update Posted (Actual)
June 22, 2017
Last Update Submitted That Met QC Criteria
June 21, 2017
Last Verified
June 1, 2017
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- RD1051.B.3
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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