- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02876042
BAROSTIM THERAPY™ In Heart Failure With Preserved Ejection Fraction (HFpEF)
BAROSTIM THERAPY ™ in Heart Failure With Preserved Ejection Fraction: A Post-Market Registry With the CE-Marked BAROSTIM NEO™ System
Study Overview
Detailed Description
Summary:
The CVRx BAROSTIM THERAPY in Heart Failure with Preserved Ejection Fraction (HFpEF) Registry will be performed with subjects who have been recently implanted with the BAROSTIM NEO System in accordance with CE-Mark approved criteria for resistant hypertension and have evidence of HFpEF per the registry enrollment criteria. Subjects must be enrolled within 30 days from implant but prior to therapy activation. Up to 70 subjects will be enrolled at up to 10 sites. Data should be obtained from standard of care measurements taken prior to implant, at enrollment/baseline, and at 3 and 6 months after the device was implanted, at which time each subject will be exited from the registry.
Eligibility Criteria:
The CE-Mark approved indications and contraindications for the BAROSTIM NEO system in the treatment of resistant hypertension include:
Indications
- Systolic blood pressure greater than or equal to 140 mmHg, and
- Resistance to maximally tolerated therapy with a diuretic and two other anti-hypertension medications
Contraindications
- Bilateral carotid bifurcations located above the level of the mandible
- Baroreflex failure or autonomic neuropathy
- Uncontrolled, symptomatic cardiac bradyarrhythmias
- Carotid atherosclerosis that is determined by ultrasound or angiographic evaluation to be greater than 50%
- Ulcerative plaques in the carotid artery as determined by ultrasound or angiographic evaluation
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Berlin, Germany, 12203
- Berlin Charité & Deutschen Herzzentrum Berlin
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Bernau, Germany, 16321
- Immanuel Klinikum Bernau Herzzentrum Brandenburg
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Cologne, Germany, 50937
- Universitätsklinikum Köln Herzzentrum
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Detmold, Germany, 32756
- Lippe Klinikum
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Frankfurt, Germany, 60590
- Uniklinik Frankfurt
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Giessen, Germany, 35392
- Universitätsklinikum Giessen und Marburg
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Göttingen, Germany, 37075
- Herzzentrum Göttingen
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Hamburg, Germany, 22763
- Asklepios Klinik Altona
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Hanover, Germany, 30625
- Medizinische Hochschule Hannover
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Heidelberg, Germany, 69120
- Uniklinik Heidelberg
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Ingolstadt, Germany, 85049
- Kardiologie im Klinikum Ingolstadt
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Regensburg, Germany, 93053
- Universitätsklinikum Regensburg
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Siegen, Germany, 57072
- Marienkrankenhaus Siegen
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Sign an Ethics Committee (EC) approved informed consent form for the registry.
- Implanted with the BAROSTIM NEO system in accordance with CE-Mark approved indications and contraindications for resistant hypertension within 30 days prior to enrollment.
- BAROSTIM THERAPY not yet chronically activated.
- Pre-implant echocardiogram with left ventricular ejection fraction ≥ 50% within 30 days prior to implant.
- On stable, maximally-tolerated, guideline-directed cardiovascular medications for at least 30 days prior to enrollment.
Objective evidence of heart failure according to the following criteria:
- Hospitalization for heart failure within 12 months prior to enrollment OR
- Echocardiographic evidence of diastolic dysfunction (LA Volume Index >34 ml/m2 OR E/e >13) within 30 days prior to enrollment OR
- NTproBNP > 220 pg/mL or BNP > 80 pg/mL (in atrial fibrillation, NTproBNP > 600 pg/mL or BNP > 200 pg/mL) within 30 days prior to enrollment
Exclusion Criteria:
- Heart failure secondary to a reversible or treatable condition such as, cardiac structural valvular disease, acute myocarditis and pericardial constriction.
- Heart failure secondary to right ventricular failure or right ventricular myocardial infarction.
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Changes in Office Cuff Systolic Blood Pressure
Time Frame: Pre-implant baseline to 6 months post-implant
|
Office cuff blood pressure measurement to be obtained from a time point prior to implant and as close to the implant procedure as possible (baseline), and at 3 and 6 months post-implant.
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Pre-implant baseline to 6 months post-implant
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in New York Heart Association Functional Classification
Time Frame: Pre-implant baseline to 6 months post-implant
|
New York Heart Association Classification, if available, should be obtained from a time point prior to implant and as close to the implant procedure as possible (baseline), and at 3 and 6 months post-implant.
|
Pre-implant baseline to 6 months post-implant
|
|
Changes in Left Ventricular Mass Index
Time Frame: Pre-implant baseline to 6 months post-implant
|
An echocardiogram obtained prior to implant, and as close to the implant procedure as possible, will be utilized for the baseline measurement.
An additional echocardiogram will be obtained at 3 and 6 months post-implant.
|
Pre-implant baseline to 6 months post-implant
|
|
Changes in LA volume index
Time Frame: Pre-implant baseline to 6 months post-implant
|
An echocardiogram obtained prior to implant, and as close to the implant procedure as possible, will be utilized for the baseline measurement.
An additional echocardiogram will be obtained at 3 and 6 months post-implant.
|
Pre-implant baseline to 6 months post-implant
|
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Changes in E/E' ratio
Time Frame: Pre-implant baseline to 6 months post-implant
|
An echocardiogram obtained prior to implant, and as close to the implant procedure as possible, will be utilized for the baseline measurement.
An additional echocardiogram will be obtained at 3 and 6 months post-implant.
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Pre-implant baseline to 6 months post-implant
|
|
Changes in NT-proBNP
Time Frame: Pre-implant baseline, 6 months post-implant
|
If available, measurement should be obtained from a time point prior to implant and as close to the implant procedure as possible (baseline), and at 3 and 6 months post-implant.
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Pre-implant baseline, 6 months post-implant
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Evaluate health care utilization over follow-up, such as heart failure hospitalizations
Time Frame: Pre-implant baseline to 6 months post-implant
|
Health care utilization information is collected throughout follow-up.
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Pre-implant baseline to 6 months post-implant
|
Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Burkert Pieske, PhD, Universitätmedizin Berlin - Charité
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 360047-001
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.
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