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A Multinational Trial to Evaluate the Longterm Safety of the Parachute Implant System (PARACHUTEIII)

21. juni 2017 opdateret af: 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.

Studieoversigt

Status

Afsluttet

Detaljeret beskrivelse

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.

Undersøgelsestype

Observationel

Tilmelding (Faktiske)

54

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

      • Aalst, Belgien, 9300
        • OLV Hospital Aalst
      • Antwerpen, Belgien, 2020
        • ZNA Middelheim
      • Glasgow, Det Forenede Kongerige, G81 4DY
        • Golden Jubilee Hospital
      • London, Det Forenede Kongerige, SE1 7EH
        • St. Thomas' Hospital
      • Utrecht, Holland, 3508
        • University Medical Center (UMC) Utrecht
      • Catania, Italien, 95123
        • Ferrarotto University Hospital Catania
      • Barcelona, Spanien, 08028
        • Hospital Clínico de Barcelona
      • Bad Nauheim, Tyskland, 61231
        • Kerckhoff-Klinik SGmbh
      • Bonn, Tyskland, 53115
        • Arzt St. Marien-Hospital Abt. Innere Medizin
      • Hamburg, Tyskland, 20099
        • Asklepios Klinik St. Georg
      • Heidelberg, Tyskland, 69120
        • University of Heidelberg
      • Leipzig, Tyskland, 04289
        • University Hospital Leipzig
      • Rostock, Tyskland, 18057
        • Universitat Rostok

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år til 79 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

The study population will be open to all individuals who meet the inclusion/exclusion criteria. This is a prospective, multi-center, non-randomized trial.

Beskrivelse

Inclusion Criteria:

  • Candidates for this study must meet ALL of the following inclusion criteria:

    1. Akinesis or dyskinesis due to myocardial infarction limited to anteroapical region
    2. Subject is not hospitalized at time of enrollment.
    3. 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
    4. LVEF >15 or% and ≤ 40% as measured by echocardiography.
    5. Post LV MI structural heart dysfunction represented by LV wall motion abnormality (WMA) by echocardiography.
    6. Eligible for cardiac surgery
    7. Between 18 and 79 years of age (inclusive)
    8. 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
    9. Provide written informed consent
    10. Agree to the protocol-required follow-up

Exclusion Criteria:

Candidates will be excluded from the study if ANY of the following conditions apply:

  1. Untreated clinically significant coronary artery disease requiring intervention.
  2. Acute MI (see MI definition) within 60 days of enrollment or patients with suspected evolving MI at time of enrollment
  3. Cardiogenic shock within 72 hours of enrollment
  4. Revascularization procedure (PCI or CABG) within 60 days of enrollment
  5. Patient has received a pacemaker, ICD, or CRT device within 60 days of enrollment
  6. History of aborted sudden cardiac death, if patient has not received an ICD and has potentially lethal ventricular arrhythmia, VT or VF
  7. 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.
  8. Aortic valve replacement or repair
  9. Blood dyscrasia, history of bleeding diathesis or coagulopathy, or hypercoagulable states.
  10. Active peptic ulcer or GI bleeding within the past 3 months
  11. Patient has suffered a cerebrovascular accident (CVA) or transient ischemic attack (TIA) within the past 6 months
  12. History of Kawasaki's disease
  13. Patient on dialysis or expected to require hemodialysis within 12 months
  14. Patient has chronic liver disease
  15. Impaired renal function that places patient at risk of contrast induced renal failure
  16. Ongoing sepsis, including active endocarditis.
  17. 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.)

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Assessment of long term safety of the Parachute system
Tidsramme: 5 years
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.
5 years

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change in Left Ventricular Volume Indices
Tidsramme: 6 months and annually to 5 years
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
6 months and annually to 5 years

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Efterforskere

  • Ledende efterforsker: Simon Redwood, MD, St. Thomas' Hospital

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. juli 2011

Primær færdiggørelse (Faktiske)

1. juni 2014

Studieafslutning (Faktiske)

1. juni 2017

Datoer for studieregistrering

Først indsendt

15. februar 2011

Først indsendt, der opfyldte QC-kriterier

15. februar 2011

Først opslået (Skøn)

16. februar 2011

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

22. juni 2017

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

21. juni 2017

Sidst verificeret

1. juni 2017

Mere information

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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