Trial Outcomes & Findings for CardioMEMS HF System OUS Post Market Study (NCT NCT02954341)

NCT ID: NCT02954341

Last Updated: 2025-02-24

Results Overview

A device/System related complication (DSRC) is an adverse event that is, or is possibly, related to the device/system (wireless pressure sensor or external electronics) and has at least one of the following characteristics: 1) is treated with invasive means (other than intramuscular medication or right heart catheterization which is used for diagnostic purposes); 2) results in death of the subject; 3) results in the explant of the device.

Recruitment status

COMPLETED

Target enrollment

321 participants

Primary outcome timeframe

Two year

Results posted on

2025-02-24

Participant Flow

Participant milestones

Participant milestones
Measure
Consented Population
Patients who signed the study Informed Consent
Overall Study
STARTED
321
Overall Study
Underwent Implant (Safety Population)
304
Overall Study
Successfully Implanted (Effectiveness Population)
299
Overall Study
COMPLETED
190
Overall Study
NOT COMPLETED
131

Reasons for withdrawal

Reasons for withdrawal
Measure
Consented Population
Patients who signed the study Informed Consent
Overall Study
Attempted Implant unsuccessful
5
Overall Study
Death
90
Overall Study
Withdrawal by Subject
4
Overall Study
Physician Decision
13
Overall Study
Not Implanted due to COVID restrictions
1
Overall Study
Not implanted due to physician's decision
1
Overall Study
Withdrawn Prior Implant Attempt
17

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Effectiveness Population
n=299 Participants
Patients who signed the Study Informed Consent and underwent successful CardioMEMS implant
Age, Continuous
68.5 years
STANDARD_DEVIATION 11.7 • n=299 Participants
Sex: Female, Male
Female
81 Participants
n=299 Participants
Sex: Female, Male
Male
218 Participants
n=299 Participants
Ischemic Cardiomyopathy
137 Participants
n=299 Participants
CRT/CRT-D
87 Participants
n=299 Participants
ICD
71 Participants
n=299 Participants
Preserved Ejection Fraction (EF)
106 Participants
n=299 Participants
Hypertension
164 Participants
n=299 Participants
Diabetes Mellitus
129 Participants
n=299 Participants
Chronic obstructive pulmonary disease
67 Participants
n=299 Participants
Chronic kidney disease
Stage 3
187 Participants
n=299 Participants • Only Chronic Kidney disease of stage 3, 4 and 5 were collected therefore if a patient had a CKD in stage 2, it was not reported.
Chronic kidney disease
Stage 4
23 Participants
n=299 Participants • Only Chronic Kidney disease of stage 3, 4 and 5 were collected therefore if a patient had a CKD in stage 2, it was not reported.
Chronic kidney disease
Stage 5
1 Participants
n=299 Participants • Only Chronic Kidney disease of stage 3, 4 and 5 were collected therefore if a patient had a CKD in stage 2, it was not reported.
Chronic kidney disease
Not collected/Not reported
88 Participants
n=299 Participants • Only Chronic Kidney disease of stage 3, 4 and 5 were collected therefore if a patient had a CKD in stage 2, it was not reported.
Glomerular filtration rate (eGFR
51.53 mL/min/1.73 m^2
STANDARD_DEVIATION 19.85 • n=299 Participants
Medications at baseline
Beta Blockers
248 number of patients taking medication
n=299 Participants
Medications at baseline
ACE inhibitor/ARB/ARNi
255 number of patients taking medication
n=299 Participants
Medications at baseline
Beta Blocker + ACE inhibitor/ARB/ARNi
202 number of patients taking medication
n=299 Participants
Medications at baseline
Mineralocorticoid Receptor Antagonists (MRA)
66 number of patients taking medication
n=299 Participants
Medications at baseline
Diuretics (all types)
293 number of patients taking medication
n=299 Participants
Medications at baseline
Loop Diuretic
288 number of patients taking medication
n=299 Participants
Medications at baseline
Thiazide Diuretic
47 number of patients taking medication
n=299 Participants
Medications at baseline
Other diuretics
133 number of patients taking medication
n=299 Participants
NYHA Class
Class I
0 Participants
n=299 Participants
NYHA Class
Class II
0 Participants
n=299 Participants
NYHA Class
Class III
299 Participants
n=299 Participants
NYHA Class
Class IV
0 Participants
n=299 Participants

PRIMARY outcome

Timeframe: Two year

Population: Patients who signed the study Informed Consent and underwent CardioMEMS implant

A device/System related complication (DSRC) is an adverse event that is, or is possibly, related to the device/system (wireless pressure sensor or external electronics) and has at least one of the following characteristics: 1) is treated with invasive means (other than intramuscular medication or right heart catheterization which is used for diagnostic purposes); 2) results in death of the subject; 3) results in the explant of the device.

Outcome measures

Outcome measures
Measure
Safety Population
n=304 Participants
Patients who signed the study Informed Consent and underwent CardioMEMS implant procedure
Freedom From Device/System Related Complications
304 Participants

PRIMARY outcome

Timeframe: Two year

A sensor failure occurs when no readings can be obtained from it after troubleshooting the system to rule out any problems with the external electronics.

Outcome measures

Outcome measures
Measure
Safety Population
n=299 Participants
Patients who signed the study Informed Consent and underwent CardioMEMS implant procedure
Freedom From Pressure Sensor Failure.
298 Participants

PRIMARY outcome

Timeframe: One year

Population: Patients who signed the Study Informed Consent and underwent successful CardioMEMS implant

HFH events at 1 year versus the HFH events in the year prior to enrollment

Outcome measures

Outcome measures
Measure
Safety Population
n=299 Participants
Patients who signed the study Informed Consent and underwent CardioMEMS implant procedure
Annualized Heart Failure Hospitalization (HFH) Rate at 1 Year Compared to the HF Hospitalization Rate in the Year Prior to Enrollment.
Annualized HFH rate in the 12Months prior CardioMEMS implant
1.59 HFH events per year
Interval 1.47 to 1.71
Annualized Heart Failure Hospitalization (HFH) Rate at 1 Year Compared to the HF Hospitalization Rate in the Year Prior to Enrollment.
Annualized HFH rate in the 12Months post CardioMEMS implant
0.49 HFH events per year
Interval 0.4 to 0.59
Annualized Heart Failure Hospitalization (HFH) Rate at 1 Year Compared to the HF Hospitalization Rate in the Year Prior to Enrollment.
Annualized HFH rate post-Implant vs pre-implant
0.31 HFH events per year
Interval 0.25 to 0.37

Adverse Events

Safety Population

Serious events: 225 serious events
Other events: 17 other events
Deaths: 90 deaths

Serious adverse events

Serious adverse events
Measure
Safety Population
n=304 participants at risk
Patients who signed the study Informed Consent and underwent CardioMEMS implant procedure
Cardiac disorders
Abnormal heart rate or rhythm
13.2%
40/304 • Number of events 54 • 2 years
An adverse event (AE) is any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the medical device under investigation.
General disorders
Allergic reaction
0.33%
1/304 • Number of events 2 • 2 years
An adverse event (AE) is any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the medical device under investigation.
Blood and lymphatic system disorders
Bleeding
0.99%
3/304 • Number of events 4 • 2 years
An adverse event (AE) is any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the medical device under investigation.
Cardiac disorders
Chest pain - cardiac
4.6%
14/304 • Number of events 18 • 2 years
An adverse event (AE) is any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the medical device under investigation.
Cardiac disorders
Decompensated Heart Failure
44.1%
134/304 • Number of events 267 • 2 years
An adverse event (AE) is any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the medical device under investigation.
Respiratory, thoracic and mediastinal disorders
Exacerbation of COPD
1.3%
4/304 • Number of events 9 • 2 years
An adverse event (AE) is any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the medical device under investigation.
Cardiac disorders
Myocardial Infarction
1.3%
4/304 • Number of events 5 • 2 years
An adverse event (AE) is any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the medical device under investigation.
Blood and lymphatic system disorders
Hematoma
0.66%
2/304 • Number of events 3 • 2 years
An adverse event (AE) is any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the medical device under investigation.
Infections and infestations
Infection
14.1%
43/304 • Number of events 58 • 2 years
An adverse event (AE) is any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the medical device under investigation.
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
0.66%
2/304 • Number of events 2 • 2 years
An adverse event (AE) is any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the medical device under investigation.
Renal and urinary disorders
Renal Failure
10.5%
32/304 • Number of events 37 • 2 years
An adverse event (AE) is any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the medical device under investigation.
Infections and infestations
Sepsis
4.6%
14/304 • Number of events 15 • 2 years
An adverse event (AE) is any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the medical device under investigation.
Vascular disorders
Thrombus
0.33%
1/304 • Number of events 1 • 2 years
An adverse event (AE) is any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the medical device under investigation.
Nervous system disorders
Transient ischemic attack (TIA)
0.33%
1/304 • Number of events 1 • 2 years
An adverse event (AE) is any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the medical device under investigation.
Cardiac disorders
Valve Damage
0.33%
1/304 • Number of events 1 • 2 years
An adverse event (AE) is any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the medical device under investigation.
General disorders
Other
43.1%
131/304 • Number of events 212 • 2 years
An adverse event (AE) is any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the medical device under investigation.
Vascular disorders
Hemoptisis
0.66%
2/304 • Number of events 2 • 2 years
An adverse event (AE) is any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the medical device under investigation.
Product Issues
Lead dislodgement or migration
0.33%
1/304 • Number of events 1 • 2 years
An adverse event (AE) is any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the medical device under investigation.
Respiratory, thoracic and mediastinal disorders
Pulmonary Embolism
0.33%
1/304 • Number of events 1 • 2 years
An adverse event (AE) is any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the medical device under investigation.
Vascular disorders
Stroke
1.3%
4/304 • Number of events 4 • 2 years
An adverse event (AE) is any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the medical device under investigation.

Other adverse events

Other adverse events
Measure
Safety Population
n=304 participants at risk
Patients who signed the study Informed Consent and underwent CardioMEMS implant procedure
Cardiac disorders
Decompensated Heart Failure
0.99%
3/304 • Number of events 3 • 2 years
An adverse event (AE) is any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the medical device under investigation.
Infections and infestations
Infection
0.33%
1/304 • Number of events 1 • 2 years
An adverse event (AE) is any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the medical device under investigation.
Renal and urinary disorders
Renal Failure
0.99%
3/304 • Number of events 3 • 2 years
An adverse event (AE) is any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the medical device under investigation.
General disorders
Other
2.3%
7/304 • Number of events 8 • 2 years
An adverse event (AE) is any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the medical device under investigation.
Cardiac disorders
Abnormal heart rate or rhythm
0.33%
1/304 • Number of events 1 • 2 years
An adverse event (AE) is any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the medical device under investigation.
Respiratory, thoracic and mediastinal disorders
Pulmonary infarct
0.33%
1/304 • Number of events 1 • 2 years
An adverse event (AE) is any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the medical device under investigation.
Vascular disorders
Thrombus
0.33%
1/304 • Number of events 1 • 2 years
An adverse event (AE) is any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the medical device under investigation.

Additional Information

Dr Pascal De Groote

CHU de Lille - Institut Coeur Poumon

Phone: 33 (0)3 20 44 50 38

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place