Flow Regulation by Opening the Septum in Patients With Heart Failure Trial

NCT ID: NCT03751748

Last Updated: 2018-11-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

230 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-01-01

Study Completion Date

2021-04-30

Brief Summary

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To investigate the safety and efficacy of a novel atrial flow regulator (AFR) device in patients with heart failure and preserved ejection fraction.

Detailed Description

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The study will allow us to demonstrate the safety of the AFR device as well as determine the clinical response of the therapeutic intervention. In addition, the invasive exercise hemodynamics will provide objective data for the changes in the cardiac hemodynamics and delineate underlying mechanisms of creating a permanent inter atrial shunting.

Conditions

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Heart Failure With Normal Ejection Fraction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Multicenter, randomized, sham controlled, single blind with objective end points.
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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Control arm

Sham procedure to include cardiac catheterization and hemodynamic. Ongoing management at the discretion of the treating physician. Patient to undergo

Group Type SHAM_COMPARATOR

Sham procedure

Intervention Type DEVICE

Sham procedure to include cardiac catheterization and hemodynamic. Ongoing management at the discretion of the treating physician. Patient to undergo

AFR arm

Implantation of Occlutech atrial flow regulator (AFR) device

Group Type EXPERIMENTAL

AFR implantation

Intervention Type DEVICE

Implantation of atrial flow regulator (AFR) device

Interventions

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AFR implantation

Implantation of atrial flow regulator (AFR) device

Intervention Type DEVICE

Sham procedure

Sham procedure to include cardiac catheterization and hemodynamic. Ongoing management at the discretion of the treating physician. Patient to undergo

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Informed consent
* Age \> 40 years
* LVEF \> 45% documented within the last 3 months.
* NYHA class ≥II status or 6MWT distance \<80% predicted.
* Left atrial enlargement
* PCWP ≥25 mmHg during supine bicycle exercise on hemodynamic monitoring.
* Left atrial pressure greater than right atrial pressure by ≥5 mmHg on hemodynamic monitoring.

Exclusion Criteria

* Recent MI, PCI or CABG
* Untreated CAD with indication for revascularization
* Recent stroke, pulmonary embolism or major surgery
* Uncontrolled atrial fibrillation
* H/O cardiomyopathy (hypertrophic, restrictive, infiltrative) or pericardial disease
* Inability to perform a 6-minute walk test.
* Clinically significant valvular disease
* Uunsuitable for study participation at investigator discretion.
* Severe COPD, Anemia or morbid obesity
* Uncontrolled hypertension
* Women of child bearing age
* RA pressure \>15 mmHg or PVR \>4 wood units
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sinai Health System

OTHER

Sponsor Role collaborator

University Health Network, Toronto

OTHER

Sponsor Role collaborator

Unity Health Toronto

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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St. Michael's hospital

Toronto, Ontario, Canada

Site Status

Sinai Health System

Toronto, Ontario, Canada

Site Status

University Health Network

Toronto, Ontario, Canada

Site Status

Countries

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Canada

Central Contacts

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Asim Cheema, MD, PhD

Role: CONTACT

416-864-5739

Facility Contacts

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Asim Cheema, MD

Role: primary

416-864-5739

Susanna Mak, MD, FRCPC

Role: primary

Mark Osten, MD, FRCPC

Role: primary

Other Identifiers

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AC201809

Identifier Type: -

Identifier Source: org_study_id

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