Post Approval Study (PAS) of the OPTIMIZER Smart and CCM Therapy

NCT ID: NCT03970343

Last Updated: 2025-11-20

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

ACTIVE_NOT_RECRUITING

Total Enrollment

620 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-01-21

Study Completion Date

2028-07-31

Brief Summary

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The OPTIMIZER Smart Post-Approval Study is a prospective, multi-center, non-randomized, single arm open label study of 620 subjects receiving an OPTIMIZER implant as standard of care. Patients to be included will have NYHA functional class III symptoms and a left ventricular ejection fraction of 25-45%

Detailed Description

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The Impulse Dynamics OPTIMIZER Smart Pre-Market Application (PMA) clinical data confirmed that CCM therapy delivered with the Optimizer meaningfully improved health outcomes in patients with NYHA class III heart failure symptoms and left ventricular ejection fraction of 25-45%. CCM has shown significant improvements in quality of life measures, with an average improvement of \>11 points in MLHWFQ incremental to the improvement of a randomized control group with no device. Six minute hall walk and functional class also showed improvements in the PMA data. The post-approval study (PAS) protocol has been designed to evaluate long term safety and efficacy of the OPTIMIZER Smart in a real-world setting.

Conditions

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Heart Failure

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Interventions

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OPTIMIZER Smart System

Eligible subjects will receive the OPTIMIZER Smart, which is comprised of three major components:

1. Optimizer Smart or Optimizer Smart Mini
2. Vesta Charger or Guardio Charger
3. Two commercially available intravascular leads

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Patient provides written authorization and/or consent per institution and geographical requirements
2. Male or non-pregnant female, aged 18 or older
3. Left ventricular ejection fraction of 25-45% (inclusive, per site assessment)
4. NYHA Class III heart failure symptoms
5. Stated willingness to comply with all study procedures and availability for the duration of the study
6. Patient has been treated with guideline-directed medical therapy

Exclusion Criteria

1. Primary heart failure due to uncorrected mitral valve disease, or mitral valve repair or clip within 90 days of implant
2. IV inotropes, hemofiltration, or any form of positive inotropic support within 30 days prior to implant
3. Myocardial infarction within 90 days prior to implant
4. Undergone a CABG procedure within 90 days or a PTCA procedure within 30 days of implant
5. Prior heart transplant or ventricular assist device
6. Mechanical tricuspid valve
7. Receiving cardiac resynchronization therapy (CRT) or has a Class I indication for CRT implantation according to the ACCF/AHA/HRS guidelines for device-based therapy
8. Participating in a cardiac investigational study at the same time
9. Patient is in a vulnerable population (such as significant mental disability, prisoner) that in the judgement of the PI impedes ability to provide informed consent.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Impulse Dynamics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rami Kahwash, MD

Role: STUDY_DIRECTOR

Ohio State University

Raul Weiss, MD

Role: STUDY_DIRECTOR

Mt. Sinai Miami

Locations

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CardioVascular Associates of Mesa (CVAM)

Mesa, Arizona, United States

Site Status

Chan Heart Rhythm Institute (CHRI)

Mesa, Arizona, United States

Site Status

Southwest Cardiovascular Associates

Mesa, Arizona, United States

Site Status

Banner University Medical Center

Phoenix, Arizona, United States

Site Status

Cardiovascular Society of Arizona

Phoenix, Arizona, United States

Site Status

Arizona Cardiovascular Research Center

Phoenix, Arizona, United States

Site Status

Honor Health

Scottsdale, Arizona, United States

Site Status

Pima Heart and Vascular Research Center

Tucson, Arizona, United States

Site Status

University of AZ - Sarver Heart Center

Tucson, Arizona, United States

Site Status

Cardiovascular Institute of San Diego

Chula Vista, California, United States

Site Status

NorthBay Health, Heart and Vascular

Fairfield, California, United States

Site Status

Mid Valley Cardiology - Fresno

Fresno, California, United States

Site Status

South Orange County Cardiology Group

Laguna Hills, California, United States

Site Status

University of Southern California - Keck School of Medicine

Los Angeles, California, United States

Site Status

Cedars-Sinai Medical Center

Los Angeles, California, United States

Site Status

Valley Clinical Trials

Northridge, California, United States

Site Status

Valley Clinical Trials

Pasadena, California, United States

Site Status

Torrance Memorial Medical Center

Torrance, California, United States

Site Status

Aurora Denver Cardiology Associates

Aurora, Colorado, United States

Site Status

MedStar Washington Hospital Center

Washington D.C., District of Columbia, United States

Site Status

Heart Rhythm Solutions

Davie, Florida, United States

Site Status

Florida Memorial Hospital

Jacksonville, Florida, United States

Site Status

Florida Cardiology

Orlando, Florida, United States

Site Status

Florida Heart Rhythm Specialist

Plantation, Florida, United States

Site Status

Piedmont Heart

Atlanta, Georgia, United States

Site Status

Redmond Regional Medical Center

Rome, Georgia, United States

Site Status

Advocate Illinois Masonic Medical Center

Chicago, Illinois, United States

Site Status

Advocate Good Samaritan Hospital

Downers Grove, Illinois, United States

Site Status

OSF Healthcare Cardiovascular Institute

Peoria, Illinois, United States

Site Status

OSF HealthCare Cardiovascular Institute

Rockford, Illinois, United States

Site Status

OSF Healthcare Cardiovascular Institute

Urbana, Illinois, United States

Site Status

Franciscan Physician Network

Indianapolis, Indiana, United States

Site Status

Ascension St. Vincent

Indianapolis, Indiana, United States

Site Status

Community Healthcare System

Munster, Indiana, United States

Site Status

Baptist Lexington

Lexington, Kentucky, United States

Site Status

University of Kentucky - Gill Heart & Vascular Institute Clinical Research

Lexington, Kentucky, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Ascension Providence Park Hospital

Novi, Michigan, United States

Site Status

St. Joseph Mercy Oakland

Pontiac, Michigan, United States

Site Status

Downriver Heart and Vascular

Southgate, Michigan, United States

Site Status

Trinity Health Michigan Heart

Ypsilanti, Michigan, United States

Site Status

Minneapolis Heart Institute Foundation - Allina

Minneapolis, Minnesota, United States

Site Status

St. Louis Heart and Vascular

Bridgeton, Missouri, United States

Site Status

Logan Health

Kalispell, Montana, United States

Site Status

Cooper Hospital

Haddon Heights, New Jersey, United States

Site Status

Virtua Health - Our Lady of Lourdes

Marlton, New Jersey, United States

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Morristown Medical Center

Morristown, New Jersey, United States

Site Status

Rutgers Medical School

Newark, New Jersey, United States

Site Status

Valley Hospital

Ridgewood, New Jersey, United States

Site Status

Mount Sinai Morningside

New York, New York, United States

Site Status

Mission Health

Asheville, North Carolina, United States

Site Status

Atrium Health

Charlotte, North Carolina, United States

Site Status

NC Heart and Vascular Research

Raleigh, North Carolina, United States

Site Status

TriHealth Hatton

Cincinnati, Ohio, United States

Site Status

University Hospitals of Cleveland Medical Center

Cleveland, Ohio, United States

Site Status

The Ohio State University

Columbus, Ohio, United States

Site Status

Mount Carmel Research institute

Columbus, Ohio, United States

Site Status

Regional Cardiac Arrythmia Inc.

Steubenville, Ohio, United States

Site Status

ProMedica Health Systems

Toledo, Ohio, United States

Site Status

Mercy Health - St. Vincent Medical Center

Toledo, Ohio, United States

Site Status

Oklahoma Heart Hospital

Oklahoma City, Oklahoma, United States

Site Status

St. Luke's University Health Network

Allentown, Pennsylvania, United States

Site Status

Bryn Mawr Hospital

Bryn Mawr, Pennsylvania, United States

Site Status

UPMC Pinnacle Health

Harrisburg, Pennsylvania, United States

Site Status

Penn State Milton S. Hershey Medical Center

Hershey, Pennsylvania, United States

Site Status

Penn Medicine Lancaster General Hospital

Lancaster, Pennsylvania, United States

Site Status

Cardiology Consultants of Philadelphia

Philadelphia, Pennsylvania, United States

Site Status

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Penn Presybyterian Medical Center

Philadelphia, Pennsylvania, United States

Site Status

Temple University Hospital

Philadelphia, Pennsylvania, United States

Site Status

Einstein Medical Center

Philadelphia, Pennsylvania, United States

Site Status

Allegheny General Hospital

Pittsburgh, Pennsylvania, United States

Site Status

UPMC Heart and Vascular Institute

Pittsburgh, Pennsylvania, United States

Site Status

Reading Hospital

Reading, Pennsylvania, United States

Site Status

Cardiovascular Consultants of Philadelphia

Yardley, Pennsylvania, United States

Site Status

Texas Cardiac Arrhythmia Research

Austin, Texas, United States

Site Status

VA North Texas Medical Center

Dallas, Texas, United States

Site Status

Texan Procedure Center

El Paso, Texas, United States

Site Status

Baylor College of Medicine

Houston, Texas, United States

Site Status

UT Health - Memorial Hermann Hospital

Houston, Texas, United States

Site Status

Heart and Rhythm Institute of South Texas

San Antonio, Texas, United States

Site Status

UT Health San Antonio

San Antonio, Texas, United States

Site Status

CHRISTUS Trinity Clinic Research

Tyler, Texas, United States

Site Status

Centra Health- Lynchburg General Hospital

Lynchburg, Virginia, United States

Site Status

Bon Secours St. Mary's Hospital

Midlothian, Virginia, United States

Site Status

HCA Chippenham Hospital

Richmond, Virginia, United States

Site Status

Richmond VA Medical Center

Richmond, Virginia, United States

Site Status

CAMC Clinical Trials Center

Charleston, West Virginia, United States

Site Status

Marshall Cardiology

Huntington, West Virginia, United States

Site Status

Aurora Research Institute

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

Other Identifiers

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CA_CP_307

Identifier Type: -

Identifier Source: org_study_id

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