Pulmonary Artery Sensor System Pressure Monitoring to Improve Heart Failure (HF) Outcomes

NCT ID: NCT04398654

Last Updated: 2024-10-18

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

RECRUITING

Clinical Phase

NA

Total Enrollment

554 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-10-02

Study Completion Date

2026-12-31

Brief Summary

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Randomized, parallel group controlled study examines the effect of supporting the Heart failure supply through pulmonary arterial (PA) pressure measurement with the CardioMEMS™ HF system to hard endpoints, safety and quality of life. The target population consists of heart failure (HF) patients who have been predominantly in New York Heart Association (NYHA) Stage III for the past 30 days and at least once in the past 12 months for HF were admitted to hospital. All patients receive basic care, which is based on structured telephone contact (between the care center, patient and family doctor) to optimize guideline compliant therapy. In the intervention group a PA pressure sensor is (CardioMEMS™-HF Sensor) implanted. These patients are structured by specially trained non-medical personnel aftercare with additional inclusion of the PA pressure values: adjusted to the basis of the information collected in PA monitoring the therapy is optimized. The follow-up period until the primary endpoint is 12 months.

Detailed Description

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Conditions

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Heart Failure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Control Group

Monitoring and therapy adjustment within the scope of the basic care described in the clinical trial plan.

Group Type NO_INTERVENTION

No interventions assigned to this group

Intervention Group

As in control group. In addition, in the intervention arm the CardioMEMSTM HF sensor implanted.

Group Type ACTIVE_COMPARATOR

CardioMEMSTM HF sensor - pulmonary artery pressure measurement

Intervention Type DEVICE

CardioMEMSTM HF sensor implantation to meassure pulmonary artery pressure. Evaluation of the pressure curves by telemetric transmission and coordination of necessary adjustments of the therapy.

Interventions

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CardioMEMSTM HF sensor - pulmonary artery pressure measurement

CardioMEMSTM HF sensor implantation to meassure pulmonary artery pressure. Evaluation of the pressure curves by telemetric transmission and coordination of necessary adjustments of the therapy.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Written consent received from the patient or a legal representative after the in-formation has been provided.
2. ≥≥ 18 years of age.
3. Predominant symptoms in NYHA Stage III in the 30-day period prior to consent to the study.
4. Objectified HF diagnosis for more than three months.
5. Hospitalisation within 12 months prior to inclusion due to deterioration of HF symptoms.
6. Able to tolerate dual antiplatelet therapy or anticoagulation therapy for one month after sensor implantation
7. Patients with reduced left ventricular ejection fraction (LVEF) ≤40% (diagnosed within 6 months prior to inclusion) must be treated with guideline-compliant HF pharmacotherapy; if one class of guideline-compliant medication is not tolerated, appropriate documentation must be supplied; patients must receive and tolerate at least one class of guideline-compliant medication; if no guideline-compliant medication is tolerated at all, the patient may not participate in the study.
8. In patients with preserved LVEF (\>40%; diagnosed within 6 months prior to inclu-sion) comorbidities must be treated in accordance with guideline-compliant medi-cation.
9. Chest circumference (measured at axillary level) of less than 165 cm if BMI \>35 kg/m2.
10. Willing and mentally and physically able to meet the requirements for follow-up and long-term basic care (this includes the long-term willingness of the patient, and of their relatives where relevant, to participate in PA pressure-based monitor-ing).
11. Appropriate domestic situation, defined as being accessible by telephone (via fixed or mobile network) .
12. For the intervention group: Implantation is only performed if the diameter of the pulmonary artery branch intended for implantation is ≥7 mm (assessment will be made during the right heart catheterization)

Exclusion Criteria

1. Enrolment in another study with an active treatment arm.
2. Severe cardiovascular event (e.g. myocardial infarction, open heart surgery, stroke, CRT implantation) in the 2 months prior to admission
3. Therapy-refractory heart failure in ACC/AHA stage D or new therapies that have taken place or are planned in the next 12 months (e.g. implantation of a left ven-tricular assist system / transplantation)
4. Active infection.
5. History of recurrent (\>1 episode) pulmonary embolism and/or deep vein throm-bosis.
6. Continuous or intermittent chronic inotropic therapy.
7. Estimated glomerular filtration rate (eGFR) \<25 ml/min
8. Life expectancy (according to the study physician's assessment) \<12 months.
9. Severe, unrepaired congenital heart defect that would prevent implantation of the sensor.
10. Severe valve vitium with planned intervention in the next 3 months
11. Presence of a mechanical right heart valve.
12. Mental disorder that presumably (in the opinion of the study physician) has a negative impact on patient compliance or consent.
13. Failure of the coordinating physician to approve if the patient is enrolled in an HF disease management program or comparable case management program.
14. Women of childbearing age with a positive pregnancy test at the time of inclusion
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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IHF GmbH - Institut für Herzinfarktforschung

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Stefan Störk, MD

Role: PRINCIPAL_INVESTIGATOR

Wuerzburg University Hospital

Locations

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SLK-Kliniken GmbH - Klinikum am Plattenwald

Bad Friedrichshall, , Germany

Site Status RECRUITING

Kerckhoff-Klinik Forschungs GmbH

Bad Nauheim, , Germany

Site Status RECRUITING

Herz- und Diabeteszentrum NRW

Bad Oeynhausen, , Germany

Site Status RECRUITING

BG Unfallkrankenhaus Berlin

Berlin, , Germany

Site Status RECRUITING

Charité Universitätsmedizin (Campus Mitte, Campus Benjamin Franklin)

Berlin, , Germany

Site Status RECRUITING

Deutsches Herzzentrum Berlin

Berlin, , Germany

Site Status NOT_YET_RECRUITING

Praxis am Spreebogen

Berlin, , Germany

Site Status RECRUITING

Sana Klinikum Lichtenberg

Berlin, , Germany

Site Status RECRUITING

Klinikum Bielefeld

Bielefeld, , Germany

Site Status RECRUITING

Universitätsklinikum Bonn

Bonn, , Germany

Site Status RECRUITING

Klinikum Coburg

Coburg, , Germany

Site Status RECRUITING

St. Vinzenz Hospital

Cologne, , Germany

Site Status RECRUITING

St Johannes Hospital Dortmund

Dortmund, , Germany

Site Status RECRUITING

Praxisklinik Herz und Gefäße

Dresden, , Germany

Site Status RECRUITING

St. Georg Klinikum

Eisenach, , Germany

Site Status RECRUITING

Helios Klinikum Erfurt

Erfurt, , Germany

Site Status RECRUITING

St. Elisabeth Krankenhaus, Contilia Herz- und Gefäßzentrum

Essen, , Germany

Site Status RECRUITING

Universitätsklinikum Essen

Essen, , Germany

Site Status RECRUITING

Universitätsklinikum Frankfurt

Frankfurt, , Germany

Site Status RECRUITING

Universitätsklinikum Gießen

Giessen, , Germany

Site Status RECRUITING

Universitäres Herz- und Gefäßzentrum Hamburg

Hamburg, , Germany

Site Status RECRUITING

Medizinische Hochschule Hannover

Hanover, , Germany

Site Status RECRUITING

Westpfalz Klinikum

Kaiserslautern, , Germany

Site Status RECRUITING

Klinikum Karlsburg

Karlsburg, , Germany

Site Status RECRUITING

Leipzig Heart Institute GmbH

Leipzig, , Germany

Site Status RECRUITING

Cardio Centrum Ludwigsburg-Bietigheim

Ludwigsburg, , Germany

Site Status RECRUITING

Klinikum Oldenburg

Oldenburg, , Germany

Site Status RECRUITING

Klinikum Vest

Recklinghausen, , Germany

Site Status RECRUITING

Cardio Consil Rostock

Rostock, , Germany

Site Status RECRUITING

Krankenhaus der Barmherzigen Brüder

Trier, , Germany

Site Status RECRUITING

Schwarzwald-Baar Klinikum

Villingen-Schwenningen, , Germany

Site Status RECRUITING

Rems-Murr Klinikum

Winnenden, , Germany

Site Status RECRUITING

Deutsches Zentrum für Herzinsuffizienz (DZHI)

Würzburg, , Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Stefan Störk, MD

Role: CONTACT

093120146361

Claas Christoph, PhD

Role: CONTACT

Facility Contacts

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Thomas Dengler, Prof Dr med

Role: primary

Andreas Rieth, Dr med

Role: primary

Hendrik Fox, Dr med

Role: primary

Sebastian Winkler, Dr med

Role: primary

David Leistner, Prof Dr med

Role: primary

Felix Schönrath, Dr med

Role: primary

Florian Krackhardt, Dr med

Role: primary

Fabian Knebel, Prof Dr med

Role: primary

Christoph Stellbrink, Prof Dr med

Role: primary

Christian Zachoval, Dr med

Role: primary

Steffen Schnupp, Dr med

Role: primary

Stefan Winter, Dr med

Role: primary

Helge Möllmann, Prof Dr med

Role: primary

Stefan Spitzer, Prof Dr med

Role: primary

Marcus Jahnecke, Dr med

Role: primary

Alexander Lauten, Prof Dr med

Role: primary

Oliver Bruder, Dr med

Role: primary

Peter Lüdike, Dr med

Role: primary

Stephan Fichtlscherer, Prof Dr med

Role: primary

Birgit Aßmus, Prof Dr med

Role: primary

Christina Magnussen, Dr med

Role: primary

Tibor Kempf, Prof Dr med

Role: primary

Burghard Schuhmacher, Prof Dr med

Role: primary

Basil Alkhlout, Dr med

Role: primary

Gerhard Hindricks, Prof Dr med

Role: primary

Ralph Bosch, Dr med

Role: primary

Lea Seidlmayer, Dr med

Role: primary

Frank Weidemann, Prof Dr med

Role: primary

Jens Placke, Dr med

Role: primary

Neriman Osman, Dr med

Role: primary

Werner Jung, Prof Dr med

Role: primary

Michael Sailer, Dr med

Role: primary

Stefan Störk, Prof Dr med

Role: primary

References

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Stork S, Bernhardt A, Bohm M, Brachmann J, Dagres N, Frantz S, Hindricks G, Kohler F, Zeymer U, Rosenkranz S, Angermann C, Assmus B. Pulmonary artery sensor system pressure monitoring to improve heart failure outcomes (PASSPORT-HF): rationale and design of the PASSPORT-HF multicenter randomized clinical trial. Clin Res Cardiol. 2022 Nov;111(11):1245-1255. doi: 10.1007/s00392-022-01987-3. Epub 2022 Mar 4.

Reference Type DERIVED
PMID: 35246723 (View on PubMed)

Other Identifiers

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PASSPORT-HF

Identifier Type: -

Identifier Source: org_study_id

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