Restore EF Observational Study

NCT ID: NCT04648306

Last Updated: 2021-12-14

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

COMPLETED

Total Enrollment

406 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-09-01

Study Completion Date

2021-09-30

Brief Summary

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A multi-center, prospective, observational, non-interventional single arm, study of the intermediate-term clinical outcomes collected from electronic health records of high-risk patients which have previously undergone standard of care prophylactic Impella support for a non-emergent percutaneous coronary intervention (PCI).

Detailed Description

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1. Hypothesis The prophylactic use of Impella 2.5 or CP heart pumps during a non-emergent PCI in hemodynamically stable patients at high-risk for periprocedural complications during the procedure is associated with a significant improvement in the patient's LVEF and clinical status (heart failure symptoms and hospital readmissions) in the intermediate-term follow-up period post-ProPCI
2. Objectives The primary objective of this study is to assess the patient's LVEF at 90 days post-ProPCI (60 to 180 days window) as assessed in routine clinical practice and collected from EHR by clinical investigators.

The secondary objective of the study is to assess the potential association between the completeness of revascularization and the clinical status at 90 days post-ProPCI (60-180 days window). Clinical status includes NYHA heart failure functional class and hospital readmission.
3. Sample Size: The study will enroll more than 1,000 patients at up to 30 investigational sites with experienced Impella operators (≥ 25 cases).
4. Primary Endpoint: Subject's LVEF at 90 days post-ProPCI (60 to 180 days window) collected from the subject's EHR.
5. Secondary Endpoints:

* Completeness and extent of revascularization
* NYHA functional class at 90 days post-ProPCI (60 to 180 days window)
* Readmission at 90 days post-ProPCI (60 to 180 days window)

Conditions

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Coronary Artery Disease Unstable Angina Angina, Stable NSTEMI - Non-ST Segment Elevation MI

Keywords

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Impella Hemodynamic Mechanical Support Left ventricular ejection fraction Surgical turndown High Risk PCI

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Impella cohort

Single arm study of patients who underwent non-emergent percutaneous coronary intervention with prophylactic Impella support

Prophylactic Impella support for a non-emergent PCI

Intervention Type DEVICE

Impella percutaneous mechanical circulatory support is placed via the femoral or axillary artery prior to a non-emergent PCI in patients at high risk for periprocedural complications including hemodynamic collapse.

Interventions

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Prophylactic Impella support for a non-emergent PCI

Impella percutaneous mechanical circulatory support is placed via the femoral or axillary artery prior to a non-emergent PCI in patients at high risk for periprocedural complications including hemodynamic collapse.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years
* Subject has previously undergone (≥ 60 days) an Impella Protected PCI (ProPCI) at a study site as identified in the Impella quality (IQ) assurance database (patients who expired or were lost to follow-up prior to opening of the follow-up study window (day 60 post Impella protected PCI) will not be included in the study

Exclusion Criteria

* Subject with cardiogenic shock at the time of Impella insertion. Cardiogenic shock defined as: systemic hypotension (systolic blood pressure (SBP) \<90 mmHg or the need for inotropes/pressors to maintain a SBP \>90mmHg)
* Subject with ST elevation myocardial infarction at the time of Impella insertion.
* Subject underwent coronary bypass surgery after the index Impella ProPCI
* Subject underwent repeat revascularization with PCI after the index Impella ProPCI
* Subject underwent other cardiac procedures including valve therapies (surgical or percutaneous) after the index Impella ProPCI
* Subject underwent cardiac resynchronization therapy (CRT) initiated after the index Impella ProPCI
* Any known medical condition with a life expectancy \<6 months
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Abiomed Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Thom Dahle, MD

Role: STUDY_CHAIR

Saint Cloud Hospital

Jason Wollmuth, MD

Role: STUDY_CHAIR

Providence Health & Services

Lynn Morris, MD

Role: STUDY_CHAIR

East Carolina University

Craig Thompson, MD

Role: STUDY_CHAIR

NYU Langone

Locations

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St. Joseph's Medical Center

Phoenix, Arizona, United States

Site Status

Tucson Medical Center

Tucson, Arizona, United States

Site Status

Washington Regional Medical Center

Fayetteville, Arkansas, United States

Site Status

Arkansas Cardiology P.A.

North Little Rock, Arkansas, United States

Site Status

Northwest Medical Center

Springdale, Arkansas, United States

Site Status

Loma Linda University Medical

Loma Linda, California, United States

Site Status

UCSD Medical Center

San Diego, California, United States

Site Status

Advent Health

Daytona Beach, Florida, United States

Site Status

NorthShore University HealthSystem

Skokie, Illinois, United States

Site Status

Genesis Medical Center

Davenport, Iowa, United States

Site Status

Baptist Healthcare System

Lexington, Kentucky, United States

Site Status

Lafayette General Medical Center

Houma, Louisiana, United States

Site Status

Mercy Hospital

Coon Rapids, Minnesota, United States

Site Status

St. Cloud Hospital

Saint Cloud, Minnesota, United States

Site Status

NYU Langone Medical Center

New York, New York, United States

Site Status

Vidant Medical Center

Greenville, North Carolina, United States

Site Status

Christ Hospital

Cincinnati, Ohio, United States

Site Status

Providence Portland Medical Center

Portland, Oregon, United States

Site Status

Presbyterian Hospital Dallas

Arlington, Texas, United States

Site Status

Kingwood Medical Center

Kingwood, Texas, United States

Site Status

Sentara Healthcare

Norfolk, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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V1-07012019

Identifier Type: -

Identifier Source: org_study_id