MyLeukoMAP™ Genomic Survival Prediction Assay Pivotal Clinical Study

NCT ID: NCT05258942

Last Updated: 2022-10-27

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

Total Enrollment

300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-07-01

Study Completion Date

2023-08-31

Brief Summary

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The MyLeukoMAP™ Pivotal Clinical Study will assess the accuracy of MyLeukoMAP™, a new molecular blood test, performed within 30 days before scheduled surgical / interventional therapies for Heart Failure, to determine its effectiveness in improving clinical decision support by providing a quantitative prediction of low, indeterminate, or high risk of death one year after surgical / interventional therapies that is not identified by current diagnostic tools.

Detailed Description

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The MyLeukoMAP™ Pivotal Clinical Study will assess the accuracy of MyLeukoMAP™, a new molecular blood test, performed within 30 days before scheduled surgical / interventional therapies for Heart Failure, to determine its effectiveness in improving clinical decision support by providing a quantitative prediction of low, indeterminate, or high risk of death one year after surgical / interventional therapies that is not identified by current diagnostic tools.

Patients scheduled for one of 10 different Heart Failure surgical / interventional therapies will be identified and consented. Four clinical parameters will be collected for each patient: age, white blood cell count, blood pressure, and respiratory rate. Blood samples will be collected concurrent with a routine preoperative blood draw, and peripheral blood mononuclear cells (PBMC's) will be isolated. The PBMC samples will be shipped to ResearchDx, Irvine, CA, for testing using the MyLeukoMAP™ genomic survival prediction assay. Patient 1-year postoperative survival/non-survival data will be reported for each patient.

The samples will be tested 1-year after the intervention of the last enrolled patient, and the data will be compared to actual patient 1-year survival to determine the survival prediction accuracy of the assay. The investigators anticipate that the assay will better identify those 20% of patients who currently do not achieve 1-year postoperative survival, and who would have better odds of survival by remaining on medical therapy, but who cannot be identified with current tools.

Conditions

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Heart Failure

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Heart Failure Patients Scheduled for Coronary Artery Bypass Graft (CABG) Surgery

Heart Failure Patients Scheduled for Coronary Artery Bypass Graft (CABG) Surgery

Observational

Intervention Type OTHER

Blood samples will be collected within 30 days before scheduled surgical / interventional therapy for Heart Failure. The study will not impact patient treatment in any way.

Heart Failure Patients Scheduled for Percutaneous Coronary Interventions (PCI)

Heart Failure Patients Scheduled for Percutaneous Coronary Interventions (PCI)

Observational

Intervention Type OTHER

Blood samples will be collected within 30 days before scheduled surgical / interventional therapy for Heart Failure. The study will not impact patient treatment in any way.

Heart Failure Patients Scheduled for Aortic Valve Replacement (AVR) Surgery

Heart Failure Patients Scheduled for Aortic Valve Replacement (AVR) Surgery

Observational

Intervention Type OTHER

Blood samples will be collected within 30 days before scheduled surgical / interventional therapy for Heart Failure. The study will not impact patient treatment in any way.

Heart Failure Patients Scheduled for Mitral Valve Replacement (MVR) Surgery

Heart Failure Patients Scheduled for Mitral Valve Replacement (MVR) Surgery

Observational

Intervention Type OTHER

Blood samples will be collected within 30 days before scheduled surgical / interventional therapy for Heart Failure. The study will not impact patient treatment in any way.

Heart Failure Patients Scheduled for Transcatheter Aortic Valve Replacement (TAVR)

Heart Failure Patients Scheduled for Transcatheter Aortic Valve Replacement (TAVR)

Observational

Intervention Type OTHER

Blood samples will be collected within 30 days before scheduled surgical / interventional therapy for Heart Failure. The study will not impact patient treatment in any way.

Heart Failure Patients Scheduled for Transcatheter Mitra Clip

Heart Failure Patients Scheduled for Transcatheter Mitra Clip

Observational

Intervention Type OTHER

Blood samples will be collected within 30 days before scheduled surgical / interventional therapy for Heart Failure. The study will not impact patient treatment in any way.

Heart Failure Patients Scheduled for Ventricular Tachycardia Ablation

Heart Failure Patients Scheduled for Ventricular Tachycardia Ablation

Observational

Intervention Type OTHER

Blood samples will be collected within 30 days before scheduled surgical / interventional therapy for Heart Failure. The study will not impact patient treatment in any way.

Heart Failure Patients Scheduled for Stellate Gangliectomy

Heart Failure Patients Scheduled for Stellate Gangliectomy

Observational

Intervention Type OTHER

Blood samples will be collected within 30 days before scheduled surgical / interventional therapy for Heart Failure. The study will not impact patient treatment in any way.

Heart Failure Patients Scheduled for Mechanical Circulatory Support (MCS) Surgery

Heart Failure Patients Scheduled for Mechanical Circulatory Support (MCS) Surgery

Observational

Intervention Type OTHER

Blood samples will be collected within 30 days before scheduled surgical / interventional therapy for Heart Failure. The study will not impact patient treatment in any way.

Heart Failure Patients Scheduled for Heart Transplantation (HTx) Surgery

Heart Failure Patients Scheduled for Heart Transplantation (HTx) Surgery

Observational

Intervention Type OTHER

Blood samples will be collected within 30 days before scheduled surgical / interventional therapy for Heart Failure. The study will not impact patient treatment in any way.

Interventions

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Observational

Blood samples will be collected within 30 days before scheduled surgical / interventional therapy for Heart Failure. The study will not impact patient treatment in any way.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

Criteria #1: AdHF with NYHA III/IV

Criteria #2: Left Ventricular Ejection Fraction (LVEF) \<35% or \>2+valvular disease severity \& \>low risk Society of Thoracic Surgeons (STS)-score

Criteria #3: Evaluation for interventions including CABG/PCI (Stratum #1, Ischemia), Surgical Valve Replacement/TAVR/Mitra-Clip (Stratum #2, Overload), VT-Ablation/Stellate Gangliectomy (Stratum #3, Arrhythmia), or MCS/HTx (Stratum #4, Contractility)

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Exclusion Criteria

Criteria #1: No informed consent Criteria #2: \<18 years old

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Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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LeukoLifeDx Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Megan Kamath, MD

Role: PRINCIPAL_INVESTIGATOR

University California Los Angeles

Locations

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Yale University

New Haven, Connecticut, United States

Site Status RECRUITING

AdventHealth Orlando

Orlando, Florida, United States

Site Status RECRUITING

Saint Luke's Hospital of Kansas City

Kansas City, Missouri, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Simran Prajapat, PhD

Role: CONTACT

617.820.3725

Gordon Vansant, PhD

Role: CONTACT

760.473.4295

Facility Contacts

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Lavanya Bellumkonda, MD

Role: primary

203-785-7191

Jill Boria, RN

Role: backup

Nirav Raval, MD

Role: primary

Jennifer Lyden, BSN

Role: backup

407.303.2988

Andrew Kao, MD

Role: primary

816-931-1883

Brenda Akers, BSN

Role: backup

816.932.1627

References

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Bondar G, Togashi R, Cadeiras M, Schaenman J, Cheng RK, Masukawa L, Hai J, Bao TM, Chu D, Chang E, Bakir M, Kupiec-Weglinski S, Groysberg V, Grogan T, Meltzer J, Kwon M, Rossetti M, Elashoff D, Reed E, Ping PP, Deng MC. Association between preoperative peripheral blood mononuclear cell gene expression profiles, early postoperative organ function recovery potential and long-term survival in advanced heart failure patients undergoing mechanical circulatory support. PLoS One. 2017 Dec 13;12(12):e0189420. doi: 10.1371/journal.pone.0189420. eCollection 2017.

Reference Type RESULT
PMID: 29236770 (View on PubMed)

Deng MC. A peripheral blood transcriptome biomarker test to diagnose functional recovery potential in advanced heart failure. Biomark Med. 2018 Jun;12(6):619-635. doi: 10.2217/bmm-2018-0097. Epub 2018 May 8.

Reference Type RESULT
PMID: 29737882 (View on PubMed)

Bondar G, Cadeiras M, Wisniewski N, Maque J, Chittoor J, Chang E, Bakir M, Starling C, Shahzad K, Ping P, Reed E, Deng M. Comparison of whole blood and peripheral blood mononuclear cell gene expression for evaluation of the perioperative inflammatory response in patients with advanced heart failure. PLoS One. 2014 Dec 17;9(12):e115097. doi: 10.1371/journal.pone.0115097. eCollection 2014.

Reference Type RESULT
PMID: 25517110 (View on PubMed)

Other Identifiers

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LLDx1012021

Identifier Type: -

Identifier Source: org_study_id

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