ELEVATE High-Risk PCI Pivotal Study

NCT ID: NCT07001332

Last Updated: 2025-12-02

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

290 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-25

Study Completion Date

2027-09-16

Brief Summary

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The ELEVATE III Pivotal Study is a prospective, multi-center, open-label, interventional, randomized, controlled study with an active control group. The study is intended to assess the safety and efficacy of the Elevate™ percutaneous Left Ventricular Assist Device System in patients referred to high-risk percutaneous coronary interventions (HR-PCI).

Detailed Description

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The Elevate™ percutaneous Left Ventricular Assist Device System is a temporary (≤ 6 hours) ventricular support device indicated for use during high-risk percutaneous coronary interventions (HR-PCI) performed electively or urgently in hemodynamically stable patients with severe coronary artery disease. Use of the Elevate™ System in these patients may prevent hemodynamic instability, which can result from repeat episodes of reversible myocardial ischemia that occur during planned temporary coronary occlusions.

Conditions

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High-Risk Percutaneous Coronary Intervention (High-risk PCI)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This is a prospective, multi-center, open-label, interventional, randomized, and controlled study with an active control group.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Elevate

Subjects receiving the Elevate System

Group Type EXPERIMENTAL

Elevate

Intervention Type DEVICE

The Elevate System is a catheter- mounted, self-expanding and retrievable, continuous-flow pump, designed to unload the left ventricle by actively transporting blood from the left ventricle into the ascending aorta, thus augmenting cardiac output and maintaining systemic arterial pressure during complex/high-risk coronary interventions. Subjects will receive an Elevate prior to their high-risk percutaneous intervention.

Impella

Subjects receiving the Impella System

Group Type ACTIVE_COMPARATOR

Impella

Intervention Type DEVICE

Subjects will receive an Impella prior to their high-risk percutaneous intervention.

Interventions

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Elevate

The Elevate System is a catheter- mounted, self-expanding and retrievable, continuous-flow pump, designed to unload the left ventricle by actively transporting blood from the left ventricle into the ascending aorta, thus augmenting cardiac output and maintaining systemic arterial pressure during complex/high-risk coronary interventions. Subjects will receive an Elevate prior to their high-risk percutaneous intervention.

Intervention Type DEVICE

Impella

Subjects will receive an Impella prior to their high-risk percutaneous intervention.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Non-emergent, percutaneous coronary intervention is planned on at least one stenotic lesion of a native coronary artery or bypass graft (de novo or restenosis).
2. A heart team that includes an interventional cardiologist and cardiac surgeon has determined that HR- PCI is an appropriate therapeutic option.
3. Participant signed the informed consent.

Exclusion Criteria

1. Cardiogenic shock or acutely decompensated pre-existing chronic heart failure.
2. Prior stroke with any permanent, significant (mRS\>2) neurological deficit, or stroke or TIA within 3 months prior to enrollment.
3. Any condition or scheduled surgery that will require discontinuation of the antiplatelet and/or anticoagulation therapy within 90 days of the index procedure.
4. Evidence of left ventricular thrombus.
5. Aortic valve stenosis/calcification (valve area ≤ 1.5 cm2).
6. ≥ Moderate aortic valve regurgitation (≥ 2+ on a 4-grade scale by transthoracic echocardiography).
7. Femoral access site incompatibility that precludes placement of either the Treatment or Control device.
8. Patient on dialysis.
9. Known or suspected coagulopathy OR abnormal coagulation parameters.
10. Known allergy, sensitivity or intolerance to nickel.
11. Infection of the proposed procedural access site; OR suspected systemic active infection, including any fever or known active COVID-19 infection.
12. Allergy, sensitivity or intolerance to heparin, or contrast media, including known heparin-induced thrombocytopenia (HIT).
13. Any non-cardiac condition with a life expectancy \< 12 months.
14. Subject participation in another investigational drug or device trial (with the exception of post-market registries and observational studies, subject to Sponsor review and approval).
15. Pregnancy or breast-feeding.
16. Subject has other medical, social, or psychological problems that, in the opinion of the Investigator, compromise the participant's ability to provide written informed consent and/or to comply with study procedures.
17. Subject belongs to a vulnerable population.
Minimum Eligible Age

18 Years

Maximum Eligible Age

88 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Magenta Medical Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Minneapolis Heart Institute

Minneapolis, Minnesota, United States

Site Status RECRUITING

Maimonides Health

Brooklyn, New York, United States

Site Status RECRUITING

North Shore University Hospital

Manhasset, New York, United States

Site Status RECRUITING

Tampa General/USF

Tampa, Florida, United States

Site Status RECRUITING

Wellstar Health System

Marietta, Georgia, United States

Site Status RECRUITING

St. Elizabeth Healthcare

Edgewood, Kentucky, United States

Site Status RECRUITING

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Henry Ford Health

Detroit, Michigan, United States

Site Status RECRUITING

NYU Langone/Bellevue/Long Island

New York, New York, United States

Site Status RECRUITING

Mount Sinai

New York, New York, United States

Site Status RECRUITING

Columbia University Medical Center/NYPH

New York, New York, United States

Site Status NOT_YET_RECRUITING

Weill Cornell Medical Center

New York, New York, United States

Site Status RECRUITING

Advocate Aurora Health Research Institute- St. Luke's Medical Center

Milwaukee, Wisconsin, United States

Site Status RECRUITING

Countries

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United States

Facility Contacts

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Hiram Bezerra, MD

Role: primary

813-844-8287

Salvatore Mannino, MD

Role: primary

470-793-4042

Mohanjit (Mohan) Brar, MD

Role: primary

859-287-3045

Suzanne J Baron, MD

Role: primary

617-643-9617

Mir Basir, DO

Role: primary

313-916-0015

Emmanouil Brilakis, MD

Role: primary

612-863-0243

Robert Frankel, MD

Role: primary

718-283-7064

Perwaiz Meraj, MD

Role: primary

516-600-1480

Louai Razzouk, MD

Role: primary

212-263-5656

Amit Hooda, MD

Role: primary

212-241-9687

Margaret McEntegart, MD

Role: primary

212-305-7060

Jaikirshan Khatri, MD

Role: primary

212-746-4617

Louie Kostopoulos, MD

Role: primary

414-649-3546

Other Identifiers

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DRD-0001723

Identifier Type: -

Identifier Source: org_study_id

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