NCT01471795

Brief Summary

Infections often occur after ventricular assist devices (VADs) are placed. These infections can be very serious. The goal of this study is to understand why these infections occur. Bacteria (germs) normally live on our skin and in our noses. After surgery, they can infect the VAD. The investigators will collect cultures of your skin and nose before and after surgery. The investigators will compare these bacteria to bacteria that cause infections. Their genes will be compared to see which ones help the bacteria cause infection.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
150

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Jan 2006

Typical duration for all trials

Geographic Reach
1 country

13 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2006

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2009

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2009

Completed
2.8 years until next milestone

First Submitted

Initial submission to the registry

November 7, 2011

Completed
9 days until next milestone

First Posted

Study publicly available on registry

November 16, 2011

Completed
Last Updated

November 16, 2011

Status Verified

November 1, 2011

Enrollment Period

3 years

First QC Date

November 7, 2011

Last Update Submit

November 15, 2011

Conditions

Outcome Measures

Primary Outcomes (1)

  • The incidence of suspected infections, characterized by infecting organism and location.

    The primary goal is to collect information that describes infections in patients receiving LVADs.

    Duration of the study, up to one year following VAD implantation, time of death or transplantation, whichever comes first.

Secondary Outcomes (4)

  • Collect and quantify culture results for suspected infections and the secondary manifestations of infection

    Duration of the study, up to one year following VAD implantation, time of death or transplantation, whichever comes first.

  • Develop Guidelines to properly diagnose VAD infections

    Up to one year following VAD implantation, time of death or transplantation, whichever comes first.

  • Costs (direct)

    Duration of the study, up to one year following VAD implantation, time of death or transplantation, whichever comes first.

  • Adverse Events

    Duration of the study, up to one year following VAD implantation, time of death or transplantation, whichever comes first.

Study Arms (1)

Study Population

150 subjects with end-stage heart failure who have been scheduled to undergo device implantation with a VAD, either as a bridge to cardiac transplantation or for destination therapy.

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

Patients with end-stage heart failure who demonstrate the need for intermediate or long-term support with a VAD.

You may qualify if:

  • Age greater than or equal to 18 years.
  • Approved by the institution's heart failure/transplant committee for VAD implantation, either as a bridge to cardiac transplantation or for destination therapy for end-stage heart failure.
  • Signed informed consent, release of medical information, and HIPAA forms.
  • Expectation of compliance with protocol procedures and study visit schedule.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (13)

University of Alabama at Birmingham

Birmingham, Alabama, 35294, United States

Location

Sharp Memorial Hospital

San Diego, California, 92123, United States

Location

Advocate Christ Medical Center

Oak Lawn, Illinois, 60453, United States

Location

Jewish Hospital

Louisville, Kentucky, 40202, United States

Location

University of Michigan

Ann Arbor, Michigan, 48109, United States

Location

University of Minnesota

Minneapolis, Minnesota, 55455, United States

Location

Columbia Presbyterian Medical Center

New York, New York, 10032, United States

Location

Montefiore Medical Center

The Bronx, New York, 10467, United States

Location

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

Location

LDS Hospital

Salt Lake City, Utah, 84143, United States

Location

Sacred Heart Medical Center

Spokane, Washington, 99204, United States

Location

University of Wisconsin Hospital

Madison, Wisconsin, 53792, United States

Location

St. Luke's Medical Center

Milwaukee, Wisconsin, 53215, United States

Location

Related Publications (2)

  • Gordon RJ, Weinberg AD, Pagani FD, Slaughter MS, Pappas PS, Naka Y, Goldstein DJ, Dembitsky WP, Giacalone JC, Ferrante J, Ascheim DD, Moskowitz AJ, Rose EA, Gelijns AC, Lowy FD; Ventricular Assist Device Infection Study Group. Prospective, multicenter study of ventricular assist device infections. Circulation. 2013 Feb 12;127(6):691-702. doi: 10.1161/CIRCULATIONAHA.112.128132. Epub 2013 Jan 11.

  • Gordon RJ, Miragaia M, Weinberg AD, Lee CJ, Rolo J, Giacalone JC, Slaughter MS, Pappas P, Naka Y, Tector AJ, de Lencastre H, Lowy FD. Staphylococcus epidermidis colonization is highly clonal across US cardiac centers. J Infect Dis. 2012 May 1;205(9):1391-8. doi: 10.1093/infdis/jis218. Epub 2012 Mar 29.

MeSH Terms

Conditions

Heart Failure

Condition Hierarchy (Ancestors)

Heart DiseasesCardiovascular Diseases

Study Officials

  • Patrice Desvigne-Nickens

    National Heart, Lung, and Blood Institute (NHLBI)

    STUDY DIRECTOR
  • Yoshifumi Naka, MD

    Columbia University

    STUDY CHAIR
  • Michael Parides, PhD

    Icahn School of Medicine at Mount Sinai

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 7, 2011

First Posted

November 16, 2011

Study Start

January 1, 2006

Primary Completion

January 1, 2009

Study Completion

January 1, 2009

Last Updated

November 16, 2011

Record last verified: 2011-11

Locations