NCT02158403

Brief Summary

The purpose of this study is to assess how often blood clots form in the FDA-approved HeartMate® II (HM II) Left Ventricular Assist Device (LVAD) and to identify risks related to clotting within the pump.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
300

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Sep 2014

Geographic Reach
1 country

23 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

First Submitted

Initial submission to the registry

May 30, 2014

Completed
7 days until next milestone

First Posted

Study publicly available on registry

June 6, 2014

Completed
3 months until next milestone

Study Start

First participant enrolled

September 1, 2014

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2016

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2016

Completed
Last Updated

March 25, 2022

Status Verified

March 1, 2022

Enrollment Period

1.5 years

First QC Date

May 30, 2014

Last Update Submit

March 24, 2022

Conditions

Keywords

HeartMate IIheart assist devicepump thrombosishypercoagulable disorderthrombusThoratec Corporation

Outcome Measures

Primary Outcomes (1)

  • Incidence of confirmed pump thrombosis within three months of HeartMate II (HM II) implantation

    3 months

Secondary Outcomes (10)

  • Incidence of confirmed pump thrombosis within six months of HM II implantation

    6 months

  • Incidence of suspected pump thrombosis (including unexplained hemolysis) within three and six months of HM II implantation

    3 and 6 months

  • Incidence of pump exchange, urgent transplantation or death due to pump thrombosis within three and six months of HM II implantation

    3 and 6 months

  • Survival on LVAD support at six months post HM II implantation

    6 months

  • Multivariate analysis of risk factors for pump thrombosis including demographics, anti-coagulation regimen, selected laboratory data (INR, LDH, plasma free Hgb), pump position measures, pump parameters and blood pressure

    Baseline and 1 week, 1 month, 3 months and 6 months after surgery

  • +5 more secondary outcomes

Study Arms (1)

Clinical Management Recommendations

OTHER

Clinical management recommendations for reducing pump thrombosis

Other: Clinical Management Recommendations for reducing pump thrombosis

Interventions

Clinical Management Recommendations for reducing pump thrombosis

Clinical Management Recommendations

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Subject or legally authorized representative has signed an informed consent form
  • Subject is receiving the HeartMate II as their first Left Ventricular Assist Device (LVAD)

You may not qualify if:

  • Prior mechanical circulatory support (MCS) (except for intra-aortic balloon pump)
  • Participation in any other clinical investigation(s) involving a MCS device, or an investigation(s) that is likely to confound study results or affect study outcome

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (23)

Baptist Medical Center

Little Rock, Arkansas, 72205, United States

Location

University of California, San Diego

La Jolla, California, 92037, United States

Location

UCLA Medical Center

Los Angeles, California, 90095, United States

Location

Sutter Memorial

Sacramento, California, 95819, United States

Location

Sharp Memorial Hospital

San Diego, California, 92123, United States

Location

University of Colorado

Aurora, Colorado, 80045, United States

Location

Shands Hospital at University of Florida

Gainesville, Florida, 32610, United States

Location

Northwestern Memorial

Chicago, Illinois, 60611, United States

Location

University of Chicago

Chicago, Illinois, 60637, United States

Location

Jewish Hospital

Louisville, Kentucky, 40202, United States

Location

Abbott Northwestern

Minneapolis, Minnesota, 55407, United States

Location

University of Minnesota Medical Center

Minneapolis, Minnesota, 55455, United States

Location

Mayo Clinic, St. Mary's

Rochester, Minnesota, 55905, United States

Location

University of North Carolina

Chapel Hill, North Carolina, 27599, United States

Location

The Christ Hospital

Cincinnati, Ohio, 45219, United States

Location

Ohio State University

Columbus, Ohio, 43210, United States

Location

Abington Memorial Hospital

Abington, Pennsylvania, 19001, United States

Location

Thomas Jefferson University Hospital

Philadelphia, Pennsylvania, 19107, United States

Location

Allegheny General Hospital

Pittsburgh, Pennsylvania, 15212, United States

Location

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, 15213, United States

Location

Vanderbilt University Medical Center

Nashville, Tennessee, 37232, United States

Location

Memorial Hermann/UT Texas

Houston, Texas, 77030, United States

Location

Inova Fairfax Hospital

Falls Church, Virginia, 22042, United States

Location

Related Publications (3)

  • Jeske W, Ransom J, Katz JN, Kilic A, Lindenfeld J, Egnaczyk G, Shah P, Brieke A, Uriel N, Crandall D, Farrar DJ, Walenga JM. Enhanced Thrombin Formation in Patients With Ventricular Assist Devices Experiencing Bleeding: Insights From the Multicenter PREVENT Study. ASAIO J. 2023 Mar 1;69(3):278-283. doi: 10.1097/MAT.0000000000001790. Epub 2022 Sep 8.

  • Kilic A, Ransom J, Maltais S, Sun B, Entwistle JW 3rd, Bailey S, John R, Klodell CT, Gregoric I, Sheridan B, Chuang J, Farrar DJ, Sundareswaran K, Adamson R. Pump Position Impacts HeartMate II Left Ventricular Assist Device Thrombosis. ASAIO J. 2019 Mar/Apr;65(3):227-232. doi: 10.1097/MAT.0000000000000840.

  • Thenappan T, Stulak JM, Agarwal R, Maltais S, Shah P, Eckman P, Emani S, Katz JN, Gregoric I, Keebler ME, Uriel N, Adler E, Chuang J, Farrar DJ, Sundareswaran KS, John R. Early intervention for lactate dehydrogenase elevation improves clinical outcomes in patients with the HeartMate II left ventricular assist device: Insights from the PREVENT study. J Heart Lung Transplant. 2018 Jan;37(1):25-32. doi: 10.1016/j.healun.2017.10.017. Epub 2017 Oct 24.

MeSH Terms

Conditions

Thrombosis

Condition Hierarchy (Ancestors)

Embolism and ThrombosisVascular DiseasesCardiovascular Diseases

Study Officials

  • Kartik Sundareswaran, PhD

    Abbott

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
PREVENTION
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 30, 2014

First Posted

June 6, 2014

Study Start

September 1, 2014

Primary Completion

March 1, 2016

Study Completion

June 1, 2016

Last Updated

March 25, 2022

Record last verified: 2022-03

Locations