NCT02268942

Brief Summary

This is a prospective, multi-center,single-arm study that will evaluate the thoracotomy implant technique in up to 145 subjects implanted via thoracotomy with the HeartWare HVAD System and enrolled in the Interagency Registry for Mechanically Assisted Circulatory Support (Intermacs®) protocol and database. All participating centers are current INTERMACS® sites in good standing and follow the INTERMACS® protocol and procedures.

Trial Health

90
On Track

Trial Health Score

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

Enrollment
144

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Nov 2014

Longer than P75 for not_applicable

Geographic Reach
2 countries

26 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

October 16, 2014

Completed
4 days until next milestone

First Posted

Study publicly available on registry

October 20, 2014

Completed
12 days until next milestone

Study Start

First participant enrolled

November 1, 2014

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2016

Completed
2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2018

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

November 12, 2019

Completed
Last Updated

December 2, 2019

Status Verified

November 1, 2019

Enrollment Period

1.9 years

First QC Date

October 16, 2014

Results QC Date

October 22, 2019

Last Update Submit

November 18, 2019

Conditions

Outcome Measures

Primary Outcomes (1)

  • Subject is Alive on Original Device, Transplanted, or Explanted for Recovery at 6 Months

    * Alive on the originally implanted device at six months, and the subject has not had a stroke with a modified Rankin Scale ≥ 4 (assessed ≥ three months post-stroke event); or * Transplanted by Month 6, and the subject has not had a stroke with a modified Rankin Scale ≥ 4 (assessed ≥ three months post-stroke event); or * Explanted for recovery by Month 6, and the subject has not had a stroke with a modified Rankin Scale ≥ 4 (assessed ≥ three months post-stroke event).

    6 months

Secondary Outcomes (1)

  • Mean Length of Initial Hospital Stay

    Initial Hospital Stay

Study Arms (1)

HeartWare HVAD via Thoracotomy

EXPERIMENTAL

HeartWare HVAD implanted via thoracotomy

Device: HeartWare HVADProcedure: Thoracotomy

Interventions

Implant of HeartWare HVAD via thoracotomy implant technique

HeartWare HVAD via Thoracotomy
ThoracotomyPROCEDURE

Thoracotomy implant technique

HeartWare HVAD via Thoracotomy

Eligibility Criteria

Age19 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Must be ≥19 years of age at time of informed consent to participate in the Intermacs® registry.
  • Subject receives a HeartWare HVAD (The device should be the subject's first VAD implant).
  • Subject signed an Intermacs® informed consent if required by local IRB policy.
  • Subject signed a HeartWare informed consent.

You may not qualify if:

  • Subject is incarcerated (prisoner).
  • Subject did not sign the informed consent at sites where waiver of consent was not granted.
  • Body Surface Area (BSA) \< 1.2 m\^2.
  • Prior cardiac transplant or cardiomyoplasty.
  • Subject is receiving a BiVAD.
  • Subject is receiving the device as an RVAD.
  • Subject data is generated from non- Intermacs® centers.
  • Pediatric subjects (\< 19 years of age).
  • Subjects who receive a temporary LVAD
  • Subjects whose device strategy is listed as "Destination Therapy" at the time of implant.
  • Severe Right Heart failure
  • Aortic insufficiency or mechanical aortic valve.
  • Planned concomitant procedure (e.g.valve repair or replacement, CABG, septal defect repair).
  • Known LV Thrombus.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (26)

The University of Alabama

Birmingham, Alabama, 35294, United States

Location

Stanford University School of Medicine

Palo Alto, California, 94305, United States

Location

UC San Diego

San Diego, California, 92093, United States

Location

UCSF Medical Center

San Francisco, California, 94143, United States

Location

Washington Hospital Center

Washington D.C., District of Columbia, 20010, United States

Location

Tampa Transplant Institute/Tampa General Hospital

Tampa, Florida, 33606, United States

Location

Northwestern Memorial Hospital

Chicago, Illinois, 60611, United States

Location

Loyola University Medical Center

Maywood, Illinois, 60153, United States

Location

IU Health Methodist

Indianapolis, Indiana, 46202, United States

Location

St. Vincent Hospital

Indianapolis, Indiana, 46262, United States

Location

Jewish Hospital - Rudd Heart and Lung Institute

Louisville, Kentucky, 40202, United States

Location

John Ochsner Heart & Vascular Institute

New Orleans, Louisiana, 70115, United States

Location

Tufts Medical Center

Boston, Massachusetts, 02111, United States

Location

University of Michigan Hospital

Ann Arbor, Michigan, 48109, United States

Location

Spectrum Health

Grand Rapids, Michigan, 49503, United States

Location

Mayo Rochester - St. Mary's Hospital

Rochester, Minnesota, 55905, United States

Location

St. Luke's Hospital of Kansas City

Kansas City, Missouri, 64111, United States

Location

Duke University Medical Center

Durham, North Carolina, 27710, United States

Location

Milton S. Hershey Medical Center

Hershey, Pennsylvania, 17033, United States

Location

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

Location

Allegheny General Hospital

Pittsburgh, Pennsylvania, 15212, United States

Location

Vanderbilt University Medical Center

Nashville, Tennessee, 37232-8802, United States

Location

Inova Fairfax Hospital

Falls Church, Virginia, 22042, United States

Location

Virginia Commonwealth University

Richmond, Virginia, 23298-0068, United States

Location

University of Washington Medical Center

Seattle, Washington, 98195-6310, United States

Location

St. Paul's Hospital

Vancouver, British Columbia, Canada

Location

Related Publications (3)

  • McGee E Jr, Danter M, Strueber M, Mahr C, Mokadam NA, Wieselthaler G, Klein L, Lee S, Boeve T, Maltais S, Pretorius GV, Adler E, Vassiliades T, Cheung A. Evaluation of a lateral thoracotomy implant approach for a centrifugal-flow left ventricular assist device: The LATERAL clinical trial. J Heart Lung Transplant. 2019 Apr;38(4):344-351. doi: 10.1016/j.healun.2019.02.002.

  • Wieselthaler GM, Klein L, Cheung AW, Danter MR, Strueber M, Mahr C, Mokadam NA, Maltais S, McGee EC Jr. Two-Year Follow Up of the LATERAL Clinical Trial: A Focus on Adverse Events. Circ Heart Fail. 2021 Apr;14(4):e006912. doi: 10.1161/CIRCHEARTFAILURE.120.006912. Epub 2021 Apr 19.

  • Mahr C, McGee E Jr, Cheung A, Mokadam NA, Strueber M, Slaughter MS, Danter MR, Levy WC, Cheng RK, Beckman JA, May DM, Ismyrloglou E, Tsintzos SI, Silvestry SC. Cost-Effectiveness of Thoracotomy Approach for the Implantation of a Centrifugal Left Ventricular Assist Device. ASAIO J. 2020 Aug;66(8):855-861. doi: 10.1097/MAT.0000000000001209.

MeSH Terms

Conditions

Heart Failure

Interventions

Thoracotomy

Condition Hierarchy (Ancestors)

Heart DiseasesCardiovascular Diseases

Intervention Hierarchy (Ancestors)

Thoracic Surgical ProceduresSurgical Procedures, Operative

Results Point of Contact

Title
Mary Jacoski
Organization
Medtronic Cardiac Rhythm and Heart Failure

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

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

Study Record Dates

First Submitted

October 16, 2014

First Posted

October 20, 2014

Study Start

November 1, 2014

Primary Completion

October 1, 2016

Study Completion

October 1, 2018

Last Updated

December 2, 2019

Results First Posted

November 12, 2019

Record last verified: 2019-11

Locations