NCT02459054

Brief Summary

The primary objective of the study is to evaluate whether the 50cc TAH-t can safely support, and provide probable benefit to, transplant-eligible pediatric patients (aged 10 - 18 years) and can safely and effectively support transplant-eligible adult patients (aged 19 - 75 years) at imminent risk of death from biventricular failure without experiencing permanent disabling, stroke-related deficits. The study will be conducted as a three-arm trial of the 50cc temporary Total Artificial Heart (TAH-t) as a bridge to transplant:

  • The Primary Pediatric Arm of the trial will evaluate the safety and probable benefit of the 50cc TAH-t for transplant-eligible patients 10 through 18 years of age.
  • The Primary Adult Arm of the trial will evaluate the safety and efficacy of the 50cc TAH-t for transplant-eligible patients 19 through 75 years of age.
  • The Secondary Arm will capture pediatric and adult subjects who did not meet enrollment criteria for a Primary Arm, but meet the less restrictive Secondary Arm enrollment criteria, in order to further characterize the use of the device.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
16

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Oct 2015

Longer than P75 for not_applicable

Geographic Reach
1 country

26 active sites

Status
terminated

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

December 4, 2014

Completed
6 months until next milestone

First Posted

Study publicly available on registry

June 1, 2015

Completed
4 months until next milestone

Study Start

First participant enrolled

October 1, 2015

Completed
4.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 29, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 29, 2020

Completed
Last Updated

August 10, 2020

Status Verified

August 1, 2020

Enrollment Period

4.8 years

First QC Date

December 4, 2014

Last Update Submit

August 6, 2020

Conditions

Keywords

Artificial HeartBiventricular Heart FailureSynCardia

Outcome Measures

Primary Outcomes (1)

  • Probable Benefit (for Pediatric Arm); Efficacy (for Adult Arm)

    Probable benefit will be measured at six months post-implant as either transplanted during the first six months, or continuing on support at six months on the same 50cc TAH-t, without experiencing permanent disabling stroke-related deficits.

    6 months

Secondary Outcomes (1)

  • Safety: Performance Goal of Four Adverse Event Categories

    Six months

Study Arms (3)

Primary Pediatric Arm

EXPERIMENTAL

Cardiac transplant-eligible pediatric patients at imminent risk of death from biventricular failure who are 10 - 18 years old at time of TAH-t implant. The intervention is implantation with the 50cc temporary Total Artificial Heart as a bridge to transplantation.

Device: SynCardia 50cc temporary Total Artificial Heart (TAH-t)

Primary Adult Arm

EXPERIMENTAL

Cardiac transplant-eligible adult patients at imminent risk of death from biventricular failure who are 19 - 75 years old at time of TAH-t implant. The intervention is implantation with the 50cc temporary Total Artificial Heart as a bridge to transplantation.

Device: SynCardia 50cc temporary Total Artificial Heart (TAH-t)

Secondary Arm

EXPERIMENTAL

Cardiac transplant-eligible pediatric and adult patients at imminent risk of death from biventricular failure who do not meet enrollment criteria for a Primary Arm, but meet less restrictive enrollment criteria for the Secondary Arm. The intervention is implantation with the 50cc temporary Total Artificial Heart as a bridge to transplantation.

Device: SynCardia 50cc temporary Total Artificial Heart (TAH-t)

Interventions

Replacement of both ventricles and all four valves with the investigational device as a bridge to transplantation.

Primary Adult ArmPrimary Pediatric ArmSecondary Arm

Eligibility Criteria

Age10 Years+
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • At imminent risk of death from biventricular heart failure
  • Aged 10 - 18 years (pediatric); 19 - 75 years (adults) at time of implant
  • With two functional atrioventricular (A-V) valves
  • With Body Surface Area (BSA) of 1.2 through 1.85m2
  • With adequate sternum to T10 distance OR Adequate room in chest as determined by 3-D imaging assessment or by other standard clinical assessments

You may not qualify if:

  • Patients who are not cardiac transplant-eligible
  • Cardiac transplant-eligible patients
  • Who cannot be adequately anticoagulated on the TAH-t
  • With insufficient space in the chest
  • Who are on extracorporeal membrane oxygenation (ECMO) support \> 3 days
  • Patients who are being supported by an investigational device at the time of evaluation for a 50cc TAH-t
  • Patients who have required cardiopulmonary resuscitation (CPR) for \> 30 minutes within 14 days prior to proposed implant
  • Patients who have experienced a stroke within 30 days prior to proposed implant
  • Patients who are dialysis-dependent at time of proposed implant
  • Not eligible for Primary Arm
  • At imminent risk of death from biventricular heart failure
  • With Body Surface Area (BSA) of 1.2 through 1.85m2
  • With adequate sternum to T10 distance OR Adequate room in chest as determined by 3-D imaging assessment or by other standard clinical assessments
  • Patients who are not cardiac transplant-eligible
  • Cardiac transplant-eligible patients
  • +3 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (26)

Banner University Medical Center

Tucson, Arizona, 85724, United States

Location

Cedars-Sinai Medical Center

Los Angeles, California, 90048, United States

Location

University of California Los Angeles

Los Angeles, California, 90095, United States

Location

Shands Hospital at the University of Florida

Gainesville, Florida, 32610, United States

Location

Indiana University Health

Indianapolis, Indiana, 46202, United States

Location

Riley Hospital for Children at Indiana University Health

Indianapolis, Indiana, 46202, United States

Location

University of Louisville

Louisville, Kentucky, 40202, United States

Location

Ochsner Medical Center

New Orleans, Louisiana, 70121, United States

Location

Strong Memorial Hospital - Paul Yu Heart Center

Rochester, New York, 14642, United States

Location

Cincinnati Children's Hospital

Cincinnati, Ohio, 45229, United States

Location

The Ohio State University

Columbus, Ohio, 43210, United States

Location

Integris Baptist Medical Center

Oklahoma City, Oklahoma, 73112, United States

Location

The Milton S Hershey Medical Center

Hershey, Pennsylvania, 17033, United States

Location

The Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, 19104, United States

Location

Thomas Jefferson University Hospital

Philadelphia, Pennsylvania, 19107, United States

Location

Children's Health of Dallas

Dallas, Texas, 75235, United States

Location

Baylor University Medical Center at Dallas

Dallas, Texas, 75246, United States

Location

Memorial Hermann Hospital

Houston, Texas, 77030, United States

Location

Methodist DeBakey Heart and Vascular Center

Houston, Texas, 77030, United States

Location

University of Virginia Medical Center

Charlottesville, Virginia, 22903, United States

Location

Virginia Commonwealth University

Richmond, Virginia, 90048, United States

Location

University of Washington Medical Center

Seattle, Washington, 98195, United States

Location

Providence Sacred Heart Medical Center

Spokane, Washington, 99204, United States

Location

Aurora St. Luke's Hospital

Milwaukee, Wisconsin, 53215, United States

Location

Children's Hospital of Wisconsin

Milwaukee, Wisconsin, 53226, United States

Location

Froedtert & the Medical College of Wisconsin

Milwaukee, Wisconsin, 53226, United States

Location

MeSH Terms

Conditions

Heart Failure

Condition Hierarchy (Ancestors)

Heart DiseasesCardiovascular Diseases

Study Officials

  • David Morales, MD

    Children's Hospital Medical Center, Cincinnati

    PRINCIPAL INVESTIGATOR
  • Francisco Arabia, MD

    Cardiac-Dynamics

    PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

First Submitted

December 4, 2014

First Posted

June 1, 2015

Study Start

October 1, 2015

Primary Completion

July 29, 2020

Study Completion

July 29, 2020

Last Updated

August 10, 2020

Record last verified: 2020-08

Locations