NCT05838937

Brief Summary

Investigation of the potential prognostic role of non-invasive myocardial work in patients receiving veno-arterial extracorporeal membrane oxygenation therapy.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
100

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Jun 2024

Geographic Reach
1 country

1 active site

Status
not yet recruiting

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

April 4, 2023

Completed
29 days until next milestone

First Posted

Study publicly available on registry

May 3, 2023

Completed
1.1 years until next milestone

Study Start

First participant enrolled

June 1, 2024

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2025

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2025

Completed
Last Updated

April 18, 2024

Status Verified

April 1, 2024

Enrollment Period

1 year

First QC Date

April 4, 2023

Last Update Submit

April 16, 2024

Conditions

Keywords

EchocardiographyMyocardial work indexCardiogenic shockExtracorporeal Membrane Oxygenation Therapy

Outcome Measures

Primary Outcomes (1)

  • Cardiovascular mortality, need for long-term mechanical circulatory support or heart transplantation

    The total number of patients who die from cardiovascular cause, or require for transition to long-term mechanical circulatory support (LVAD/BiVAD), or heart transplantation

    30 days

Secondary Outcomes (7)

  • All-cause mortality

    30 days

  • Need for renal replacement therapy

    30 days

  • Successful weaning from mechanical ventilation

    30 days

  • Discharge from intensive care unit

    30 days

  • Discharge from hospital

    30 days

  • +2 more secondary outcomes

Study Arms (1)

Investigation cohort

Cardiogenic shock patients from any cause receiving veno-arterial extracorporeal membrane oxygenation

Eligibility Criteria

Age18 Years - 99 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Altogether 100 cardiogenic shock patients receiving veno-arterial extracorporeal membrane oxygenation therapy will be enrolled regardless the etiology. Both peripherially and centrally cannulated patients are eligible. Considering that the two populations are typically quite different in terms of indication for the therapy (ACS- or decompensated chronic heart failure-associated CS vs. cardiac surgery population), a balanced enrollment of the two methods will be facilitated. All LV venting options are eligible for enrollment, however, if utilized, the mode of LV unloading (central left atrial vent, Impella, transaortic LV pigtail catheter etc.) will also be collected.

You may qualify if:

  • years or older age
  • Severe cardiogenic shock requiring the initiation of VA-ECMO therapy
  • Stabile hemodynamic state and oxigenation with VA-ECMO and vasoactive support
  • Informed written consent (due to the nature of the study, from a legally eligible relative of the patient)

You may not qualify if:

  • Younger than 18 years of age
  • Unstable hemodynamic state or suboptimal oxigenation despite established VA-ECMO and vasoactive support
  • Severe neurological damage or confirmed brain death at the time of enrollment which squarely indicates therapy limitation and poor short-term outcome
  • Transesophageal echocardiography is contraindicated
  • Suboptimal echocardiographic window

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Semmelweis University Heart and Vascular Center

Budapest, BP, 1122, Hungary

Location

MeSH Terms

Conditions

Heart FailureShock, Cardiogenic

Condition Hierarchy (Ancestors)

Heart DiseasesCardiovascular DiseasesMyocardial InfarctionMyocardial IschemiaVascular DiseasesInfarctionIschemiaPathologic ProcessesPathological Conditions, Signs and SymptomsNecrosisShock

Central Study Contacts

Bálint K Lakatos, MD, PhD

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
30 Days
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor

Study Record Dates

First Submitted

April 4, 2023

First Posted

May 3, 2023

Study Start

June 1, 2024

Primary Completion

June 1, 2025

Study Completion

December 1, 2025

Last Updated

April 18, 2024

Record last verified: 2024-04

Locations