Real World Effectiveness of the Cordella Pulmonary Artery Sensor System in Patients With Chronic Heart Heart Failure
LOWER-PAP
The Real-World Effectiveness of The Cordella Pulmonary Artery Sensor System in Patients With Chronic Heart Failure: A Comparative Analysis to Standard of Care Pharmacologic Therapy
1 other identifier
observational
2,150
1 country
1
Brief Summary
This retrospective, non-randomized cohort study will evaluate how well the Cordella PA Sensor System works compared to standard medication treatment in people with chronic heart failure. The study will track patients for two years to see if those using the Cordella system have fewer deaths and hospitalizations related to heart failure.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Feb 2025
Longer than P75 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 14, 2025
CompletedFirst Posted
Study publicly available on registry
January 20, 2025
CompletedStudy Start
First participant enrolled
February 7, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2030
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2030
November 19, 2025
November 1, 2025
5.9 years
January 14, 2025
November 18, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Composite of All-cause Mortality and Heart Failure Hospitalizations
* Description: The cumulative number of all-cause deaths and heart failure hospitalizations * Time Frame: 2 years after study entry (time zero) * Statistical Analysis Plan: The primary analysis will use an Andersen-Gill recurrent event model to account for multiple hospitalizations within individuals * Primary outcome will be assessed in the overall population
up to 24 months
Secondary Outcomes (5)
Composite Outcome in Racial and Ethnic Subgroups
up to 24 months
Composite Outcome in Patients with Chronic Kidney Disease
up to 24 months
Composite Outcome in Patients with Cardiac Devices
up to 24 months
Composite Outcome in Patients by Ejection Fraction
up to 24 months
Composite Outcome in Patients Age 75+
up to 24 months
Interventions
* Patients who receive the Cordella PA Sensor System for monitoring chronic heart failure * These patients will be monitored for 2 years after receiving the device * Patients must be on guideline-directed medical therapy appropriate for their ejection fraction status
* Patients with chronic heart failure who receive standard medical care without PA pressure monitoring * These patients will be monitored for 2 years * Patients must be on guideline-directed medical therapy appropriate for their ejection fraction status
Eligibility Criteria
Patients with NYHA III chronic HF
You may qualify if:
- Received Cordella PA Sensor System implant between 10/1/2024-12/31/2029
- Documented chronic heart failure with NYHA Class III symptoms
- On guideline-directed medical therapy based on ejection fraction status:
- For reduced EF (≤40%): At least one fill of ACE/ARB/ARNI, MRA, BB, or SGLT2i, and one fill of a loop diuretic
- For preserved EF (\>40%): At least one fill of a loop diuretic
- Has continuous health insurance enrollment for 12 months prior to implant
- Two or more encounters with diagnosis codes for chronic systolic and/or diastolic heart failure
- Documented ejection fraction reading within 6 months (+ or -) of second heart failure encounter
- On guideline-directed medical therapy based on ejection fraction status:
- For reduced EF (≤40%): At least one fill of ACE/ARB/ARNI, MRA, BB, or SGLT2i, and one fill of a loop diuretic
- For preserved EF (\>40%): At least one fill of a loop diuretic
- Has continuous health insurance enrollment for 12 months prior to study entry
You may not qualify if:
- No implanted pulmonary artery sensor or monitoring at any time (Standard of Care Control Cohort only)
- Record of temporary mechanical circulatory support during baseline period
- Diagnosis of cardiogenic shock during baseline period
- Receiving palliative care/hospice during baseline period
- Record of end-stage renal disease during baseline period
- Unable to take dual antiplatelet therapy or anticoagulants for one month post implant (Cordella Cohort only)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Endotronix, Inc.lead
Study Sites (1)
Endotronix
Naperville, Illinois, 60563, United States
MeSH Terms
Conditions
Study Officials
- PRINCIPAL INVESTIGATOR
Joanna VanHouten, PhD
Endotronix, Inc.
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 14, 2025
First Posted
January 20, 2025
Study Start
February 7, 2025
Primary Completion (Estimated)
December 31, 2030
Study Completion (Estimated)
December 31, 2030
Last Updated
November 19, 2025
Record last verified: 2025-11
Data Sharing
- IPD Sharing
- Will not share
This study will leverage de-identified data sourced from Optum which has limits on sharing its proprietary data.