Trial Outcomes & Findings for Paracor Ventricular Support System (PVSS) for Patients With Heart Failure (NCT NCT00291551)

NCT ID: NCT00291551

Last Updated: 2012-05-21

Results Overview

Recruitment status

TERMINATED

Study phase

PHASE1

Target enrollment

39 participants

Primary outcome timeframe

6 months

Results posted on

2012-05-21

Participant Flow

12 investigational sites enrolled 39 subjects between January 2005 and October 2006.

Participant milestones

Participant milestones
Measure
Non-randomized, Single- Arm, Treatment
Paracor Ventricular Support System (PVSS)/HeartNet Ventricular Support System implanted using the Paracor Ventricular Support System (PVSS)/HeartNet Introducer via a left lateral thoracotomy surgical approach.
Overall Study
STARTED
39
Overall Study
COMPLETED
26
Overall Study
NOT COMPLETED
13

Reasons for withdrawal

Reasons for withdrawal
Measure
Non-randomized, Single- Arm, Treatment
Paracor Ventricular Support System (PVSS)/HeartNet Ventricular Support System implanted using the Paracor Ventricular Support System (PVSS)/HeartNet Introducer via a left lateral thoracotomy surgical approach.
Overall Study
Death
7
Overall Study
Withdrawal by Subject
6

Baseline Characteristics

Paracor Ventricular Support System (PVSS) for Patients With Heart Failure

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Non-randomized, Single- Arm, Treatment
n=39 Participants
Paracor Ventricular Support System (PVSS)/HeartNet Ventricular Support System implanted using the Paracor Ventricular Support System (PVSS)/HeartNet Introducer via a left lateral thoracotomy surgical approach.
Age Continuous
53 years
STANDARD_DEVIATION 11.0 • n=99 Participants
Sex: Female, Male
Female
3 Participants
n=99 Participants
Sex: Female, Male
Male
36 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=99 Participants
Race (NIH/OMB)
White
35 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=99 Participants
Etiology
Ischemic
8 participants
n=99 Participants
Etiology
Non-ischemic
31 participants
n=99 Participants
Duration of heart failure
6.9 years
STANDARD_DEVIATION 4.7 • n=99 Participants

PRIMARY outcome

Timeframe: 6 months

Population: Per protocol

Outcome measures

Outcome measures
Measure
Non-randomized, Single Arm, Treatment
n=39 Participants
Death or Additional Surgical Session at 6 Months
4 participants

SECONDARY outcome

Timeframe: 1 day

Population: per protocol

"Implant success" refers to the ability to successfully deliver a device onto the epicardial surface and leave the device in a satisfactory position.

Outcome measures

Outcome measures
Measure
Non-randomized, Single Arm, Treatment
n=39 Participants
Implant Success (Number of Participants Successfully Implanted)
38 participants

SECONDARY outcome

Timeframe: Baseline to 6 months

Population: per protocol

Change in NYHA functional class between baseline and 6 months. "Maintained" means the participant's functional class remains the same as baseline. "Improved" means the participant's functional class has improved (become lower in number) by at least one class. "Worsened" means the participatn's functional class has deteriorated (become higher in number) by at least one class.

Outcome measures

Outcome measures
Measure
Non-randomized, Single Arm, Treatment
n=36 Participants
Change in NYHA Functional Class
Improved
20 participants
Change in NYHA Functional Class
Maintained
13 participants
Change in NYHA Functional Class
Worsened
3 participants

SECONDARY outcome

Timeframe: Baseline to 6 months

Population: per protocol

Mean change in left ventricular end-diastolic diameter (LVEDD) and left ventricular end-systolic diameter (LVESD) from baseline to 6 months (echocardiographic measurements)

Outcome measures

Outcome measures
Measure
Non-randomized, Single Arm, Treatment
n=33 Participants
Changes in Left Ventricular Diameters
LVEDD (cm)
-0.3 centimeters
Standard Deviation 0.7
Changes in Left Ventricular Diameters
LVESD (cm)
-0.1 centimeters
Standard Deviation 0.6

SECONDARY outcome

Timeframe: Baseline to 6 months

Population: per protocol

Mean change in left ventricular end-diastolic volume (LVEDv) and left ventricular end-systolic volume (LVESV) from baseline to 6 months (echocardiographic measurements)

Outcome measures

Outcome measures
Measure
Non-randomized, Single Arm, Treatment
n=35 Participants
Changes in Left Ventricular Volumes
LVEDV (ml)
-31.6 milliliters
Standard Deviation 65.2
Changes in Left Ventricular Volumes
LVESV (ml)
-29.6 milliliters
Standard Deviation 61.6

SECONDARY outcome

Timeframe: Baseline to 6 months

Population: per protocol

Mean change in left ventricular ejection fraction from baseline to 6 months (echocardiographic measurements)

Outcome measures

Outcome measures
Measure
Non-randomized, Single Arm, Treatment
n=35 Participants
Change in Left Ventricular Ejection Fraction
1.6 Percentage
Standard Deviation 6.0

SECONDARY outcome

Timeframe: Baseline to 6 months

Mean change in left ventricular mass from baseline to 6 months (echocardiogram measurements)

Outcome measures

Outcome measures
Measure
Non-randomized, Single Arm, Treatment
n=30 Participants
Change in Left Ventricular Mass
-17.6 grams
Standard Deviation 55.3

SECONDARY outcome

Timeframe: Baseline to 6 months

Population: per protocol

Mean change in 6 minute walk distance (meters) between baseline and 6 months

Outcome measures

Outcome measures
Measure
Non-randomized, Single Arm, Treatment
n=34 Participants
Changes in 6 Minute Walk
71.5 meters
Standard Deviation 122.9

SECONDARY outcome

Timeframe: Baseline to 6 months

Population: per protocol

Mean change in Peak VO2 (ml/kg/min) between baseline and 6 months

Outcome measures

Outcome measures
Measure
Non-randomized, Single Arm, Treatment
n=32 Participants
Changes in Cardiopulmonary Tests
0 ml/kg/min
Standard Deviation 2.8

SECONDARY outcome

Timeframe: Baseline to 6 months

Population: per protocol

The MLHF Quality of Life (QOL) Questionnaire evaluates the effects of heart failure on a subject's physical, emotional, social and mental dimensions of quality of life. Each of 21 questions is scored as to how much heart failure has impacted the subject, from 0-no impact to 5-very much (overall score can range from 0 to 105). Prior studies have shown a 10-point improvement (10-point decrease in overall score) correlated with a 1 NYHA class improvement, and 10-point worsening (10-point increase in score) was associated with a higher risk of hospitalization or death.

Outcome measures

Outcome measures
Measure
Non-randomized, Single Arm, Treatment
n=34 Participants
Mean Changes in Overall Minnesota Living With Heart Failure (MLHF) Quality of Life Questionnaire Score
-15.8 score on a scale
Standard Deviation 22.2

SECONDARY outcome

Timeframe: Study duration

Population: per protocol

Total adverse events reported prior to study closure

Outcome measures

Outcome measures
Measure
Non-randomized, Single Arm, Treatment
n=39 Participants
Number of Adverse Events
Adverse Events
276 events
Number of Adverse Events
Serious Adverse Events
158 events

SECONDARY outcome

Timeframe: Study duration

Population: per protocol

Total number of patient deaths reported prior to study closure

Outcome measures

Outcome measures
Measure
Non-randomized, Single Arm, Treatment
n=39 Participants
Number of Participants Who Died
7 participants

Adverse Events

Non-randomized, Single- Arm, Treatment

Serious events: 30 serious events
Other events: 39 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Non-randomized, Single- Arm, Treatment
n=39 participants at risk
Paracor Ventricular Support System (PVSS)/HeartNet Ventricular Support System implanted using the Paracor Ventricular Support System (PVSS)/HeartNet Introducer via a left lateral thoracotomy surgical approach.
General disorders
General
48.7%
19/39 • Number of events 28 • 6 years, 3 months (maximum)
Patients followed from enrollment until study termination, death, or withdrawal
Cardiac disorders
Cardiovascular
64.1%
25/39 • Number of events 84 • 6 years, 3 months (maximum)
Patients followed from enrollment until study termination, death, or withdrawal
Gastrointestinal disorders
Gastrointestinal
5.1%
2/39 • Number of events 2 • 6 years, 3 months (maximum)
Patients followed from enrollment until study termination, death, or withdrawal
Renal and urinary disorders
Genital-urinary
2.6%
1/39 • Number of events 2 • 6 years, 3 months (maximum)
Patients followed from enrollment until study termination, death, or withdrawal
Blood and lymphatic system disorders
Hematology
10.3%
4/39 • Number of events 5 • 6 years, 3 months (maximum)
Patients followed from enrollment until study termination, death, or withdrawal
Nervous system disorders
Neurology
10.3%
4/39 • Number of events 7 • 6 years, 3 months (maximum)
Patients followed from enrollment until study termination, death, or withdrawal
Respiratory, thoracic and mediastinal disorders
Pulmonary
25.6%
10/39 • Number of events 18 • 6 years, 3 months (maximum)
Patients followed from enrollment until study termination, death, or withdrawal
Renal and urinary disorders
Renal
20.5%
8/39 • Number of events 12 • 6 years, 3 months (maximum)
Patients followed from enrollment until study termination, death, or withdrawal

Other adverse events

Other adverse events
Measure
Non-randomized, Single- Arm, Treatment
n=39 participants at risk
Paracor Ventricular Support System (PVSS)/HeartNet Ventricular Support System implanted using the Paracor Ventricular Support System (PVSS)/HeartNet Introducer via a left lateral thoracotomy surgical approach.
General disorders
General
82.1%
32/39 • Number of events 118 • 6 years, 3 months (maximum)
Patients followed from enrollment until study termination, death, or withdrawal
Cardiac disorders
Cardiovascular
74.4%
29/39 • Number of events 66 • 6 years, 3 months (maximum)
Patients followed from enrollment until study termination, death, or withdrawal
Gastrointestinal disorders
Gastrointestinal
23.1%
9/39 • Number of events 9 • 6 years, 3 months (maximum)
Patients followed from enrollment until study termination, death, or withdrawal
Renal and urinary disorders
Genital-urinary
30.8%
12/39 • Number of events 14 • 6 years, 3 months (maximum)
Patients followed from enrollment until study termination, death, or withdrawal
Blood and lymphatic system disorders
Hematology
10.3%
4/39 • Number of events 6 • 6 years, 3 months (maximum)
Patients followed from enrollment until study termination, death, or withdrawal
Nervous system disorders
Neurology
17.9%
7/39 • Number of events 8 • 6 years, 3 months (maximum)
Patients followed from enrollment until study termination, death, or withdrawal
Respiratory, thoracic and mediastinal disorders
Pulmonary
51.3%
20/39 • Number of events 37 • 6 years, 3 months (maximum)
Patients followed from enrollment until study termination, death, or withdrawal
Renal and urinary disorders
Renal
38.5%
15/39 • Number of events 18 • 6 years, 3 months (maximum)
Patients followed from enrollment until study termination, death, or withdrawal

Additional Information

Michael Kolber, General Manager, VP, Regulatory Affairs

Paracor Medical, Inc.

Phone: 408-734-6000

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place