Access Natriuretic Peptide Assay(s) Pivotal - Emergency Department Subject Enrollment and Specimen Collection
Study Details
Study Description
Brief Summary
The purpose of the pivotal study is to collect blood specimens and clinical data from patients suspected of having Heart Failure (HF), which will be tested at a future date on Natriuretic Peptide assay(s) to validate diagnostic cutoffs and assess HF severity.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Detailed Description
A prospective clinical sample collection and future natriuretic peptide testing will be conducted in an emergency department only population. Patients presenting to the Emergency Department (ED) with signs and symptoms of acute heart failure will be approached for enrollment.
Clinical and laboratory data will be collected to establish product performance and clinical concordance to adjudicated clinical diagnosis. Approximately 1800 evaluable subjects at geographically dispersed sites in the US will be enrolled in the study.
Sample collection and testing of clinical samples with the Access Natriuretic Peptide assay will be performed under two separate protocols
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
ED Setting An acute HF population enrolled at the emergency department. Testing of clinical samples will be performed with the Access natriuretic peptide assay. |
Diagnostic Test: Access Immunodiagnostic Products
Access Natriuretic Peptide Assay
|
Outcome Measures
Primary Outcome Measures
- Sensitivity and Specificity of the future Natriuretic Peptide Assay(s) [Single blood draw upon study entry at day 1]
Establish the performance of the future Natriuretic Peptide assay(s) against the adjudicated diagnosis.
Secondary Outcome Measures
- Heart Failure Severity Assessment [Single blood draw upon study entry at day 1 and two remote follow up visits]
Demonstrate that the Access Natriuretic Peptide Assay may be used for assessment of heart failure severity.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Signed and dated informed consent obtained
-
Adult aged 21 years or older
-
Presenting with a clinical suspicion of acute HF
-
Subject clinical history available for review by Sponsor or delegates and FDA or other regulatory agencies
Exclusion Criteria:
-
Dyspnea clearly not secondary to HF (e.g. primary lung disease or chest trauma)
-
Stage 4 or 5 Chronic Kidney Disease (CKD)
-
Chronic dialysis
-
Participation in a clinical study that may interfere with participation in this study
-
Anything that would place the individual at increased risk or preclude the individual's full compliance with or completion of the study.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Beckman Coulter Site AJ | Loma Linda | California | United States | 92354 |
2 | Beckman Coulter Site AL | Sacramento | California | United States | 95817 |
3 | Beckman Coulter Site AB | Gainesville | Florida | United States | 32608 |
4 | Beckman Coulter Site AG | Indianapolis | Indiana | United States | 46202 |
5 | Beckman Coulter Site AN | Kansas City | Kansas | United States | 66160 |
6 | Beckman Coulter Site AA | Detroit | Michigan | United States | 48202 |
7 | Beckman Coulter Site AH | Saint Louis | Missouri | United States | 63110 |
8 | Beckman Coulter Site AI | Albuquerque | New Mexico | United States | 87106 |
9 | Beckman Coulter Site AE | Stony Brook | New York | United States | 11794 |
10 | Beckman Coulter Site AK | Cleveland | Ohio | United States | 44109 |
11 | Beckman Coulter Site AF | Columbus | Ohio | United States | 43210 |
12 | Oregon Health and Science University | Portland | Oregon | United States | 97208-3003 |
13 | Beckman Coulter Site AC | Charleston | South Carolina | United States | 29425 |
14 | Beckman Coulter Site AD | Nashville | Tennessee | United States | 37235 |
15 | Beckman Coulter Site AM | Madison | Wisconsin | United States | 53792 |
Sponsors and Collaborators
- Beckman Coulter, Inc.
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Friedewald VE Jr, Burnett JC Jr, Januzzi JL Jr, Roberts WC, Yancy CW. The editor's roundtable: B-type natriuretic peptide. Am J Cardiol. 2008 Jun 15;101(12):1733-40. doi: 10.1016/j.amjcard.2008.03.017. Epub 2008 Apr 22. Review.
- Iwanaga Y, Nishi I, Furuichi S, Noguchi T, Sase K, Kihara Y, Goto Y, Nonogi H. B-type natriuretic peptide strongly reflects diastolic wall stress in patients with chronic heart failure: comparison between systolic and diastolic heart failure. J Am Coll Cardiol. 2006 Feb 21;47(4):742-8. Epub 2006 Jan 26.
- Januzzi JL, van Kimmenade R, Lainchbury J, Bayes-Genis A, Ordonez-Llanos J, Santalo-Bel M, Pinto YM, Richards M. NT-proBNP testing for diagnosis and short-term prognosis in acute destabilized heart failure: an international pooled analysis of 1256 patients: the International Collaborative of NT-proBNP Study. Eur Heart J. 2006 Feb;27(3):330-7. Epub 2005 Nov 17.
- Kinnunen P, Vuolteenaho O, Ruskoaho H. Mechanisms of atrial and brain natriuretic peptide release from rat ventricular myocardium: effect of stretching. Endocrinology. 1993 May;132(5):1961-70.
- Maisel AS, Krishnaswamy P, Nowak RM, McCord J, Hollander JE, Duc P, Omland T, Storrow AB, Abraham WT, Wu AH, Clopton P, Steg PG, Westheim A, Knudsen CW, Perez A, Kazanegra R, Herrmann HC, McCullough PA; Breathing Not Properly Multinational Study Investigators. Rapid measurement of B-type natriuretic peptide in the emergency diagnosis of heart failure. N Engl J Med. 2002 Jul 18;347(3):161-7.
- Mueller T, Gegenhuber A, Poelz W, Haltmayer M. Diagnostic accuracy of B type natriuretic peptide and amino terminal proBNP in the emergency diagnosis of heart failure. Heart. 2005 May;91(5):606-12.
- O'Gara PT, Kushner FG, Ascheim DD, Casey DE Jr, Chung MK, de Lemos JA, Ettinger SM, Fang JC, Fesmire FM, Franklin BA, Granger CB, Krumholz HM, Linderbaum JA, Morrow DA, Newby LK, Ornato JP, Ou N, Radford MJ, Tamis-Holland JE, Tommaso CL, Tracy CM, Woo YJ, Zhao DX. 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2013 Jan 29;61(4):e78-e140. doi: 10.1016/j.jacc.2012.11.019. Epub 2012 Dec 17.
- Ponikowski P, Voors AA, Anker SD, Bueno H, Cleland JG, Coats AJ, Falk V, González-Juanatey JR, Harjola VP, Jankowska EA, Jessup M, Linde C, Nihoyannopoulos P, Parissis JT, Pieske B, Riley JP, Rosano GM, Ruilope LM, Ruschitzka F, Rutten FH, van der Meer P; Authors/Task Force Members; Document Reviewers. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur J Heart Fail. 2016 Aug;18(8):891-975. doi: 10.1002/ejhf.592. Epub 2016 May 20.
- HF-01-19