ContraBand™: FIH Safety & Feasibility Study (RM-20-01)
Study Details
Study Description
Brief Summary
The ContraBand™ device is intended for treatment of heart failure patients who remain symptomatic despite the use of optimally tolerated guideline directed medical therapy. ContraBand™ is a transcatheter constriction device which is implanted in the left and right branch pulmonary arteries, causing a local reduction in the internal diameters of these arteries, and resulting in an elevation in systolic right ventricular pressure. This may result in repositioning the interventricular septum to a more normal anatomical position, and supporting it with a "counter-pressure" during systole of the left ventricle. This study is a first-in-human, early feasibility, multi center, prospective, interventional, open-label, single-arm study.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: ContraBand implants Percutaneous implantation of the ContraBand devices by right heart catheterization |
Device: ContraBand implants
Percutaneous implantation of the ContraBand devices by right heart catheterization
|
Outcome Measures
Primary Outcome Measures
- Device-related or procedure-related major adverse events (MAEs) [30 days]
MAE is a composite of death; myocardial infarction; emergent conversion to surgery; stroke; major cardiac structure complication; major vascular complication; embolization and heart failure- related hospitalization.
Secondary Outcome Measures
- Procedural success [Implantation procedure]
Ability to successfully deliver devices to the Pulmonary Arteries
Eligibility Criteria
Criteria
Inclusion Criteria:
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Age is 18 - 85 years old
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Chronic (> 3 months) systolic heart failure
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Symptomatic left heart failure Stage C (NYHA II-IVa)
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LVEF 20-40%
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Patients on optimal tolerated medical/device therapy for last 1 month
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Provide a personally signed and dated inform consent form, and able and willing to complete all qualifying diagnostic and functional tests and agrees to comply with study follow-up schedule.
Exclusion Criteria:
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Serum NT-proBNP <300
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Significant level of RV dysfunction as determined by clinical exam, echo, and hemodynamic evaluation
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Anatomical pathology or constraints preventing appropriate access/implant of ContraBand™
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Restrictive Cardiomyopathy or myocarditis
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Patients with congenital heart disease and/or mechanical heart valve(s)
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Any severe valve disease (Grade 3-4)
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Hemodynamic instability: Hypotension (systolic pressure <90 mmHg) or requirement for inotropic support or mechanical hemodynamic support
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Active bacterial endocarditis or previous history of SBE (Subacute bacterial endocarditis)
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Acute kidney insufficiency and/or end stage renal disease requiring chronic dialysis (eGFR < 30)
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Leukopenia (WBC < 4000 cells/μL), anemia (Hgb < 9 g/dL), thrombocytopenia (platelets < 150,000 cells/μL) or any known blood clotting disorder
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | ZNA Middelheim | Antwerpen | Belgium | ||
2 | Tbilisi Heart and Vascular Clinic | Tbilisi | Georgia | ||
3 | Kaplan Medical Center | Reẖovot | Israel | ||
4 | Vilnius University Hospital Santaros Klinikos | Vilnius | Lithuania |
Sponsors and Collaborators
- Restore Medical Ltd
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- RM-20-01