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Completed

NCT Number: NCT01832610

Post- Approval Study on Patients Who Received a HeartWare HVAD® During IDE Trials

Patients will be approached to participate in this PAS after the HeartWare® Ventricular Assist System receives PMA approval for the indicated use as a bridge to cardiac transplantation.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Stanford University School of Medicine, Stanford, California, United States

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About this study

Patients who participated in prior trials will be approached for this PAS as follows:

  • Patients who are on continued HeartWare® System support, (original or exchange device)
  • Patients who have been explanted for transplant or recovery and have not yet completed 6 months of follow-up

Patients who participated in prior trials who will not be approached to participate in this follow-up study include:

  • Patients who have been explanted for transplant or recovery and have completed at least 6 months of follow-up (documented in the prior IDE trial).

No new patients are being screened or implanted with the HeartWare® System for this trial, it is a follow-up trial only.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • The patient has participated in a prior HeartWare trial under IDE G070199.
  • The patient was implanted with the HeartWare® Ventricular Assist System and was an active patient in the prior trial.
  • The patient has signed informed consent for participation in the study.

Exclusion criteria

  • The patient is unwilling or unable to comply with trial requirements.
  • The patient did not sign the informed consent.

Treatment and study plan

HeartWare® VAS

Device

The HeartWare® LVAD is an implantable centrifugal pump that was designed to provide flows up to 10 L/min in a small device which is both lightweight and simple to use.

Other names: HVAD®

Primary outcomes

  1. Overall Survival on Device

    Time frame: Implant to 5 years

    Overall survival is the probability (expressed as a percent of 100) the participant did not die within 5 years post implant via the Kaplan-Meier method. Participants that did not die were censored at the time of last follow-up or their end of study at 5 years post implant, whichever occurred first.

Secondary outcomes

  1. Final Patient Status

    Time frame: Implant to 5 years

    The number and percentage of participants with a given outcome (e.g., alive on device, transplant, death, etc.) as of their last follow up or end of study, whichever occurred first.

  2. Re-hospitalizations

    Time frame: Enrollment into HW-PAS-03 to 5 years

    A summary of the number of re-hospitalizations per participant from enrollment into HW-PAS-03 throughout their participation in the study.

  3. Number of Participants Experiencing Any Adverse Event Per Intermacs Definition

    Time frame: Enrollment into HW-PAS-03 to 5 years

    Number of participants with an Intermacs adverse event, per the Intermacs definitions. An adverse event is any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) in participants, users or other persons whether or not related to the medical device.

  4. Health Status Change Measured by Kansas City Cardiomyopathy Questionnaire (KCCQ)

    Time frame: Change from baseline to 5 years

    Health Status change as measured by Kansas City Cardiomyopathy Questionnaire (KCCQ) Overall Summary Score. The KCCQ is a disease-specific patient-reported outcomes measure for patients with heart failure. It consists of 23 items, is comprised of 7 clinically relevant scales (Symptom Frequency, Symptom Burden, Symptom Stability, Physical Limitation, Social Limitation, Quality of Life, and Self-Efficacy), and yields 3 summary scores (Clinical Summary, Total Symptom, and Overall Summary Scores). Scale and summary scores range between 0 and 100, with higher scores indicating better health status (e.g., better functioning, fewer symptoms, better quality of life). The Overall Summary Score is calculated as the mean of the Physical Limitation, Total Symptom, Quality of Life and Social Limitation scores. A positive change in score from baseline indicates an improvement.

  5. Health Status Change Measured by EuroQol EQ-5D (Version 5L)

    Time frame: Enrollment to 5 years

    The EuroQol-5D (version 5L) is a brief self-administered, validated instrument consisting of 2 parts. The second part consists of the EQ-5D general health status as measured by a visual analog scale (EQ-5D VAS). EQ-5D VAS measures the participant's self-rated health status on a scale from 0 (worse imaginable health state) to 100 (best imaginable health state).

  6. Change in Functional Status Measured by New York Heart Association (NYHA) Class

    Time frame: Change from baseline to 5 years

    Change in Functional status, as measured by New York Heart Association (NYHA) class. There are 4 levels of NYHA:

    I (Mild): No limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation, or dyspnea.

    II (Mild): Slight limitation of physical activity. Comfortable at rest, but ordinary physical activity results in fatigue, palpitation, or dyspnea.

    III (Moderate): Marked limitation of physical activity. Comfortable at rest, but less than ordinary activity causes fatigue, palpitation, or dyspnea.

    IV (Severe): Unable to carry out any physical activity without discomfort. Symptoms of cardiac insufficiency at rest. If any physical activity is undertaken, discomfort is increased.

    Improvement is defined as moving from a higher numerical NYHA level to a lower numerical NYHA level (e.g., IV to III).

  7. Change in Functional Status Measured by 6-minute Walk

    Time frame: Change from baseline to 5 years

    Change in functional status, as measured by 6-minute walk test. A positive change in score from baseline indicates an improvement.

Sponsors and collaborators

Lead sponsor

Medtronic Cardiac Rhythm and Heart Failure

Industry

Registry information

Official study title

A Multi Center, Post Approval Study Providing Continued Evaluation and Follow-up on Patients Who Received a HeartWare® Ventricular Assist System During IDE Trials for the Treatment of Advanced Heart Failure

Acronym: HW-PAS-03

Important dates

Study start
2013
Primary completion
2017
Study completion
2018
First posted
Apr 16, 2013
Registry last updated
Jul 11, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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