About this trial
The primary objective of this study is to evaluate the impact of Cardiac Contractility Modulation (CCM) therapy on the initiation and up-titration of Guideline-Directed Medical Therapy (GDMT) in patients with heart failure (HF). This will be assessed by the change in Quad Medication Score (QMS) from baseline (pre-CCM) to 6-month following post-CCM device implant.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults (≥18 years) diagnosed with symptomatic heart failure
Patients with Heart failure with reduced Ejection Fraction (HFrEF) where the Ejection Fraction (EF) is ≤40%
CRT device has been implanted >1 year
Patients are functional class NYHA III-IV
Disqualifiers
Patients that are unlikely to adhere to medical therapy for reasons other than intolerance or contraindications.
Patients with a QMS score >5
eGFR <15
Patients with a concomitant CRT device that has already been implanted and deemed to be a responder
Trial population
Subject selection will be based on specific inclusion and exclusion criteria.
Trial design
Other
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Change in Quad Medication Score
Change in the Quad Medication Score (QMS) from baseline (pre-CCM) to 6-month follow-up (post-CCM) of the Optimizer device implant
Secondary outcomes
Change in loop diuretic dose
Change in loop diuretic dose from baseline to 6-month follow-up.
Change in eGFR
Change in eGFR from baseline to 6-month follow-up
Change in SBP
Change in SBP from baseline to 6-month follow-up.
Adverse events (AEs) associated with CCM therapy.
Adverse events (AEs) associated with CCM therapy.
Sponsors and contacts
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