About this trial
The goal of this study is to evaluate the safety and efficacy of the BrioVAD System by demonstrating non-inferiority to the HeartMate 3 Left Ventricular Assist System when used for the treatment of advanced, refractory, left ventricular heart failure.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patient is ≥ 18 years of age.
Patient has received institutional approval for LVAD implantation.
Patient has a body surface area (BSA) ≥ 1.2 m2.
Patient is classified as NYHA Class IV with advanced heart failure refractory to advanced heart failure management or NYHA Class III with dyspnea upon mild physical activity.
Disqualifiers
Patient's heart failure etiology is related to restrictive or constrictive physiology (e.g., nondilated hypertrophic cardiomyopathy, cardiac amyloidosis/senile or other infiltrative disease), complex congenital heart disease (e.g., transposition of the great vessels), uncorrected thyroid disease, and/or pericardial disease.
Patient had a myocardial infarction within seven days of study enrollment.
Patient had cardiothoracic surgery within 30 days of implant with the exception of a procedure to implant temporary MCS: Impella 5.5, Impella CP or TandemHeart.
Patient has physiological conditions or comorbidities which pose high surgical risk or obstacles as determined by the Investigator.
Trial design
Parallel
Treatments tested in this trial
BrioVAD System
DeviceImplantation of the BrioVAD System to evaluate the safety and efficacy of the BrioVAD System by demonstrating non-inferiority to the HeartMate 3 LVAS when used for the treatment of advanced, refractory, left ventricular heart failure.
HeartMate 3
DeviceImplantation of the commercially approved HeartMate 3 LVAS, which is the standard treatment for advanced heart failure.
Treatment groups
Trial outcomes
Primary outcomes
Short-Term Indication Primary Endpoint
Composite of survival to transplant, recovery or 6 months of LVAD support free of debilitating stroke \[modified Rankin Scale (mRS) \> 3\], or reoperation to replace the pump
Long-Term Indication Primary Endpoint
Composite of survival to transplant, recovery or 24 months of LVAD support free of debilitating stroke (mRS \> 3), or reoperation to replace the pump.
Secondary outcomes
Powered Secondary Endpoint
Total number of nights in hospital, skilled nursing facility, or inpatient rehabilitation, inclusive of index hospitalization, through 24 months post VAD implant, heart transplantation, VAD explant or decommission, study withdrawal, or death, whichever occurs first.
Short-Term Indication Secondary Endpoint
Evaluation of the short-term safety using INTERMACS adverse event (AE) terms and definitions through 6 months post VAD implant, heart transplantation, VAD explant or decommission, study withdrawal, or death, whichever occurs first. Incidences of all AEs and the event rate per patient year of support through 6 months will be reported. Differences in the event rates between the Study Arm and the Concurrent Control Arm will be analyzed. Serious adverse events (SAEs) will be analyzed in a similar manner.
Long-Term Indication Secondary Endpoint
Evaluation of the long-term safety using INTERMACS AE terms and definitions through 24 months post VAD implant, heart transplantation, VAD explant or decommission, study withdrawal, or death, whichever occurs first. Incidences of all AEs and the event rate per patient year of support through 24 months will be reported. Differences in the event rates between the Study Arm and the Concurrent Control Arm will be analyzed. SAEs will be analyzed in a similar manner
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