ENDO-HF-GER
(Endovascular NeuromoDulation Treatment fOr Heart Failure)
A Prospective, Multicenter, Open Label, Single Arm, Study to Assess the Safety & Performance of the Harmony Aortic Stimulation System (HASS) for the Treatment of Heart Failure
INCLUSION Criteria (gekürzt)
- Age: 18 - ≤ 85years
- Subject is a male or a postmenopausal female, or a female of childbearing age for whom pregnancy or breastfeeding was excluded and who has accepted to use adequate contraception measures for the entire study duration.
- NYHA class II-III.
- LVEF≥40% and diagnosed as Heart failure with midrange or preserved Ejection according to the guidelines.
- Elevated NT-proBNP >300pg/mL. Persistent atrial fibrillation: NT-proBNP ≥450 pg/mL.
- Stable, maximally-tolerated, guideline-directed cardiovascular medications for at least 30 days prior to enrolment.
- Average Heart rate 60 - 110 b/min (24-h ECG)
- Subject is capable to walk a distance of 150-450 m in 6 minutes hall walk test.
- Subject is willing to and capable of providing informed consent.
- Subject is capable of participating in all tasks associated with this clinical investigation.
- Subject can comply with catheterization lab standard of care procedures.
EXCLUSION Criteria (gekürzt)
- CRT, Pacemaker or an ICD.
- Uncontrolled symptomatic brady-arrhythmias or unstable ventricular arrhythmias.
- 1st degree AV block with PR interval > 240msec, 2nd or 3rd degree AV block.
- COPD or severe restrictive lung disease (e.g., requires chronic steroid use or home oxygen use)
- Body Mass Index (BMI) ≥ 40 kg/m2
- Renal insufficiency (eGFR<25 ml/min/1.73 m2)
- Thoracic aorta’s abnormalities or diseases (e.g. aneurysm, dissection, extensive plaque, implanted stent or stent graft)
- Thoracic aorta’s anatomy is not compatible with the Harmony’s implant (e.g. aortic diameter or morphology) based on CT scan analysis.
- Subject’s thorax anatomy does not enable adequate communication between implant and the external patient unit based on CT scan analysis.
- Severe valvular (Mitral or Aortic) disease (e.g. severe stenosis or regurgitation).
- Prior cardiac transplant or heart transplant candidate.
- Unstable angina, myocardial infarction, percutaneous transluminal coronary angioplasty, cerebral vascular accident, transient ischemic attack or coronary artery bypass graft within 90 days prior to enrolment.
- Expected cardiac surgery or percutaneous cardiac intervention (e.g. coronary and valves) during the study period.
- Heart failure is due to congenital heart disease.
- Subject is unable to take anticoagulants or antiplatelet agents.
- Subject has infiltrative or restrictive cardiomyopathy.
- Marfan syndrome.
- Subject is allergic to iodine or contrast media.
- Diseases or conditions which, in the judgment of the PI, preclude participation in the clinical investigation.
- Life expectancy of <12 months, per PIs'decision.
Ansprechpartner im Studienzentrum
Neurath,
Barbara
Leitung Studienambulanz (Geb. 24)
Dr.
Wachter,
Angelika
Stellv. Leitung Studienzentrum (Geb. 24)