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| General |
| Study Status |
Progress Inadequate |
| Application Number |
P100047 S090/ PAS002 |
| Date Current Protocol Accepted |
02/12/2021
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| Study Name |
ENDURANCE PAS
|
| General Study Protocol Parameters |
| Study Design |
Prospective Cohort Study
|
| Data Source |
Sponsor Registry
|
| Comparison Group |
No Control
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| Analysis Type |
Descriptive
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| Study Population |
Adult: >21
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| Detailed Study Protocol Parameters |
| Study Design Description |
The objective of the study is to estimate patient survival free of death, disabling stroke, or device malfunction or failure requiring exchange, explantation or urgent transplantation following HeartWare Ventricular Assist Device (HVAD) implantation for destination therapy (DT).
This post-approval study (PAS) is a prospective, observational, multi-site study conducted through Medtronic’s Product Surveillance Registry (PSR).
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| Study Population Description |
Patients using the HVAD system as destination therapy.
|
| Sample Size |
The PAS cohort will be comprised of 300 newly enrolled patients. This sample size will estimate the primary endpoint rate at 24 months post-original implant within 6.0%. The following assumptions were used:
- Two-sided 95% confidence intervals will be computed
- Goal is to estimate the primary objective survival rate at 2 years
- Survival rate at 24 months is 59.2%, which is based on the Endurance Supplemental HeartWare success rate using data through March 27, 2017 (data pull May 30, 2017).
- Attrition will be 10% from implant to 24 months, primarily consisting of transplants
Approximately 50 sites will participate in the PAS.
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| Data Collection |
The primary endpoint/objective is survival free of disabling stroke or device malfunction requiring exchange, explant, or urgent transplant.
Secondary endpoints:
- Observed early stroke rate (stroke occurring =2 years post-implant), and stroke risk factors.
- Late stroke rate (stroke occurring >2 years post-implant) and to evaluate risk factors for late stroke.
- Stroke severity for all subjects who experience a stroke on device while in this study. Stroke severity will be assessed through modified Rankin Scale (mRS) scoring.
Additional endpoints:
Effectiveness of Invasive Blood Pressure Monitoring (IBPM), a summary of neurologic dysfunction events (ischemic cerebrovascular accidents, hemorrhagic cerebrovascular accidents, and transient ischemic attacks), overall survival on device, INTERMACS adverse event rates, quality of life measures (measured by EuroQol EQ-5D-DL and Kansas City Cardiomyopathy Questionnaire), and functional status (measured by the 6-minute walk test).
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| Follow-up Visits and Length of Follow-up |
Subjects will be followed through five years post-implant
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| Interim or Final Data Summary |
| Interim Safety Information |
Due to the limited follow-up, analysis of the primary and secondary objectives was not conducted. Objectives will be analyzed in a future
report once there is adequate follow-up.
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| Actual Number of Patients Enrolled |
One hundred and forty-three subjects have been implanted and enrolled into the sponsor’s registry.
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| Actual Number of Sites Enrolled |
Forty-three study sites have been enrolled and are eligible to enroll subjects
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| Patient Follow-up Rate |
Ninety patients have been evaluated at discharge, fifty-four patients have been evaluated at the three-month follow-up visit, and
seventeen patients have been evaluated at the six-month follow-up visit.
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| Study Strengths & Weaknesses |
There is currently limited enrollment into the study and limited patient follow-up at this time.
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