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U.S. Department of Health and Human Services

Post-Approval Studies (PAS) Database

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The FDA has the authority to require sponsors to perform a post-approval study (or studies) at the time of approval of a premarket approval (PMA), humanitarian device exemption (HDE), or product development protocol (PDP) application. Post-approval studies can provide patients, health care professionals, the device industry, the FDA and other stakeholders information on the continued safety and effectiveness (or continued probable benefit, in the case of an HDE) of approved medical devices. This database allows you to search Post-Approval Study information by applicant or device information.

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Impella RW Surveillance of Pts using Sodium Bicarb


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General
Study Status Study Pending
Application Number /
Requirement Number
P140003 S088/ PAS001
Date Original Protocol Accepted 08/18/2022
Date Current Protocol Accepted 04/27/2023
Study Name Impella RW Surveillance of Pts using Sodium Bicarb
Device Name Impella 2.5 System, Impella CP System, Impella CP with SmartAssist System, Impella 5.0 System, Impella LD System,Impella 5.5 with SmartAssist System
General Study Protocol Parameters
Study Design Comprehensive/Linked/RegistryBased Surveillance
Data Source Sponsor Registry
Comparison Group Concurrent & Historical Control
Study Population Adult: >21
Detailed Study Protocol Parameters
Study Objectives A multicenter, observational, records review study of routine clinical care. Subjects are from post-market cohorts and new
enrollment.
Study Population Device: The study will include up to 60 sites from the US. The population enrolled in this study are all subjects who received an
Impella in which a bicarbonate-based purge solution was used. Comparator: The study will include up to 60 sites from the US. The
population enrolled in this study are all subjects who received an Impella in which a heparin-based purge solution was used.
Sample Size A sample size of 300 subjects is proposed for the study based on the following assumptions:
Event rate 6%
Target margin of error of +/- 3% (the width of 95% confidence interval of 6%)

While the sample size with the above assumptions is 275, the additional subjects ensure the target 3% margin of error for a
potentially higher event rate in the all-comers population enrolled in the study.
For Impella RP, the sample size will be the number of subjects available at the time the left-sided device population completes
enrollment, up to 30 subjects. As the use of Impella RP is an order of magnitude less than the left-sided devices, a target margin of
error is not feasible for this population.
Key Study Endpoints 1. Left-sided devices (Impella 2.5, Impella CP, Impella LD, Impella 5.0 and Impella 5.5): Hierarchical composite of
stroke, transient ischemic attack (TIA), left ventricular (LV) thrombus [Time Point: Discharge]
2. Impella RP: Hierarchical composite of pulmonary thromboemboli and deep vein thrombosis (DVT) [Time Point: Discharge]
1. Bleeding, BARC greater than or equal to 3 [Time Point: Discharge]
2. For left-sided devices: Thrombotic events excluding LV thrombus, stroke and TIA [Time Point: Discharge]
3. For Impella RP: Thrombotic events excluding pulmonary thromboemboli and DVT [Time Point: Discharge]
Follow-up Visits and Length of Follow-up 1. Left-sided devices (Impella 2.5, Impella CP, Impella LD, Impella 5.0 and Impella 5.5): Hierarchical composite of
stroke, transient ischemic attack (TIA), left ventricular (LV) thrombus [Time Point: Discharge]
2. Impella RP: Hierarchical composite of pulmonary thromboemboli and deep vein thrombosis (DVT) [Time Point: Discharge]
1. Bleeding, BARC =3 [Time Point: Discharge]
2. For left-sided devices: Thrombotic events excluding LV thrombus, stroke and TIA [Time Point: Discharge]
3. For Impella RP: Thrombotic events excluding pulmonary thromboemboli and DVT [Time Point: Discharge]


Impella RW Surveillance of Pts using Sodium Bicarb Reporting Schedule

Reporting Schedule
Report
Date Due
FDA Receipt
Date
Applicant's Reporting Status
1 year report 04/19/2023 04/18/2023 On Time
final report 07/01/2024    


Contact Us

Mandated Studies Program
Food and Drug Administration
10903 New Hampshire Ave.
Silver Spring, MD 20993-0002
Email: MandatedStudiesPrograms@fda.hhs.gov

Additional Resources

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