Evaluating the Cordella Pulmonary Artery Sensor System for Heart Failure
A Prospective, Multi-Center, Open Label, Randomized Control Clinical Trial Evaluating the Safety and Efficacy of the Cordella™ Pulmonary Artery Sensor System in New York Heart Association (NYHA) Class II-III Heart Failure Patients
This study is testing a new device that helps people with heart failure keep track of their heart health to see if it can improve their management of the condition.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 1750 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Endotronix, Inc. Industry-sponsored |
| Locations | 49 sites (Phoenix, Arizona and 48 other locations) |
| Trial ID | NCT05934487 on ClinicalTrials.gov |
What this trial studies
This clinical trial is a prospective, multi-center, open label, randomized control evaluation of the Cordella™ Pulmonary Artery Sensor System in patients with NYHA Class II and III heart failure. It includes five arms, with specific cohorts for NYHA Class II and III patients, assessing the safety and efficacy of the device while providing daily access to pulmonary artery pressure data. The study aims to determine the effectiveness of a clinician-directed patient self-management strategy in the NYHA III cohort. Participants will be monitored for their response to the intervention over a defined period.
Who should consider this trial
Good fit: Ideal candidates are adults aged 18 and older diagnosed with NYHA Class II or III heart failure who have been on appropriate medical therapy for at least 30 days.
Not a fit: Patients with heart failure who do not meet the NYHA Class II or III criteria or those who are not receiving standard medical therapy may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could improve management and outcomes for patients with heart failure by providing real-time monitoring and personalized treatment strategies.
How similar studies have performed: Other studies evaluating similar monitoring technologies in heart failure have shown promising results, indicating potential for success in this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria 1. Subject has given written informed consent 2. Male or female, at least 18 years of age 3. Diagnosis and treatment of HF (regardless of LVEF) for ≥ 3 months and NYHA Class II HF (NYHA II Cohort) or NYHA III (NYHA III Cohort) at time of Screening 4\. Subjects should be receiving appropriate medical therapy for heart failure according to current AHA/ACC guidelines as standard-of-care for HF therapy in the United States, or current ESC guidelines for HF treatment in Europe for at least 30 days prior to the Screening/Enrollment visit. Stable is defined as no more than a 100% increase or 50% decrease in dose. These criteria may be waived if a subject is intolerant of ACE-I, ARB, ARNI), MRA, beta-blockers, or SGLT2i, subject is unable to afford these agents, subject has contraindications to these agents, or these agents are not indicated under the Guidelines. Such intolerance, lack of affordability, contraindications, or lack of indications must be documented. 1. HFrEF (EF \< 50%): Subject has been on stable medications maximized to the subject's tolerance of ACE-I or ARB or ARNI, MRA, beta-blockers, and SGLT2i as determined by the study investigator for at least 30 days prior to Screening/Enrollment 2. HFpEF (EF ≥ 50%): Subject has been on stable medication maximized to the subject's tolerance of SGLT2i as determined by the study investigator for at least 30 days prior to Screening/Enrollment 5. NYHA II Cohort- HF related hospitalization within 6 months (last hospitalization should be 30 days before Screening /Enrollment) 5. NYHA III Cohort -HF related hospitalization within 12 month (last hospitalization should be 30 days before Screening/Enrollment) 6\. Subjects should be on diuretic therapy (≥40 mg\] furosemide or equivalent) for ≥ 1 month at time of Screening 7\. Subjects who are physically able to hold the myCordella™ Patient Reader unit (approximate weight 1.3lb) against the ventral thoracic surface for up to 2 minutes per day while in a seated position, as well as dock and undock the myCordella™ Patient Reader 8\. Subjects with sufficient eyesight, hearing, and mental capacity to respond to the myCordella™ Patient Reader's audio/visual cues and operate the myCordella™ Patient Reader 9\. Subject has sufficient Cellular and/ or Wi- Fi Internet coverage at home 10\. Subject agrees to return to the treating Investigator for all scheduled follow up visits and can return to the hospital for follow up Exclusion Criteria: 1. ACC/AHA Stage D refractory HF (including a known history of \>24 hours of IV inotropic therapy to support circulation within the past 6 months (other than relation to a procedure)) 2. Subjects with history of recurrent pulmonary embolism (≥2 episodes within 5 years prior to Screening Visit) and/or deep vein thrombosis in the femoral or IJ vein used for access (\< 3 month prior to Screening Visit) 3. Subjects with a resting systolic blood pressure \<90 mmHg and/ or severe pre-capillary pulmonary hypertension with a pulmonary artery systolic pressure of ≥70 mm/Hg with pulmonary capillary wedge pressure ≤ 15 mmHg at the Cordella PA Sensor Implant RHC (V2) 4. Subjects who have had a major cardiovascular (CV) event (e.g., myocardial infarction, stroke) within 3 months of the Screening Visit 5. Unrepaired severe valvular disease 6. Subjects with significant congenital heart disease that has not been repaired and would prevent implantation of the Cordella PA Sensor or mechanical/tissue right heart valve(s) 7. Subjects with known coagulation disorders 8. Subjects with a hypersensitivity or allergy to platelet aggregation inhibitors including aspirin, clopidogrel, prasugrel, and ticagrelor; or patients unable to take dual antiplatelet or anticoagulants for one-month post implant 9. Known history of life-threatening allergy to contrast dye. 10. Subjects whereby RHC is contraindicated 11. Subjects with an active infection at the Cordella Sensor Implant Visit 12. Subjects with a GFR \<20 ml/min or who are on chronic renal dialysis 13. Implanted with Cardiac Resynchronization Therapy-Pacemaker (CRT-P) or Cardiac Resynchronization Therapy-Defibrillator (CRT-D), or having undergone mitral/tricuspid valve repair/replacement within 90 days or catheter ablation for atrial fibrillation within 30 days prior to screening visit 14. Received or are likely to receive an advanced therapy (e.g., durable mechanical circulatory support or lung or heart transplant) in the next 24 months 15. Subjects who are pregnant or breastfeeding 16. Subjects who are unwilling or deemed by the Investigator to be unwilling to comply with the study protocol, or subjects with a history of non-compliance 17. Severe illness, other than heart disease, which would limit survival to \<2 years 18. Subjects whose clinical condition, in the opinion of the Investigator, makes them an unsuitable candidate for the study 19. Subjects enrolled in another investigational trial with an active Treatment Arm 20. Subject who is in custody by order of an authority or a court of law
Where this trial is running
Phoenix, Arizona and 48 other locations
- St. Joseph's Hospital and Medical Center — Phoenix, Arizona, United States (Recruiting)
- USC — Los Angeles, California, United States (Recruiting)
- UCSF Medical Center — San Francisco, California, United States (Recruiting)
- Baptist Health South Florida — Miami, Florida, United States (Recruiting)
- Ascension Sacred Heart — Pensacola, Florida, United States (Recruiting)
- Piedmont — Atlanta, Georgia, United States (Recruiting)
- Advocate Health System — Downers Grove, Illinois, United States (Active_not_recruiting)
- Heart Care Centers of Illinois (HCCI) — Palos Park, Illinois, United States (Recruiting)
- Ascension St. Vincent's — Indianapolis, Indiana, United States (Recruiting)
- University of Kansas Medical Center (KUMC) — Kansas City, Kansas, United States (Recruiting)
- University of Maryland — Baltimore, Maryland, United States (Active_not_recruiting)
- MedStar — Baltimore, Maryland, United States (Recruiting)
- Tufts Medical Center — Boston, Massachusetts, United States (Recruiting)
- Beth Israel Deaconess Medical Center (BIDMC) — Boston, Massachusetts, United States (Active_not_recruiting)
- Ascension Providence Hospital Cardiology - Heart Cardiology — Howell, Michigan, United States (Recruiting)
- Minneapolis Heart Institute Foundation — Minneapolis, Minnesota, United States (Active_not_recruiting)
- University of Minnesota — Minneapolis, Minnesota, United States (Recruiting)
- Centra Care Heart Center — Saint Cloud, Minnesota, United States (Recruiting)
- St. Lukes/ Mid-American Heart Institute — Kansas City, Missouri, United States (Recruiting)
- Washington University — St Louis, Missouri, United States (Recruiting)
- Mount Sinai West — New York, New York, United States (Recruiting)
- Mount Sinai — New York, New York, United States (Recruiting)
- Lenox Hill/ Northwell Health — New York, New York, United States (Recruiting)
- Stony Brook University Med Center — Stony Brook, New York, United States (Recruiting)
- Duke University — Durham, North Carolina, United States (Recruiting)
- The Christ Hospital- Cincinnati — Cincinnati, Ohio, United States (Active_not_recruiting)
- University of Cincinnati — Cincinnati, Ohio, United States (Recruiting)
- University Hospital (Cleveland) — Cleveland, Ohio, United States (Recruiting)
- Providence St. Vincent's - Portland — Portland, Oregon, United States (Recruiting)
- Oregon Health Science Portland — Portland, Oregon, United States (Active_not_recruiting)
- Penn State Health — Hershey, Pennsylvania, United States (Active_not_recruiting)
- Upmc — Pittsburgh, Pennsylvania, United States (Active_not_recruiting)
- PRISMA Health- Upstate — Greenville, South Carolina, United States (Active_not_recruiting)
- Sanford — Sioux Falls, South Dakota, United States (Recruiting)
- Vanderbilt — Nashville, Tennessee, United States (Recruiting)
- Austin Heart — Austin, Texas, United States (Active_not_recruiting)
- Medical City Healthcare Dallas — Dallas, Texas, United States (Recruiting)
- Baylor Scott & White -Dallas — Fort Worth, Texas, United States (Recruiting)
- Baylor/Texas Heart — Houston, Texas, United States (Active_not_recruiting)
- Methodist San Antonio — San Antonio, Texas, United States (Recruiting)
- Baylor - Temple — Temple, Texas, United States (Recruiting)
- University of Vermont — Burlington, Vermont, United States (Active_not_recruiting)
- Providence Everett — Everett, Washington, United States (Recruiting)
- West Virginia University — Morgantown, West Virginia, United States (Active_not_recruiting)
- University of Wisconsin — Madison, Wisconsin, United States (Recruiting)
- Advocate Aurora St. Luke's — Milwaukee, Wisconsin, United States (Active_not_recruiting)
- AZORG Aalst — Aalst, Aalst, Belgium (Active_not_recruiting)
- UZ Brussel — Brussels, Belgium (Not_yet_recruiting)
- University Hospital Galway — Galway, Ireland (Not_yet_recruiting)
Study contacts
- Study coordinator: Andrea Sauerland
- Email: clinical@endotronix.com
- Phone: (630) 473-3200
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.