Status:

UNKNOWN

Screening for Advanced Heart Failure IN Stable outPatientS - The SAINTS Study (SAINTS B)

Lead Sponsor:

Finn Gustafsson

Collaborating Sponsors:

Novo Nordisk A/S

Abbott

Conditions:

Advanced Heart Failure

Heart Failure With Reduced Ejection Fraction

Eligibility:

All Genders

19-74 years

Phase:

PHASE4

Brief Summary

SAINTS B is a randomized, controlled, clinical trial. Patients identified with advanced heart failure in SAINTS A who are unwilling or unable to undergo heart transplantation or left ventricular assis...

Detailed Description

Data recording: Data will be recorded in an online database using an electronic case report form. The investigators will use limits for accepted input, when applicable, on variables to minimize error...

Eligibility Criteria

Inclusion

  • Included in SAINTS A and fulfilling criteria for advanced HF (i.e., meeting primary endpoint for SAINTS A), although with a lower NT-proBNP cut-off level at ≥ 1000 pg/ml, but not referred for HTx or LVAD due to contraindications or patient preference
  • NYHA Functional class III
  • Be willing and able to upload pulmonary artery pressure information and comply with the follow-up requirements

Exclusion

  • Systolic blood pressure \< 90 mmHg
  • Chest circumference of \> 165 cm if BMI is ≥35 kg/m2
  • Intolerance to all neurohormonal antagonists (i.e., intolerance to Angiotensin Converting Enzyme inhibitors (ACE-I), Angiotensin Receptor Blockers (ARBs), Angiotensin receptor II blocker - neprilysin inhibitor (ARNi), Mineralocorticoid Receptor Antagonists (MRA), hydralazine/isosorbide dinitrate, and betablockers)
  • Fluid overload with a maximum (or dose equivalent) diuretic intervention
  • Contraindications to 1-month dual antiplatelet therapy or anticoagulation therapy for post implantation
  • Significant congenital heart disease that has not been repaired and would prevent implantation of the CardioMEMS pulmonary artery sensor
  • Implanted with mechanical right heart valve(s)
  • Pregnant or planning to become pregnant in the next 12 months
  • An active, ongoing infection
  • History of current or recurrent (≥2 episodes within 5 years prior to consent) pulmonary emboli and/or deep vein thromboses

Key Trial Info

Start Date :

March 2 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2025

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT05284955

Start Date

March 2 2023

End Date

December 31 2025

Last Update

March 20 2023

Active Locations (1)

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1

Rigshospitalet

Copenhagen, Denmark, 2100