New magnetic heart pump could offer hope for advanced heart failure patients
NCT ID NCT06310031
First seen Jun 27, 2026 · Last updated Sep 09, 2026 · Updated 3 times
Summary
This study tests a new heart pump called BrioVAD for people with severe heart failure that doesn't get better with standard treatments. The pump uses magnetic levitation to help the heart pump blood. About 780 adults will get either the BrioVAD or an existing pump to see if the new one is as safe and effective. The goal is to help patients survive until a heart transplant or recover, while avoiding serious strokes or the need for another pump surgery.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 780 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2024
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 100 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Patient is ≥ 18 years of age. 2. Patient has received institutional approval for LVAD implantation. 3. Patient has a body surface area (BSA) ≥ 1.2 m2. 4. Patient is classified as NYHA Class IV with advanced heart failure refractory to advanced heart failure management or NYHA Class III with dyspnea upon mild physical activity. 5. Patient has a left ventricular ejection fraction (LVEF) ≤ 25% or LVEF \< 30% on inotropes or temporary MCS. 6. Patient is inotrope dependent, OR has a cardiac index (CI) ≤ 2.2 liters/min/m2, while not on inotropes, and also meets one of the following criteria: 1. Is on optimal medical management (OMM), based on current heart failure practice guidelines for at least 45 out of the last 60 days and is failing to respond or is not able to tolerate OMM; or 2. Has advanced heart failure for at least 14 days and is dependent on an intra-aortic balloon pump (IABP) or temporary mechanical circulatory support device (MCSD) for at least seven days. 7. Patient has provided voluntary and informed consent. 8. Females of childbearing age agree to use adequate contraception and have a negative pregnancy test. Exclusion Criteria: 1. Patient's heart failure etiology is related to restrictive or constrictive physiology (e.g., nondilated hypertrophic cardiomyopathy, cardiac amyloidosis/senile or other infiltrative disease), complex congenital heart disease (e.g., transposition of the great vessels), uncorrected thyroid disease, and/or pericardial disease. 2. Patient had a myocardial infarction within seven days of study enrollment. 3. Patient had cardiothoracic surgery within 30 days of implant with the exception of a procedure to implant temporary MCS: Impella 5.5, Impella CP or TandemHeart. 4. Patient has physiological conditions or comorbidities which pose high surgical risk or obstacles as determined by the Investigator. 5. Patient has contraindications to warfarin anticoagulation. 6. Patient has known hypo- or hypercoagulable state \[e.g., disseminated intravascular coagulation (DIC)\], or has a positive heparin-induced thrombocytopenia (HIT) assay and positive serotonin release assay or requires use of a non-heparin alternative anticoagulation strategy for cardiopulmonary bypass in the judgement of the Investigator. 7. Patient is on durable MCS (e.g., LVAD or RVAD). 8. Planned need for durable or temporary RVAD support concomitant with LVAD implant. 9. Patient is on any form of pre-implant temporary MCS other than isolated LVAD support with an intra-aortic balloon pump, Impella 5.5, Impella CP, or TandemHeart. 10. Patient is on any form of pre-implant temporary MCS and has a serum lactate dehydrogenase greater than 2.5 times the upper limits of normal or plasma free hemoglobin \> 40 g/dL. 11. Patient has a history of organ transplantation. 12. Patient has a mechanical aortic valve that may not be converted to a bioprosthetic valve at the time of VAD implant. 13. Patient has a platelet count \< 50 k/μl. 14. Patient has a history of confirmed untreated abdominal aortic aneurysm (AAA) \> 5 cm in diameter. 15. Patient has moderate or severe aortic insufficiency that will not be corrected during the VAD implant procedure. 16. Patient has an uncontrolled systemic infection. 17. Patient has a positive COVID 19 test within 21 days of study enrollment and at least one high risk feature including need for supplemental oxygen or ferritin \>1000 ug/L. 18. Patient has severe end-organ dysfunction as evidenced by one or more of the following criteria: 1. Total bilirubin \> 3.0 mg/dL or cirrhosis confirmed by liver imaging or hemodynamic assessment with or without biopsy confirmation. 2. International normalized ratio (INR) ≥ 2.0 or PTT \> 2.5 times control that is not related to anticoagulation therapy. 3. Glomerular filtration rate (GFR) \< 30 mL/ min/1.73 m2 or need for renal replacement therapy. 4. Severe pulmonary arterial hypertension with a pulmonary vascular resistance (PVR) ≥ 8 Wood units that is not acutely reversible with pharmacologic intervention. 5. Severe chronic obstructive pulmonary disease (COPD) or restrictive lung disease requiring home oxygen or an FEV1/FVC \< 0.7 and FEV1 \< 40% predicted. 6. Mechanical ventilation for more than three days present at the time of study enrollment. 7. Documented history of pulmonary embolism or pulmonary infarct within 60 days of study enrollment. 8. History of stroke within 90 days of study enrollment or history of stroke with a mRS ≥ 3 at the time of study enrollment. 9. Symptomatic cerebrovascular disease and/or uncorrected carotid stenosis \> 80%. 10. Significant peripheral vascular disease (PVD) accompanied by pain at rest or extremity ulceration. 11. Pre-albumin \< 15 mg/dL and/or albumin \< 2.5 g/dL. 19. Patient has a non-cardiac comorbidity or illness that would limit survival to less than two years. 20. Patient has a psychiatric disease or disorder, or irreversible cognitive dysfunction, and/or insufficient social support or a history of non-adherence with medical instructions that is likely to impair study compliance. 21. Patient is participating in an interventional clinical trial that may impact or confound the results of the INNOVATE Trial.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
47 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Abbott Northwestern Hospital
RECRUITINGMinneapolis, Minnesota, 55407, United States
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Advent Health
RECRUITINGOrlando, Florida, 32803, United States
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Advocate Christ Medical Center
RECRUITINGChicago, Illinois, 60453, United States
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Ascension St. Vincent Hospital - Indianapolis
RECRUITINGIndianapolis, Indiana, 46260, United States
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Aurora St. Luke's Medical Center
RECRUITINGMilwaukee, Wisconsin, 53215, United States
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Baptist - Memphis (Stern)
RECRUITINGMemphis, Tennessee, 38120, United States
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Baptist Health Medical Center-Little Rock
RECRUITINGLittle Rock, Arkansas, 72205, United States
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Baylor Scott & White Medical Center - Plano
RECRUITINGPlano, Texas, 75093, United States
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Baylor University Medical Center, part of Baylor Scott & White Health
RECRUITINGDallas, Texas, 75246, United States
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Cedars-Sinai Medical Center
RECRUITINGLos Angeles, California, 90048, United States
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Cleveland Clinic
RECRUITINGCleveland, Ohio, 44195, United States
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Columbia University Irving Medical Center/ New York Presbyterian Hospital
RECRUITINGNew York, New York, 10032, United States
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Corewell Health Grand Rapids Hospital
RECRUITINGGrand Rapids, Michigan, 49503, United States
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Duke University
RECRUITINGDurham, North Carolina, 27710, United States
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Emory University
RECRUITINGAtlanta, Georgia, 30322, United States
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Henry Ford Health
RECRUITINGDetriot, Michigan, 48202, United States
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Houston Methodist Hospital
RECRUITINGHouston, Texas, 77030, United States
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Inova Fairfax Medical Campus
RECRUITINGFalls Church, Virginia, 22042, United States
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Massachusetts General Hospital
RECRUITINGBoston, Massachusetts, 02114, United States
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Medical University of South Carolina
RECRUITINGCharleston, South Carolina, 29425, United States
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Memorial Hermann-Texas Medical Center
RECRUITINGHouston, Texas, 77030, United States
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Montefiore Medical Center
RECRUITINGThe Bronx, New York, 10467, United States
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Mount Sinai
RECRUITINGNew York, New York, 10029, United States
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NYU Langone Health
RECRUITINGNew York, New York, 10016, United States
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Newark Beth Israel Medical Center
RECRUITINGNewark, New Jersey, 07112, United States
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Northwestern University
RECRUITINGChicago, Illinois, 60611, United States
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Oregon Health & Science University
RECRUITINGPortland, Oregon, 97239, United States
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Piedmont Healthcare
RECRUITINGAtlanta, Georgia, 30309, United States
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Texas Heart Institute at Baylor St. Luke's Medical Center
RECRUITINGHouston, Texas, 77030, United States
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The Christ Hospital - Cincinnati
RECRUITINGCincinnati, Ohio, 45219, United States
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The Johns Hopkins Hospital
RECRUITINGBaltimore, Maryland, 21287, United States
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The University Of Kansas Medical Center
RECRUITINGKansas City, Kansas, 66160, United States
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Thomas Jefferson University Hospital
RECRUITINGPhiladelphia, Pennsylvania, 19107, United States
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Tufts Medical Center
RECRUITINGBoston, Massachusetts, 02111, United States
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UF Health Shands Hospital
RECRUITINGGainsville, Florida, 32608, United States
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UT southwestern Medical Center
RECRUITINGDallas, Texas, 75390, United States
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University of Alabama at Birmingham Hospital
RECRUITINGBirmingham, Alabama, 35233, United States
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University of Chicago
RECRUITINGChicago, Illinois, 60637, United States
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University of Kentucky
RECRUITINGLexington, Kentucky, 40536, United States
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University of Louisville
RECRUITINGLouisville, Kentucky, 40202, United States
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University of Maryland Medical Center
RECRUITINGBaltimore, Maryland, 21201, United States
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University of Michigan
RECRUITINGAnn Arbor, Michigan, 48109, United States
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University of Minnesota
RECRUITINGMinneapolis, Minnesota, 55455, United States
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University of Nebraska Medical Center
RECRUITINGOmaha, Nebraska, 68198, United States
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University of Utah
RECRUITINGSalt Lake City, Utah, 84132, United States
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WashU Medicine
RECRUITINGSt Louis, Missouri, 63110, United States
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Weill Cornell Medicine
RECRUITINGNew York, New York, 10065, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- The impact of video-based cardiac rehabilitation education in patients with cardiovascular implantable electronic Devices(CIEDs)- a randomized controlled trial
- Effect of the use of dapagliflozin in diuresis, natriuresis and in ultrafiltration and peritoneal elimination of sodium, in patients with refractory heart failure
- Can a 10-Week coaching program ease the toll on heart failure caregivers?
- Can a catheter valve fix a leaky heart valve without open surgery?
- Can a 10-Second chest scan reveal hidden heart clues?
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