New heart pump trial aims to extend life for advanced heart failure patients
NCT ID NCT06526195
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether a mechanical heart pump (HeartMate 3) can help people with advanced heart failure live longer and avoid serious complications like stroke or the need for a heart transplant. About 850 participants will either receive the pump or continue standard medical therapy. The goal is to see if the pump improves survival and quality of life over two years.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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 850 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2024
- Expected to finish
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Sep 2032
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 years and older
- 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. Subject has provided written informed consent by signing the study Informed Consent Form (ICF) prior to any clinical investigation-related procedure 2. LVEF ≤30% and Cardiac Index ≤ 2.5 L/min/m² 3. Limited functional status as demonstrated by 6MWT ≤ 350 m due to HF related reasons OR peak VO2 ≤ 14 mL/kg/min (or \<50% of predicted peak VO2 value) 4. NYHA Class IIIB or NYHA Class IV 5. Subject has ≥ 1 Heart Failure Hospitalization in the last 12 months 6. Subject is already implanted with a CardioMEMS PA Sensor OR willing to undergo a CardioMEMS PA Sensor implant 7. Subject is willing and able to be implanted with the HM3 LVAS if randomized to HM3 Group Randomization Criteria: 1. Subject has been implanted with a CardioMEMS PA Sensor for at least 90 days. 2. Subject is receiving guideline directed medical therapy with optimal doses (or documented medication contraindication or intolerance) of betablockers, Angiotensin-Converting-Enzyme-inhibitors or Angiotensin II Receptor Blockers or angiotensin receptor neprilysin inhibitor (if eligible), Mineralocorticoid Receptor Antagonists, Sodium-Glucose co-Transporter-2 (SGLT2) inhibitors, and diuretics for at least 30 of the last 90 days. 3. mean PAP ≥ 30 mmHg. 4. The subject will not be randomized if they have any other factor that represents inordinate risk for either continued GDMT or LVAD implant. Single Arm Registry Criteria: 1. Subject has received a CardioMEMS PA Sensor implant following enrollment in the trial. 2. Subject is receiving guideline directed medical therapy with optimal doses (or documented medication contraindication or intolerance) of betablockers, Angiotensin-Converting-Enzyme-inhibitors or Angiotensin II Receptor Blockers or angiotensin receptor neprilysin inhibitor (if eligible), Mineralocorticoid Receptor Antagonists, Sodium-Glucose co-Transporter-2 (SGLT2) inhibitors, and diuretics for at least 30 of the last 90 days. 3. mean PAP \<30 mmHg Exclusion Criteria: 1. Subject is \< 18 years of age at the time of informed consent. 2. Dependent on IV inotrope in the last 30 days. 3. Contra-indications to HM3 LVAS or CardioMEMS HF system. 4. Etiology of HF due to or associated with uncorrected thyroid disease, obstructive cardiomyopathy, pericardial disease, amyloidosis, or restrictive cardiomyopathy. 5. Technical obstacles to LVAD or CardioMEMS implantation which pose an inordinately high surgical risk, in the judgment of the implanter. 6. Existence of ongoing MCS. 7. Presence of mechanical aortic valve that will not be either converted to a bioprosthesis or oversewn at the time of LVAD implant. 8. History of any solid organ transplant. 9. Psychiatric disease/disorder, irreversible cognitive dysfunction or psychosocial issues that are likely to impair compliance with the study protocol and LVAS management. 10. Presence of an active, uncontrolled infection. 11. Complex congenital heart disease. 12. Currently Pregnant or capable of becoming Pregnant and Unwilling to Use Contraception with LVAD. 13. History of pulmonary embolism within 30 days prior to enrollment or history of recurrent (\>1 episode) pulmonary embolism and/or deep vein thrombosis. 14. Planned VAD or Bi-VAD support prior to enrollment. 15. Presence of any one of the following risk factors for or indications of severe end organ dysfunction or failure: 1. An INR ≥ 2.0 not due to anticoagulation therapy 2. An eGFR \< 30 mL/min/1.73 m2 and nonresponsive to diuretic therapy or receiving chronic dialysis. 3. Biopsy proven liver cirrhosis. 4. Need for chronic renal replacement therapy. 5. History of severe chronic obstructive pulmonary disease (COPD) defined by Forced Expiratory Volume FEV1 \< 30% predicted. 6. History of cerebrovascular disease with significant (\> 80%) uncorrected internal carotid stenosis. 7. Significant peripheral vascular disease (PVD) accompanied by ischemic rest pain or extremity ulceration. 16. Any condition other than HF that could limit survival to less than 24 months. 17. Participation in any other clinical investigation with an active treatment arm that is likely to confound study results or affect the study outcome.
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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
68 sites in 8 countries. 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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A.O.U. Citta della Salute e della Scienza di Torino
RECRUITINGTurin, Piedmont, 10126, Italy
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AKH -Wien
RECRUITINGVienna, State of Vienna, 1090, Austria
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Abington Memorial Hospital
RECRUITINGAbington, Pennsylvania, 19001, United States
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Advocate Health & Hospitals Corporation
RECRUITINGOakbrook Terrace, Illinois, 60181, United States
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Allegheny General Hospital
RECRUITINGPittsburgh, Pennsylvania, 15212, United States
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Ascension Texas Cardiovascular
RECRUITINGAustin, Texas, 78705, United States
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Aurora Medical Group
RECRUITINGMilwaukee, Wisconsin, 53215, United States
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Banner-University Medical Center Phoenix
RECRUITINGPhoenix, Arizona, 85006, United States
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Baptist Health Medical Center
RECRUITINGLittle Rock, Arkansas, 72205, United States
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Baylor University Hospital
RECRUITINGDallas, Texas, 75246, United States
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CHI St. Luke's Health Baylor College of Medicine Medical Center
RECRUITINGHouston, Texas, 77030, United States
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Carolinas Medical Center
RECRUITINGCharlotte, North Carolina, 28203, United States
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Christ Hospital
RECRUITINGCincinnati, Ohio, 45219, United States
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Cleveland Clinic Florida
RECRUITINGWeston, Florida, 33331, United States
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Deutsches Herzzentrum der Charité
RECRUITINGBerlin, State of Berlin, 13353, Germany
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Erasmus MC - Thoraxcenter
RECRUITINGRotterdam, Holland, 3015 CE, Netherlands
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Hackensack University Medical Center
RECRUITINGHackensack, New Jersey, 07601, United States
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Henry Ford Hospital
RECRUITINGDetroit, Michigan, 48202, United States
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Herzzentrum Leipzig GmbH
RECRUITINGLeipzig, Saxony, 04289, Germany
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Houston Methodist
RECRUITINGHouston, Texas, 77030, United States
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IKEM Prague
RECRUITINGPrague, CBohmia, 14021, Czechia
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Integris Baptist Medical Center
RECRUITINGOklahoma City, Oklahoma, 73112, United States
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Kansas University Medical Center
RECRUITINGKansas City, Kansas, 66160, United States
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King Fahad Medical City
RECRUITINGRiyadh, Riyadh Region, 11525, Saudi Arabia
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King Faisal Specialist Hospital
RECRUITINGRiyadh, Riyadh Region, 12713, Saudi Arabia
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Maine Medical Center
RECRUITINGPortland, Maine, 04102, United States
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Massachusetts General Hospital
RECRUITINGBoston, Massachusetts, 02114, United States
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Mayo Clinic
RECRUITINGRochester, Minnesota, 55905, United States
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Medical University of South Carolina
RECRUITINGCharleston, South Carolina, 29425, United States
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Medizinische Hochschule Hannover
RECRUITINGHanover, Saxon, 30625, Germany
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Minneapolis Heart Institute
RECRUITINGMinneapolis, Minnesota, 55407, United States
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Montefiore Medical Center - Moses Campus
RECRUITINGThe Bronx, New York, 10467, United States
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New Mexico Heart Institute
RECRUITINGAlbuquerque, New Mexico, 87102, United States
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New York-Presbyterian/Columbia University Medical Center
RECRUITINGNew York, New York, 10032, United States
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Newark Beth Israel Medical Center
RECRUITINGNewark, New Jersey, 07112, United States
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North Shore University Hospital
RECRUITINGManhasset, New York, 11030, United States
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Norton Hospital
RECRUITINGLouisville, Kentucky, 40202, United States
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Oklahoma Heart Institute at Utica
RECRUITINGTulsa, Oklahoma, 74104, United States
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Oregon Health & Science University
RECRUITINGPortland, Oregon, 97239, United States
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Penn State Milton S. Hershey Medical Center
RECRUITINGHershey, Pennsylvania, 17033, United States
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Piedmont Augusta Hospital
RECRUITINGAugusta, Georgia, 30901, United States
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Piedmont Heart Institute
RECRUITINGAtlanta, Georgia, 30309, United States
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Prisma Health Midlands
RECRUITINGColumbia, South Carolina, 29203, United States
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Rigshospitalet
RECRUITINGCopenhagen, Copenhagen, 2100, Denmark
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Saint Francis Hospital
RECRUITINGTulsa, Oklahoma, 74136, United States
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Scott & White Memorial Hospital
RECRUITINGTemple, Texas, 76508, United States
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Shands at the University of Florida
RECRUITINGGainesville, Florida, 32610, United States
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Spectrum Health Butterworth Hospital
RECRUITINGGrand Rapids, Michigan, 49503, United States
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St. Luke's Hospital
RECRUITINGKansas City, Missouri, 64111, United States
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St. Vincent Hospital
RECRUITINGIndianapolis, Indiana, 46240, United States
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Sutter Medical Center
RECRUITINGSacramento, California, 95816, United States
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The Cleveland Clinic Foundation
RECRUITINGCleveland, Ohio, 44195, United States
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The Heart Hospital Baylor Plano
RECRUITINGPlano, Texas, 75093, United States
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The Stern Cardiovascular Foundation
RECRUITINGMemphis, Tennessee, 38120, United States
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UMC Utrecht
RECRUITINGUtrecht, Utrecht, 3584 CX, Netherlands
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UTHealth Memorial Hermann
RECRUITINGHouston, Texas, 77030, United States
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University of California at San Francisco
RECRUITINGSan Francisco, California, 94143, United States
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University of Chicago
RECRUITINGChicago, Illinois, 60637, United States
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University of Iowa Hospitals & Clinics
RECRUITINGIowa City, Iowa, 52242, United States
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University of Kentucky
RECRUITINGLexington, Kentucky, 40536, United States
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University of Nebraska Medical Center
RECRUITINGOmaha, Nebraska, 68198, United States
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University of North Carolina at Chapel Hill
RECRUITINGChapel Hill, North Carolina, 27599, United States
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University of Pennsylvania
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
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University of Rochester Medical Center
RECRUITINGRochester, New York, 14642, United States
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University of Utah Hospital
RECRUITINGSalt Lake City, Utah, 84132, United States
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University of Virginia Medical Center
RECRUITINGCharlottesville, Virginia, 22908, United States
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Washington Hospital Center
RECRUITINGWashington D.C., District of Columbia, 20010, United States
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WellStar Kennestone Hospital
RECRUITINGMarietta, Georgia, 30060, United States
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