The Epidemiology of Bleeding and Clotting in Patients Undergoing Heart Transplantation, Coronary Artery Bypass Graft Surgery,or Implantation of Left Ventricular Assist Devices

This study has been terminated.
(Slow enrollment - terminated for futility.)
Sponsor:
Collaborator:
Information provided by (Responsible Party):
Mount Sinai School of Medicine
ClinicalTrials.gov Identifier:
NCT01481012
First received: November 7, 2011
Last updated: November 23, 2011
Last verified: November 2011
  Purpose

The purpose of this study is to obtain data or information on how blood clotting factors are activated during open heart surgery. In particular, the investigators are interested in how blood clotting factors are activated by the heart-lung bypass machine and by left ventricular assist devices (LVAD). Patients on these two machines have an increased risk of bleeding and blood clot formation. This is because both machines stimulate the intrinsic coagulation pathway, one of the chemical pathways that cause blood to clot. The process of surgery itself also stimulates the "extrinsic coagulation pathway," the other chemical pathway that causes blood to clot. Stimulating these coagulation pathways can use up the body's clotting factors. As a result, patients may be at risk for both bleeding and blood clot formation. The investigators would like to study how the blood factors are activated during and after surgery, to help develop treatments to prevent bleeding and clot formation.


Condition
Congestive Heart Failure

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: The Epidemiology of Bleeding and Clotting in Patients Undergoing Heart Transplantation, Coronary Artery Bypass Graft Surgery,or Implantation of Left Ventricular Assist Devices

Resource links provided by NLM:


Further study details as provided by Mount Sinai School of Medicine:

Primary Outcome Measures:
  • Thrombin Generation Markers [ Time Frame: At time of surgery (before initiation of Cardiopulmonary Bypass) ] [ Designated as safety issue: No ]

    We will compare the following endpoints among the cardiac transplant, CABG, and LVAD recipients:

    Thrombin Generation Markers: Assays will be performed to quantify the levels of the following markers at the specified time points: Thrombo-antithrombin complex (TAT), Prothrombin Fragment 1 +2 (F1.2), and Thromboelastography (TEG) will be performed when available to assess platelet function.


  • Thrombin Generation Markers [ Time Frame: At time of surgery (dismantling the sterile environment) ] [ Designated as safety issue: No ]

    We will compare the following endpoints among the cardiac transplant, CABG, and LVAD recipients:

    Thrombin Generation Markers: Assays will be performed to quantify the levels of the following markers at the specified time points: Thrombo-antithrombin complex (TAT), Prothrombin Fragment 1 +2 (F1.2), and Thromboelastography (TEG) will be performed when available to assess platelet function.


  • Thrombin Generation Markers [ Time Frame: Post-operative day 1 ] [ Designated as safety issue: No ]

    We will compare the following endpoints among the cardiac transplant, CABG, and LVAD recipients:

    Thrombin Generation Markers: Assays will be performed to quantify the levels of the following markers at the specified time points: Thrombo-antithrombin complex (TAT), Prothrombin Fragment 1 +2 (F1.2), and Thromboelastography (TEG) will be performed when available to assess platelet function.


  • Thrombin Generation Markers [ Time Frame: At time of surgery ] [ Designated as safety issue: No ]

    We will compare the following endpoints among the cardiac transplant, CABG, and LVAD recipients:

    Thrombin Generation Markers: Assays will be performed to quantify the levels of the following markers at the specified time points: Thrombo-antithrombin complex (TAT), Prothrombin Fragment 1 +2 (F1.2), and Thromboelastography (TEG) will be performed when available to assess platelet function.


  • Thrombin Generation Markers [ Time Frame: Post-operative day12 (while remaining in hosp) ] [ Designated as safety issue: No ]

    We will compare the following endpoints among the cardiac transplant, CABG, and LVAD recipients:

    Thrombin Generation Markers: Assays will be performed to quantify the levels of the following markers at the specified time points: Thrombo-antithrombin complex (TAT), Prothrombin Fragment 1 +2 (F1.2), and Thromboelastography (TEG) will be performed when available to assess platelet function.


  • Thrombin Generation Markers [ Time Frame: Post-operative day 16 (while remaining in hosp) ] [ Designated as safety issue: No ]

    We will compare the following endpoints among the cardiac transplant, CABG, and LVAD recipients:

    Thrombin Generation Markers: Assays will be performed to quantify the levels of the following markers at the specified time points: Thrombo-antithrombin complex (TAT), Prothrombin Fragment 1 +2 (F1.2), and Thromboelastography (TEG) will be performed when available to assess platelet function.


  • Thrombin Generation Markers [ Time Frame: Post-operative day 20 (while remaining in hosp) ] [ Designated as safety issue: No ]

    We will compare the following endpoints among the cardiac transplant, CABG, and LVAD recipients:

    Thrombin Generation Markers: Assays will be performed to quantify the levels of the following markers at the specified time points: Thrombo-antithrombin complex (TAT), Prothrombin Fragment 1 +2 (F1.2), and Thromboelastography (TEG) will be performed when available to assess platelet function.


  • Thrombin Generation Markers [ Time Frame: Post-operative day 24 (while remaining in hosp) ] [ Designated as safety issue: No ]

    We will compare the following endpoints among the cardiac transplant, CABG, and LVAD recipients:

    Thrombin Generation Markers: Assays will be performed to quantify the levels of the following markers at the specified time points: Thrombo-antithrombin complex (TAT), Prothrombin Fragment 1 +2 (F1.2), and Thromboelastography (TEG) will be performed when available to assess platelet function.



Secondary Outcome Measures:
  • Bleeding [ Time Frame: At time of surgery (dismantling of the sterile environment) ] [ Designated as safety issue: No ]
    Bleeding will be assessed by measurement of units of packed red blood cells (or whole blood) transfused from initiation of the procedure through the 24 hour post-operative period following LVAD implantation, heart transplantation, or CABG. In addition, we will measure transfusion requirements through the 28 day post-operative period. Units of additional blood products transfused will also be measured, including FFP, cryoprecipitate, and platelets. Hemoglobin, hematocrit and platelet count will be measured as an indirect assessment of blood loss.

  • Bleeding [ Time Frame: Post-operative day 1 ] [ Designated as safety issue: No ]
    Bleeding will be assessed by measurement of units of packed red blood cells (or whole blood) transfused from initiation of the procedure through the 24 hour post-operative period following LVAD implantation, heart transplantation, or CABG. In addition, we will measure transfusion requirements through the 28 day post-operative period. Units of additional blood products transfused will also be measured, including FFP, cryoprecipitate, and platelets. Hemoglobin, hematocrit and platelet count will be measured as an indirect assessment of blood loss.

  • Bleeding [ Time Frame: Post-operative day 12 (± 3 days) (or at time of discharge, whichever comes first) ] [ Designated as safety issue: No ]
    Bleeding will be assessed by measurement of units of packed red blood cells (or whole blood) transfused from initiation of the procedure through the 24 hour post-operative period following LVAD implantation, heart transplantation, or CABG. In addition, we will measure transfusion requirements through the 28 day post-operative period. Units of additional blood products transfused will also be measured, including FFP, cryoprecipitate, and platelets. Hemoglobin, hematocrit and platelet count will be measured as an indirect assessment of blood loss.

  • Bleeding [ Time Frame: Post-operative day 20 (± 3 days) (or at time of discharge, whichever comes first) ] [ Designated as safety issue: No ]
    Bleeding will be assessed by measurement of units of packed red blood cells (or whole blood) transfused from initiation of the procedure through the 24 hour post-operative period following LVAD implantation, heart transplantation, or CABG. In addition, we will measure transfusion requirements through the 28 day post-operative period. Units of additional blood products transfused will also be measured, including FFP, cryoprecipitate, and platelets. Hemoglobin, hematocrit and platelet count will be measured as an indirect assessment of blood loss.

  • Bleeding [ Time Frame: Post-operative day 28 (± 3 days) (or at time of discharge, whichever comes first) ] [ Designated as safety issue: No ]
    Bleeding will be assessed by measurement of units of packed red blood cells (or whole blood) transfused from initiation of the procedure through the 24 hour post-operative period following LVAD implantation, heart transplantation, or CABG. In addition, we will measure transfusion requirements through the 28 day post-operative period. Units of additional blood products transfused will also be measured, including FFP, cryoprecipitate, and platelets. Hemoglobin, hematocrit and platelet count will be measured as an indirect assessment of blood loss.

  • Coagulation Markers [ Time Frame: At time of surgery ( before initiation of Cardiopulmonary Bypass) ] [ Designated as safety issue: No ]
    Assays will be performed to assess the levels of following coagulation markers: Prothrombin time (PT) with (INR), Partial thromboplastin time (PTT), Complete Blood Count (CBC) including hemoglobin, hematocrit, and platelets.

  • Coagulation Markers [ Time Frame: At time of surgery (dismantling the sterile environment) ] [ Designated as safety issue: No ]
    Assays will be performed to assess the levels of following coagulation markers: Prothrombin time (PT) with (INR), Partial thromboplastin time (PTT), Complete Blood Count (CBC) including hemoglobin, hematocrit, and platelets.

  • Coagulation Markers [ Time Frame: Post-operative day 1 ] [ Designated as safety issue: No ]
    Assays will be performed to assess the levels of following coagulation markers: Prothrombin time (PT) with (INR), Partial thromboplastin time (PTT), Complete Blood Count (CBC) including hemoglobin, hematocrit, and platelets.

  • Coagulation Markers [ Time Frame: At time of surgery ] [ Designated as safety issue: No ]
    Assays will be performed to assess the levels of following coagulation markers: Prothrombin time (PT) with (INR), Partial thromboplastin time (PTT), Complete Blood Count (CBC) including hemoglobin, hematocrit, and platelets.

  • Coagulation Markers [ Time Frame: Post-operative day 12 (while remaining in hosp) ] [ Designated as safety issue: No ]
    Assays will be performed to assess the levels of following coagulation markers: Prothrombin time (PT) with (INR), Partial thromboplastin time (PTT), Complete Blood Count (CBC) including hemoglobin, hematocrit, and platelets.

  • Coagulation Markers [ Time Frame: Post-operative day 16 (while remaining in hosp) ] [ Designated as safety issue: No ]
    Assays will be performed to assess the levels of following coagulation markers: Prothrombin time (PT) with (INR), Partial thromboplastin time (PTT), Complete Blood Count (CBC) including hemoglobin, hematocrit, and platelets.

  • Coagulation Markers [ Time Frame: Post-operative day 20 (while remaining in hosp) ] [ Designated as safety issue: No ]
    Assays will be performed to assess the levels of following coagulation markers: Prothrombin time (PT) with (INR), Partial thromboplastin time (PTT), Complete Blood Count (CBC) including hemoglobin, hematocrit, and platelets.

  • Coagulation Markers [ Time Frame: Post-operative day 24 (while remaining in hosp) ] [ Designated as safety issue: No ]
    Assays will be performed to assess the levels of following coagulation markers: Prothrombin time (PT) with (INR), Partial thromboplastin time (PTT), Complete Blood Count (CBC) including hemoglobin, hematocrit, and platelets.

  • Coagulation Markers [ Time Frame: Post-operative day 28 (± 3 days) (or at time of discharge, whichever comes first) ] [ Designated as safety issue: No ]
    Assays will be performed to assess the levels of following coagulation markers: Prothrombin time (PT) with (INR), Partial thromboplastin time (PTT), Complete Blood Count (CBC) including hemoglobin, hematocrit, and platelets.

  • Serious Adverse Events [ Time Frame: Duration of the Study, up to 28 days post-implant, post-CABG, post heart-transplant, or until hospital discharge, whichever comes first. ] [ Designated as safety issue: No ]
    The incidence and frequency of all expected and unexpected serious adverse events will be determined. Since this is an observational study, there will be no adverse events directly attributable to a study intervention. However, adverse events that may potentially contribute to the risk or course of bleeding and clotting in patients undergoing heart transplantation, CABG surgery, or implantation of LVADs will be monitored. The adverse events are defined according to the definitions recently finalized by the INTERMACS LVAD registry.

  • Thrombin Generation Markers [ Time Frame: Post-operative day 2 ] [ Designated as safety issue: No ]

    We will compare the following endpoints among the cardiac transplant, CABG, and LVAD recipients:

    Thrombin Generation Markers: Assays will be performed to quantify the levels of the following markers at the specified time points: Thrombo-antithrombin complex (TAT), Prothrombin Fragment 1 +2 (F1.2), and Thromboelastography (TEG) will be performed when available to assess platelet function.


  • Thrombin Generation Markers [ Time Frame: Post-operative day 3 ] [ Designated as safety issue: No ]

    We will compare the following endpoints among the cardiac transplant, CABG, and LVAD recipients:

    Thrombin Generation Markers: Assays will be performed to quantify the levels of the following markers at the specified time points: Thrombo-antithrombin complex (TAT), Prothrombin Fragment 1 +2 (F1.2), and Thromboelastography (TEG) will be performed when available to assess platelet function.


  • Thrombin Generation Markers [ Time Frame: Post-operative day 4 ] [ Designated as safety issue: No ]

    We will compare the following endpoints among the cardiac transplant, CABG, and LVAD recipients:

    Thrombo Generation Markers: Assays will be performed to quantify the levels of the following markers at the specified time points: Thrombo-antithrombin complex (TAT), Prothrombin Fragment 1 +2 (F1.2), and Thromboelastography (TEG) will be performed when available to assess platelet function.


  • Thrombin Generation Markers [ Time Frame: Post-operative day 5 ] [ Designated as safety issue: No ]

    We will compare the following endpoints among the cardiac transplant, CABG, and LVAD recipients:

    Thrombo Generation Markers: Assays will be performed to quantify the levels of the following markers at the specified time points: Thrombo-antithrombin complex (TAT), Prothrombin Fragment 1 +2 (F1.2), and Thromboelastography (TEG) will be performed when available to assess platelet function.


  • Thrombin Generation Markers [ Time Frame: Post-operative day 6 ] [ Designated as safety issue: No ]

    We will compare the following endpoints among the cardiac transplant, CABG, and LVAD recipients:

    Thrombin Generation Markers: Assays will be performed to quantify the levels of the following markers at the specified time points: Thrombo-antithrombin complex (TAT), Prothrombin Fragment 1 +2 (F1.2), and Thromboelastography (TEG) will be performed when available to assess platelet function.


  • Thrombin Generation Markers [ Time Frame: Post-operative day 7 ] [ Designated as safety issue: No ]

    We will compare the following endpoints among the cardiac transplant, CABG, and LVAD recipients:

    Thrombin Generation Markers: Assays will be performed to quantify the levels of the following markers at the specified time points: Thrombo-antithrombin complex (TAT), Prothrombin Fragment 1 +2 (F1.2), and Thromboelastography (TEG) will be performed when available to assess platelet function.


  • Bleeding [ Time Frame: Post-operative day 2 ] [ Designated as safety issue: No ]
    Bleeding will be assessed by measurement of units of packed red blood cells (or whole blood) transfused from initiation of the procedure through the 24 hour post-operative period following LVAD implantation, heart transplantation, or CABG. In addition, we will measure transfusion requirements through the 28 day post-operative period. Units of additional blood products transfused will also be measured, including FFP, cryoprecipitate, and platelets. Hemoglobin, hematocrit and platelet count will be measured as an indirect assessment of blood loss.

  • Bleeding [ Time Frame: Post-operative day 3 ] [ Designated as safety issue: No ]
    Bleeding will be assessed by measurement of units of packed red blood cells (or whole blood) transfused from initiation of the procedure through the 24 hour post-operative period following LVAD implantation, heart transplantation, or CABG. In addition, we will measure transfusion requirements through the 28 day post-operative period. Units of additional blood products transfused will also be measured, including FFP, cryoprecipitate, and platelets. Hemoglobin, hematocrit and platelet count will be measured as an indirect assessment of blood loss.

  • Bleeding [ Time Frame: Post-operative day 4 ] [ Designated as safety issue: No ]
    Bleeding will be assessed by measurement of units of packed red blood cells (or whole blood) transfused from initiation of the procedure through the 24 hour post-operative period following LVAD implantation, heart transplantation, or CABG. In addition, we will measure transfusion requirements through the 28 day post-operative period. Units of additional blood products transfused will also be measured, including FFP, cryoprecipitate, and platelets. Hemoglobin, hematocrit and platelet count will be measured as an indirect assessment of blood loss.

  • Bleeding [ Time Frame: Post-operative day 5 ] [ Designated as safety issue: No ]
    Bleeding will be assessed by measurement of units of packed red blood cells (or whole blood) transfused from initiation of the procedure through the 24 hour post-operative period following LVAD implantation, heart transplantation, or CABG. In addition, we will measure transfusion requirements through the 28 day post-operative period. Units of additional blood products transfused will also be measured, including FFP, cryoprecipitate, and platelets. Hemoglobin, hematocrit and platelet count will be measured as an indirect assessment of blood loss.

  • Bleeding [ Time Frame: Post-operative day 6 ] [ Designated as safety issue: No ]
    Bleeding will be assessed by measurement of units of packed red blood cells (or whole blood) transfused from initiation of the procedure through the 24 hour post-operative period following LVAD implantation, heart transplantation, or CABG. In addition, we will measure transfusion requirements through the 28 day post-operative period. Units of additional blood products transfused will also be measured, including FFP, cryoprecipitate, and platelets. Hemoglobin, hematocrit and platelet count will be measured as an indirect assessment of blood loss.

  • Bleeding [ Time Frame: Post-operative day 7 ] [ Designated as safety issue: No ]
    Bleeding will be assessed by measurement of units of packed red blood cells (or whole blood) transfused from initiation of the procedure through the 24 hour post-operative period following LVAD implantation, heart transplantation, or CABG. In addition, we will measure transfusion requirements through the 28 day post-operative period. Units of additional blood products transfused will also be measured, including FFP, cryoprecipitate, and platelets. Hemoglobin, hematocrit and platelet count will be measured as an indirect assessment of blood loss.

  • Coagulation Markers [ Time Frame: Post-operative day 2 ] [ Designated as safety issue: No ]
    Assays will be performed to assess the levels of following coagulation markers: Prothrombin time (PT) with (INR), Partial thromboplastin time (PTT), Complete Blood Count (CBC) including hemoglobin, hematocrit, and platelets.

  • Coagulation Markers [ Time Frame: Post-operative day 3 ] [ Designated as safety issue: No ]
    Assays will be performed to assess the levels of following coagulation markers: Prothrombin time (PT) with (INR), Partial thromboplastin time (PTT), Complete Blood Count (CBC) including hemoglobin, hematocrit, and platelets.

  • Coagulation Markers [ Time Frame: Post-operative day 4 ] [ Designated as safety issue: No ]
    Assays will be performed to assess the levels of following coagulation markers: Prothrombin time (PT) with (INR), Partial thromboplastin time (PTT), Complete Blood Count (CBC) including hemoglobin, hematocrit, and platelets.

  • Coagulation Markers [ Time Frame: Post-operative day 5 ] [ Designated as safety issue: No ]
    Assays will be performed to assess the levels of following coagulation markers: Prothrombin time (PT) with (INR), Partial thromboplastin time (PTT), Complete Blood Count (CBC) including hemoglobin, hematocrit, and platelets.

  • Coagulation Markers [ Time Frame: Post-operative day 6 ] [ Designated as safety issue: No ]
    Assays will be performed to assess the levels of following coagulation markers: Prothrombin time (PT) with (INR), Partial thromboplastin time (PTT), Complete Blood Count (CBC) including hemoglobin, hematocrit, and platelets.

  • Coagulation Markers [ Time Frame: Post-operative day 7 ] [ Designated as safety issue: No ]
    Assays will be performed to assess the levels of following coagulation markers: Prothrombin time (PT) with (INR), Partial thromboplastin time (PTT), Complete Blood Count (CBC) including hemoglobin, hematocrit, and platelets.


Biospecimen Retention:   Samples Without DNA

Blood for the following markers of thrombin generation and platelet function will be drawn, spun, aliquoted and stored for later batched analysis: - Thrombo-antithrombin complex (TAT); - Prothrombin Fragment 1+2 (F1.2); - Thromboelastrograph (TEG) (performed at the clinical site when available); - Additional markers of coagulation and platelet activation (for future consideration) - 4ml of plasma frozen in 1ml aliquots.


Enrollment: 94
Study Start Date: January 2006
Study Completion Date: July 2007
Primary Completion Date: July 2007 (Final data collection date for primary outcome measure)
Groups/Cohorts
Group I: Cardiopulmonary Bypass + Heart Transplantation
CPB for orthotopic heart transplantation (excluding any patients with VADs)
Group II: Cardiopulmonary Bypass + Pulsatile LVAD
CPB for implantation of a Thoratec HeartMate I LVAD (for destination therapy or bridge to transplantation).
Group III: Cardiopulmonary Bypass + Continuous Flow LVAD
CPB for implantation of an axial flow or centrifugal flow LVAD (for destination therapy or bridge to transplantation) (e.g. HeartMate II, DeBakey VAD or VentraAssist LVAS)
Group IV: Cardiopulmonary Bypass + CABG Surgery
CPB for CABG surgery

Detailed Description:

This is a prospective, multi-center, observational study to characterize the epidemiology of bleeding and clotting in patients with underlying systolic ventricular dysfunction undergoing heart transplantation, CABG surgery, or implantation of left ventricular assist devices. Patients will be followed for up to 28 days post-implant, post-CABG, post-heart transplant, or until hospital discharge, whichever comes first. There will be no randomization for this observational study.

We will enroll 100 patients (we expect the distribution to be approximately 30 per Groups I - III, but no cap per group, and 10 for Group IV) who have been scheduled to undergo CPB within 24 hours for one of the following:

Group I: Cardiopulmonary Bypass + Heart Transplantation CPB for orthotopic heart transplantation (excluding any patients with VADs)

Group II: Cardiopulmonary Bypass + Pulsatile LVAD CPB for implantation of a Thoratec HeartMate® I LVAD (for destination therapy or bridge to transplantation)

Group III: Cardiopulmonary Bypass + Continuous Flow LVAD CPB for implantation of an axial flow or centrifugal flow LVAD (for destination therapy or bridge to transplantation) (e.g. HeartMate® II, DeBakey VAD® or VentrAssist® LVAS)

Group IV: Cardiopulmonary Bypass + CABG/Valve Surgery CPB for CABG or valve surgery

Heart transplantation and perioperative care will be performed in accordance with the standard of care at the clinical center. Pulsatile LVAD (e.g. HeartMate® I) implantation and perioperative management will be performed in accordance with the standard of care at the clinical center, and guided by the HeartMate® I Directions for Use. Continuous flow LVAD implantation and perioperative management will be performed in accordance with the standard of care at the clinical center, and guided by the specific VAD manufacturer's Directions for Use. CABG surgery and perioperative care will be performed in accordance with the standard of care at the clinical center.

We anticipate that enrollment will be completed over a six-month period.

We hypothesize that the initial activation of the intrinsic pathway of coagulation is attenuated for several days in patients undergoing CPB for CABG alone; however, in subjects undergoing CPB with VAD implantation or cardiac transplantation, activation of this pathway is biphasic and sustained.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population

Patients with underlying systolic ventricular dysfunction who will undergo heart transplantation, CABG surgery, implantation of a pulsatile LVAD, or implantation of a continuous flow LVAD (as destination therapy or bridge to transplantation) within 24 hours of enrollment, are candidates for this study.

Criteria

Inclusion Criteria:

  1. Signed informed consent, release of medical information, and HIPAA forms;
  2. Age greater than or equal to 18 years;
  3. Male, postmenopausal female, or female who may become pregnant but is using adequate contraceptive precautions (defined as oral contraceptive, intrauterine devices, surgical contraception or a combination of a condom and a spermicide), with negative pregnancy test;
  4. Admitted to the clinical center at the time of enrollment;
  5. Approved and scheduled to undergo one of the following within 24 hours of enrollment:

    • Orthotopic heart transplantation
    • CABG and/or valve surgery on CPB; these patients must have an LV ejection fraction of ≤35%
    • Implantation of a pulsatile LVAD (e.g.Thoratec HeartMate® I LVAD) for destination therapy or bridge to transplantation
    • Implantation of a continuous flow LVAD (e.g. HeartMate® II, DeBakey VAD® or VentrAssist® LVAS) for destination therapy or bridge to transplantation

Exclusion Criteria:

  1. History of a platelet disorder;
  2. History of a known, or an inherited, or an acquired coagulation disorder in the study subject;
  3. Stroke within 30 days prior to enrollment;
  4. Allergy to heparin or protamine;
  5. Participation in a clinical investigational intervention trial, with the exception of an investigational VAD trial, at the time of enrollment;
  6. Received investigational intervention within 30 days of enrollment, with the exception of an investigational VAD trial
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01481012

Locations
United States, Alabama
University of Alabama at Birmingham
Birmingham, Alabama, United States, 35294
United States, California
Sharp Memorial Hospital
San Diego, California, United States, 92123
United States, Illinois
Advocate Christ Medical Center
Oak Lawn, Illinois, United States, 60453
United States, Kentucky
Jewish Hospital
Louisville, Kentucky, United States, 40202
United States, Michigan
University of Michigan
Ann Arbor, Michigan, United States, 48109
United States, Minnesota
University of Minnesota
Minneapolis, Minnesota, United States, 55455
United States, New York
Montefiore Medical Center
Bronx, New York, United States, 10467
Columbia Presbyterian Medical Center
New York, New York, United States, 10032
United States, Pennsylvania
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, United States, 19104
United States, Utah
LDS Hospital
Salt Lake City, Utah, United States, 84143
United States, Washington
Sacred Heart Medical Center
Spokane, Washington, United States, 99204
United States, Wisconsin
University of Wisconsin Hospital
Madison, Wisconsin, United States, 53792
St. Luke's Medical Center
Milwaukee, Wisconsin, United States, 53215
Sponsors and Collaborators
Mount Sinai School of Medicine
Investigators
Study Director: Patrice Desvigne-Nickens National Heart, Lung, and Blood Institute (NHLBI)
Study Chair: Yoshifumi Naka, MD Columbia University
Principal Investigator: Annetine Gelijns, PhD Mount Sinai School of Medicine
  More Information

No publications provided

Responsible Party: Mount Sinai School of Medicine
ClinicalTrials.gov Identifier: NCT01481012     History of Changes
Other Study ID Numbers: 08-1093 PD, 5P50HL077096
Study First Received: November 7, 2011
Last Updated: November 23, 2011
Health Authority: United States: Institutional Review Board

Keywords provided by Mount Sinai School of Medicine:
Heart transplantation
Coronary artery bypass graft (CABG) surgery
Left ventricular assist device implantation surgeries

Additional relevant MeSH terms:
Heart Failure
Heart Diseases
Cardiovascular Diseases

ClinicalTrials.gov processed this record on September 18, 2014