Antithrombotic Treatment for Heart Failure Patients
Aspirin and Hemocompatibility Events in Chronic Advanced Heart Failure Patients With Assist Device
Recruiting
Phase 4Interventional Study
BleedingClot Blood
No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
Prior Safety Data
This treatment has already been tested in at least one earlier human trial.
Ready to participate?
Review the details below, then apply to join this clinical trial.
At a Glance
Age
18 and older
Sex
Any
Trial phase
Phase 4
Study type
Interventional
Purpose
Treatment
Participants needed
128 (estimated)
Sponsor
Columbia University · Other
Who this trial is looking for
This trial is looking for adults with severe heart failure who have a HeartMate3 device placed for over 3 months. Participants will be assigned to different treatment groups to test the safety of a specific blood-thinning regimen without aspirin.
Are You a Good Fit for This Trial?
Must be takingAspirinVitamin K antagonist
You may be able to join if
I have a HeartMate3 device implanted for more than 3 months.
I am over 18 years old.
I am currently being treated with aspirin and a vitamin K antagonist.
I will provide written consent to participate.
You may not be able to join if
I am required to take other blood-thinning medications for other conditions.
I am participating in another clinical trial involving a heart device.
I have other health issues that may affect my participation.
I am pregnant or not using contraception.
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer a few quick questions to see if you may meet the eligibility requirements.
Heart failure is a world epidemic. LVADs are increasingly used as they have demonstrated improved survival rates compared to optimal medical management. Improving outcomes have been seen with the newer LVAD technology, the HeartMate 3 (Abbott, Chicago, IL), however, hemocompatibility related adverse events, including thrombosis and bleeding, are still a major cause of morbidity and mortality. The …
Heart failure is a world epidemic. LVADs are increasingly used as they have demonstrated improved survival rates compared to optimal medical management. Improving outcomes have been seen with the newer LVAD technology, the HeartMate 3 (Abbott, Chicago, IL), however, hemocompatibility related adverse events, including thrombosis and bleeding, are still a major cause of morbidity and mortality. The recent ARIES trial showed that in patients with advanced heart failure treated with a HeartMate3 LVAD, avoidance of aspirin as part of an antithrombotic regimen, which includes vitamin K antagonist (VKA), is not inferior to a regimen containing aspirin, does not increase thromboembolism risk, and is associated with a reduction in bleeding events.
This clinical investigation is a prospective, randomized, controlled study of advanced heart failure patients supports with the HeartMate3 for more then 3 months with two different antithrombotic regimens: VKA with and without aspirin. The objective of this investigation is to study the safety and efficacy of an antithrombotic regimen without antiplatelet therapy.
Trial Locations
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Status
Eligibility Criteria
Inclusion Criteria:
* Participant will have HeartMate3 LVAD implanted \> 3 months before enrollment.
* \>18 years old
* Treated with aspirin and VKA
* Participant must provide written informed consent prior to any clinical investigation-related procedure
Exclusion Criteria:
* Investigator-mandate…
Inclusion Criteria:
* Participant will have HeartMate3 LVAD implanted \> 3 months before enrollment.
* \>18 years old
* Treated with aspirin and VKA
* Participant must provide written informed consent prior to any clinical investigation-related procedure
Exclusion Criteria:
* Investigator-mandated antiplatelet therapy for other conditions (including mandated presence or absence of antiplatelet agent)
* Participation in any other clinical investigation(s) involving an MCS device, or interventional investigation(s) likely to confound study results or affect study outcome
* Presence of other anatomic or comorbid conditions, or other medical, social, or psychological conditions that, in the investigator's opinion, could limit the subject's ability to participate in the clinical investigation or to comply with follow-up requirements, or impact the scientific soundness of the clinical investigation results
* Pregnant and on appropriate contraception
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