Heart FailureBeAT-HFNCT02627196
Baroreflex Activation Therapy for Heart Failure
A study testing BAROSTIM NEO® System and Medical Management in people with Heart Failure, run by CVRx, Inc. at 92 sites in 2 countries.
Trial summary
The purpose of this clinical trial (NCT02627196) is to develop valid scientific evidence for safety and effectiveness of Baroreflex Activation Therapy with the BAROSTIM NEO System in subjects with heart failure, defined as New York Heart Association (NYHA) functional Class III, left ventricular ejection fraction… Read more about this study
- Who is it for?
- Ages 21 years and older
- Conditions the study is for
- Heart Failure
- What is being tested?
- BAROSTIM NEO® System and Medical Management
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,090 participants
- Where
- 92 sitesin 2 countries
- Study dates
- 19 Apr 2016to Oct 2023
- Phase
- Interventional
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 21 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age 21 years or above.
- Currently NYHA Class II or III heart failure. For NYHA Class II, must have been NYHA Class III at any point in time within 3 calendar months prior to enrollment or at time of screening (enrollment is defined as the date the subject provided written consent).
- Left ventricular ejection fraction ≤ 35% within 45 days prior to randomization.
- Heart failure accompanied by either:
- Core lab NT-proBNP ≥ 400 AND <1600 pg/ml within 45 days prior to randomization OR
- Core lab NT-proBNP < 400 pg/ml within 45 days prior to randomization AND a heart failure hospitalization in the past 12 months.
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- Note: Heart failure hospitalization may include an overnight hospital or hospital-based observation unit stay with a primary diagnosis of heart failure or an emergency room visit with a primary diagnosis of heart failure.
- Note: Screening/Baseline core lab NT-proBNP must be collected in an outpatient setting at a time when the subject is thought to be clinically stable.
- On optimal, stable, Guideline Directed Medical Therapy (GDMT) per country specific guidelines for the treatment of heart-failure throughout screening/baseline evaluation and for at least 4 weeks prior to obtaining any post-consent screening parameters:
- No more than a 100% increase or a 50% decrease of the dosage of any one medication other than a diuretic.
- Medication changes within a drug class are allowed as long as the equivalent dosage is within the limits specified above.
- Unrestricted changes in diuretics are allowed as long as the subject remains on a diuretic.
- Six-minute hall walk (6MHW) ≥ 150 m AND ≤ 400 m within 45 days prior to randomization.
- The artery planned for the BAROSTIM implant must meet both of the following criteria:
- At least one carotid bifurcation as identification by a bilateral carotid duplex ultrasound within 6 months prior to randomization that is:
- Below the level of the mandible AND
- No ulcerative carotid arterial plaques AND
- No carotid atherosclerosis producing a 50% or greater reduction in linear diameter in the internal carotid AND
- No carotid atherosclerosis producing a 50% or greater reduction in linear diameter in the distal common carotid
- No prior surgery, radiation, or endovascular stent placement in the carotid artery or the carotid sinus region.
- If female and of childbearing potential, must use a medically accepted method of birth control (e.g., barrier method with spermicide, oral contraceptive, or abstinence) and agree to continue use of this method for the duration of the trial. Women of childbearing potential must have a negative pregnancy test within 14 days prior to randomization.
- Received a standard cardiac work up and is an appropriate candidate for the study and the surgical procedure as determined by a trial cardiologist and a trial surgeon.
- Subjects implanted with a cardiac rhythm management device that does not utilize an intracardiac lead, or implanted with a neurostimulation device, must be approved by the CVRx Clinical department.
- Signed a CVRx-approved informed consent form for participation in this trial.
Who cannot join
- If any of the following criteria are met, subjects are not eligible for this trial.
- Received cardiac resynchronization therapy (CRT) within six months of randomization, or is actively receiving CRT.
- Currently have a Class I indication for a cardiac resynchronization therapy (CRT) device according to AHA/ACC/ESC guidelines for the treatment of congestive heart failure. ,
- Known or suspected baroreflex failure or autonomic neuropathy.
- AHA/ACC Stage D heart failure within 45 days prior to randomization.
- Body mass index > 40.
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- Serum estimated glomerular filtration rate (eGFR) < 25 mL/min/1.73 m2 within 45 days prior to randomization.
- Recurring resting heart rate of either < 60 bpm or > 100 bpm via clinic measurements within 45 days prior to randomization. (Note: Heart rate <60 bpm is not applicable to subjects with an implanted device capable of pacing.)
- Recurring symptomatic hypotension within 45 days prior to randomization.
- Significant uncontrolled symptomatic bradyarrhythmias or unstable ventricular arrhythmias.
- Subjects with any surgery that has occurred, or is planned to occur, within 45 days of the BAROSTIM NEO implant procedure. This includes pacemaker or ICD implants or battery replacements.
- Episode of NYHA class IV heart failure with acute pulmonary edema within 45 days prior to randomization.
- Any of the following within 3 months of randomization:
- Myocardial infarction
- Unstable angina
- Percutaneous coronary intervention (e.g. CABG or PTCA)
- Cerebral vascular accident or transient ischemic attack
- Sudden cardiac death
- Solid organ or hematologic transplant, or currently being actively evaluated for an organ transplant.
- Has received or is receiving LVAD therapy.
- Has received or is receiving chronic dialysis.
- Heart failure secondary to a reversible cause, such as cardiac structural valvular disease, acute myocarditis and pericardial constriction.
- Primary pulmonary hypertension.
- Infiltrative cardiomyopathy (e.g. cardiac amyloidosis).
- Severe COPD or severe restrictive lung disease (e.g. requires chronic steroid use or home oxygen use).
- Active malignancy.
- Current or planned treatment with intravenous positive inotrope therapy.
- Life expectancy less than one year.
- Clinically significant psychological condition that in the physician's opinion would prohibit the subject's ability to meet the protocol requirements.
- Unable or unwilling to fulfill the protocol medication compliance, testing, and follow-up requirements (e.g. recent drug abuse).
- Enrolled and active in another (e.g. device, pharmaceutical, or biological) clinical trial unless approved by the CVRx Clinical department.
- Subjects with known allergies to silicone and titanium.
Trial locations and contacts
92 sites in 2 countries.
92 sites in 2 countries
United States88 sites
Presbyterian Heart Group
Albuquerque, New Mexico, 87106
Atlantic Clinical Research Center - Cardiology
Atlantis, Florida, 33462
Texas Cardiac Arrhythmia Research Foundation
Austin, Texas, 78705
Central Cardiology Medical Center
Bakersfield, California, 93308
St. Alphonsus Medical Center
Boise, Idaho, 83704
St. Elizabeth's Medical Center
Brighton, Massachusetts, 02135
Deborah Heart and Lung Center
Browns Mills, New Jersey, 08015
Heart and Rhythm Solutions, PLLC
Chandler, Arizona, 85286
Medical University of South Carolina
Charleston, South Carolina, 29425
Chula Vista Cardiac Center
Chula Vista, California, 91910
Sharp Grossmont
Chula Vista, California, 91911
Sharp Chula Vista Medical Center
Chula Vista, California, 91991
The Christ Hospital
Cincinnati, Ohio, 45219
Clearwater Cardiovascular Consultants
Clearwater, Florida, 33756
Ohio State University
Columbus, Ohio, 43210
John Muir Health Clinical Research Center
Concord, California, 94520
Cardiovascular Research Institute of Dallas
Dallas, Texas, 75231
Detroit Medical Center Cardiovascular Institute
Detroit, Michigan, 48201
NorthShore University Health System
Evanston, Illinois, 60201
Washington Regional Medical Center
Fayetteville, Arkansas, 72703
McLeod Cardiology Associates
Florence, South Carolina, 29506
Holy Cross Hospital
Fort Lauderdale, Florida, 33308
University of California, San Francisco - Fresno
Fresno, California, 93701
Herndon Surgery Center
Fresno, California, 93720
Stern Cardiovascular Foundation
Germantown, Tennessee, 38138
Glendale Adventist Medical Center
Glendale, California, 91204
North Colorado Medical Center
Greeley, Colorado, 80631
Cone Health
Greensboro, North Carolina, 27401
Hackensack University Medical Center
Hackensack, New Jersey, 07601
Memorial Cardiovascular Institute
Hollywood, Florida, 33021
Cardiovascular Institute of the South
Houma, Louisiana, 70360
Private Practice Leadership
Houston, Texas, 77094
University of Mississippi Medical Center
Jackson, Mississippi, 39216
University of Kansas Medical Center Research Institute, Inc.
Kansas City, Kansas, 66160
Memorial Health Services
Laguna Hills, California, 92653
University Medical Center of Southern Nevada
Las Vegas, Nevada, 89102
Healthcare Partners Clinical Research
Las Vegas, Nevada, 89169
Baptist Health Lexington
Lexington, Kentucky, 40503
University of Kentucky
Lexington, Kentucky, 40536
Nebraska Heart Institute
Lincoln, Nebraska, 68526
Los Alamitos Cardiovascular
Los Alamitos, California, 90720
Southern California Permanente Medical Group
Los Angeles, California, 90027
University of Southern California
Los Angeles, California, 90033
Medical Center of the Rockies Research
Loveland, Colorado, 80538
Mercer University
Macon, Georgia, 31201
WellStar Medical Group
Marietta, Georgia, 30060
Chan Heart Rhythm Institute
Mesa, Arizona, 85206
Columbia St. Mary's Hospital
Milwaukee, Wisconsin, 53211
Advanced Cardiovascular Specialists
Mountain View, California, 94040
Intermountain Heart Institute
Murray, Utah, 84107
Advocate Medical Group
Naperville, Illinois, 60540
Tulane University & Vascular Institute
New Orleans, Louisiana, 70112
Ochsner Clinic Foundation
New Orleans, Louisiana, 70121
Hoag Memorial Hospital
Newport Beach, California, 92663
Oklahoma Cardiovascular Research Group
Oklahoma City, Oklahoma, 73120
UC Irvine Health
Orange, California, 92868
AdventHealth Orlando
Orlando, Florida, 32803
Desert Heart Regional Medical Center
Palm Springs, California, 92262
Huntington Hospital
Pasadena, California, 91105
Avanza Medical Research Center
Pensacola, Florida, 32503
Drexel University
Philadelphia, Pennsylvania, 19102
Arizona Arrhythmia Research Center
Phoenix, Arizona, 85016
Phoenix Cardiovascular Research Group
Phoenix, Arizona, 85018
Cardiovascular Consultants, Ltd.
Phoenix, Arizona, 85032
Allegheny-Singer Research Institute
Pittsburgh, Pennsylvania, 15212
Oregon Health & Science University
Portland, Oregon, 97239
WakeMed
Raleigh, North Carolina, 27610
Methodist Richardson Medical Center
Richardson, Texas, 75082
University of Rochester
Rochester, New York, 14642
St. Francis Hospital - Long Island
Roslyn, New York, 11576
Dignity Health
Sacramento, California, 95819
Ascension St. Mary's Research Institute
Saginaw, Michigan, 48602
University of Utah
Salt Lake City, Utah, 84132
University of California San Francisco
San Francisco, California, 94143
Bonometti, Inc
Santa Barbara, California, 93101
Virginia Mason Medical Center
Seattle, Washington, 98101
Providence-Providence Park Hospital
Southfield, Michigan, 48075
Prairie Education and Research Cooperative
Springfield, Illinois, 62701
Mercy Hospital Springfield
Springfield, Missouri, 65804
Washington University
St Louis, Missouri, 63110
St. Louis Heart and Vascular
St Louis, Missouri, 63136
Mercy Hospital St. Louis
St Louis, Missouri, 63141
Adventist Heart Institute
St. Helena, California, 94574
CHI Franciscan Health Research Center
Tacoma, Washington, 98405
University of South Florida
Tampa, Florida, 33606
Tyler Cardiovascular Consultants
Tyler, Texas, 75701
Via Christi Research
Wichita, Kansas, 67214
Wake Forest Baptist Health
Winston-Salem, North Carolina, 27157
United Kingdom4 sites
Belfast Health & Social Care Trust
Belfast, Northern Ireland, BT9 7AB
Royal Papworth Hospital NHS Foundation Trust
Cambridge, Cambridgeshire, CB23 3RE
Royal Brompton & Harefield NHS Foundation Trust
Harefield, Middlesex, UB9 6JH
Liverpool Heart and Chest Hospital
Liverpool, Merseyside, L14 3PE
About this study
Official title: Barostim Neo® - Baroreflex Activation Therapy® for Heart Failure
The purpose of this clinical trial (NCT02627196) is to develop valid scientific evidence for safety and effectiveness of Baroreflex Activation Therapy with the BAROSTIM NEO System in subjects with heart failure, defined as New York Heart Association (NYHA) functional Class III, left ventricular ejection fraction (LVEF) ≤ 35% and NT-proBNP<1600 pg/ml despite being treated with the appropriate heart failure guideline directed therapy, excluding subjects eligible for or actively receiving Cardiac Resynchronization Therapy (CRT).
The total trial duration is anticipated to be approximately 5 years; however, the duration of an individual subject enrollment will depend on when he or she entered the trial.
Read the detailed description
The BAROSTIM NEO - Baroreflex Activation Therapy for Heart Failure is a prospective, randomized trial in subjects with reduced ejection fraction heart failure. Subjects will be randomized in a 1:1 ratio to receive Barostim Activation Therapy with an implanted BAROSTIM NEO System in addition to medical management or to receive medical management alone (no device implant). The trial will be conducted at up to 120 investigational centers in the U.S. and up to 20 investigational centers outside the U.S. These centers will enroll up to 1200 subjects to randomize approximately 480 subjects who meet the entry criteria.
For all subjects, trial visits will occur at 0.5, 1, 1.5, 2, 3, 6, 9 and 12 months post-implant (post anticipated implant for medical management). Visits will occur quarterly from 15 to 24 months and semi-annually thereafter.
Subjects are followed in an identical manner regardless of trial arm.
The data will provide evidence of the safety and efficacy of BAROSTIM THERAPY. The accumulated morbidity and mortality data collected will provide evidence of morbidity and mortality benefit. This trial will involve one or more interim analyses to evaluate when sufficient evidence is reached for the final morbidity and mortality analysis.
- Conditions
- Heart Failure
- Being tested
- BAROSTIM NEO® System, Medical Management
- Medical subject headings
- Heart Failure
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BAROSTIM NEO® SystemDevice
Medical ManagementDrug
| Study group | Role | What they receive |
|---|---|---|
| Device and Medical Management | Experimental | Subjects will be implanted with the BAROSTIM NEO System and receive optimal, stable, Guideline Directed Medical Therapy (GDMT) for heart failure (American Heart Association [AHA] / American College of Cardiology [ACC] guidelines), including drugs to be determined by the subject's physician. Drug types include: Loop Diuretics, Thiazide Diuretics, Potassium-sparing Diuretics, Sequential Nephron Blockade, ACE Inhibitors, ARBs, ARNI, Aldosterone Antagonists, Beta Blockers and Hydralazine and Isosorbide Dinitrate. Receives: Device: BAROSTIM NEO® System; Drug: Medical Management |
| Medical Management | Active comparator | Subjects will receive optimal, stable, Guideline Directed Medical Therapy (GDMT) for heart failure (American Heart Association [AHA] / American College of Cardiology [ACC] guidelines), including drugs to be determined by the subject's physician. Drug types include: Loop Diuretics, Thiazide Diuretics, Potassium-sparing Diuretics, Sequential Nephron Blockade, ACE Inhibitors, ARBs, ARNI, Aldosterone Antagonists, Beta Blockers and Hydralazine and Isosorbide Dinitrate. Receives: Drug: Medical Management |
What is being measured
The primary outcome is the main question the study is designed to answer.
Rate of Cardiovascular Mortality and Heart Failure Morbidity
To demonstrate that treatment with the BAROSTIM NEO® System, relative to medical management, reduces the rate of cardiovascular mortality or worsening heart failure that leads to hospitalization, cardiac assist device or heart transplant.
Event rates were calculated using negative binomial to account for varying follow-up times. Rates are expressed as events per patient-year, with 95% confidence intervals reflecting dispersion.
Measured: From randomization until data-cut date for the endpoint analysis. Median follow-up was 3.6 years per patient.
Major Adverse Neurological and Cardiovascular Events (MANCE)
To demonstrate the safety of the Barostim NEO® System via the event-free rate of all system- and procedure-related Major Adverse Neurological and Cardiovascular Events (MANCE) occurring within 6 months post implant in the device arm.
Measured: 6 months post implant
Percent Change in Log 10 Amino-terminal Prohormone of Brain Natriuretic Peptide (NT-proBNP) From Baseline to 6 Months Post-implant
To demonstrate that treatment with the BAROSTIM NEO® system results in a larger reduction in NT-proBNP from baseline to 6 months post-implant than medical management.
Measured: 6 months post-implant
Change to Six Minute Hall Walk (6MHW)
To demonstrate that treatment with the BAROSTIM NEO® system results in a larger improvement in 6MHW at 6 months than medical management.
The 6 Minute Hall Walk is an assessment of a patient's functional exercise capacity by recording the maximum distance walked in 6 minutes on a flat course in meters (m). A higher score (more distance) indicates better functional capacity.
Measured: Baseline and 6 months post-implant
Change in Minnesota Living With Heart Failure Quality of Life (MLWHF QOL) Score
To demonstrate that treatment with the BAROSTIM NEO® System results in a larger improvement in MLWHF QOL score at 6 months than medical management.
The Minnesota Living with Heart Failure Questionnaire (MLHFQ) is a validated patient-reported outcome measure assessing the impact of heart failure on quality of life. It includes 21 items rated from 0 to 5 (0 = no impact, 5 = very much impact). The Total Score is the sum of all items and ranges from 0 to 105, with higher scores indicating worse quality of life.
Measured: Baseline and 6 months post-implant
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Dec 2015 (estimated)
- Study start19 Apr 2016
- Primary completionOct 2023
- Study completionOct 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (21)Papers the sponsor has linked to this study.
- Other trials for Heart FailureStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 1,090 participants (actual)
Sponsor and investigators
- Lead sponsor
- CVRx, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Michael Zile, MD, Study chair, Medical University of South CarolinaWilliam Abraham, MD, Principal investigator, Ohio State UniversityFred Weaver, MD, Principal investigator, University of Southern CaliforniaFaiez Zannad, MD, Principal investigator, Inserm Centre d'Investigation, CHU de NancyJoAnn Lindenfield, MD, Principal investigator, Vanderbilt Heart and Vascular Institute
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02627196
- Sponsor's protocol ID
- 360043-001
- Acronym
- BeAT-HF
- Status last verified
- Feb 2026
- First submitted
- 7 Dec 2015
- Last updated
- 10 Mar 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- Individual data sharing
- No
Publications
Fu Q, Zhang R, Witkowski S, Arbab-Zadeh A, Prasad A, Okazaki K, Levine BD. Persistent sympathetic activation during chronic antihypertensive therapy: a potential mechanism for long term morbidity? Hypertension. 2005 Apr;45(4):513-21. doi: 10.1161/01.HYP.0000158312.63381.c1. Epub 2005 Feb 28.
PubMed 15738344Esler M, Kaye D. Increased sympathetic nervous system activity and its therapeutic reduction in arterial hypertension, portal hypertension and heart failure. J Auton Nerv Syst. 1998 Oct 15;72(2-3):210-9. doi: 10.1016/s0165-1838(98)00107-6.
PubMed 9851571Sleight P. The importance of the autonomic nervous system in health and disease. Aust N Z J Med. 1997 Aug;27(4):467-73. doi: 10.1111/j.1445-5994.1997.tb02220.x.
PubMed 9448899Peters TK, Koralewski HE, Zerbst E. Blood pressure and heart rate changes during physical activity upon heart rate feedback-controlled electrical carotid sinus nerve stimulation. Int J Cardiol. 1989 Mar;22(3):389-92. doi: 10.1016/0167-5273(89)90281-7.
PubMed 2785088Georgakopoulos D, Wagner D, Cates AW, Irwin E, Lovett EG. Effects of electrical stimulation of the carotid sinus baroreflex using the Rheos device on ventricular-vascular coupling and myocardial efficiency assessed by pressure-volume relations in non-vagotomized anesthetized dogs. Annu Int Conf IEEE Eng Med Biol Soc. 2009;2009:2025-9. doi: 10.1109/IEMBS.2009.5334421.
PubMed 19964769Sabbah HN, Gupta RC, Imai M, Irwin ED, Rastogi S, Rossing MA, Kieval RS. Chronic electrical stimulation of the carotid sinus baroreflex improves left ventricular function and promotes reversal of ventricular remodeling in dogs with advanced heart failure. Circ Heart Fail. 2011 Jan;4(1):65-70. doi: 10.1161/CIRCHEARTFAILURE.110.955013. Epub 2010 Nov 19.
PubMed 21097604Zucker IH, Hackley JF, Cornish KG, Hiser BA, Anderson NR, Kieval R, Irwin ED, Serdar DJ, Peuler JD, Rossing MA. Chronic baroreceptor activation enhances survival in dogs with pacing-induced heart failure. Hypertension. 2007 Nov;50(5):904-10. doi: 10.1161/HYPERTENSIONAHA.107.095216. Epub 2007 Sep 10.
PubMed 17846349Zile MR, Abraham WT, Weaver FA, Butter C, Ducharme A, Halbach M, Klug D, Lovett EG, Muller-Ehmsen J, Schafer JE, Senni M, Swarup V, Wachter R, Little WC. Baroreflex activation therapy for the treatment of heart failure with a reduced ejection fraction: safety and efficacy in patients with and without cardiac resynchronization therapy. Eur J Heart Fail. 2015 Oct;17(10):1066-74. doi: 10.1002/ejhf.299. Epub 2015 Jun 10.
PubMed 26011593Weaver FA, Abraham WT, Little WC, Butter C, Ducharme A, Halbach M, Klug D, Lovett EG, Madershahian N, Muller-Ehmsen J, Schafer JE, Senni M, Swarup V, Wachter R, Zile MR. Surgical Experience and Long-term Results of Baroreflex Activation Therapy for Heart Failure With Reduced Ejection Fraction. Semin Thorac Cardiovasc Surg. 2016 Summer;28(2):320-328. doi: 10.1053/j.semtcvs.2016.04.017. Epub 2016 Jun 2.
PubMed 28043438Ferreira JP, Duarte K, Graves TL, Zile MR, Abraham WT, Weaver FA, Lindenfeld J, Zannad F. Natriuretic Peptides, 6-Min Walk Test, and Quality-of-Life Questionnaires as Clinically Meaningful Endpoints in HF Trials. J Am Coll Cardiol. 2016 Dec 20;68(24):2690-2707. doi: 10.1016/j.jacc.2016.09.936.
PubMed 27978953Abraham WT, Zile MR, Weaver FA, Butter C, Ducharme A, Halbach M, Klug D, Lovett EG, Muller-Ehmsen J, Schafer JE, Senni M, Swarup V, Wachter R, Little WC. Baroreflex Activation Therapy for the Treatment of Heart Failure With a Reduced Ejection Fraction. JACC Heart Fail. 2015 Jun;3(6):487-496. doi: 10.1016/j.jchf.2015.02.006. Epub 2015 May 14.
PubMed 25982108Gronda E, Francis D, Zannad F, Hamm C, Brugada J, Vanoli E. Baroreflex activation therapy: a new approach to the management of advanced heart failure with reduced ejection fraction. J Cardiovasc Med (Hagerstown). 2017 Sep;18(9):641-649. doi: 10.2459/JCM.0000000000000544.
PubMed 28737621Gronda E, Seravalle G, Brambilla G, Costantino G, Casini A, Alsheraei A, Lovett EG, Mancia G, Grassi G. Chronic baroreflex activation effects on sympathetic nerve traffic, baroreflex function, and cardiac haemodynamics in heart failure: a proof-of-concept study. Eur J Heart Fail. 2014 Sep;16(9):977-83. doi: 10.1002/ejhf.138. Epub 2014 Jul 28.
PubMed 25067799Zile MR, Claggett BL, Prescott MF, McMurray JJ, Packer M, Rouleau JL, Swedberg K, Desai AS, Gong J, Shi VC, Solomon SD. Prognostic Implications of Changes in N-Terminal Pro-B-Type Natriuretic Peptide in Patients With Heart Failure. J Am Coll Cardiol. 2016 Dec 6;68(22):2425-2436. doi: 10.1016/j.jacc.2016.09.931.
PubMed 27908347Cleland JG, McMurray JJ, Kjekshus J, Cornel JH, Dunselman P, Fonseca C, Hjalmarson A, Korewicki J, Lindberg M, Ranjith N, van Veldhuisen DJ, Waagstein F, Wedel H, Wikstrand J; CORONA Study Group. Plasma concentration of amino-terminal pro-brain natriuretic peptide in chronic heart failure: prediction of cardiovascular events and interaction with the effects of rosuvastatin: a report from CORONA (Controlled Rosuvastatin Multinational Trial in Heart Failure). J Am Coll Cardiol. 2009 Nov 10;54(20):1850-9. doi: 10.1016/j.jacc.2009.06.041.
PubMed 19892235
Study at a glance
From the registry record, last updated by the sponsor on 10 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Barostim Neo® - Baroreflex Activation Therapy® for Heart Failure
- ClinicalTrials.gov ID
- NCT02627196
- Acronym / sponsor ID
- BeAT-HF / 360043-001
- Conditions
- Heart Failure
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,090 participants (actual)
- Lead sponsor
- CVRx, Inc.Industry (pharma, biotech, devices)
- Study start
- 19 Apr 2016 (actual)
- Primary completion
- Oct 2023 (actual)
- Study completion
- Oct 2023 (actual)
- First posted
- 10 Dec 2015 (estimated)
- Results
- Posted 10 Mar 2026
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this clinical trial (NCT02627196) is to develop valid scientific evidence for safety and effectiveness of Baroreflex Activation Therapy with the BAROSTIM NEO System in subjects with heart failure, defined as New York Heart Association (NYHA) functional Class III, left ventricular ejection fraction (LVEF) ≤ 35% and NT-proBNP<1600 pg/ml despite being treated with the appropriate heart failure guideline directed therapy, excluding subjects eligible for or actively receiving Cardiac Resynchronization Therapy (CRT).
The total trial duration is anticipated to be approximately 5 years; however, the duration of an individual subject enrollment will depend on when he or she entered the trial.
Detailed description
The BAROSTIM NEO - Baroreflex Activation Therapy for Heart Failure is a prospective, randomized trial in subjects with reduced ejection fraction heart failure. Subjects will be randomized in a 1:1 ratio to receive Barostim Activation Therapy with an implanted BAROSTIM NEO System in addition to medical management or to receive medical management alone (no device implant). The trial will be conducted at up to 120 investigational centers in the U.S. and up to 20 investigational centers outside the U.S. These centers will enroll up to 1200 subjects to randomize approximately 480 subjects who meet the entry criteria.
For all subjects, trial visits will occur at 0.5, 1, 1.5, 2, 3, 6, 9 and 12 months post-implant (post anticipated implant for medical management). Visits will occur quarterly from 15 to 24 months and semi-annually thereafter.
Subjects are followed in an identical manner regardless of trial arm.
The data will provide evidence of the safety and efficacy of BAROSTIM THERAPY. The accumulated morbidity and mortality data collected will provide evidence of morbidity and mortality benefit. This trial will involve one or more interim analyses to evaluate when sufficient evidence is reached for the final morbidity and mortality analysis.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Device and Medical Management | Experimental | Device: BAROSTIM NEO® System, Drug: Medical ManagementSubjects will be implanted with the BAROSTIM NEO System and receive optimal, stable, Guideline Directed Medical Therapy (GDMT) for heart failure (American Heart Association [AHA] / American College of Cardiology [ACC] guidelines), including drugs to be determined by the subject's physician. Drug types include: Loop Diuretics, Thiazide Diuretics, Potassium-sparing Diuretics, Sequential Nephron Blockade, ACE Inhibitors, ARBs, ARNI, Aldosterone Antagonists, Beta Blockers and Hydralazine and Isosorbide Dinitrate. |
| Medical Management | Active comparator | Drug: Medical ManagementSubjects will receive optimal, stable, Guideline Directed Medical Therapy (GDMT) for heart failure (American Heart Association [AHA] / American College of Cardiology [ACC] guidelines), including drugs to be determined by the subject's physician. Drug types include: Loop Diuretics, Thiazide Diuretics, Potassium-sparing Diuretics, Sequential Nephron Blockade, ACE Inhibitors, ARBs, ARNI, Aldosterone Antagonists, Beta Blockers and Hydralazine and Isosorbide Dinitrate. |
Who may qualify
- Ages
- 21 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (24 listed)
- Age 21 years or above.
- Currently NYHA Class II or III heart failure. For NYHA Class II, must have been NYHA Class III at any point in time within 3 calendar months prior to enrollment or at time of screening (enrollment is defined as the date the subject provided written consent).
- Left ventricular ejection fraction ≤ 35% within 45 days prior to randomization.
- Heart failure accompanied by either:
- Note: Heart failure hospitalization may include an overnight hospital or hospital-based observation unit stay with a primary diagnosis of heart failure or an emergency room visit with a primary diagnosis of heart failure.
Key exclusion criteria (32 listed)
- If any of the following criteria are met, subjects are not eligible for this trial.
- Received cardiac resynchronization therapy (CRT) within six months of randomization, or is actively receiving CRT.
- Currently have a Class I indication for a cardiac resynchronization therapy (CRT) device according to AHA/ACC/ESC guidelines for the treatment of congestive heart failure. ,
- Known or suspected baroreflex failure or autonomic neuropathy.
- AHA/ACC Stage D heart failure within 45 days prior to randomization.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BAROSTIM NEO® System | Device | Device and Medical Management |
| Medical Management | Drug | Device and Medical Management, Medical Management |
Primary outcome
Rate of Cardiovascular Mortality and Heart Failure Morbidity
Time frame: From randomization until data-cut date for the endpoint analysis. Median follow-up was 3.6 years per patient.
To demonstrate that treatment with the BAROSTIM NEO® System, relative to medical management, reduces the rate of cardiovascular mortality or worsening heart failure that leads to hospitalization, cardiac assist device or heart transplant. Event rates were calculated using negative binomial to account for varying follow-up times. Rates are expressed as events per patient-year, with 95% confidence intervals reflecting dispersion.
Major Adverse Neurological and Cardiovascular Events (MANCE)
Time frame: 6 months post implant
To demonstrate the safety of the Barostim NEO® System via the event-free rate of all system- and procedure-related Major Adverse Neurological and Cardiovascular Events (MANCE) occurring within 6 months post implant in the device arm.
Percent Change in Log 10 Amino-terminal Prohormone of Brain Natriuretic Peptide (NT-proBNP) From Baseline to 6 Months Post-implant
Time frame: 6 months post-implant
To demonstrate that treatment with the BAROSTIM NEO® system results in a larger reduction in NT-proBNP from baseline to 6 months post-implant than medical management.
Change to Six Minute Hall Walk (6MHW)
Time frame: Baseline and 6 months post-implant
To demonstrate that treatment with the BAROSTIM NEO® system results in a larger improvement in 6MHW at 6 months than medical management. The 6 Minute Hall Walk is an assessment of a patient's functional exercise capacity by recording the maximum distance walked in 6 minutes on a flat course in meters (m). A higher score (more distance) indicates better functional capacity.
Change in Minnesota Living With Heart Failure Quality of Life (MLWHF QOL) Score
Time frame: Baseline and 6 months post-implant
To demonstrate that treatment with the BAROSTIM NEO® System results in a larger improvement in MLWHF QOL score at 6 months than medical management. The Minnesota Living with Heart Failure Questionnaire (MLHFQ) is a validated patient-reported outcome measure assessing the impact of heart failure on quality of life. It includes 21 items rated from 0 to 5 (0 = no impact, 5 = very much impact). The Total Score is the sum of all items and ranges from 0 to 105, with higher scores indicating worse quality of life.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Mar 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 15738344Fu Q, Zhang R, Witkowski S, Arbab-Zadeh A, Prasad A, Okazaki K, Levine BD. Persistent sympathetic activation during chronic antihypertensive therapy: a potential mechanism for long term morbidity? Hypertension. 2005 Apr;45(4):513-21. doi: 10.1161/01.HYP.0000158312.63381.c1. Epub 2005 Feb 28.
- Background: PubMed 9851571Esler M, Kaye D. Increased sympathetic nervous system activity and its therapeutic reduction in arterial hypertension, portal hypertension and heart failure. J Auton Nerv Syst. 1998 Oct 15;72(2-3):210-9. doi: 10.1016/s0165-1838(98)00107-6.
- Background: PubMed 9448899Sleight P. The importance of the autonomic nervous system in health and disease. Aust N Z J Med. 1997 Aug;27(4):467-73. doi: 10.1111/j.1445-5994.1997.tb02220.x.
- Background: PubMed 2785088Peters TK, Koralewski HE, Zerbst E. Blood pressure and heart rate changes during physical activity upon heart rate feedback-controlled electrical carotid sinus nerve stimulation. Int J Cardiol. 1989 Mar;22(3):389-92. doi: 10.1016/0167-5273(89)90281-7.
- Background: PubMed 19964769Georgakopoulos D, Wagner D, Cates AW, Irwin E, Lovett EG. Effects of electrical stimulation of the carotid sinus baroreflex using the Rheos device on ventricular-vascular coupling and myocardial efficiency assessed by pressure-volume relations in non-vagotomized anesthetized dogs. Annu Int Conf IEEE Eng Med Biol Soc. 2009;2009:2025-9. doi: 10.1109/IEMBS.2009.5334421.
- Background: PubMed 21097604Sabbah HN, Gupta RC, Imai M, Irwin ED, Rastogi S, Rossing MA, Kieval RS. Chronic electrical stimulation of the carotid sinus baroreflex improves left ventricular function and promotes reversal of ventricular remodeling in dogs with advanced heart failure. Circ Heart Fail. 2011 Jan;4(1):65-70. doi: 10.1161/CIRCHEARTFAILURE.110.955013. Epub 2010 Nov 19.
- Background: PubMed 17846349Zucker IH, Hackley JF, Cornish KG, Hiser BA, Anderson NR, Kieval R, Irwin ED, Serdar DJ, Peuler JD, Rossing MA. Chronic baroreceptor activation enhances survival in dogs with pacing-induced heart failure. Hypertension. 2007 Nov;50(5):904-10. doi: 10.1161/HYPERTENSIONAHA.107.095216. Epub 2007 Sep 10.
- Background: PubMed 26011593Zile MR, Abraham WT, Weaver FA, Butter C, Ducharme A, Halbach M, Klug D, Lovett EG, Muller-Ehmsen J, Schafer JE, Senni M, Swarup V, Wachter R, Little WC. Baroreflex activation therapy for the treatment of heart failure with a reduced ejection fraction: safety and efficacy in patients with and without cardiac resynchronization therapy. Eur J Heart Fail. 2015 Oct;17(10):1066-74. doi: 10.1002/ejhf.299. Epub 2015 Jun 10.
- Background: PubMed 28043438Weaver FA, Abraham WT, Little WC, Butter C, Ducharme A, Halbach M, Klug D, Lovett EG, Madershahian N, Muller-Ehmsen J, Schafer JE, Senni M, Swarup V, Wachter R, Zile MR. Surgical Experience and Long-term Results of Baroreflex Activation Therapy for Heart Failure With Reduced Ejection Fraction. Semin Thorac Cardiovasc Surg. 2016 Summer;28(2):320-328. doi: 10.1053/j.semtcvs.2016.04.017. Epub 2016 Jun 2.
- Background: PubMed 27978953Ferreira JP, Duarte K, Graves TL, Zile MR, Abraham WT, Weaver FA, Lindenfeld J, Zannad F. Natriuretic Peptides, 6-Min Walk Test, and Quality-of-Life Questionnaires as Clinically Meaningful Endpoints in HF Trials. J Am Coll Cardiol. 2016 Dec 20;68(24):2690-2707. doi: 10.1016/j.jacc.2016.09.936.
- Background: PubMed 25982108Abraham WT, Zile MR, Weaver FA, Butter C, Ducharme A, Halbach M, Klug D, Lovett EG, Muller-Ehmsen J, Schafer JE, Senni M, Swarup V, Wachter R, Little WC. Baroreflex Activation Therapy for the Treatment of Heart Failure With a Reduced Ejection Fraction. JACC Heart Fail. 2015 Jun;3(6):487-496. doi: 10.1016/j.jchf.2015.02.006. Epub 2015 May 14.
- Background: PubMed 28737621Gronda E, Francis D, Zannad F, Hamm C, Brugada J, Vanoli E. Baroreflex activation therapy: a new approach to the management of advanced heart failure with reduced ejection fraction. J Cardiovasc Med (Hagerstown). 2017 Sep;18(9):641-649. doi: 10.2459/JCM.0000000000000544.
- Sponsor WebsiteLink provided by the sponsor.
- Study WebsiteLink provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Michael Zile, MD study chair
Medical University of South Carolina
William Abraham, MD principal investigator
Ohio State University
Fred Weaver, MD principal investigator
University of Southern California
92 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing BAROSTIM NEO® System and Medical Management in people with Heart Failure, run by CVRx, Inc. at 92 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 24 inclusion and 32 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 10 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 92 sites in United States, United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 10 Mar 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Rate of Cardiovascular Mortality and Heart Failure Morbidity (time frame: From randomization until data-cut date for the endpoint analysis. Median follow-up was 3.6 years per patient.). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02627196, which also lists 21 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Mar 2026; AzTrials last refreshed its copy on 30 Oct 2026.