Heart FailureNCT05258942
MyLeukoMAP™ Genomic Survival Prediction Assay Pivotal Clinical Study
An observational study of Heart Failure, run by LeukoLifeDx Inc at 3 sites in United States.
Trial summary
The MyLeukoMAP™ Pivotal Clinical Study will assess the accuracy of MyLeukoMAP™, a new molecular blood test, performed within 30 days before scheduled surgical / interventional therapies for Heart Failure, to determine its effectiveness in improving clinical decision support by providing a quantitative prediction of… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Heart Failure
- What is being tested?
- Observational
- How many people
- 300 participants
- Where
- 3 sitesUnited States
- Study dates
- 1 Jul 2022to Aug 2023
- Phase
- Observational
- Are there results?
- None posted in the registry
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 18 years and older
- All sexes
- Adult, Older adult
Study population: Study Participants: All study participants will be referred to the AdHF Program at one of the study investigational sites, evaluated for the various therapeutic options outlined below, and scheduled for HF-surgical / interventional therapy. All patients will be optimized regarding HF therapy, consented, and prescribed one of 10 HF procedures according to established guidelines, based on the recommendations of the AdHF team of the participating study centers.
Who may be able to join
- Criteria #1: AdHF with NYHA III/IV
- Criteria #2: Left Ventricular Ejection Fraction (LVEF) <35% or >2+valvular disease severity \& >low risk Society of Thoracic Surgeons (STS)-score
- Criteria #3: Evaluation for interventions including CABG/PCI (Stratum #1, Ischemia), Surgical Valve Replacement/TAVR/Mitra-Clip (Stratum #2, Overload), VT-Ablation/Stellate Gangliectomy (Stratum #3, Arrhythmia), or MCS/HTx (Stratum #4, Contractility)
- -
Who cannot join
- Criteria #1: No informed consent Criteria #2: <18 years old
- -
Trial locations and contacts
3 sites in 1 country.
United States3 sites, 3 recruiting
- Recruiting
Saint Luke's Hospital of Kansas City
Kansas City, Missouri, 64111
Andrew Kao, MD, 816-931-1883, akao@cc-pc.com
Brenda Akers, BSN, 816.932.1627, bakers@saint-lukes.org
- Recruiting
Yale University
New Haven, Connecticut, 06511
Lavanya Bellumkonda, MD, 203-785-7191, lavanya.bellumkonda@yale.edu
Jill Boria, RN, jill.boria@yale.edu
- Recruiting
AdventHealth Orlando
Orlando, Florida, 32803
Nirav Raval, MD, nirav.raval.md@flhosp.org
Jennifer Lyden, BSN, 407.303.2988, jennifer.lyden@adventhealth.com
About this study
Official title: MyLeukoMAP™ Genomic Survival Prediction Assay for Heart Failure Pivotal Clinical Study
The MyLeukoMAP™ Pivotal Clinical Study will assess the accuracy of MyLeukoMAP™, a new molecular blood test, performed within 30 days before scheduled surgical / interventional therapies for Heart Failure, to determine its effectiveness in improving clinical decision support by providing a quantitative prediction of low, indeterminate, or high risk of death one year after surgical / interventional therapies that is not identified by current diagnostic tools.
Read the detailed description
The MyLeukoMAP™ Pivotal Clinical Study will assess the accuracy of MyLeukoMAP™, a new molecular blood test, performed within 30 days before scheduled surgical / interventional therapies for Heart Failure, to determine its effectiveness in improving clinical decision support by providing a quantitative prediction of low, indeterminate, or high risk of death one year after surgical / interventional therapies that is not identified by current diagnostic tools.
Patients scheduled for one of 10 different Heart Failure surgical / interventional therapies will be identified and consented. Four clinical parameters will be collected for each patient: age, white blood cell count, blood pressure, and respiratory rate. Blood samples will be collected concurrent with a routine preoperative blood draw, and peripheral blood mononuclear cells (PBMC's) will be isolated. The PBMC samples will be shipped to ResearchDx, Irvine, CA, for testing using the MyLeukoMAP™ genomic survival prediction assay. Patient 1-year postoperative survival/non-survival data will be reported for each patient.
The samples will be tested 1-year after the intervention of the last enrolled patient, and the data will be compared to actual patient 1-year survival to determine the survival prediction accuracy of the assay. The investigators anticipate that the assay will better identify those 20% of patients who currently do not achieve 1-year postoperative survival, and who would have better odds of survival by remaining on medical therapy, but who cannot be identified with current tools.
- Conditions
- Heart Failure
- Being tested
- Observational
- Medical subject headings
- Heart Failure
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ObservationalOther
Blood samples will be collected within 30 days before scheduled surgical / interventional therapy for Heart Failure. The study will not impact patient treatment in any way.
| Study group | Role | What they receive |
|---|---|---|
| Heart Failure Patients Scheduled for Coronary Artery Bypass Graft (CABG) Surgery | Heart Failure Patients Scheduled for Coronary Artery Bypass Graft (CABG) Surgery Receives: Other: Observational | |
| Heart Failure Patients Scheduled for Percutaneous Coronary Interventions (PCI) | Heart Failure Patients Scheduled for Percutaneous Coronary Interventions (PCI) Receives: Other: Observational | |
| Heart Failure Patients Scheduled for Aortic Valve Replacement (AVR) Surgery | Heart Failure Patients Scheduled for Aortic Valve Replacement (AVR) Surgery Receives: Other: Observational | |
| Heart Failure Patients Scheduled for Mitral Valve Replacement (MVR) Surgery | Heart Failure Patients Scheduled for Mitral Valve Replacement (MVR) Surgery Receives: Other: Observational | |
| Heart Failure Patients Scheduled for Transcatheter Aortic Valve Replacement (TAVR) | Heart Failure Patients Scheduled for Transcatheter Aortic Valve Replacement (TAVR) Receives: Other: Observational | |
| Heart Failure Patients Scheduled for Transcatheter Mitra Clip | Heart Failure Patients Scheduled for Transcatheter Mitra Clip Receives: Other: Observational | |
| Heart Failure Patients Scheduled for Ventricular Tachycardia Ablation | Heart Failure Patients Scheduled for Ventricular Tachycardia Ablation Receives: Other: Observational | |
| Heart Failure Patients Scheduled for Stellate Gangliectomy | Heart Failure Patients Scheduled for Stellate Gangliectomy Receives: Other: Observational | |
| Heart Failure Patients Scheduled for Mechanical Circulatory Support (MCS) Surgery | Heart Failure Patients Scheduled for Mechanical Circulatory Support (MCS) Surgery Receives: Other: Observational | |
| Heart Failure Patients Scheduled for Heart Transplantation (HTx) Surgery | Heart Failure Patients Scheduled for Heart Transplantation (HTx) Surgery Receives: Other: Observational |
What is being measured
The primary outcome is the main question the study is designed to answer.
Survival / Non-Survival
Patient Survival Status
Measured: 1-year (365-455 Days) Post Intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Feb 2022
- Study start1 Jul 2022
- Primary completionJun 2023 (estimated)
- Study completionAug 2023 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)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
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 300 participants (estimated)
Sponsor and investigators
- Lead sponsor
- LeukoLifeDx Inc
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Megan Kamath, MD, Principal investigator, University California Los Angeles
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05258942
- Sponsor's protocol ID
- LLDx1012021
- Status last verified
- Jul 2022
- First submitted
- 17 Feb 2022
- Last updated
- 27 Oct 2022
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Bondar G, Togashi R, Cadeiras M, Schaenman J, Cheng RK, Masukawa L, Hai J, Bao TM, Chu D, Chang E, Bakir M, Kupiec-Weglinski S, Groysberg V, Grogan T, Meltzer J, Kwon M, Rossetti M, Elashoff D, Reed E, Ping PP, Deng MC. Association between preoperative peripheral blood mononuclear cell gene expression profiles, early postoperative organ function recovery potential and long-term survival in advanced heart failure patients undergoing mechanical circulatory support. PLoS One. 2017 Dec 13;12(12):e0189420. doi: 10.1371/journal.pone.0189420. eCollection 2017.
PubMed 29236770Deng MC. A peripheral blood transcriptome biomarker test to diagnose functional recovery potential in advanced heart failure. Biomark Med. 2018 Jun;12(6):619-635. doi: 10.2217/bmm-2018-0097. Epub 2018 May 8.
PubMed 29737882Bondar G, Cadeiras M, Wisniewski N, Maque J, Chittoor J, Chang E, Bakir M, Starling C, Shahzad K, Ping P, Reed E, Deng M. Comparison of whole blood and peripheral blood mononuclear cell gene expression for evaluation of the perioperative inflammatory response in patients with advanced heart failure. PLoS One. 2014 Dec 17;9(12):e115097. doi: 10.1371/journal.pone.0115097. eCollection 2014.
PubMed 25517110
Study at a glance
From the registry record, last updated by the sponsor on 27 Oct 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- MyLeukoMAP™ Genomic Survival Prediction Assay for Heart Failure Pivotal Clinical Study
- ClinicalTrials.gov ID
- NCT05258942
- Acronym / sponsor ID
- LLDx1012021
- Conditions
- Heart Failure
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 300 participants (estimated)
- Lead sponsor
- LeukoLifeDx IncIndustry (pharma, biotech, devices)
- Study start
- 1 Jul 2022 (actual)
- Primary completion
- Jun 2023 (estimated)
- Study completion
- Aug 2023 (estimated)
- First posted
- 28 Feb 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The MyLeukoMAP™ Pivotal Clinical Study will assess the accuracy of MyLeukoMAP™, a new molecular blood test, performed within 30 days before scheduled surgical / interventional therapies for Heart Failure, to determine its effectiveness in improving clinical decision support by providing a quantitative prediction of low, indeterminate, or high risk of death one year after surgical / interventional therapies that is not identified by current diagnostic tools.
Detailed description
The MyLeukoMAP™ Pivotal Clinical Study will assess the accuracy of MyLeukoMAP™, a new molecular blood test, performed within 30 days before scheduled surgical / interventional therapies for Heart Failure, to determine its effectiveness in improving clinical decision support by providing a quantitative prediction of low, indeterminate, or high risk of death one year after surgical / interventional therapies that is not identified by current diagnostic tools.
Patients scheduled for one of 10 different Heart Failure surgical / interventional therapies will be identified and consented. Four clinical parameters will be collected for each patient: age, white blood cell count, blood pressure, and respiratory rate. Blood samples will be collected concurrent with a routine preoperative blood draw, and peripheral blood mononuclear cells (PBMC's) will be isolated. The PBMC samples will be shipped to ResearchDx, Irvine, CA, for testing using the MyLeukoMAP™ genomic survival prediction assay. Patient 1-year postoperative survival/non-survival data will be reported for each patient.
The samples will be tested 1-year after the intervention of the last enrolled patient, and the data will be compared to actual patient 1-year survival to determine the survival prediction accuracy of the assay. The investigators anticipate that the assay will better identify those 20% of patients who currently do not achieve 1-year postoperative survival, and who would have better odds of survival by remaining on medical therapy, but who cannot be identified with current tools.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 10
| Arm | Type | Receives |
|---|---|---|
| Heart Failure Patients Scheduled for Coronary Artery Bypass Graft (CABG) Surgery | – | Other: ObservationalHeart Failure Patients Scheduled for Coronary Artery Bypass Graft (CABG) Surgery |
| Heart Failure Patients Scheduled for Percutaneous Coronary Interventions (PCI) | – | Other: ObservationalHeart Failure Patients Scheduled for Percutaneous Coronary Interventions (PCI) |
| Heart Failure Patients Scheduled for Aortic Valve Replacement (AVR) Surgery | – | Other: ObservationalHeart Failure Patients Scheduled for Aortic Valve Replacement (AVR) Surgery |
| Heart Failure Patients Scheduled for Mitral Valve Replacement (MVR) Surgery | – | Other: ObservationalHeart Failure Patients Scheduled for Mitral Valve Replacement (MVR) Surgery |
| Heart Failure Patients Scheduled for Transcatheter Aortic Valve Replacement (TAVR) | – | Other: ObservationalHeart Failure Patients Scheduled for Transcatheter Aortic Valve Replacement (TAVR) |
| Heart Failure Patients Scheduled for Transcatheter Mitra Clip | – | Other: ObservationalHeart Failure Patients Scheduled for Transcatheter Mitra Clip |
| Heart Failure Patients Scheduled for Ventricular Tachycardia Ablation | – | Other: ObservationalHeart Failure Patients Scheduled for Ventricular Tachycardia Ablation |
| Heart Failure Patients Scheduled for Stellate Gangliectomy | – | Other: ObservationalHeart Failure Patients Scheduled for Stellate Gangliectomy |
| Heart Failure Patients Scheduled for Mechanical Circulatory Support (MCS) Surgery | – | Other: ObservationalHeart Failure Patients Scheduled for Mechanical Circulatory Support (MCS) Surgery |
| Heart Failure Patients Scheduled for Heart Transplantation (HTx) Surgery | – | Other: ObservationalHeart Failure Patients Scheduled for Heart Transplantation (HTx) Surgery |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Age groups
- Adult, Older adult
- Study population
- Study Participants: All study participants will be referred to the AdHF Program at one of the study investigational sites, evaluated for the various therapeutic options outlined below, and scheduled for HF-surgical / interventional therapy. All patients will be optimized regarding HF therapy, consented, and prescribed one of 10 HF procedures according to established guidelines, based on the recommendations of the AdHF team of the participating study centers.
Key inclusion criteria (4 listed)
- Criteria #1: AdHF with NYHA III/IV
- Criteria #2: Left Ventricular Ejection Fraction (LVEF) <35% or >2+valvular disease severity \& >low risk Society of Thoracic Surgeons (STS)-score
- Criteria #3: Evaluation for interventions including CABG/PCI (Stratum #1, Ischemia), Surgical Valve Replacement/TAVR/Mitra-Clip (Stratum #2, Overload), VT-Ablation/Stellate Gangliectomy (Stratum #3, Arrhythmia), or MCS/HTx (Stratum #4, Contractility)
- -
Key exclusion criteria (2 listed)
- Criteria #1: No informed consent Criteria #2: <18 years old
- -
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 |
|---|---|---|
| ObservationalBlood samples will be collected within 30 days before scheduled surgical / interventional therapy for Heart Failure. The study will not impact patient treatment in any way. | Other | Heart Failure Patients Scheduled for Aortic Valve Replacement (AVR) Surgery, Heart Failure Patients Scheduled for Coronary Artery Bypass Graft (CABG) Surgery, Heart Failure Patients Scheduled for Heart Transplantation (HTx) Surgery, Heart Failure Patients Scheduled for Mechanical Circulatory Support (MCS) Surgery, Heart Failure Patients Scheduled for Mitral Valve Replacement (MVR) Surgery, Heart Failure Patients Scheduled for Percutaneous Coronary Interventions (PCI), Heart Failure Patients Scheduled for Stellate Gangliectomy, Heart Failure Patients Scheduled for Transcatheter Aortic Valve Replacement (TAVR), Heart Failure Patients Scheduled for Transcatheter Mitra Clip, Heart Failure Patients Scheduled for Ventricular Tachycardia Ablation |
Primary outcome
Survival / Non-Survival
Time frame: 1-year (365-455 Days) Post Intervention
Patient Survival Status
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Oct 2022.
- Results publication: PubMed 29236770Bondar G, Togashi R, Cadeiras M, Schaenman J, Cheng RK, Masukawa L, Hai J, Bao TM, Chu D, Chang E, Bakir M, Kupiec-Weglinski S, Groysberg V, Grogan T, Meltzer J, Kwon M, Rossetti M, Elashoff D, Reed E, Ping PP, Deng MC. Association between preoperative peripheral blood mononuclear cell gene expression profiles, early postoperative organ function recovery potential and long-term survival in advanced heart failure patients undergoing mechanical circulatory support. PLoS One. 2017 Dec 13;12(12):e0189420. doi: 10.1371/journal.pone.0189420. eCollection 2017.
- Results publication: PubMed 29737882Deng MC. A peripheral blood transcriptome biomarker test to diagnose functional recovery potential in advanced heart failure. Biomark Med. 2018 Jun;12(6):619-635. doi: 10.2217/bmm-2018-0097. Epub 2018 May 8.
- Results publication: PubMed 25517110Bondar G, Cadeiras M, Wisniewski N, Maque J, Chittoor J, Chang E, Bakir M, Starling C, Shahzad K, Ping P, Reed E, Deng M. Comparison of whole blood and peripheral blood mononuclear cell gene expression for evaluation of the perioperative inflammatory response in patients with advanced heart failure. PLoS One. 2014 Dec 17;9(12):e115097. doi: 10.1371/journal.pone.0115097. eCollection 2014.
- 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.
Megan Kamath, MD principal investigator
University California Los Angeles
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Heart Failure, run by LeukoLifeDx Inc at 3 sites in United States.
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 4 inclusion and 2 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: status not confirmed, as of the sponsor's last update on 27 Oct 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 sites in United States. 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?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Simran Prajapat, PhD (617.820.3725, sprajapat@researchdx.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Survival / Non-Survival (time frame: 1-year (365-455 Days) Post Intervention). 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 NCT05258942, which also lists 3 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 27 Oct 2022.