Heart Failure NYHA Class IINCT05934487
PROACTIVE-HF-2 Trial Heart Failure NYHA Class II and III
A study testing Cordella™ Pulmonary Artery Sensor System in people with Heart Failure NYHA Class II and Heart Failure NYHA Class III, run by Endotronix, Inc. at 48 sites in 3 countries.
Trial summary
This is a prospective, multi-center, open label, randomized control clinical trial evaluating the safety and efficacy of the Cordella™ Pulmonary Artery Sensor System in NYHA Class II-III Heart Failure Patients (PROACTIVE-HF-2 Trial). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Heart Failure NYHA Class II, Heart Failure NYHA Class III, Heart Failure
- What is being tested?
- Cordella™ Pulmonary Artery Sensor System
- Type of treatment
- Pill or oral medicine, Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,750 participants
- Where
- 48 sitesin 3 countries
- Study dates
- 29 Nov 2023to Sep 2033
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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
- No healthy volunteers
- Adult, Older adult
Who may be able to join
None listed.
Who cannot join
- ACC/AHA Stage D refractory HF (including a known history of >24 hours of IV inotropic therapy to support circulation within the past 6 months (other than relation to a procedure))
- Subjects with history of recurrent pulmonary embolism (≥2 episodes within 5 years prior to Screening Visit) and/or deep vein thrombosis in the femoral or IJ vein used for access (< 3 month prior to Screening Visit)
- Subjects with a resting systolic blood pressure <90 mmHg and/ or severe pre-capillary pulmonary hypertension with a pulmonary artery systolic pressure of ≥70 mm/Hg with pulmonary capillary wedge pressure ≤ 15 mmHg at the Cordella PA Sensor Implant RHC (V2)
- Subjects who have had a major cardiovascular (CV) event (e.g., myocardial infarction, stroke) within 3 months of the Screening Visit
- Unrepaired severe valvular disease
- Subjects with significant congenital heart disease that has not been repaired and would prevent implantation of the Cordella PA Sensor or mechanical/tissue right heart valve(s)
Show all 20Show fewer
- Subjects with known coagulation disorders
- Subjects with a hypersensitivity or allergy to platelet aggregation inhibitors including aspirin, clopidogrel, prasugrel, and ticagrelor; or patients unable to take dual antiplatelet or anticoagulants for one-month post implant
- Known history of life-threatening allergy to contrast dye.
- Subjects whereby RHC is contraindicated
- Subjects with an active infection at the Cordella Sensor Implant Visit
- Subjects with a GFR <20 ml/min or who are on chronic renal dialysis
- Implanted with Cardiac Resynchronization Therapy-Pacemaker (CRT-P) or Cardiac Resynchronization Therapy-Defibrillator (CRT-D), or having undergone mitral/tricuspid valve repair/replacement within 90 days or catheter ablation for atrial fibrillation within 30 days prior to screening visit
- Received or are likely to receive an advanced therapy (e.g., durable mechanical circulatory support or lung or heart transplant) in the next 24 months
- Subjects who are pregnant or breastfeeding
- Subjects who are unwilling or deemed by the Investigator to be unwilling to comply with the study protocol, or subjects with a history of non-compliance
- Severe illness, other than heart disease, which would limit survival to <2 years
- Subjects whose clinical condition, in the opinion of the Investigator, makes them an unsuitable candidate for the study
- Subjects enrolled in another investigational trial with an active Treatment Arm
- Subject who is in custody by order of an authority or a court of law
Trial locations and contacts
48 sites in 3 countries. Contact the study team or a site near you to ask about taking part.
48 sites in 3 countries
United States45 sites, 45 recruiting
- Recruiting
Piedmont
Atlanta, Georgia, 30309
Gigi Davis, RN
Kent Nilsson
- Recruiting
Austin Heart
Austin, Texas, 78756
Leticia Janak
Faisal Syed, MD
- Recruiting
MedStar
Baltimore, Maryland, 21239
Rebecca Comaty
Erika Feller
- Recruiting
Tufts Medical Center
Boston, Massachusetts, 02111
Gaurav Das
Michael Kiernan, MD
- Not yet recruiting
Boston Medical Center Corporation
Boston, Massachusetts, 02118
Nir Ayalon, MD
Nir Ayalon, MD
- Recruiting
University of Vermont
Burlington, Vermont, 05401
Meghan Sesera, RN
Peter C Van Buren, MD
- Recruiting
Medical University of South Carolina (MUSC)
Charleston, South Carolina, 29425
Kathryn Dowler, dowlerk@musc.edu
Vishal Rao
- Recruiting
The Christ Hospital- Cincinnati
Cincinnati, Ohio, 45219
Sitaramesh Emani
Ankit Bhatia, MD
- Recruiting
University of Cincinnati
Cincinnati, Ohio, 45267
Harshada More
Vlad Cotarlan, MD
- Recruiting
University Hospital (Cleveland)
Cleveland, Ohio, 44106
Monique Robinson, MD
Monique Robinson, MD
- Recruiting
Medical City Healthcare Dallas
Dallas, Texas, 75240
Mona Hedra
Claudius Mahr, MD
- Recruiting
Baylor Scott & White -Dallas
Dallas, Texas, 75246
Cesar Guerrero, MD
Cesar Guerrero, MD
- Recruiting
Advocate Health System
Downers Grove, Illinois, 60515
Tracy Geisler, CRC
Ali Valika
- Recruiting
UNC Medical Center
Durham, North Carolina, 27703
William Mostertz, william_mostertz@med.unc.edu
William Mostertz, MD
- Recruiting
Duke University
Durham, North Carolina, 27710
Marat Fudim, MD
- Recruiting
Providence Everett
Everett, Washington, 98201
Becca Watson
Feng Wang, MD
- Recruiting
PRISMA Health- Upstate
Greenville, South Carolina, 29605
Ken Alfieri
Jason Guichard, MD
- Recruiting
Penn State Health
Hershey, Pennsylvania, 17033
Katie Loffredo
John Boehmer, MD
- Recruiting
Baylor/Texas Heart
Houston, Texas, 77030
Claudell Montano
Ajith Nair, MD
- Recruiting
Ascension Providence Hospital Cardiology - Heart Cardiology
Howell, Michigan, 48843
Yulia Abidov
Marcel Zughaib, MD
- Recruiting
Ascension St. Vincent's
Indianapolis, Indiana, 46260
Taylor Gilliam
Ashwin Ravichandran
- Recruiting
University of Kansas Medical Center (KUMC)
Kansas City, Kansas, 66160
Yolanda Murr
Hirak Shah, MD
- Recruiting
St. Lukes/ Mid-American Heart Institute
Kansas City, Missouri, 64111
Amanda Huffman
Michael Nassif, MD
- Recruiting
USC
Los Angeles, California, 90033
Aaron Wolfson
Aaron Wolfson
- Recruiting
University of Wisconsin
Madison, Wisconsin, 53792
Karen Olson
Peter Marogil, MD
- Recruiting
Baptist Health South Florida
Miami, Florida, 33176
Kenia Capdevilla
Sandra Chaparro, MD
- Recruiting
Advocate Aurora St. Luke's
Milwaukee, Wisconsin, 53215
Nasir Sulemanjee, MD
Nasir Sulemanjee, MD
- Recruiting
University of Minnesota
Minneapolis, Minnesota, 55455
Julie Dicken
Tamas Alexy, MD
- Recruiting
West Virginia University
Morgantown, West Virginia, 26506
Marvin Hudson
Anantha Madgula, DO
- Recruiting
Vanderbilt
Nashville, Tennessee, 37232
Jaime Rich
Sandip Zalawadiya, MD
- Recruiting
Mount Sinai West
New York, New York, 10019
Sajiny John
Johanna Contreras, MD
- Recruiting
Mount Sinai
New York, New York, 10029
Noah Moss
Noah Moss, MD
- Recruiting
Lenox Hill/ Northwell Health
New York, New York, 10075
Virgenmina (Angie) Lugaro
Sirish Vullaganti, MD
- Recruiting
Heart Care Centers of Illinois (HCCI)
Palos Park, Illinois, 60464
Jessica Kwak
Chirag Rajyaguru
- Recruiting
Ascension Sacred Heart
Pensacola, Florida, 32504
Ana Rosa, ana.rosas@ascension.org
Rohit Amin
- Recruiting
St. Joseph's Hospital and Medical Center
Phoenix, Arizona, 85013
Namit Rohant, MD
Namit Rohant
- Recruiting
UPMC
Pittsburgh, Pennsylvania, 15213
Rachel McGargle
Gavin Hickey, MD
- Recruiting
Providence St. Vincent's - Portland
Portland, Oregon, 97225
Christopher Chien, MD, christopher.chien@providence.org
Christopher Chien
- Recruiting
Oregon Health Science Portland
Portland, Oregon, 97239
John Halvorson
Luke Masha, MD
- Recruiting
Centra Care Heart Center
Saint Cloud, Minnesota, 56303
Nathan Warnert
Jamie Pelzel, MD
- Recruiting
Methodist San Antonio
San Antonio, Texas, 78229
Marina Martin
Chandra Kunavarapu
- Recruiting
UCSF Medical Center
San Francisco, California, 94143
Mark Lacsamana
Shweta Motiwala, MD
- Recruiting
Sanford
Sioux Falls, South Dakota, 57105
Diana Ibarra-Garcia
Marian Petrasko, MD
- Recruiting
Stony Brook University Med Center
Stony Brook, New York, 11794
Indre Caikauskaite
Hal Skopicki, MD
- Recruiting
Baylor - Temple
Temple, Texas, 76508
Amy Watts
Jaime Hernandez, MD
Belgium2 sites
- Active, not recruiting
AZORG Aalst
Aalst, 9300
- Active, not recruiting
UZ Brussel
Brussels
About this study
Official title: A Prospective, Multi-Center, Open Label, Randomized Control Clinical Trial Evaluating the Safety and Efficacy of the Cordella™ Pulmonary Artery Sensor System in New York Heart Association (NYHA) Class II-III Heart Failure Patients
This is a prospective, multi-center, open label, randomized control clinical trial evaluating the safety and efficacy of the Cordella™ Pulmonary Artery Sensor System in NYHA Class II-III Heart Failure Patients (PROACTIVE-HF-2 Trial).
The study contains of 5 arms:
Read more
NYHA II Cohort - To demonstrate safety and efficacy of the Cordella PA Sensor System in NYHA Class II HF patients, where patients have daily access to PAP data.
- Treatment Arm (Group 1)
- Active Control Arm (Group 2)
- Crossover Arm (Group 3)
NYHA III Cohort - To demonstrate safety and efficacy of the Cordella PA Sensor System in NYHA Class III HF patients, where patients have daily access to PAP data, including a randomized sub-study to evaluate a clinician-directed patient self-management strategy.
- Being tested
- Cordella™ Pulmonary Artery Sensor System
- Keywords
- Heart Failure, Heart Disease, Cardiovascular Disease, Pulmonary Artery Pressure
- Medical subject headings
- Heart Failure, Heart Diseases, Cardiovascular Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Cordella™ Pulmonary Artery Sensor SystemDevice
The Cordella PA Sensor System (CorPASS) is intended to measure, record, and transmit pulmonary artery pressure (PAP) data from NYHA Class III heart failure patients at home to clinicians for assessment and patient-centered heart failure management, with the goal of reducing heart failure hospitalizations. The system comprises of seven subsystems that operate together to take daily Pulmonary Artery Pressure (PAP) readings at a patient's home and transmit the results to a care provider for evaluation.
Cordella Sensor Cordella Delivery System myCordella Patient Reader Reader Dock Cordella Calibration Equipment (CalEQ) myCordella Tablet Cordella Data Analysis Platform (CDAP)
| Study group | Role | What they receive |
|---|---|---|
| NYHA II Treatment Arm | Experimental | All subjects will receive the Cordella Sensor.
Clinicians will manage the subjects to target PAP per protocols specific Treatment Guidelines and according to Guideline-Directed Medical Therapy. Receives: Device: Cordella™ Pulmonary Artery Sensor System |
| NYHA II Active Control Arm | Experimental | All subjects will receive the Cordella Sensor.
Clinicians will manage subjects using the subjects daily data trends (BP, weight, HR, SpO2 symptoms) according to Guideline Directed Medical Therapy. Once the primary endpoint (24 months) is met, subjects and clinicians will be unblinded to PAP. Receives: Device: Cordella™ Pulmonary Artery Sensor System |
| NYHA II Crossover Arm | Experimental | All subjects will receive the Cordella Sensor.
At least 12 months following implant and following an adjudicated HFH, subjects in the Active Control Arm can qualify to crossover to the Crossover Arm and both patients and clinicians would then be unmasked to PAP. Clinicians will then manage the subjects to target PAP per protocols specific Treatment Guidelines and according to Guideline-Directed Medical Therapy. Receives: Device: Cordella™ Pulmonary Artery Sensor System |
| NYHA III Phase I Treatment Arm | Experimental | All subjects will receive the Cordella Sensor.
Clinicians will manage the subjects to target PAP per protocols specific Treatment Guidelines and according to Guideline-Directed Medical Therapy. Receives: Device: Cordella™ Pulmonary Artery Sensor System |
| NYHA III Phase I Active Control Arm | Experimental | All subjects will receive the Cordella Sensor.
Clinicians will manage subjects using the subjects daily data trends (BP, weight, HR, SpO2 symptoms) according to Guideline Directed Medical Therapy. Once the primary endpoint (6 months) is met, subjects and clinicians will be unblinded to PAP. Receives: Device: Cordella™ Pulmonary Artery Sensor System |
| NYHA III Clinician-Directed Patient Self-Management Arm (randomized) | Experimental | This is Phase II / Randomization #2 following implant provided patient meets eligiibity criteria.
Subjects will be instructed to take their PAP measurements daily in addition to their weight, BP, SpO2, and HR. All data, including PAP, will be visible to the patient. Subjects will manage their diuretics per protocol specific Clinician-Directed Patient Self-Management Treatment Guidelines. Clinicians will oversee the patient self-management to target PAP per protocol specific Treatment Guidelines and according to Guideline-Directed Medical Therapy. Receives: Device: Cordella™ Pulmonary Artery Sensor System |
| NYHA III Clinician Management Arm (randomized) | Experimental | This is Phase II / Randomization #2 following implant provided patient meets eligiibity criteria.
Subjects will be instructed to take their PAP measurements daily in addition to their weight, BP, SpO2, and HR. All data, including PAP, will be visible to the patient. Subjects will manage their diuretics per protocol specific Clinician-Directed Patient Self-Management Treatment Guidelines. Clinicians will manage the patients to target PAP per protocols specific to Treatment Guidelines and according to Guideline Directed Medical Therapy. Receives: Device: Cordella™ Pulmonary Artery Sensor System |
| NYHA III Clinician Management Arm (Not randomized) | Experimental | Subject will not be randomized if they do not meet eligibility criteria to potentially be randomized to Clinician-Directed Patient Self-Management.
Subjects will be instructed to take their PAP measurements daily in addition to their weight, BP, SpO2, and HR. All data, including PAP, will be visible to the patient. Subjects will manage their diuretics per protocol specific Clinician-Directed Patient Self-Management Treatment Guidelines. Clinicians will manage the patients to target PAP per protocols specific to Treatment Guidelines and according to Guideline Directed Medical Therapy. Receives: Device: Cordella™ Pulmonary Artery Sensor System |
What is being measured
The primary outcome is the main question the study is designed to answer.
Efficacy- NYHA II Cohort - A composite of first HF event or death from Cardiovascular Death up to 24 months.
A composite endpoint of first HF event or death from CVD up to 24 months.
Measured: 24 months
Efficacy- NYHA III Cohort (Phase I) - a composite of HF events or death from cardiovascular disease at 6 months
A composite of HF events or death from cardiovascular disease at 6 months
Measured: 12 months
Safety- Randomized Arm- Freedom from device/system related complication
Freedom from device/system related complication at 24 months
Measured: 24 months
Safety- Randomized Arm-Freedom from pressure sensor failure
Freedom from pressure sensor failure at 24 months
Measured: 24 months
Safety- Single Arm-Freedom from device/system related complication
Freedom from device/system related complication at 12 months
Measured: 12 months
Safety- Single Arm- Freedom from pressure sensor failure
Freedom from pressure sensor failure at 12 months
Measured: 12 months
Efficacy- NYHA III Cohort (Phase II) - A test of non-inferiority at 12 months of the percentage of patients at or below trend seated mPAP of 25 mmHg in (i) Clinician-Directed Patient Self-Management vs. (ii) Clinician Management Arm
A test of non-inferiority at 12 months of the percentage of patients at or below trend seated mPAP of 25 mmHg in (i) Clinician-Directed Patient Self-Management vs. (ii) Clinician Management Arm
Measured: 12 months
Secondary outcomes (28)
Efficacy - NYHA II Cohort & NYHA III Cohort - HF Hospitalizations
-Incidence of HFH at 12, 18, and 24 months
Measured: 12 months, 18 months and 24 months
Efficacy - NYHA II Cohort & NYHA III Cohort- HF Hospitalizations
-Number of HFH at 12- and 24-months post-implant compared to the number of HFH in the 12 and 24 months prior to implant
Measured: 12 months and 24 months
Efficacy - NYHA II Cohort & NYHA III Cohort - HF Hospitalizations
Combined outcome of :
- First and recurrent HF Hospitalizations
- Urgent HF Visits
- all-cause mortality
Measured: 12 month
Efficacy - NYHA II Cohort & NYHA III Cohort - HF Hospitalizations
Length of stay
Measured: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - All-cause mortality
All-cause mortality
Measured: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Death from cardiovascular disease
Death from cardiovascular disease
Measured: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Urgent HF visits
Urgent HF visits
Measured: Duration of study (to 5 years)
Efficacy - NYHA II Cohort - Incidence of HF hospitalizations or all-cause mortality
Incidence of HF hospitalizations or all-cause mortality
Measured: 12 months
Efficacy - NYHA III Cohort - Composite of first HF event (HF hospitalization or urgent HF visit or death from cardiovascular disease (CVD)
Composite of first HF event (HF hospitalization or urgent HF visit or
Measured: Up to 24 months
Eff-NYHA II Cohort & NYHA III Cohort -time to death, # HFH or urgent HF visits, time to first HFH or urgent HF visit, diff >/= 15 KCCQ BSL to 24 mos,diff >/= 10 in KCCQ BSL to 24 mos, diff >/= 5 in KCCQ BSL to 24 mos, diff >/= 30m in 6 MWT BSL to 24 mos
-time to death, # HFH or urgent HF visits, time to first HFH or urgent HF visit, diff >/= 15 KCCQ BSL to 24 mos,diff >/= 10 in KCCQ BSL to 24 mos, diff >/= 5 in KCCQ BSL to 24 mos, diff >/= 30m in 6 MWT BSL to 24 mos
Measured: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Various measurements via ECHO and evaluated by ECHO core lab at Baseline, 12, 24, 36, 48 and 60 months.
Various measurements via ECHO and evaluated by ECHO core lab at Baseline, 12, 24, 36, 48 and 60 months.
Measured: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Heart failure related medication changes
Heart failure related medication changes
Measured: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Change in PAP from baseline
Change in PAP from baseline
Measured: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Change in PAP from baseline as measured by echocardiogram (ECHO) and evaluated by anECHO core lab at 12, 24, 36, 48, and 60 months
Change in PAP from baseline as measured by echocardiogram (ECHO) and evaluated by an ECHO core lab at 12, 24, 36, 48, and 60 months
Measured: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Patient Outcome Measures as measured by KCCQ, Brief Illness Perception Questionnaire, andEuroQol-5 Dimensions-5 Level (EQ-5D-5L)
Patient Outcome Measures as measured by KCCQ, Brief Illness Perception Questionnaire, and EuroQol-5 Dimensions-5 Level (EQ-5D-5L)
Measured: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Functional status improvement as measured by NYHA classification and 6MWT
Functional status improvement as measured by NYHA classification and 6MWT
Measured: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - HFH stratified by ejection fraction (HFrEF, HFmrEF, HFpEF, and HF recovered EF) and baselineenrollment ECHO estimated systolic PAP
HFH stratified by ejection fraction (HFrEF,
Measured: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Mortality by baseline EF (HFrEF, HFmrEF, HFpEF, HF recovered EF), and baseline enrollmentECHO estimated systolic PAP
Mortality by baseline EF (HFrEF, HFmrEF,
Measured: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Days alive outside hospital (DAOH)
Days alive outside hospital (DAOH)
Measured: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Health Economic Analysis
Health Economic Analysis
Measured: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Adherence to regular PAP and vital sign measurements including a sub-analysis on subjectswho move to another area of the country
Adherence to regular PAP and vital sign measurements including a sub-analysis on subjects who move to another area of the country
Measured: Duration of study (to 5 years)
Safety - NYHA II Cohort - Freedom from device/system related complications at 12 months
Freedom from device/system related complications at 12 months
Measured: Duration of study (to 5 years)
Safety - NYHA III Cohort - Freedom from pressure sensor failure at 12 months
Freedom from pressure sensor failure at 12 months
Measured: Duration of study (to 5 years)
Safety - NYHA II Cohort & NYHA III Cohort - Pressure sensor failure rate throughout the study
Pressure sensor failure rate throughout the study
Measured: Duration of study (to 5 years)
Safety - NYHA II Cohort & NYHA III Cohort - Frequency of serious adverse events throughout the study
Frequency of serious adverse events throughout the study
Measured: Duration of study (to 5 years)
Safety - NYHA II Cohort & NYHA III Cohort - Frequency of implant procedure and procedure related adverse events and serious adverse events
Frequency of implant procedure and procedure related adverse events and serious adverse events
Measured: Duration of study (to 5 years)
Safety - NYHA III Cohort - Freedom from device/system related complications at 24 months
Freedom from device/system related complications at 24 months
Measured: Duration of study (to 5 years)
Safety - NYHA III Cohort - Freedom from pressure sensor failure at 24 months
Freedom from pressure sensor failure at 24 months
Measured: Duration of study (to 5 years)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Jul 2023
- Study start29 Nov 2023
- Primary completionSep 2028 (estimated)
- Study completionSep 2033 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Heart Failure NYHA Class IIStudies 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
- Diagnosis
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 1,750 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Endotronix, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Edward Karst, Study director, Edwards Lifesciences IHFM
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05934487
- Sponsor's protocol ID
- ETX-HFS-PA-04
- Status last verified
- Jun 2026
- First submitted
- 26 Jun 2023
- Last updated
- 29 Jun 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 29 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective, Multi-Center, Open Label, Randomized Control Clinical Trial Evaluating the Safety and Efficacy of the Cordella™ Pulmonary Artery Sensor System in New York Heart Association (NYHA) Class II-III Heart Failure Patients
- ClinicalTrials.gov ID
- NCT05934487
- Acronym / sponsor ID
- ETX-HFS-PA-04
- Keywords
- Heart Failure, Heart Disease, Cardiovascular Disease, Pulmonary Artery Pressure
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 1,750 participants (estimated)
- Lead sponsor
- Endotronix, Inc.Industry (pharma, biotech, devices)
- Study start
- 29 Nov 2023 (actual)
- Primary completion
- Sep 2028 (estimated)
- Study completion
- Sep 2033 (estimated)
- First posted
- 7 Jul 2023 (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.
This is a prospective, multi-center, open label, randomized control clinical trial evaluating the safety and efficacy of the Cordella™ Pulmonary Artery Sensor System in NYHA Class II-III Heart Failure Patients (PROACTIVE-HF-2 Trial).
The study contains of 5 arms:
NYHA II Cohort - To demonstrate safety and efficacy of the Cordella PA Sensor System in NYHA Class II HF patients, where patients have daily access to PAP data.
- Treatment Arm (Group 1)
- Active Control Arm (Group 2)
- Crossover Arm (Group 3)
NYHA III Cohort - To demonstrate safety and efficacy of the Cordella PA Sensor System in NYHA Class III HF patients, where patients have daily access to PAP data, including a randomized sub-study to evaluate a clinician-directed patient self-management strategy.
Study design
- Primary purpose
- Diagnosis
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 8
| Arm | Type | Receives |
|---|---|---|
| NYHA II Treatment Arm | Experimental | Device: Cordella™ Pulmonary Artery Sensor SystemAll subjects will receive the Cordella Sensor. Clinicians will manage the subjects to target PAP per protocols specific Treatment Guidelines and according to Guideline-Directed Medical Therapy. |
| NYHA II Active Control Arm | Experimental | Device: Cordella™ Pulmonary Artery Sensor SystemAll subjects will receive the Cordella Sensor. Clinicians will manage subjects using the subjects daily data trends (BP, weight, HR, SpO2 symptoms) according to Guideline Directed Medical Therapy. Once the primary endpoint (24 months) is met, subjects and clinicians will be unblinded to PAP. |
| NYHA II Crossover Arm | Experimental | Device: Cordella™ Pulmonary Artery Sensor SystemAll subjects will receive the Cordella Sensor. At least 12 months following implant and following an adjudicated HFH, subjects in the Active Control Arm can qualify to crossover to the Crossover Arm and both patients and clinicians would then be unmasked to PAP. Clinicians will then manage the subjects to target PAP per protocols specific Treatment Guidelines and according to Guideline-Directed Medical Therapy. |
| NYHA III Phase I Treatment Arm | Experimental | Device: Cordella™ Pulmonary Artery Sensor SystemAll subjects will receive the Cordella Sensor. Clinicians will manage the subjects to target PAP per protocols specific Treatment Guidelines and according to Guideline-Directed Medical Therapy. |
| NYHA III Phase I Active Control Arm | Experimental | Device: Cordella™ Pulmonary Artery Sensor SystemAll subjects will receive the Cordella Sensor. Clinicians will manage subjects using the subjects daily data trends (BP, weight, HR, SpO2 symptoms) according to Guideline Directed Medical Therapy. Once the primary endpoint (6 months) is met, subjects and clinicians will be unblinded to PAP. |
| NYHA III Clinician-Directed Patient Self-Management Arm (randomized) | Experimental | Device: Cordella™ Pulmonary Artery Sensor SystemThis is Phase II / Randomization #2 following implant provided patient meets eligiibity criteria. Subjects will be instructed to take their PAP measurements daily in addition to their weight, BP, SpO2, and HR. All data, including PAP, will be visible to the patient. Subjects will manage their diuretics per protocol specific Clinician-Directed Patient Self-Management Treatment Guidelines. Clinicians will oversee the patient self-management to target PAP per protocol specific Treatment Guidelines and according to Guideline-Directed Medical Therapy. |
| NYHA III Clinician Management Arm (randomized) | Experimental | Device: Cordella™ Pulmonary Artery Sensor SystemThis is Phase II / Randomization #2 following implant provided patient meets eligiibity criteria. Subjects will be instructed to take their PAP measurements daily in addition to their weight, BP, SpO2, and HR. All data, including PAP, will be visible to the patient. Subjects will manage their diuretics per protocol specific Clinician-Directed Patient Self-Management Treatment Guidelines. Clinicians will manage the patients to target PAP per protocols specific to Treatment Guidelines and according to Guideline Directed Medical Therapy. |
| NYHA III Clinician Management Arm (Not randomized) | Experimental | Device: Cordella™ Pulmonary Artery Sensor SystemSubject will not be randomized if they do not meet eligibility criteria to potentially be randomized to Clinician-Directed Patient Self-Management. Subjects will be instructed to take their PAP measurements daily in addition to their weight, BP, SpO2, and HR. All data, including PAP, will be visible to the patient. Subjects will manage their diuretics per protocol specific Clinician-Directed Patient Self-Management Treatment Guidelines. Clinicians will manage the patients to target PAP per protocols specific to Treatment Guidelines and according to Guideline Directed Medical Therapy. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (0 listed)
Key exclusion criteria (20 listed)
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 |
|---|---|---|
| Cordella™ Pulmonary Artery Sensor SystemThe Cordella PA Sensor System (CorPASS) is intended to measure, record, and transmit pulmonary artery pressure (PAP) data from NYHA Class III heart failure patients at home to clinicians for assessment and patient-centered heart failure management, with the goal of reducing heart failure hospitalizations. The system comprises of seven subsystems that operate together to take daily Pulmonary Artery Pressure (PAP) readings at a patient's home and transmit the results to a care provider for evaluation. Cordella Sensor Cordella Delivery System myCordella Patient Reader Reader Dock Cordella Calibration Equipment (CalEQ) myCordella Tablet Cordella Data Analysis Platform (CDAP) | Device | NYHA II Active Control Arm, NYHA II Crossover Arm, NYHA II Treatment Arm, NYHA III Clinician Management Arm (Not randomized), NYHA III Clinician Management Arm (randomized), NYHA III Clinician-Directed Patient Self-Management Arm (randomized), NYHA III Phase I Active Control Arm, NYHA III Phase I Treatment Arm |
Primary outcome
Efficacy- NYHA II Cohort - A composite of first HF event or death from Cardiovascular Death up to 24 months.
Time frame: 24 months
A composite endpoint of first HF event or death from CVD up to 24 months.
Efficacy- NYHA III Cohort (Phase I) - a composite of HF events or death from cardiovascular disease at 6 months
Time frame: 12 months
A composite of HF events or death from cardiovascular disease at 6 months
Safety- Randomized Arm- Freedom from device/system related complication
Time frame: 24 months
Freedom from device/system related complication at 24 months
Safety- Randomized Arm-Freedom from pressure sensor failure
Time frame: 24 months
Freedom from pressure sensor failure at 24 months
Safety- Single Arm-Freedom from device/system related complication
Time frame: 12 months
Freedom from device/system related complication at 12 months
Safety- Single Arm- Freedom from pressure sensor failure
Time frame: 12 months
Freedom from pressure sensor failure at 12 months
Efficacy- NYHA III Cohort (Phase II) - A test of non-inferiority at 12 months of the percentage of patients at or below trend seated mPAP of 25 mmHg in (i) Clinician-Directed Patient Self-Management vs. (ii) Clinician Management Arm
Time frame: 12 months
A test of non-inferiority at 12 months of the percentage of patients at or below trend seated mPAP of 25 mmHg in (i) Clinician-Directed Patient Self-Management vs. (ii) Clinician Management Arm
28 secondary outcomes
Efficacy - NYHA II Cohort & NYHA III Cohort - HF Hospitalizations
Time frame: 12 months, 18 months and 24 months
Efficacy - NYHA II Cohort & NYHA III Cohort- HF Hospitalizations
Time frame: 12 months and 24 months
Efficacy - NYHA II Cohort & NYHA III Cohort - HF Hospitalizations
Time frame: 12 month
Efficacy - NYHA II Cohort & NYHA III Cohort - HF Hospitalizations
Time frame: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - All-cause mortality
Time frame: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Death from cardiovascular disease
Time frame: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Urgent HF visits
Time frame: Duration of study (to 5 years)
Efficacy - NYHA II Cohort - Incidence of HF hospitalizations or all-cause mortality
Time frame: 12 months
Efficacy - NYHA III Cohort - Composite of first HF event (HF hospitalization or urgent HF visit or death from cardiovascular disease (CVD)
Time frame: Up to 24 months
Eff-NYHA II Cohort & NYHA III Cohort -time to death, # HFH or urgent HF visits, time to first HFH or urgent HF visit, diff >/= 15 KCCQ BSL to 24 mos,diff >/= 10 in KCCQ BSL to 24 mos, diff >/= 5 in KCCQ BSL to 24 mos, diff >/= 30m in 6 MWT BSL to 24 mos
Time frame: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Various measurements via ECHO and evaluated by ECHO core lab at Baseline, 12, 24, 36, 48 and 60 months.
Time frame: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Heart failure related medication changes
Time frame: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Change in PAP from baseline
Time frame: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Change in PAP from baseline as measured by echocardiogram (ECHO) and evaluated by anECHO core lab at 12, 24, 36, 48, and 60 months
Time frame: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Patient Outcome Measures as measured by KCCQ, Brief Illness Perception Questionnaire, andEuroQol-5 Dimensions-5 Level (EQ-5D-5L)
Time frame: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Functional status improvement as measured by NYHA classification and 6MWT
Time frame: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - HFH stratified by ejection fraction (HFrEF, HFmrEF, HFpEF, and HF recovered EF) and baselineenrollment ECHO estimated systolic PAP
Time frame: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Mortality by baseline EF (HFrEF, HFmrEF, HFpEF, HF recovered EF), and baseline enrollmentECHO estimated systolic PAP
Time frame: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Days alive outside hospital (DAOH)
Time frame: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Health Economic Analysis
Time frame: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Adherence to regular PAP and vital sign measurements including a sub-analysis on subjectswho move to another area of the country
Time frame: Duration of study (to 5 years)
Safety - NYHA II Cohort - Freedom from device/system related complications at 12 months
Time frame: Duration of study (to 5 years)
Safety - NYHA III Cohort - Freedom from pressure sensor failure at 12 months
Time frame: Duration of study (to 5 years)
Safety - NYHA II Cohort & NYHA III Cohort - Pressure sensor failure rate throughout the study
Time frame: Duration of study (to 5 years)
Safety - NYHA II Cohort & NYHA III Cohort - Frequency of serious adverse events throughout the study
Time frame: Duration of study (to 5 years)
Safety - NYHA II Cohort & NYHA III Cohort - Frequency of implant procedure and procedure related adverse events and serious adverse events
Time frame: Duration of study (to 5 years)
Safety - NYHA III Cohort - Freedom from device/system related complications at 24 months
Time frame: Duration of study (to 5 years)
Safety - NYHA III Cohort - Freedom from pressure sensor failure at 24 months
Time frame: Duration of study (to 5 years)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Jun 2026.
- 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.
Edward Karst study director
Edwards Lifesciences IHFM
48 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Cordella™ Pulmonary Artery Sensor System in people with Heart Failure NYHA Class II and Heart Failure NYHA Class III, run by Endotronix, Inc. at 48 sites in 3 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 0 inclusion and 20 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: looking for participants now, as of the sponsor's last update on 29 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 48 sites in United States, Belgium, Ireland. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Sarah Walton ((630) 473-3200, sarah_walton@edwards.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Efficacy- NYHA II Cohort - A composite of first HF event or death from Cardiovascular Death up to 24 months. (time frame: 24 months). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 29 Jun 2026.