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Device
LINQ Sensor Algorithm for Heart Failure (ALLEVIATE-HF Trial)
N/A
Recruiting
Led By Javed Butler, MD
Research Sponsored by Medtronic Cardiac Rhythm and Heart Failure
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Patient has documented recent history of symptomatic heart failure, defined as meeting any one of the following three criteria: 1. Hospital admission with primary diagnosis of HF within the last 12 months, OR 2. Intravenous HF therapy (e.g. IV diuretics/vasodilators) or ultrafiltration within the last 6 months, OR 3. Patient had the following BNP/NT-proBNP within the last 3 months: If LVEF ≥ 50%, then BNP> 150 pg/ml or NT-proBNP > 450 pg/ml OR If LVEF is <50%, then BNP> 300 pg/ml or NT-proBNP > 900 pg/ml
Patient has NYHA Class II or III heart failure per most recent assessment, irrespective of left ventricular ejection fraction (LVEF)
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 3 years
Awards & highlights
ALLEVIATE-HF Trial Summary
This trial is testing a new way to manage heart failure that uses an algorithm to guide patient care. The goal is to show that this is safe and effective.
Who is the study for?
This trial is for adults over 18 with NYHA Class II or III heart failure who have had recent symptoms or treatments for heart failure. They must expect to live at least another year, be able to follow the study protocol, and not be part of another interventional study. People with severe kidney issues, low blood pressure, certain heart conditions, active cancer treatment, or those on mechanical circulatory support cannot join.Check my eligibility
What is being tested?
The ALLEVIATE-HF study tests a new patient management approach using an algorithm from LINQ sensors to guide care in heart failure patients. It also assesses the safety of Reveal LINQ™ monitors and procedures. Participants are randomly assigned to either receive this new intervention or continue with standard care.See study design
What are the potential side effects?
Potential side effects may include discomfort or complications from device insertion like infection or bleeding; however specific side effects related to the investigational RAMware download are not detailed.
ALLEVIATE-HF Trial Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I have had heart failure symptoms or treatment recently.
Select...
I have moderate heart failure according to my latest check-up.
Select...
I am 18 years old or older.
ALLEVIATE-HF Trial Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ up to 3 years
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 3 years
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Efficacy of patient management pathway - Hierarchical composite of Cardiovascular death, HF events, change in Kansas City Cardiomyopathy Questionnaire and change in six-minute walk test distance
Safety of patient management pathway - Proportion of medication interventions with associated medication intervention related serious adverse events
Secondary outcome measures
Efficacy of patient management pathway - Hierarchical composite of Cardiovascular death, HF events, change in Kansas City Cardiomyopathy Questionnaire, change in six-minute walk test distance, and change in device-measured activity and night heart rate
Safety of Reveal LINQ™ system and procedure - Percentage of subjects experiencing system or procedure related serious adverse events
ALLEVIATE-HF Trial Design
2Treatment groups
Experimental Treatment
Placebo Group
Group I: Intervention ArmExperimental Treatment2 Interventions
Subjects will receive a Reveal LINQ™ Insertable Cardiac Monitor with an investigational ALLEVIATE-HF RAMware download, and will be managed using an integrated device diagnostic-based risk stratification algorithm combined with a clinical medication plan.
Group II: Observation ArmPlacebo Group1 Intervention
Subjects will receive a Reveal LINQ™ Insertable Cardiac Monitor with an investigational ALLEVIATE-HF RAMware download, and will be managed per standard of care for heart failure management without visibility to the heart failure sensor data. Subjects will transition to the intervention arm after 13 months.
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Who is running the clinical trial?
Medtronic Cardiac Rhythm and Heart FailureLead Sponsor
198 Previous Clinical Trials
128,030 Total Patients Enrolled
78 Trials studying Heart Failure
64,933 Patients Enrolled for Heart Failure
Javed Butler, MDPrincipal InvestigatorBaylor Scott and White Health
5 Previous Clinical Trials
4,037,957 Total Patients Enrolled
3 Trials studying Heart Failure
128,696 Patients Enrolled for Heart Failure
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I am on long-term IV medication to strengthen my heart.I have had a heart transplant or am on the waiting list for one.I have had heart failure symptoms or treatment recently.I am currently receiving chemotherapy or radiation for my cancer.I am not pregnant or breastfeeding, and I have a negative pregnancy test.My liver is not functioning properly, with high enzyme or bilirubin levels.You weigh more than 500 pounds.I cannot tolerate a short-term increase in my water pill dosage.My kidney function is severely impaired.I have a heart condition like thickened heart muscle, stiff heart lining, or amyloid buildup.You are currently using a mechanical device to help your heart pump blood.I had a heart attack or heart surgery in the last 3 months.I am on long-term kidney dialysis.Your blood pressure is lower than 90 mmHg when you join the study.I have moderate heart failure according to my latest check-up.I am 18 years old or older.I have a severe narrowing of my heart valves.I have high blood pressure in the lungs not caused by heart disease.I have a complex heart condition that I was born with.Your blood albumin level is below 3 grams per deciliter.
Research Study Groups:
This trial has the following groups:- Group 1: Observation Arm
- Group 2: Intervention Arm
Awards:
This trial has 0 awards, including:Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
How many Canadian sites are administering this trial?
"This trial is presently taking place in 50 different sites located throughout the United States, such as Tupelo, Seattle and Albuquerque. To facilitate ease-of-access for participants it is recommended that they select a location nearest to them when enrolling."
Answered by AI
Is the recruitment process for this research project still ongoing?
"Evidenced by its listing on clinicaltrials.gov, this medical research initiative is actively seeking participants with the first posting having been made on September 3rd 2020 and a subsequent update taking place November 18th 2022."
Answered by AI
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