Status:

RECRUITING

CCM and Implementation of Guideline-Directed Medical Therapy in Patients With Heart Failure (Fix-GDMT-HF)

Lead Sponsor:

Impulse Dynamics

Conditions:

Heart Failure

Eligibility:

All Genders

18+ years

Brief Summary

The primary objective of this study is to evaluate the impact of Cardiac Contractility Modulation (CCM) therapy on the initiation and up-titration of Guideline-Directed Medical Therapy (GDMT) in patie...

Detailed Description

Design Prospective, non-randomized, comparison analysis of medication use and dosing at pre/post CCM therapy. The Fix-GDMT-HF study aims to enroll up to 200 subjects (100 in Investigational Arm and up...

Eligibility Criteria

Inclusion

  • Adults (≥18 years) diagnosed with symptomatic heart failure
  • Patients with Heart failure with reduced Ejection Fraction (HFrEF) where the Ejection Fraction (EF) is ≤40%
  • \- Historical LVEF assessed up to 6 months prior to consent by any modality can be used if available
  • Patients can have an active concomitant CRT device already - implanted provided the following criteria:
  • CRT device has been implanted \>1 year
  • Patients are functional class NYHA III-IV

Exclusion

  • Patients that are unlikely to adhere to medical therapy for reasons other than intolerance or contraindications.
  • Patients with a QMS score \>5
  • eGFR \<15
  • Patients with a concomitant CRT device that has already been implanted and deemed to be a responder
  • Patients with class I indication for a concomitant CRT device
  • Patients with significant comorbidities or conditions that may interfere with the study assessments
  • Patients with contraindications to CCM therapy or unable to undergo implantation
  • Severe stenotic valve disease

Key Trial Info

Start Date :

February 1 2025

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

December 1 2027

Estimated Enrollment :

200 Patients enrolled

Trial Details

Trial ID

NCT06580392

Start Date

February 1 2025

End Date

December 1 2027

Last Update

July 11 2025

Active Locations (2)

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Page 1 of 1 (2 locations)

1

Gemelli University Hospital

Rome, Italy, Italy

2

AO dei Colli - O.Monaldi

Napoli, Italy

CCM and Implementation of Guideline-Directed Medical Therapy in Patients With Heart Failure (Fix-GDMT-HF) | DecenTrialz