Early Feasibility Study Demonstrates Successful Use of Abiomed’s preCARDIA Technology
Abiomed (NASDAQ: ABMD) announced successful results from the first-in-human early feasibility study of the preCARDIA system, aimed at treating acutely decompensated heart failure (ADHF). This multicenter study with 30 patients reported 100% freedom from major adverse events and significant reductions in right atrial and pulmonary capillary wedge pressures (34% and 27%, respectively). Urine output increased by 130%, indicating potential therapeutic benefits for approximately 300,000 patients annually who do not respond to diuretics. Further FDA authorization allows for expanding the study by 30 patients.
- 100% freedom from device- or procedure-related major adverse events (30/30 patients)
- 97% successful placement, activation, and removal of preCARDIA (29/30 patients)
- 34% decrease in right atrial pressure (p<0.001)
- 27% decrease in pulmonary capillary wedge pressure (p<0.001)
- 130% increase in urine output from pretreatment values (p<0.01)
- 156% increase in net fluid output from pretreatment values (p<0.01)
- FDA authorized expansion of the study to include an additional 30 patients
- None.
The preCARDIA system is placed in the heart to intermittently occlude the superior vena cava. (Graphic: Business Wire)
Despite available pharmaceutical treatments, heart failure is the leading cause of hospitalization in patients older than 65 years of age. Diuretics may help to improve heart failure symptoms and heart function by reducing fluid overload. However, diuretics take time to work and may be ineffective in patients with chronic heart failure. preCARDIA is designed to reduce filling pressure as blood enters the heart and lungs, which may enable the heart and kidneys to work more effectively, potentially providing therapy for patients non-responsive to diuretics, estimated to be approximately 300,000 of the one million
The multicenter, prospective, single-arm VENUS-HF Early Feasibility Study examined 30 patients with ADHF who were assigned preCARDIA therapy for 12 or 24 hours. The primary endpoint was a composite of major adverse events through 30 days. The study found:
-
Freedom from device- or procedure-related major adverse events in
100% of patients (n=30/30) -
Successful placement, activation and removal of preCARDIA in
97% of patients (n=29/30) -
Right atrial pressure decreased
34% from baseline (p<0.001) -
Pulmonary capillary wedge pressure decreased
27% from baseline (p<0.001) -
Urine output increased by
130% from pretreatment values (p<0.01) -
Net fluid output increased by
156% from pretreatment values (p<0.01)
“The study met the safety and feasibility endpoints and suggests for the first time that with the preCARDIA system it is possible to rapidly reduce cardiac filling pressures and augment urine output by intermittently occluding the superior vena cava in patients with ADHF,” said
The results support additional study of preCARDIA. In November, the
preCARDIA is an investigational device, limited by federal law to investigational use only.
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