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CompletedNCT01568164CONFIGURE-HFUpdated Mar 11, 2021

Safety and Efficacy Study of the BioVentrix PliCath HF System

An interventional study of PliCath HF System in Heart Failure, sponsored by BioVentrix. Completed at 19 sites in 11 countries. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2021-03-11.

Sponsored by BioVentrix · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
120
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
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Study summary

The purpose of this prospective, single-armed, multi-center clinical trial is to further establish the safety and feasibility of using the BioVentrix PliCath HF System for the treatment of left ventricular dysfunction in appropriate cohorts of humans suffering from heart failure.

Read the detailed description

Congestive heart failure is the "epidemic" of cardiovascular disease (Eugene Braunwald, NEJM 1997), yet there is no cure. The American Heart Association reports the nearly five million Americans are afflicted. Approximately 1.5 million admissions in the US are due to heart failure; it is the number one cost-item for Medicare, comprising 6% of its total expenditures.

BioVentrix has developed the PliCath heart failure system, which is used to place permanent cardiac implants into the heart for the purpose of excluding scar, reconfiguring abnormal cardiac geometry that is causing dysfunction, by excluding an abnormal portion of the ventricular wall. Conceptually, the final configuration in SVR can be achieved by placing these implants.

The procedure called PliCath Epicardial Catheter-based Ventricular Restoration System (ECVR) is designed for left ventricular volume reduction in patients with heart failure in a magnitude similar to that of the predicate surgical procedure, but much less invasively. The PliCath HF System utilizes anchors that are implanted into the scarred portion of the heart, which when deployed, exclude some of the scar similar to what is excluded by cinching the purse string suture with the patch, rendering the ventricle smaller, and is employed in a surgical setting, with and without the use of cardiopulmonary bypass.

The PliCath HF System has anchors (implants) that are deployed using fluoroscopic imaging.

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Conditions studied

  • Heart Failure

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Keywords

  • Epicardial Catheter-based Restoration
  • Surgical/Left Ventricular Reconstruction
  • Ventricular Remodeling
  • Dor
03

In context

Heart Failure

5,701 studies on the registry are indexed under Heart Failure; 1,220 are open to participants now.

This study's planned enrollment of 120 is above the median of 72 across 3,736 interventional studies indexed under Heart Failure.

Browse Heart Failure studies →

Lead sponsor

BioVentrix is the lead sponsor of 8 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age 18 - 80;
  • Left Ventricular Ejection Fraction (LVEF) >15% and ≤ 45%;
  • NYHA FC II-IV;
  • Left Ventricular End Systolic Volume (LVESVI) ≥60 cc/m² but ≤ 120 cc/ m²
  • Contiguous acontractile (akinetic and/or dyskinetic) scar located in the antero-septal, apical (may extend laterally) regions of the left ventricle as evidenced by a CMR or CT;
  • Maintained standard medical management for at least 90 days, and at stable target (or maximum tolerated) dosages;
  • Willing and competent to complete informed consent;
  • Viability of myocardium in regions remote from area of intended scar exclusion as evidenced by CMR or CT;
  • Agree to required follow-up visits

Exclusion criteria

Exclusion Criteria

  • Calcified ventricular wall in the area of intended scar exclusion as verified by echocardiography or equivalent;
  • Thrombus or intra-ventricular mass in the left atrium or ventricle as verified by echocardiography or equivalent;
  • Cardiac Resynchronization Therapy (CRT) device placement ≤ 60 days prior to enrollment;
  • Significant diastolic dysfunction, defined as a pseudo-normal Doppler filling pattern with E/A ratio > 2;
  • Thin walled, paradoxically moving septal scar that would preclude successful support of the anchor pairs as evidenced by CMR;
  • Cardiac valve disease which, in the opinion of the investigator, will require surgery;
  • Intolerance or unwillingness to take anti-coagulation medication;
  • Functioning pacemaker leads in antero-apical RV, which, in the opinion of the investigator, would interfere with anchor placement;
  • Pulmonary Arterial Pressure > 60 mm Hg via echo;
  • Myocardial Infarction within 90 days prior to enrollment;
  • Previous CVA or TIA which resulted, in the opinion of the investigator, in a significant residual neurological deficit;
  • Aorto iliac disease that would preclude fem-fem bypass.
  • Previous right neck surgery, previous pericardiotomy, previous left chest surgery;
  • Co-morbid disease process with life expectancy of less than one year;
  • Patients with lung, kidney and/or liver transplant;
  • Chronic renal failure with a serum creatinine >2 mg/dL;
  • Pregnant or planning to become pregnant during the study;
  • Enrolled in any concurrent study other than observational.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
120 participants (estimated)

Study arms

  • Experimental
    Device Treatment

    Treatment with the investigational device.

    Device: PliCath HF System

Interventions

  • DevicePliCath HF System

    This study is a multi-center, prospective, single-armed, study designed to evaluate the safety and efficacy of the BioVentrix PliCath HF System for left ventricular volume restoration in patients with ischemic cardiomyopathy.

    Also known as: Epicardial Catheter-based Ventricular Restoration, Dor, Surgical/Left Ventricular Reconstruction

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What researchers measure

Primary outcomes

  1. Primary Safety Endpoint - Overall rate of serious adverse events.

    An assessment of the overall rate of serious adverse events (SAEs) at 1 year and 2 years as adjudicated by the Data Monitoring Committee (DMC).

    Time frame: 24 Months

  2. Primary Efficacy Endpoint - Reduction in LV Volume

    An assessment of measurable decrease in LV volume by either an echo or a CMR at 6 months, 1 year and 2 years.

    Time frame: 24 Months

Secondary outcomes

  1. Secondary Safety Endpoint: Assessment of overall rate of serious adverse device effects.

    The secondary safety endpoint will be an assessment of the overall rate of serious adverse device effects (SADEs) through 2 years as adjudicated by the DMC.

    Time frame: 24 Months post operatively

  2. Secondary Efficacy Endpoint: • Change in Left Ventricular Ejection Fraction

    Change in Left Ventricular Ejection Fraction (LVEF)as measured by ECHO or MRI.

    Time frame: 24 Months

  3. Secondary Efficacy Endpoint: Hospital readmission for HF

    Hospital readmission for HF including surgical intervention such as Ventricular Assist Device, Cardiac Resynchronization Therapy, Intra-Aortic Balloon Pump, or transplant;

    Time frame: 24 Months

  4. Secondary Efficacy Endpoint: Clinical utility

    Change in NYHA Class, Change in a standardized 6-minute corridor walk test; Change in Quality of Life (QOL) by Minnesota Living with Heart Failure (MLHF) Questionnaire.

    Time frame: 24 Months

  5. Secondary Efficacy Endpoint: NT-proBNP

    Change in NT-proBNP levels

    Time frame: 24 Months

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Study locations

19 sites
  • Medical University Innsbruck
    Innsbruck, 602, Austria
  • NA Holmoce Hospital
    Prague, 1503, Czechia
  • Bordeaux University Hospital Cardiology
    Bordeaux, 33604, France
  • Hospital Pitie Sal Petirere Institute of Cardiology
    Paris, 75013, France
  • Onassis Cardiac Surgery Center
    Athens, 17674, Greece
  • Spedali Civili di Cardiochirurgia
    Brescia, 1 25123, Italy
  • IRCCS Istituto Policlinico San Donato
    Milan, 20097, Italy
  • Ospedale San Raffaele
    Milan, 20132, Italy
  • Padova University Hospital
    Padova, I-35128, Italy
  • Azienda Ospedaliera S.Camillo-Forlanini
    Rome, 87, Italy
  • Ospedale Le Molinetto
    Torino, 10126, Italy
  • Pauls Stradins Clinical University
    Riga, Latvia
  • Vilnius Hospital Santariskiu Klinikus
    Vilnius, 08661, Lithuania
  • Polish American Hospital
    Katowice, 40-534, Poland
  • Jagiellonian University
    Krakow, 31-202, Poland
  • CHVNGaia / Espinho Hospital
    Porto, 4434-502, Portugal
  • Hospital Clinic and University of Barcelona
    Barcelona, Spain
  • Kings College Hospital
    London, SE594S, United Kingdom
  • The Royal Brompton Hospital
    London, SW36NP, United Kingdom
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References and documents

Publications

  • Wechsler AS, Sadowski J, Kapelak B, Bartus K, Kalinauskas G, Rucinskas K, Samalavicius R, Annest L. Durability of epicardial ventricular restoration without ventriculotomy. Eur J Cardiothorac Surg. 2013 Sep;44(3):e189-92; discussion e192. doi: 10.1093/ejcts/ezt292. Epub 2013 Jun 5. PubMed 23739293 ↗

Related links

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 11, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01568164
Lead sponsor
BioVentrix
Collaborators
Ohio State University, CDI Centro Diagnostico Italiano, Advance Research Associates
Responsible party
Sponsor
First posted
Apr 2, 2012
Start date
Mar 2012
Primary completion
Dec 2019
Completion
Dec 2019
Last update
Mar 11, 2021

Study contacts

Lon Annest, MD
study director · Chief Medical Officer, BioVentrix

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2021. You cannot join it, but the record below documents what was studied.

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