An interventional study of Cordella™ Pulmonary Artery Sensor System in Heart Failure NYHA Class II, Heart Failure NYHA Class III and Heart Failure, sponsored by Endotronix, Inc.. Recruiting at 48 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-29.
Sponsored by Endotronix, Inc. · Not applicable, Interventional, and Diagnostic
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.
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.
5,701 studies on the registry are indexed under Heart Failure; 1,220 are open to participants now.
This study's planned enrollment of 1,750 is above the median of 72 across 3,736 interventional studies indexed under Heart Failure.
Browse Heart Failure studies →Endotronix, Inc. is the lead sponsor of 6 studies on the registry; 2 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Inclusion Criteria 1. Subject has given written informed consent 2. Male or female, at least 18 years of age 3. Diagnosis and treatment of HF (regardless of LVEF) for ≥ 3 months and NYHA Class II HF (NYHA II Cohort) or NYHA III (NYHA III Cohort) at time of Screening
4. Subjects should be receiving appropriate medical therapy for heart failure according to current AHA/ACC guidelines as standard-of-care for HF therapy in the United States, or current ESC guidelines for HF treatment in Europe for at least 30 days prior to the Screening/Enrollment visit. Stable is defined as no more than a 100% increase or 50% decrease in dose. These criteria may be waived if a subject is intolerant of ACE-I, ARB, ARNI), MRA, beta-blockers, or SGLT2i, subject is unable to afford these agents, subject has contraindications to these agents, or these agents are not indicated under the Guidelines. Such intolerance, lack of affordability, contraindications, or lack of indications must be documented.
HFpEF (EF ≥ 50%): Subject has been on stable medication maximized to the subject's tolerance of SGLT2i as determined by the study investigator for at least 30 days prior to Screening/Enrollment 5. NYHA II Cohort- HF related hospitalization within 6 months (last hospitalization should be 30 days before Screening /Enrollment) 5. NYHA III Cohort -HF related hospitalization within 12 month (last hospitalization should be 30 days before Screening/Enrollment)
6. Subjects should be on diuretic therapy (≥40 mg] furosemide or equivalent) for ≥ 1 month at time of Screening
7. Subjects who are physically able to hold the myCordella™ Patient Reader unit (approximate weight 1.3lb) against the ventral thoracic surface for up to 2 minutes per day while in a seated position, as well as dock and undock the myCordella™ Patient Reader
8. Subjects with sufficient eyesight, hearing, and mental capacity to respond to the myCordella™ Patient Reader's audio/visual cues and operate the myCordella™ Patient Reader
9. Subject has sufficient Cellular and/ or Wi- Fi Internet coverage at home
10. Subject agrees to return to the treating Investigator for all scheduled follow up visits and can return to the hospital for follow up
Exclusion Criteria:
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.
Device: Cordella™ Pulmonary Artery Sensor System
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.
Device: Cordella™ Pulmonary Artery Sensor System
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.
Device: Cordella™ Pulmonary Artery Sensor System
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.
Device: Cordella™ Pulmonary Artery Sensor System
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.
Device: Cordella™ Pulmonary Artery Sensor System
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.
Device: Cordella™ Pulmonary Artery Sensor System
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.
Device: Cordella™ Pulmonary Artery Sensor System
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.
Device: Cordella™ Pulmonary Artery Sensor System
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)
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.
Time frame: 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
Time frame: 12 months
Safety- Randomized Arm- Freedom from device/system related complication
Freedom from device/system related complication at 24 months
Time frame: 24 months
Safety- Randomized Arm-Freedom from pressure sensor failure
Freedom from pressure sensor failure at 24 months
Time frame: 24 months
Safety- Single Arm-Freedom from device/system related complication
Freedom from device/system related complication at 12 months
Time frame: 12 months
Safety- Single Arm- Freedom from pressure sensor failure
Freedom from pressure sensor failure at 12 months
Time frame: 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
Time frame: 12 months
Efficacy - NYHA II Cohort & NYHA III Cohort - HF Hospitalizations
-Incidence of HFH at 12, 18, and 24 months
Time frame: 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
Time frame: 12 months and 24 months
Efficacy - NYHA II Cohort & NYHA III Cohort - HF Hospitalizations
Combined outcome of : 1. First and recurrent HF Hospitalizations 2. Urgent HF Visits 3. all-cause mortality
Time frame: 12 month
Efficacy - NYHA II Cohort & NYHA III Cohort - HF Hospitalizations
Length of stay
Time frame: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - All-cause mortality
All-cause mortality
Time frame: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Death from cardiovascular disease
Death from cardiovascular disease
Time frame: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Urgent HF visits
Urgent HF visits
Time frame: 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
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)
Composite of first HF event (HF hospitalization or urgent HF visit or
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 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.
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
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
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
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
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)
Patient Outcome Measures as measured by KCCQ, Brief Illness Perception Questionnaire, and EuroQol-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
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
HFH stratified by ejection fraction (HFrEF,
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
Mortality by baseline EF (HFrEF, HFmrEF,
Time frame: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Days alive outside hospital (DAOH)
Days alive outside hospital (DAOH)
Time frame: Duration of study (to 5 years)
Efficacy - NYHA II Cohort & NYHA III Cohort - Health Economic Analysis
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
Adherence to regular PAP and vital sign measurements including a sub-analysis on subjects who 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
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
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
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
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
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
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
Freedom from pressure sensor failure at 24 months
Time frame: Duration of study (to 5 years)
Safety - NYHA III Cohort Phase II only: Incidence of serious adverse events at 12 months post Phase II randomization
Incidence of serious adverse events at 12 months post Phase II randomization
Time frame: 12 months
Plan to share: No
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Endotronix, Inc.