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Heart FailureNECTAR-HFNCT01385176

Neural Cardiac Therapy for Heart Failure Study (NECTAR-HF)

A study testing Implant of investigational device system, Titration during the randomization phase and Titration after the randomization phase in people with Heart Failure and Congestive Heart Failure, run by Boston Scientific Corporation at 21 sites in 8 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The NECTAR-HF feasibility trial is designed to evaluate the application of right vagal nerve stimulation in heart failure patients with a New York Heart Association Class III, an ejection fraction equal to or less than 35 %, and a narrow QRS duration equal to or less than 130 ms. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Heart Failure, Congestive Heart Failure
What is being tested?
Implant of investigational device system, Titration during the randomization phase and Titration after the randomization phase
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
118 participants
Where
21 sitesin 8 countries
Study dates
21 Sep 2011to 30 Jun 2027
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age 18 or above, and of legal age to give informed consent specific to national laws
  • Willing and capable of providing informed consent
  • Capable of participating in all testing associated with this clinical investigation
  • Stable symptomatic heart failure NYHA class II-III
  • Left ventricular (LV) ejection fraction equal or smaller than 35 %
  • Left ventricular end diastolic diameter (LVEDD) of 5.5 cm or greater
  • Prescribed to optimal pharmacologic therapy

Who cannot join

  • QRS larger than 130 ms
  • Patients who have been hospitalized for heart failure and who required the use of HF IV therapy within 30 days before enrollment
  • Patients unable to tolerate anesthesia required for implant
  • Patients with unstable angina, myocardial infarction, PTCA, coronary artery bypass graft, cerebral vascular accident, or transient ischemic attack within previous 90 days before enrollment
  • Patients whose primary cause of heart failure is mitral or aortic valve disease, with a severe classification
  • Patients with persistent or permanent atrial fibrillation within 90 days prior to enrollment
Show all 31Show fewer
  • Pacemaker indicated patients
  • Patients whose heart failure is due to congenital heart disease
  • Patients who have started treatment for sleep apnea or sleep disordered breathing with therapies to maintain airway patency (e.g., CPAP, Bi-PAP,APAP) with or without oxygen supplementation within the previous 6 months prior to enrollment
  • Patients with hypertrophic obstructive cardiomyopathy or infiltrative cardiomyopathy (e.g. amyloidosis, sarcoidosis)
  • Patients with documented chronic obstructive lung disease
  • Patients on or indicated for renal dialysis
  • Type 1 diabetic patients
  • Type 2 diabetic patients that have been treated with insulin for more than 5 years prior to enrollment
  • Patients with a life expectancy of less than 12 months per physician judgment
  • Patients involved in any concurrent clinical investigation
  • Women of childbearing potential who are or might be pregnant at the time of the study or breastfeeding
  • Patients with a prior cardiac transplant or expecting a heart transplant operation within the next 12 months
  • Patients with a prior vagotomy
  • Patients with prior or existing vagal nerve stimulation treatment
  • Patients implanted with any active implantable medical device other than a left sided single or dual chamber implantable cardioverter defibrillator (ICD) with bipolar sensing, or a left sided CRT device with each sensing channel programmed to either bipolar sensing or no sensing. All CRT patients must have had CRT for at least 1 year prior to enrollment. The total number of CRT patients will not exceed 30
  • Patients with locally implanted semi-/permanent devices such as vascular catheters, etc. that would interfere with the NECTAR-HF study system
  • Patients with previously implanted devices on the right side that became infected before removal
  • Patients with previous neck surgery and resultant scar formation that interferes with the ability to implant the study system on the right side of the neck (Thyroid/parathyroid, carotid artery etc)
  • Patients with known recurrent nerve paralysis
  • Patients who have undergone radiotherapy for thyroid disease/cancer
  • Patients who have existing or prior tracheotomy
  • Patients with severe vertebral cervical disease and limited mobility in the neck; includes those that frequently wear a brace
  • Patients with carotid murmur/vascular bruit/carotid artery lesion
  • Patients with known/suspected vascular malformation in carotid/vertebral circulatory bed
  • Patients who are likely to need an MRI of the neck area because of previous medical conditions

Trial locations and contacts

21 sites in 8 countries.

21 sites in 8 countries

United Kingdom5 sites
  • University Hospitals Bristol, NHS Foundation Trust

    Bristol, England, BS2 8HW

  • Liverpool Heart and Chest Hospital, NHS Foundation Trust

    Liverpool, England, L14 3PD

  • The Heart Hospital, University College London Hospitals, NHS Foundation Trust

    London, England, W1G 8PH

  • Imperial College Healthcare NHS Trust, St. Mary's Hospital

    London, England, W2 1NY

  • King's College Hospital NHS Foundation Trust

    London, SE5 9RS

Other trials in United Kingdom

Germany4 sites
  • Immanuel Klinikum Bernau Herzzentrum Brandenburg

    Bernau bei Berlin, Brandenburg, 16321

  • Universitätsmedizin Göttingen

    Göttingen, 37075

  • Universitäres Herzzentrum GmbH, Universitätsklinikum Hamburg-Eppendorf

    Hamburg, 20246

  • Universitätsklinikum Leipzig

    Leipzig, 04103

Other trials in Germany

Italy3 sites
  • Azienda Ospedaliera Niguarda Cà Granda

    Milan, 20162

  • A. O. Dei Colli - Monaldi

    Naples, 80131

  • Policlinico San Matteo

    Pavia, 27100

Other trials in Italy

Spain3 sites
  • Hospital Clinic de Barcelona

    Barcelona, 08036

  • Hospital Doce de Octubre

    Madrid, 28041

  • Clínica Universitaria de Navarra, Avenida Pio XII s/n

    Pamplona, Navarre, 31008

Other trials in Spain

France2 sites
  • CHRU de Lille - Hôpital Cardiologique

    Lille, 59037

  • Centre d'Investigation Clinique Pierre Drouin, CHU de Nancy

    Vandœuvre-lès-Nancy, Nancy, 54500

Other trials in France

Netherlands2 sites
  • Catharina Ziekenhuis Eindhoven

    Eindhoven, 5623EJ

  • UMC Utrecht

    Utrecht, 3584CX

Other trials in Netherlands

Belgium1 site
  • UCL Bruxelles

    Brussels, 1200

Other trials in Belgium

Czechia1 site
  • Nemocnice Na Homolce

    Prague, 15030

Other trials in Czechia

About this study

Official title: Neural Cardiac Therapy for Heart Failure Study

The NECTAR-HF feasibility trial is designed to evaluate the application of right vagal nerve stimulation in heart failure patients with a New York Heart Association Class III, an ejection fraction equal to or less than 35 %, and a narrow QRS duration equal to or less than 130 ms.

Read the detailed description

The objectives of this study are to assess the impact of right vagal nerve stimulation on left ventricular remodeling, functional capacity, quality of life, and other measures in heart failure patients over a 6-month period. In addition, the study will assess the safety of the NECTAR-HF study system over an 18-month period.

Being tested
Implant of investigational device system, Titration during the randomization phase, Titration after the randomization phase, Blood Draw
Keywords
Heart failure, Congestive heart failure, New York Heart Association Class II-III, Vagal therapy, Vagal nerve stimulation
Medical subject headings
Heart Failure

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Implant of investigational device systemDevice

    Vagus nerve stimulation lead was wrapped around the right cervical vagus nerve and then connected to a stimulator permanently implanted in the right pectoral region.

  • Titration during the randomization phaseProcedure or surgery

    Amplitude of the chronically delivered vagus nerve stimulation in the experimental arm was adjusted to the highest tolerable by patient value. No chronically delivered vagus nerve stimulation in the control arm during the randomization phase.

  • Titration after the randomization phaseProcedure or surgery

    Amplitude of the chronically delivered vagus nerve stimulation was adjusted to the highest tolerable by patient value in all patients in both arms of the study.

  • Blood DrawDiagnostic test

    Blood draw before implant and 6 months after implant at the end of the randomization phase.

Study groups in NCT01385176
Study groupRoleWhat they receive
TherapyExperimentalImplant of investigational device system for vagus nerve stimulation. Patients were randomized in a 2 : 1 ratio to receive therapy (VNS ON) or control (VNS OFF) for a 6-month period. The experimental arm was receiving vagus nerve stimulation during the first 6 months after implant. Titration during the randomization phase with delivery of highest tolerable by patient stimulation current. Blood Draw before implant and 6 months after implant. Titration after the randomization phase with adjustments of the chronically highest tolearble by patient current.
Receives: Device: Implant of investigational device system; Procedure: Titration during the randomization phase; Procedure: Titration after the randomization phase; Diagnostic Test: Blood Draw
ControlSham comparatorImplant of investigational device system for vagus nerve stimulation. Control group was implanted with study system like the experimental arm, but was not receiving experimental vagus nerve stimulation therapy during the first 6 months after implant. 6-month after implant a cross-over took place and the control arm also started to receive experimental vagus nerve stimulation. Blood Draw before implant and 6 months after implant. Titration after the randomization phase with adjustments of the chronically highest tolearble by patient current.
Receives: Device: Implant of investigational device system; Procedure: Titration after the randomization phase; Diagnostic Test: Blood Draw

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Left Ventricular End-systolic Dimension (LVESD)

    Change in the Left ventricular end-systolic dimension (LVESD) between Baseline and the value at the end of the randomization phase (6 months after Baseline) i.e. 6 months after vagus nerve stimulation in the THERAPY Arm. No Vagus nerve stimulation during that time window in the CONTROL Arm.

    The sign (- ) indicates a reduction in the LVESD. Minus means a reduction in LVESD.

    The change was calculated from two time points as the value at the later time point minus the value at the earlier time point (e.g., value at 6 months minus value at baseline).

    Measured: LVESD at Baseline and at 6-months post Baseline

  2. Percentage of Surviving Participants

    As pre-specified in the study protocol, the All-cause Survival endpoint combined both groups into one analysis population. Subjects contributed data according to the follow-up period during they received VNS therapy (Implant through 18 months for Therapy subjects, 6 through 18 months for Control subjects). Control patients who exited the study in the first 6 months, or who did not have a 6 month visit, were excluded.

    Measured: 18-months

Secondary outcomes (3)
  1. LVEF, Left Ventricular Ejection Fraction

    LVEF, left ventricular ejection fraction.

    Measured: LVEF at Baseline and at 6-months after Baseline

  2. Exercise Capacity, Peak VO2

    Assessment of functional capacity (e.g., peak VO2) as measures related to patient heart failure status.

    Measured: Measurements at Baseline and at 6-months after Baseline

  3. LVESV, Left Ventricular End Systolic Volume

    Measurements of LVESV, left ventricular end systolic volume at Baseline and 6 months after Baseline in the Control Arm and in the Therapy Arm

    Measured: At Baseline and at 6-months after Baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Jun 2011 (estimated)
  2. Study start21 Sep 2011
  3. Primary completionMay 2014
  4. Study completion30 Jun 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Model description
Patients were randomized in a 2:1 ratio to receive therapy (VNS ON) or control (VNS OFF) for a 6-month period. The primary endpoint was the change in LVend systolic diameter (LVESD) at 6 months for control vs. therapy, with secondary endpoints of other echocardiography measurements, exercise capacity, quality-of-life assessments, 24-h Holter, and circulating biomarkers.
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
118 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01385176
Sponsor's protocol ID
NECTAR-1109
Acronym
NECTAR-HF
Status last verified
Sep 2026
First submitted
28 Jun 2011
Last updated
25 Sep 2026
Data monitoring committee
Yes
Individual data sharing
No

Publications

  • De Ferrari GM, Tuinenburg AE, Ruble S, Brugada J, Klein H, Butter C, Wright DJ, Schubert B, Solomon S, Meyer S, Stein K, Ramuzat A, Zannad F. Rationale and study design of the NEuroCardiac TherApy foR Heart Failure Study: NECTAR-HF. Eur J Heart Fail. 2014 Jun;16(6):692-9. doi: 10.1002/ejhf.80. Epub 2014 May 20.

    PubMed 24846173
  • Zannad F, De Ferrari GM, Tuinenburg AE, Wright D, Brugada J, Butter C, Klein H, Stolen C, Meyer S, Stein KM, Ramuzat A, Schubert B, Daum D, Neuzil P, Botman C, Castel MA, D'Onofrio A, Solomon SD, Wold N, Ruble SB. Chronic vagal stimulation for the treatment of low ejection fraction heart failure: results of the NEural Cardiac TherApy foR Heart Failure (NECTAR-HF) randomized controlled trial. Eur Heart J. 2015 Feb 14;36(7):425-33. doi: 10.1093/eurheartj/ehu345. Epub 2014 Aug 31.

    PubMed 25176942
  • De Ferrari GM, Stolen C, Tuinenburg AE, Wright DJ, Brugada J, Butter C, Klein H, Neuzil P, Botman C, Castel MA, D'Onofrio A, de Borst GJ, Solomon S, Stein KM, Schubert B, Stalsberg K, Wold N, Ruble S, Zannad F. Long-term vagal stimulation for heart failure: Eighteen month results from the NEural Cardiac TherApy foR Heart Failure (NECTAR-HF) trial. Int J Cardiol. 2017 Oct 1;244:229-234. doi: 10.1016/j.ijcard.2017.06.036. Epub 2017 Jun 10.

    PubMed 28663046

Questions about this trial

What is this clinical trial studying?

A study testing Implant of investigational device system, Titration during the randomization phase and Titration after the randomization phase in people with Heart Failure and Congestive Heart Failure, run by Boston Scientific Corporation at 21 sites in 8 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 31 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 25 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 21 sites in United Kingdom, Germany, Italy, Spain, France and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 6 Jan 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Left Ventricular End-systolic Dimension (LVESD) (time frame: LVESD at Baseline and at 6-months post Baseline). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01385176, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Sep 2026.

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NECTAR-HF Clinical Trial NCT01385176 | AzTrials