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Advanced Refractory Left Ventricular Heart FailureMOMENTUM 3 CAPNCT02892955

MOMENTUM 3 Continued Access Protocol

A study testing HeartMate 3 LVAS in people with Advanced Refractory Left Ventricular Heart Failure, run by Abbott Medical Devices at 69 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The objective of the study is to continue to evaluate safety and clinical performance of the HM3 LVAS for the treatment of advanced, refractory, left ventricular heart failure following completion of enrollment in the the MOMENTUM 3 IDE Study. Read more about this study

Who is it for?
Ages 18 to 100 years
What is being tested?
HeartMate 3 LVAS
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,685 participants
Where
69 sitesUnited States
Study dates
Aug 2016to Mar 2021
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 to 100 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject or legal representative has signed Informed Consent Form (ICF)
  • Age ≥ 18 years
  • BSA ≥ 1.2 m2
  • NYHA Class III with dyspnea upon mild physical activity or NYHA Class IV
  • LVEF ≤ 25%
  • a) Inotrope dependent OR b) CI < 2.2 L/min/m2, while not on inotropes and subjects must also meet one of the following:
Show all 9Show fewer
  • On optimal medical management (OMM), based on current heart failure practice guidelines for at least 45 out of the last 60 days and are failing to respond
  • Advanced heart failure for at least 14 days AND dependent on intra-aortic balloon pump (IABP) for at least 7 days,
  • Females of child bearing age must agree to use adequate contraception

Who cannot join

  • Etiology of HF due to or associated with uncorrected thyroid disease, obstructive cardiomyopathy, pericardial disease, amyloidosis, or restrictive cardiomyopathy
  • Technical obstacles which pose an inordinately high surgical risk, in the judgment of the investigator
  • Existence of ongoing mechanical circulatory support (MCS) other than IABP
  • Positive pregnancy test if of childbearing potential
  • Presence of mechanical aortic cardiac valve that will not be either converted to a bioprosthesis or oversewn at the time of LVAD implant
  • History of any organ transplant
Show all 26Show fewer
  • Platelet count < 100,000 x 103/L (< 100,000/ml)
  • Psychiatric disease/disorder, irreversible cognitive dysfunction or psychosocial issues that are likely to impair compliance with the study protocol and LVAS management
  • History of confirmed, untreated Abdominal Aortic Aneurysm (AAA) > 5 cm in diameter within 6 months of enrollment
  • Presence of an active, uncontrolled infection
  • Intolerance to anticoagulant or antiplatelet therapies or any other peri/post-operative therapy that the investigator will require based upon the patients' health status
  • Presence of any one of the following risk factors for indications of severe end organ dysfunction or failure:
  • An INR ≥ 2.0 not due to anticoagulation therapy
  • Total bilirubin > 43 umol/L (2.5 mg/dl), shock liver, or biopsy proven liver cirrhosis
  • History of severe chronic obstructive pulmonary disease (COPD) defined by FEV1/FVC < 0.7, and FEV1 <50% predicted
  • Fixed pulmonary hypertension with a most recent PVR ≥ 8 Wood units that is unresponsive to pharmacologic intervention
  • History of stroke within 90 days prior to enrollment, or a history of cerebrovascular disease with significant (> 80%) uncorrected carotid artery stenosis
  • Serum Creatinine ≥ 221 umol/L (2.5 mg/dl) or the need for chronic renal replacement therapy
  • Significant peripheral vascular disease (PVD) accompanied by rest pain or extremity ulceration
  • Patient has moderate to severe aortic insufficiency without plans for correction during pump implant
  • Pre albumin < 150 mg/L (15mg/dL) or Albumin < 30g/L (3 g/dL) (if only one available); pre albumin < 150 mg/L (15mg/dL) and Albumin < 30g/L (3 g/dL) (if both available)
  • Planned Bi-VAD support prior to enrollment
  • Patient has known hypo or hyper coagulable states such as disseminated intravascular coagulation and heparin induced thrombocytopenia
  • Participation in any other clinical investigation that is likely to confound study results or affect the study
  • Any condition other than HF that could limit survival to less than 24 months
  • Patients actively listed for heart transplant (this exclusion applies only after commercial approval of the HM3 for short-term use)

Trial locations and contacts

69 sites in 1 country.

69 sites in 1 country

United States69 sites
  • University of Michigan

    Ann Arbor, Michigan, 48109

  • Piedmont Heart Institute

    Atlanta, Georgia, 30309

  • Emory University Hospital

    Atlanta, Georgia, 30322

  • University of Colorado Hospital

    Aurora, Colorado, 80045

  • Johns Hopkins Unversity Hospital

    Baltimore, Maryland, 21287

  • Cedars Sinai Medical Center

    Beverly Hills, California, 90211

  • Massachusetts General Hospital

    Boston, Massachusetts, 02214

  • Brigham & Women's Hospital

    Boston, Massachusetts, 02215

  • University of North Carolina at Chapel Hill

    Chapel Hill, North Carolina, 27599

  • Medical University of South Carolina

    Charleston, South Carolina, 29425

  • Carolinas Medical Center

    Charlotte, North Carolina, 28206

  • University of Virginia Medical Center

    Charlottesville, Virginia, 22908

  • Northwestern Memorial Hospital

    Chicago, Illinois, 60611

  • University of Chicago Medical Center

    Chicago, Illinois, 60637

  • University Hospitals of Cleveland

    Cleveland, Ohio, 44106

  • Cleveland Clinic Foundation

    Cleveland, Ohio, 44195

  • Ohio State University Medical Center

    Columbus, Ohio, 43210

  • Baylor Research Institute

    Dallas, Texas, 75246

  • Henry Ford Hospital

    Detroit, Michigan, 48202

  • Duke University Medical Center

    Durham, North Carolina, 27710

  • Inova Fairfax Hospital

    Falls Church, Virginia, 22042

  • Shands Hospital @ University of Florida

    Gainesville, Florida, 32610

  • Spectrum Health Butterworth Hospital

    Grand Rapids, Michigan, 49503

  • Hershey

    Hershey, Pennsylvania, 17033

  • Memorial Hermann Health Systems

    Houston, Texas, 77030

  • Methodist Houston

    Houston, Texas, 77030

  • Texas Heart Institute

    Houston, Texas, 77030

  • IU Health/Methodist Hospital

    Indianapolis, Indiana, 46202

  • St. Vincent Hospital

    Indianapolis, Indiana, 46260

  • University of Iowa Hospitals and Clinics

    Iowa City, Iowa, 52242

  • University of California, San Diego

    La Jolla, California, 92037

  • University of Kentucky - Saha Cardiovascular Research Center

    Lexington, Kentucky, 40536

  • Baptist Health Medical Center - Little Rock

    Little Rock, Arkansas, 72205

  • Jewish Hospital

    Louisville, Kentucky, 40202

  • University of Wisconsin Hospitals and Clinics

    Madison, Wisconsin, 53792

  • St. Luke's Medical Center

    Milwaukee, Wisconsin, 53215

  • Abbott Northwestern Hospital

    Minneapolis, Minnesota, 55407

  • University of Minnesota Medical Center, Fairview

    Minneapolis, Minnesota, 55455

  • St. Thomas West Hospital

    Nashville, Tennessee, 37205

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37232

  • Yale New Haven Hospital

    New Haven, Connecticut, 06510

  • Ochsner Medical Center

    New Orleans, Louisiana, 70121

  • Mt. Sinai Medical Center

    New York, New York, 10029

  • Columbia University Medical Center

    New York, New York, 10032

  • Newark Beth Israel Medical Center

    Newark, New Jersey, 07112

  • Sentara Norfolk General Hospital

    Norfolk, Virginia, 23507

  • Advocate Christ Medical Center

    Oak Lawn, Illinois, 60453

  • INTEGRIS Baptist Medical Center

    Oklahoma City, Oklahoma, 73112

  • University of Nebraska Medical Center

    Omaha, Nebraska, 63198

  • Florida Hospital

    Orlando, Florida, 32804

  • Hospital of the University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

  • Thomas Jefferson University Hospital

    Philadelphia, Pennsylvania, 19107

  • Allegheny General Hospital

    Pittsburgh, Pennsylvania, 15212

  • University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania, 15323

  • Oregon Health and Science University

    Portland, Oregon, 97239

  • Bon Secours St. Mary's Hospital

    Richmond, Virginia, 23226

  • Virginia Commonwealth University

    Richmond, Virginia, 23298

  • Mayo Clinic Rochester

    Rochester, Minnesota, 55905

  • University of Rochester Medical Center

    Rochester, New York, 14642

  • Sutter Memorial Hospital

    Sacramento, California, 95816

  • University of Utah Hospital and Clinics

    Salt Lake City, Utah, 84132

  • Sharp Memorial Hospital

    San Diego, California, 92123

  • California Pacific Medical Center

    San Francisco, California, 94115

  • University of Washington Medical Center

    Seattle, Washington, 98195

  • Barnes Jewish Hospital

    St Louis, Missouri, 63110

  • Stanford University

    Stanford, California, 94305

  • Tampa General Hospital

    Tampa, Florida, 33606

  • Montefiore Medical Center

    The Bronx, New York, 10467

  • MedStar Washington Hospital Center

    Washington D.C., District of Columbia, 20010

Other trials in United States

About this study

Official title: Multi-Center Study of MagLev Technology in Patients Undergoing MCS Therapy With HeartMate 3™ Continued Access Protocol: Post-Approval Continued Follow-up

The objective of the study is to continue to evaluate safety and clinical performance of the HM3 LVAS for the treatment of advanced, refractory, left ventricular heart failure following completion of enrollment in the the MOMENTUM 3 IDE Study.

Read the detailed description

Enrollment in the CAP cohort ended shortly after approval for the long-term indication was received from the FDA in October 2018. As a condition of approval, all patients enrolled in the CAP cohort were to complete the 2-year follow-up to fulfil a post-approval study requirement.

Being tested
HeartMate 3 LVAS
Keywords
Heart Failure, LVAS, Ventricular Dysfunction, Cardiomyopathy, Heart Disease, Cardiovascular Disease, Heart-assist devices, Thoratec Corporation
Medical subject headings
Heart Failure, Ventricular Dysfunction, Cardiomyopathies, Heart Diseases, Cardiovascular Diseases

What participants receive

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

  • HeartMate 3 LVASDevice

    Implantation of HeartMate 3 LVAD to evaluate safety and clinical performance of the HM3 LVAS for the treatment of advanced, refractory, left ventricular heart failure following completion of enrollment in the MOMENTUM 3 IDE Study.

Study groups in NCT02892955
Study groupRoleWhat they receive
HeartMate 3 LVAS (HM3 LVAS)ExperimentalThe study was a single-arm, prospective, multi-center, study for continued evaluation of safety and clinical performance of the HM3 LVAS.
Receives: Device: HeartMate 3 LVAS

What is being measured

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

  1. Event-Free Survival

    Survival at 24 months free of disabling stroke (Modified Rankin Score > 3) or reoperation to replace or remove a malfunctioning device

    Measured: Subjects will be followed for 24 months or to outcome (transplant, explant, or death), whichever occurs first.

Secondary outcomes (7)
  1. Pump Replacement

    Frequency of HeartMate 3 pump replacement at 24 months.

    Measured: As they occur up to 24 months or to outcome, whichever occurs first

  2. Six Minute Walk Test (6MWT)

    Functional status as measured by the Six Minute Walk Test. The Six Minute Walk Test measures the distance a patient is able to walk during 6 minutes without running or jogging.

    Measured: Baseline, 6 months and 24 months

  3. New York Heart Association (NYHA) Classification

    Functional status as measured by NYHA classification. NYHA class categorizes patients by the severity of their heart failure symptoms. As the class increases, the degree of symptoms is more severe indicating worse functional status. Class I indicates no limitation of physical activity. Class II indicates slight limitation of physical activity. Class IIIA indicates marked limitation of physical activity where less than ordinary physical activity causes fatigue, palpitation, dyspnea, or angina pain. Class IIIB indicates marked limitation of physical activity where mild physical activity causes fatigue, palpitation, dyspnea, or angina pain. Class IV indicates inability to carry on any physical activity without discomfort.

    Measured: Baseline, 6 months and 24 months

  4. EuroQol-5D-5L Visual Analogue Scale

    Quality of life as measured by the visual analogue scale from the EuroQol-5D-5L questionnaire. The patient rates their current state of health with the visual analogue scale. The scale ranges from 0 to 100. Higher scores indicate a better quality of life.

    Measured: Baseline, 6 months and 24 months

  5. Kansas City Cardiomyopathy Questionnaire (KCCQ) Overall Summary Score

    Quality of Life as measured by the Kansas City Cardiomyopathy Questionnaire (KCCQ). Scores range from 0 to 100. Higher scores indicate better quality of life and fewer heart failure symptoms.

    Measured: Baseline, 6 months and 24 months

  6. Rehospitalizations

    Rate of all cause rehospitalization

    Measured: From initial discharge to 2 years post-implant

  7. Adverse Event Rates

    Events-per-patient-year (EPPY) for anticipated adverse events as defined in the study protocol

    Measured: 2 years post-implant

Timeline

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

  1. First posted8 Sep 2016 (estimated)
  2. Study startAug 2016
  3. Primary completionDec 2020
  4. Study completionMar 2021

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
1,685 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02892955
Sponsor's protocol ID
MOMENTUM 3 CAP
Acronym
MOMENTUM 3 CAP
Status last verified
Jun 2022
First submitted
24 Aug 2016
Last updated
27 Jun 2022
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • Netuka I, Sood P, Pya Y, Zimpfer D, Krabatsch T, Garbade J, Rao V, Morshuis M, Marasco S, Beyersdorf F, Damme L, Schmitto JD. Fully Magnetically Levitated Left Ventricular Assist System for Treating Advanced HF: A Multicenter Study. J Am Coll Cardiol. 2015 Dec 15;66(23):2579-2589. doi: 10.1016/j.jacc.2015.09.083.

    PubMed 26670056
  • Uriel N, Adatya S, Mehra MR. Evolution in Mechanical Circulatory Support: Are We at the Precipice of a Disruptive Innovation? J Am Coll Cardiol. 2015 Dec 15;66(23):2590-2593. doi: 10.1016/j.jacc.2015.10.028. No abstract available.

    PubMed 26670057
  • Schmitto JD, Hanke JS, Rojas SV, Avsar M, Haverich A. First implantation in man of a new magnetically levitated left ventricular assist device (HeartMate III). J Heart Lung Transplant. 2015 Jun;34(6):858-60. doi: 10.1016/j.healun.2015.03.001. Epub 2015 Mar 7. No abstract available.

    PubMed 25920932
  • Netuka I, Kvasnicka T, Kvasnicka J, Hrachovinova I, Ivak P, Marecek F, Bilkova J, Malikova I, Jancova M, Maly J, Sood P, Sundareswaran KS, Connors JM, Mehra MR. Evaluation of von Willebrand factor with a fully magnetically levitated centrifugal continuous-flow left ventricular assist device in advanced heart failure. J Heart Lung Transplant. 2016 Jul;35(7):860-7. doi: 10.1016/j.healun.2016.05.019. Epub 2016 May 31.

    PubMed 27435529
  • Bourque K, Cotter C, Dague C, Harjes D, Dur O, Duhamel J, Spink K, Walsh K, Burke E. Design Rationale and Preclinical Evaluation of the HeartMate 3 Left Ventricular Assist System for Hemocompatibility. ASAIO J. 2016 Jul-Aug;62(4):375-83. doi: 10.1097/MAT.0000000000000388.

    PubMed 27195742
  • Hanke JS, Haverich A, Schmitto JD. Exchange of a HeartMate II left ventricular assist device with a HeartMate 3 pump. J Heart Lung Transplant. 2016 Jul;35(7):944-6. doi: 10.1016/j.healun.2016.03.013. Epub 2016 Mar 30. No abstract available.

    PubMed 27160494
  • Heatley G, Sood P, Goldstein D, Uriel N, Cleveland J, Middlebrook D, Mehra MR; MOMENTUM 3 Investigators. Clinical trial design and rationale of the Multicenter Study of MagLev Technology in Patients Undergoing Mechanical Circulatory Support Therapy With HeartMate 3 (MOMENTUM 3) investigational device exemption clinical study protocol. J Heart Lung Transplant. 2016 Apr;35(4):528-36. doi: 10.1016/j.healun.2016.01.021. Epub 2016 Jan 30.

    PubMed 27044532
  • Schulz A, Stepanenko A, Krabatsch T. HeartMate 3 implantation via left lateral thoracotomy with outflow graft anastomosis to the descending aorta. J Heart Lung Transplant. 2016 May;35(5):690-2. doi: 10.1016/j.healun.2016.01.004. Epub 2016 Jan 15. No abstract available.

    PubMed 26944673
  • Stansfield WE, Rao V. HeartMate 3: Facing the challenge of past success. J Thorac Cardiovasc Surg. 2016 Sep;152(3):683-5. doi: 10.1016/j.jtcvs.2016.04.048. Epub 2016 Apr 22. No abstract available.

    PubMed 27210469
  • Takayama H. Did you like Terminator 3 better than Terminator 2? "Rise of machines" with HeartMate 3? J Thorac Cardiovasc Surg. 2016 Sep;152(3):686-7. doi: 10.1016/j.jtcvs.2016.05.044. Epub 2016 Jun 2. No abstract available.

    PubMed 27349284
  • Mehra MR, Cleveland JC Jr, Uriel N, Cowger JA, Hall S, Horstmanshof D, Naka Y, Salerno CT, Chuang J, Williams C, Goldstein DJ; MOMENTUM 3 Investigators. Primary results of long-term outcomes in the MOMENTUM 3 pivotal trial and continued access protocol study phase: a study of 2200 HeartMate 3 left ventricular assist device implants. Eur J Heart Fail. 2021 Aug;23(8):1392-1400. doi: 10.1002/ejhf.2211. Epub 2021 May 18.

    PubMed 33932272
  • Uriel N, Sayer GT, Colombo PC, Yuzefpolskaya M, Richter I, Goldstein DJ, Jorde UP, Cleveland JC Jr, Mehra MR, Drakos SG, Gosev I, Gustafsson F, Henderson JD, Lee FS, Kanwar MK, Clerkin KJ. Survival Outcomes in Middle-Aged and Older Patients With Advanced Heart Failure: A Propensity-Matched Analysis of HeartMate 3 LVAD and Heart Transplant Using MOMENTUM 3 and UNOS Registry. JACC Heart Fail. 2026 May 10:103159. doi: 10.1016/j.jchf.2026.103159. Online ahead of print.

    PubMed 42262301
  • Sayer G, Elad B, Goldstein D, Cleveland J, Kanwar M, Gosev I, Jorde U, Wang A, O'Connell K, Gazzola C, Bell K, Takeda K, Yuzefpolskaya M, Mehra MR, Uriel N; MOMENTUM 3 investigators. Early right ventricular failure following HeartMate 3 left ventricular assist device implantation: Risk factors and outcomes. J Heart Lung Transplant. 2026 Jul;45(7):1081-1090. doi: 10.1016/j.healun.2026.03.025. Epub 2026 Mar 26.

    PubMed 41903627
  • Uriel N, Sayer GT, Elad B, Fried JA, Raikhelkar JK, Lotan D, Goldstein DJ, Jorde UP, Cleveland JC Jr, Mehra MR, Drakos SG, Wood KL, Henderson JD, San Lee F, Kanwar MK, Clerkin KJ. Heart Replacement Therapy in Young Patients: A Comparative Analysis of HeartMate 3 LVAD and Heart Transplant Using MOMENTUM 3 and UNOS Registry. JACC Heart Fail. 2026 Apr;14(4):102948. doi: 10.1016/j.jchf.2026.102948. Epub 2026 Feb 7.

    PubMed 41653179
  • Sayer G, Ahmed MM, Mehra MR, Gosev I, Vidula H, Devore AD, Horstmanshof DA, Cleveland JC Jr, Stewart GC, Slaughter MS, Mudy K, Wang A, Uriel N. Implantable Cardioverter-Defibrillators and Cardiovascular Resynchronization Therapy with Left Ventricular Assist DevicesA MOMENTUM 3 Trial Analysis. J Card Fail. 2025 Oct;31(10):1548-1557. doi: 10.1016/j.cardfail.2024.12.011. Epub 2025 Jan 22.

    PubMed 39855458

Questions about this trial

What is this clinical trial studying?

A study testing HeartMate 3 LVAS in people with Advanced Refractory Left Ventricular Heart Failure, run by Abbott Medical Devices at 69 sites in United States.

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 9 inclusion and 26 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: finished, as of the sponsor's last update on 27 Jun 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 69 sites in United States. 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. 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 3 Mar 2022). 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?

Event-Free Survival (time frame: Subjects will be followed for 24 months or to outcome (transplant, explant, or death), whichever occurs first.). 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 NCT02892955, which also lists 21 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 27 Jun 2022.

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