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Assessment of CCM in HF With Higher Ejection Fraction

Impulse Dynamics · NCT05064709

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Key facts

Compensation
Not posted. Ask the study team before screening.
Who can join
Ages 18+ · All sexes
Healthy volunteers
Not accepted (a condition is required)
Study type
Interventional · Not applicable
Target enrollment
1500
US sites recruiting
65
Study start
February 3, 2022
Record last updated
October 23, 2026

Status re-checked against ClinicalTrials.gov within the last 12 hours.

What the study is about

The AIM HIGHer Clinical Trial will evaluate the safety and efficacy of Cardiac Contractility Modulation (CCM) therapy in patients with heart failure with LVEF ≥40% and ≤70%.

Being studied: Cardiac Contractility Modulation Therapy via OPTIMIZER™ Smart Mini System; OPTIMIZER™ Smart Mini System

Conditions: Heart Failure; Heart Failure With Preserved Ejection Fraction; Heart Failure With Mid Range Ejection Fraction; Heart Failure With Moderately Reduced Ejection Fraction; Diastolic Heart Failure

Eligibility criteria

Copied from the official record. The study team makes the final decision at screening.

Show full criteria

Inclusion Criteria

  • Signed and dated informed consent form;
  • Male or non-pregnant female, 18 years or older;
  • Diagnosed with symptomatic heart failure;
  • LVEF ≥40 and ≤70% (as assessed by site echo). A historical echo within 60 days of consent may be used for baseline. Ultrafiltration should not be performed within 30 days of echo;
  • Subjects must meet at least one of the four following criteria:

I. Heart failure admission (primary or secondary) within 12 months prior to study consent OR heart failure visit requiring IV therapy OR treated with outpatient Furoscix OR intensification of oral diuresis within 6 months prior to study consent II. PCWP > 15 mmHg up to 6 months prior to consent or within 30 days following consent III. IPAP reading of mean pressure ≥ 22 mmHg in 2 or more readings within 30 days of consent, or 3 or more readings within 60 days across different days, with a sensor implanted ≥ 3 months before first reading

IV. Natriuretic peptide value (NTproBNP or BNP) should meet or exceed the value below, depending on the presenting rhythm:

  • Normal Sinus Rhythm (NSR): NTproBNP (pg/ml) ≥ 150 or BNP (pg/ml) ≥ 50
  • Atrial Tachyarrhythmia (AT): NTproBNP (pg/ml) ≥ 450 or BNP (pg/ml) ≥ 150
  • Historical natriuretic peptide values within 6 months of consent may be used if subject is in NSR. Subjects in AT on baseline ECG must have natriuretic peptide values collected post-consent.
  • Subjects must meet one of the following conditions:
  • Have stable, scheduled oral loop diuretic treatment (not just PRN) for a minimum of 30 days before providing study consent unless there is a documented allergy or intolerance. Spironolactone used as a diuretic for patients who cannot tolerate oral loop diuretic is an acceptable alternative.
  • Eligibility for enrollment is maintained for patients on an SGLT2 inhibitor without prescribed concurrent standing loop diuretic therapy if investigators provide instructions for a flexible PRN diuretic regimen (deemed appropriate by the clinician in response to symptoms or weight gain) Note: Stable is defined as no more than a 100% increase or 50% decrease in dose within the last 30 days. A one-time hold of diuretic dosing for 24 hours during the 30-day period is allowed and not an exclusionary event.

Exclusion Criteria

  • Resting ventricular rate \<50 or >110 bpm;
  • Resting systolic blood pressure \<100 or ≥160 mmHg;
  • BMI greater than 46
  • Any severe valvular stenotic disease or any severe valvular regurgitation;
  • Mechanical tricuspid valve;
  • Complex congenital heart disease;
  • Diagnosis of any of the following conditions that, in the opinion of the investigator, contributes significantly to the primary symptoms of exercise intolerance: angina, significant pulmonary disease, or currently requires 24-hour home oxygen use or scheduled oral steroids, peripheral vascular disease, orthopedic or rheumatologic conditions;
  • Unable to walk at least 100 meters or walks more than 450 meters during a 6MWT;
  • A KCCQ CCS score higher than 85;
  • Infiltrative/restrictive (e.g., amyloidosis, sarcoidosis, hemochromatosis, Fabry, or radiation-induced heart disease), eccentric LV hypertrophy or inflammatory cardiomyopathy as documented in the medical record;
  • Unstable angina pectoris within 30 days prior to study consent;
  • Receiving cardiac resynchronization therapy (CRT); NOTE: Subjects with active/ongoing cardiac resynchronization therapy (CRT) implanted more than one year ago are eligible for inclusion if they are currently classified as NYHA class III or higher.
  • Scheduled for a cardiac surgery or a percutaneous cardiac intervention (PCI) or have undergone cardiac surgery within 90 days or a PCI procedure within 30 days prior to study consent;
  • Myocardial infarction within 90 days prior to study consent;
  • Prior heart transplant or ventricular assist device;
  • Planning to become pregnant during the study;
  • Dialysis (permanent) or GFR \<15 ml/min/1.73m2;
  • Participating in another investigational drug or device study that may interfere with the interpretation of study data;
  • Currently undergoing active chemotherapeutic and/or radiation treatment for cancer or has a history of chemotherapy during the 2-year period prior to study consent;
  • Expected lifespan of less than 18 months from time of study consent;
  • Unable to follow through study protocol for any reasons (social support, incarceration, mental illness etc.) in the investigator's judgement.
  • Insurance denial (after all attempts and appeals have been exhausted, and prior-authorization services utilized, if applicable)

Recruiting US locations

  • Grandview Medical Group Research, LLC

    Birmingham, AL 35243

    Site contact: Lauren Bryant · 2059717553 · lauren.bryant@grandviewhealth.com

  • CardioVascular Associates of Mesa

    Mesa, AZ 85206

    Site contact: Adam Gitkin · 4806415400 · agitkin@cvam.com

  • Southwest Cardiovascular Associates

    Mesa, AZ 85208

    Site contact: Kim Helgeson · 4809454343 · khelgeson@swcva.com

  • HonorHealth

    Scottsdale, AZ 85258

    Site contact: Rachel Hultman · rhultman@honorhealth.com

  • Pima Heart and Vascular

    Tuscon, AZ 85712

    Site contact: Monica Varela · 5203294139 · monica.varela@pimaheartandvascular.com

  • University of California San Diego

    La Jolla, CA 92093

    Site contact: Kendell Oliver · k4oliver@health.ucsd.edu

  • USC Keck School of Medicine

    Los Angeles, CA 90033

    Site contact: Melissa Ramos · melissa.ramos@med.usc.edu

  • Cedars Sinai Medical Center

    Los Angeles, CA 90048

    Site contact: Goran Stankovic · goran.stankovic@cshs.org

  • Valley Clinical Trials- Northridge

    Northridge, CA 91325

    Site contact: Haydee Gutierrez · haydee@valleyclinicaltrials.com

  • Sequoia Hospital

    Redwood City, CA 94062

    Site contact: Juanita Fujii · juanita.fujii@commonspirit.org

  • Nuvance Health - Danbury Hospital

    Danbury, CT 06810

    Site contact: Tricia Landi · tricia.landi@nuvancehealth.org

  • Hartford Healthcare

    Hartford, CT 06103

    Site contact: Jennifer Rossi · jennifer.rossi@hhchealth.org

  • Nouvelle Clinical Research LLC

    Cutler Bay, FL 33189

    Site contact: Alexander Cabrera · acabrera@nouvelleclinicalresearch.com

  • Baptist Health South Florida

    Miami, FL 33176

    Site contact: Jetsenea Coto · 7865962421 · jetseneac@baptisthealth.net

  • AdventHealth Orlando

    Orlando, FL 32803

    Site contact: Chanti Garvey · chantie.garvey@adventhealth.com

  • Clinical One Research

    Orlando, FL 32807

    Site contact: Joseniesse Figueroa · jfigueroa@revivalclinical.com

  • Cleveland Clinic Foundation - Florida Weston Hospital

    Weston, FL 33326

    Site contact: Maria Mejia Gomez · MEJIAGM@ccf.org

  • Northeast Georgia Health System

    Gainesville, GA 30501

    Site contact: Donna Patrick · 678-989-5001 · donna.patrick@nghs.com

  • Ascension Medical Group St. Vincent

    Indianapolis, IN 46260

    Site contact: Sabrina Rotondo · sabrina.rotondo@ascension.org

  • University of Iowa

    Iowa City, IA 52242

    Site contact: Trisha Elliott · trisha-elliott@uiowa.edu

  • MercyOne Iowa Heart

    West Des Moines, IA 50266

    Site contact: Cayla Garner · cayla.barnhart@commonspirit.org

  • University of Kansas Medical Center

    Kansas City, KS 66160

    Site contact: Quratulain (Annie) Mushtaq · 9139456488 · qmushtaq@kumc.edu

  • Baptist Health Lexington

    Lexington, KY 40503

    Site contact: Kristie Schneider · 8592606429 · kschneid@bhsi.com

  • Massachusetts General Hospital

    Boston, MA 02114

    Site contact: Chinemerem Nwokemodo-Ihejirika · cnwokemodo-ihejirika@mgh.harvard.edu

  • University of Michigan

    Ann Arbor, MI 48113

    Site contact: Kirsta Bray · kibray@med.umich.edu

  • Henry Ford St. John Hospital

    Detroit, MI 48236

    Site contact: Renee Bess · renee.bess@ascension.org

  • Ascension Providence Hospital

    Southfield, MI 48075

    Site contact: Candice Edillo · candice.edillo@ascension.org

  • Trinity health- Michigan Heart

    Ypsilanti, MI 48197

    Site contact: Autumn Howe · ahowe@michiganheart.com

  • Minneapolis Heart Institute at Abbott Northwestern Hospital

    Minneapolis, MN 55407

    Site contact: Efrah Hussein · 612-863-0666 · jessica.whelan@allina.com

  • St. Lukes Hospital Kansas City (Mid America Heart Institute)

    Kansas City, MO 64111

    Site contact: Amanda Huffman · ahuffman@saint-lukes.org

  • Bryan Heart

    Lincoln, NE 68506

    Site contact: Nicci Thompson · nicci.thompson@bryanheart.com

  • Our Lady of Lourdes

    Camden, NJ 08103

    Site contact: Marisa Brown · 8563551226 · mbrown3@virtua.org

  • Cooper Hospital- Cardiovascular Associates of Delaware Valley

    Haddon Heights, NJ 08035

    Site contact: Erin Siderio · 8565822000 · esiderio@hearthousenj.com

  • Atlantic Health System- Morristown Medical Center

    Morristown, NJ 07960

    Site contact: Diane Agar · 9739714205 · diane.agar@atlantichealth.org

  • AtlantiCare Regional Medical Center

    Pomona, NJ 08240

    Site contact: Jackie White · 609-652-3550 · jmwhite@atlanticare.org

  • Buffalo General

    Buffalo, NY 14203

    Site contact: Courtney Bishop · 716-888-4859 · cabishop@buffalo.edu

  • Nuvance Health - Heart & Vascular Institute/Hudson Valley Cardiovascular Practice, PC

    Poughkeepsie, NY 12601

    Site contact: Tricia Landi · 845-473-8675 · tricia.landi@nuvancehealth.org

  • Cleveland Clinic Foundation

    Cleveland, OH 44195

    Site contact: Barbara Gus · gusb@ccf.org

  • Ohio State University Wexner Medical Center

    Columbus, OH 43210

    Site contact: Maeve McLoughlin · 6142924084 · maeve.mcloughlin@osumc.edu

  • OhioHealth Research Institute

    Columbus, OH 43214

    Site contact: Reem (Mimi) Bekheet · reem.bekheet@ohiohealth.com

  • Oklahoma Heart Institute

    Tulsa, OK 74104

    Site contact: Colene Holland son · colene.hollandson@oklahomaheart.com

  • St. Francis Hospital - Tulsa

    Tulsa, OK 74136

    Site contact: Riley Pritzlaff · 918-502-1606 · rpritzlaff@saintfrancis.com

  • Providence Heart & Vascular

    Portland, OR 97225

    Site contact: Sarah Jackson · sarah.jackson3@providence.org

  • Bryn Mawr Medical Specialists Association

    Bryn Mawr, PA 19010

    Site contact: Morgan Battiste · mbattiste@bmmsa.com

  • Penn State Hershey Medical City

    Hershey, PA 17033

    Site contact: Lisa Fox · lfox5@pennstatehealth.psu.edu

  • Penn Presbyterian Medical Center

    Philadelphia, PA 19104-6061

    Site contact: Katie Shoemaker · katie.shoemaker@pennmedicine.upenn.edu

  • Hospital of the University of Pennsylvania

    Philadelphia, PA 19104

    Site contact: Emily Marvel · emily.marvel@pennmedicine.upenn.edu

  • Thomas Jefferson University Hospital

    Philadelphia, PA 19107

    Site contact: Blaire Cain · 484-756-0929 · blaire.cain@jefferson.edu

  • Temple University Hospital

    Philadelphia, PA 19140

    Site contact: Kriti Rawat · kriti.rawat@temple.edu

  • Allegheny General Hospital

    Pittsburgh, PA 15212

    Site contact: Kelly Kuniak · Kelly.kuniak4@ahn.org

  • University of Pittsburgh Medical Center

    Pittsburgh, PA 15213

    Site contact: Traci McGaha · mcgahatl4@upmc.edu

  • Prisma Health Upstate

    Greenville, SC 29601

    Site contact: Kenneth Alfieri · 8644557793 · Kenneth.alfieri@prismahelath.org

  • North Central Heart

    Sioux Falls, SD 57108

    Site contact: Robin Farley · rfarley@ncheart.com

  • The Stern Cardiovascular Foundation

    Germantown, TN 38138

    Site contact: Kristen Page · kristen.page@sterncardio.com

  • Ascension Seton

    Austin, TX 78723

    Site contact: Sarah Benedict · sarah.benedict@ascension.org

  • Austin Heart

    Austin, TX 78756

    Site contact: Mary Fraser · Mary.Fraser@hcahealthcare.com

  • Baylor Scott and White Research Institute

    Dallas, TX 75204

    Site contact: Tein Luu · 2148651685 · tein.luu@bswhealth.org

  • Baylor Scott White- All Saints- Fort Worth

    Fort Worth, TX 76104

    Site contact: Felicity Vaughan · 8179222575 · felicity.vaughan@bswhealth.org

  • Medical City Fort Worth Hospital

    Fort Worth, TX 76104

    Site contact: Jessica Blades · Jessica.Blades@HCAhealthcare.com

  • Baylor College of Medicine

    Houston, TX 77030

    Site contact: Stephen Harold · harold@bcm.edu

+ 5 more on the official record.

Study contacts (from the official record)

  • Gary Cranke · (856) 642-9933 · aimhigher@impulsedynamics.com