Heart failure specialist joins ALIVE Trial of Revivent transcatheter system

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TC Revivent LIVE procedure

BioVentrix has announced that heart failure specialist Jerry Estep (Cleveland Clinic, Cleveland, USA) has been appointed as co-principal investigator of the pivotal ALIVE Trial studying LIVE Therapy using the Revivent TC transcatheter ventricular enhancement system. He joins co-principal investigators Gregg Stone of New York’s Mount Sinai Health System (New York, USA) and Andrew Wechsler of the Drexel University College of Medicine (Philadelphia, USA) in overseeing the trial.

In a press release, BioVentrix said that Estep specialises in managing advanced heart failure patients and is the Head of the Section of Heart Failure and Transplantation in the Tomsich Family Department of Cardiovascular Medicine in the Sydell and Arnold Miller Family Heart, Vascular and Thoracic Institute at the Cleveland Clinic. He served as the lead investigator of the Risk Assessment and Comparative Effectiveness of Left Ventricular Assist Device and Medical Management in Ambulatory Heart Failure Patients (ROADMAP) Study and as a co-chair of the American Society of Echocardiography guideline document that defined the role of echocardiography in the management of LVAD patients.

“LIVE Therapy aligns with the goals of Cleveland Clinic in treating symptomatic heart failure,” said Estep. “We focus on a tailored team approach for the treatment of heart failure patients that first entails recovering the native heart to minimise the progression to an end-stage disease. LIVE Therapy provides a potential solution that allows us to less invasively exclude scar tissue for ischaemic heart failure patients. I am excited about the opportunity to help lead this important study with the potential to reshape the way we treat patients with left ventricular dysfunction.”

The ALIVE Trial is designed to demonstrate the safety and effectiveness of the Revivent TC System, a hybrid, minimally invasive transcatheter procedure designed to treat patients suffering from ischaemic cardiomyopathy by reshaping and restoring the left ventricle (LV). In the procedure, micro-anchors are implanted in the LV to exclude scarred myocardium from the healthy tissue.

Jerry Estep

“Dr Estep is an important addition to the ALIVE Trial as he will help us continue to define the role that LIVE Therapy can play in the continuum of care for heart failure patients,” said ALIVE Trial co-principal investigator Gregg Stone. “Patients with heart failure have a very poor prognosis, with a mortality rate of 50% at five years. LIVE Therapy is designed as a less invasive option with the potential to improve the lives of patients with ischaemic left ventricular dysfunction post-myocardial infarction.”

The ALIVE Trial plans to enrol 126 patients at up to 25 sites in the USA, with a primary endpoint analysis at one year. The trial endpoints include positive effects on quality of life, New York Heart Association (NYHA) Functional Class, exercise capacity compared to baseline, and rehospitalisation.


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