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NCT02224755: HM3™

MOMENTUM 3 IDE Clinical Study Protocol

Completed NA Results posted Last updated 27 June 2022
What this trial tests

NA trial testing HeartMate 3 LVAS in Advanced Refractory Left Ventricular Heart Failure in 1,028 participants. Completed in 26 March 2019.

Timeline
2 September 2014
Primary endpoint
28 September 2018
26 March 2019

Quick facts

Lead sponsorAbbott Medical Devices
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment1,028
Start date2 September 2014
Primary completion28 September 2018
Estimated completion26 March 2019
Sites69 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Abbott Medical Devices — full company profile →

Who can join

Adults 18 to 100, any sex, with Advanced Refractory Left Ventricular Heart Failure. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Short Term Primary End Point Primary · The first 294 randomized Subjects will be followed for 6 months or to outcome (transplant, explant, or death), whichever occurs first.

Survival at 6 months free of disabling stroke (Modified Rankin Score \> 3) or reoperation to replace or remove a malfunctioning device

GroupValue95% CI
HeartMate II (Intent-to-Treat)109
HeartMate 3 (Intent-to-Treat)131
Long Term Primary End Point Primary · The first 366 randomized Subjects will be followed for 24 months or to outcome (transplant, explant, or death), whichever occurs first.

Survival at 2 years free of disabling stroke (Modified Rankin Score \> 3) or reoperation to replace or remove a malfunctioning device

GroupValue95% CI
HeartMate II (Intent-to-Treat)106
HeartMate 3 (Intent-to-Treat)151
Powered Secondary End Point: Pump Replacement at Two Years Secondary · As they occur up to 24 months or to Outcome, whichever occurs first

In addition to powering the study on the primary endpoints for PMA approval, the study will pre-specify a powered secondary endpoint to evaluate incidence of pump replacements at 24 months. HeartMate II is the control.

GroupValue95% CI
HeartMate II (As-Treated)57
HeartMate 3 (As-Treated)12
EuroQoL 5D-5L (EQ-5D-5L) Total Score Secondary · Baseline to 24 months

Quality of Life as measured by EuroQoL 5 Dimension-5 Level (EQ-5D-5L) total score. The EQ-5D-5L questionnaire has patients rate their quality of life across 5 categories of mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The scores from the 5 dimensions are summed for the total score which ranges from 5 to 25 with higher scores indicating more problems and a worse quality of life.

Baseline
GroupValue95% CI
HeartMate II (As-Treated)11.2± 4.4
HeartMate 3 (As-Treated)11.1± 4.3
6 months
GroupValue95% CI
HeartMate II (As-Treated)8.5± 3.2
HeartMate 3 (As-Treated)8.5± 3.3
24 months
GroupValue95% CI
HeartMate II (As-Treated)9.2± 3.8
HeartMate 3 (As-Treated)8.8± 3.6
EuroQol-5D-5L Visual Analogue Scale Secondary · Baseline to 24 months

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.

Baselline
GroupValue95% CI
HeartMate II (As-Treated)48± 25
HeartMate 3 (As-Treated)50± 24
6 months
GroupValue95% CI
HeartMate II (As-Treated)74± 19
HeartMate 3 (As-Treated)76± 18
24 months
GroupValue95% CI
HeartMate II (As-Treated)75± 19
HeartMate 3 (As-Treated)76± 19
Kansas City Cardiomyopathy Questionnaire (KCCQ) Overall Summary Score Secondary · Baseline to 24 months

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.

Baseline
GroupValue95% CI
HeartMate II (As-Treated)40± 23
HeartMate 3 (As-Treated)39± 20
6 months
GroupValue95% CI
HeartMate II (As-Treated)70± 21
HeartMate 3 (As-Treated)70± 20
24 months
GroupValue95% CI
HeartMate II (As-Treated)68± 23
HeartMate 3 (As-Treated)69± 22
Six Minute Walk Test Secondary · Baseline to 24 months

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.

Baseline
GroupValue95% CI
HeartMate II (As-Treated)129± 156
HeartMate 3 (As-Treated)136± 160
6 months
GroupValue95% CI
HeartMate II (As-Treated)327± 136
HeartMate 3 (As-Treated)310± 142
24 months
GroupValue95% CI
HeartMate II (As-Treated)361± 337
HeartMate 3 (As-Treated)323± 156
New York Heart Association (NYHA) Classification Secondary · Baseline to 24 months

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 f

Class I or II at Baseline
GroupValue95% CI
HeartMate II (As-Treated)0
HeartMate 3 (As-Treated)0
Class I or II at 6 Months
GroupValue95% CI
HeartMate II (As-Treated)310
HeartMate 3 (As-Treated)340
Class I or II at 24 Months
GroupValue95% CI
HeartMate II (As-Treated)176
HeartMate 3 (As-Treated)219
Rehospitalizations Secondary · From initial discharge to two years post-implant

Rate of all cause rehospitalization

GroupValue95% CI
HeartMate II (As-Treated)2.47
HeartMate 3 (As-Treated)2.26
Adverse Event Rates Secondary · Two years post-implant

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

Arterial Non-CNS Thromboembolism
GroupValue95% CI
HeartMate II (As-Treated)0.02
HeartMate 3 (As-Treated)0.01
Bleeding
GroupValue95% CI
HeartMate II (As-Treated)0.95
HeartMate 3 (As-Treated)0.61
Cardiac Arrhythmia
GroupValue95% CI
HeartMate II (As-Treated)0.45
HeartMate 3 (As-Treated)0.37
Hepatic Dysfunction
GroupValue95% CI
HeartMate II (As-Treated)0.04
HeartMate 3 (As-Treated)0.03
Hypertension
GroupValue95% CI
HeartMate II (As-Treated)0.08
HeartMate 3 (As-Treated)0.07
Major Infection
GroupValue95% CI
HeartMate II (As-Treated)0.82
HeartMate 3 (As-Treated)0.82
Myocardial Infarction
GroupValue95% CI
HeartMate II (As-Treated)0.01
HeartMate 3 (As-Treated)0.01
Stroke
GroupValue95% CI
HeartMate II (As-Treated)0.18
HeartMate 3 (As-Treated)0.08

Adverse events — posted to ClinicalTrials.gov

Time frame: Two years post-implant. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

HeartMate II (As-Treated)
Serious: 466/505 (92%)
Deaths: 103/505
HeartMate 3 (As-Treated)
Serious: 483/515 (94%)
Deaths: 98/515

Serious adverse events (19 terms)

ReactionSystemHeartMate II (As-Treated)HeartMate 3 (As-Treated)
OtherGeneral disorders
Major InfectionInfections and infestations
BleedingBlood and lymphatic system disorders
Cardiac ArrhythmiaCardiac disorders
Right Heart FailureCardiac disorders
Respiratory FailureRespiratory, thoracic and mediastinal disorders
StrokeNervous system disorders
Renal DysfunctionRenal and urinary disorders
Suspected Device ThrombosisProduct Issues
Other Neurological EventNervous system disorders
Pericardial Fluid CollectionCardiac disorders
Psychiatric EpisodePsychiatric disorders
Hepatic DysfunctionHepatobiliary disorders
HypertensionVascular disorders
Venous ThromboembolismVascular disorders
Arterial Non-CNS ThromboembolismVascular disorders
Wound DehiscenceSkin and subcutaneous tissue disorders
HemolysisBlood and lymphatic system disorders
Myocardial InfarctionCardiac disorders
Other adverse events (7 terms — click to expand)

ReactionSystemHeartMate II (As-Treated)HeartMate 3 (As-Treated)
Other Adverse EventGeneral disorders
Major InfectionInfections and infestations
Cardiac ArrhythmiaCardiac disorders
BleedingBlood and lymphatic system disorders
HypertensionVascular disorders
Right Heart FailureCardiac disorders
Psychiatric EpisodePsychiatric disorders

Most-reported serious reactions: Other, Major Infection, Bleeding, Cardiac Arrhythmia, Right Heart Failure, Respiratory Failure, Stroke, Renal Dysfunction.

Data from ClinicalTrials.gov NCT02224755 adverse events section.

Sponsor's own description

The objective of the study is to evaluate the safety and effectiveness of the HM3 LVAS by demonstrating non-inferiority to the HMII LVAS (HMII) when used for the treatment of advanced, refractory, left ventricular heart failure.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. A Fully Magnetically Levitated Left Ventricular Assist Device - Final Report.
    Mehra MR, Uriel N, Naka Y, Cleveland JC, et al · · 2019 · cited 829× · PMID 30883052 · DOI 10.1056/nejmoa1900486
  2. A Fully Magnetically Levitated Circulatory Pump for Advanced Heart Failure.
    Mehra MR, Naka Y, Uriel N, Goldstein DJ, et al · · 2017 · cited 489× · PMID 27959709 · DOI 10.1056/nejmoa1610426
  3. Two-Year Outcomes with a Magnetically Levitated Cardiac Pump in Heart Failure.
    Mehra MR, Goldstein DJ, Uriel N, Cleveland JC, et al · · 2018 · cited 468× · PMID 29526139 · DOI 10.1056/nejmoa1800866
  4. Five-Year Outcomes in Patients With Fully Magnetically Levitated vs Axial-Flow Left Ventricular Assist Devices in the MOMENTUM 3 Randomized Trial.
    Mehra MR, Goldstein DJ, Cleveland JC, Cowger JA, et al · · 2022 · cited 304× · PMID 36074476 · DOI 10.1001/jama.2022.16197
  5. Hemocompatibility-Related Outcomes in the MOMENTUM 3 Trial at 6 Months: A Randomized Controlled Study of a Fully Magnetically Levitated Pump in Advanced Heart Failure.
    Uriel N, Colombo PC, Cleveland JC, Long JW, et al · · 2017 · cited 196× · PMID 28385948 · DOI 10.1161/circulationaha.117.028303
  6. Association of Clinical Outcomes With Left Ventricular Assist Device Use by Bridge to Transplant or Destination Therapy Intent: The Multicenter Study of MagLev Technology in Patients Undergoing Mechanical Circulatory Support Therapy With HeartMate 3 (MOMENTUM 3) Randomized Clinic
    Goldstein DJ, Naka Y, Horstmanshof D, Ravichandran AK, et al · · 2020 · cited 107× · PMID 31939996 · DOI 10.1001/jamacardio.2019.5323
  7. Comprehensive Analysis of Stroke in the Long-Term Cohort of the MOMENTUM 3 Study.
    Colombo PC, Mehra MR, Goldstein DJ, Estep JD, et al · · 2019 · cited 101× · PMID 30586698 · DOI 10.1161/circulationaha.118.037231
  8. Prediction of Survival After Implantation of a Fully Magnetically Levitated Left Ventricular Assist Device.
    Mehra MR, Nayak A, Morris AA, Lanfear DE, et al · · 2022 · cited 65× · PMID 36456068 · DOI 10.1016/j.jchf.2022.08.002

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