RecruitingNot ApplicableNCT07001332

ELEVATE High-Risk PCI Pivotal Study


Sponsor

Magenta Medical Ltd.

Enrollment

290 participants

Start Date

Jul 25, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The ELEVATE III Pivotal Study is a prospective, multi-center, open-label, interventional, randomized, controlled study with an active control group. The study is intended to assess the safety and efficacy of the Elevate™ percutaneous Left Ventricular Assist Device System in patients referred to high-risk percutaneous coronary interventions (HR-PCI).


Eligibility

Min Age: 18 YearsMax Age: 88 Years

Inclusion Criteria3

  • Non-emergent, percutaneous coronary intervention is planned on at least one stenotic lesion of a native coronary artery or bypass graft (de novo or restenosis).
  • A heart team that includes an interventional cardiologist and cardiac surgeon has determined that HR- PCI is an appropriate therapeutic option.
  • Participant signed the informed consent.

Exclusion Criteria17

  • Cardiogenic shock or acutely decompensated pre-existing chronic heart failure.
  • Prior stroke with any permanent, significant (mRS\>2) neurological deficit, or stroke or TIA within 3 months prior to enrollment.
  • Any condition or scheduled surgery that will require discontinuation of the antiplatelet and/or anticoagulation therapy within 90 days of the index procedure.
  • Evidence of left ventricular thrombus.
  • Aortic valve stenosis/calcification (valve area ≤ 1.5 cm2).
  • ≥ Moderate aortic valve regurgitation (≥ 2+ on a 4-grade scale by transthoracic echocardiography).
  • Femoral access site incompatibility that precludes placement of either the Treatment or Control device.
  • Patient on dialysis.
  • Known or suspected coagulopathy OR abnormal coagulation parameters.
  • Known allergy, sensitivity or intolerance to nickel.
  • Infection of the proposed procedural access site; OR suspected systemic active infection, including any fever or known active COVID-19 infection.
  • Allergy, sensitivity or intolerance to heparin, or contrast media, including known heparin-induced thrombocytopenia (HIT).
  • Any non-cardiac condition with a life expectancy \< 12 months.
  • Subject participation in another investigational drug or device trial (with the exception of post-market registries and observational studies, subject to Sponsor review and approval).
  • Pregnancy or breast-feeding.
  • Subject has other medical, social, or psychological problems that, in the opinion of the Investigator, compromise the participant's ability to provide written informed consent and/or to comply with study procedures.
  • Subject belongs to a vulnerable population.

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Interventions

DEVICEElevate

The Elevate System is a catheter- mounted, self-expanding and retrievable, continuous-flow pump, designed to unload the left ventricle by actively transporting blood from the left ventricle into the ascending aorta, thus augmenting cardiac output and maintaining systemic arterial pressure during complex/high-risk coronary interventions. Subjects will receive an Elevate prior to their high-risk percutaneous intervention.

DEVICEImpella

Subjects will receive an Impella prior to their high-risk percutaneous intervention.


Locations(28)

HonorHealth Scottsdale Shea Medical Center

Scottsdale, Arizona, United States

University of California at San Francisco Medical Center

San Francisco, California, United States

Tampa General/USF

Tampa, Florida, United States

Wellstar Health System

Marietta, Georgia, United States

University of Chicago Medical Center

Chicago, Illinois, United States

St. Elizabeth Healthcare

Edgewood, Kentucky, United States

Massachusetts General Hospital

Boston, Massachusetts, United States

Brigham & Women's Hospital

Boston, Massachusetts, United States

Boston Medical Center

Boston, Massachusetts, United States

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

UMass Memorial Medical Center

Worcester, Massachusetts, United States

Henry Ford Health

Detroit, Michigan, United States

Minneapolis Heart Institute

Minneapolis, Minnesota, United States

St. Luke's Hospital of Kansas City

Kansas City, Missouri, United States

Atlantic Health System

Morristown, New Jersey, United States

Robert Wood Johnson University Hospital

New Brunswick, New Jersey, United States

Northwell- South Shore University Hospital

Bay Shore, New York, United States

Maimonides Health

Brooklyn, New York, United States

Buffalo General Medical Center

Buffalo, New York, United States

North Shore University Hospital

Manhasset, New York, United States

NYU Langone/Bellevue/Long Island

New York, New York, United States

Mount Sinai

New York, New York, United States

Columbia University Medical Center/NYPH

New York, New York, United States

Weill Cornell Medical Center

New York, New York, United States

Northwell- Lenox Hill

New York, New York, United States

TriStar Centennial Medical Center

Nashville, Tennessee, United States

Inova Schar Heart & Vascular

Falls Church, Virginia, United States

Advocate Aurora Health Research Institute- St. Luke's Medical Center

Milwaukee, Wisconsin, United States

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NCT07001332


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