- The first-of-its-kind TEAM-HF study seeks to improve clinical
outcomes in patients with worsening heart failure
- Trial establishes new, objective criteria to identify patients
most at risk for developing end-stage heart failure and potentially
offer life-saving therapeutic options sooner in their disease
progression
ABBOTT
PARK, Ill., Oct. 24,
2024 /PRNewswire/ -- Abbott (NYSE: ABT) today
announced a new, first-of-its-kind clinical trial designed to
improve outcomes in patients with worsening heart failure who could
benefit from advanced therapy options. The TEAM-HF trial, which is
planned to enroll up to 850 patients across 75 sites worldwide,
will measure pulmonary artery pressures (PAP) using Abbott's
CardioMEMS™ HF System to objectively identify advanced heart
failure patients at high risk of mortality who could benefit from a
life-saving HeartMate 3™ left ventricular assist device (LVAD, or
heart pump) earlier in their disease progression.
Heart failure is a progressive condition that occurs when the
heart can't circulate blood efficiently, resulting in symptoms such
as fatigue, breathlessness, and swollen ankles. Approximately 6.7
million people in the United
States have heart failure, and that number is expected to
rise to 8.5 million by 2030.1 While there are currently
evidence-based guidelines for treating patients with advanced
therapies (either LVADs or heart transplantation) when they are in
end-stage heart failure, there are fewer objective criteria for
identifying patients who are earlier in their disease progression.
This can result in patients being offered advanced therapies such
as an LVAD when their heart failure has become too advanced,
leading to poorer outcomes, and even death.
"The goal of the TEAM-HF trial is simple in concept but critical
to the future care of patients. We want to break down patient care
silos, offering a unified effort to not only improve the diagnosis
of advanced heart failure, but also enable rapid access to life
saving heart pumps. This study aims to take the guess work out of
deciding when a patient has reached the ideal time for LVAD
implementation," said Jennifer
Cowger, M.D., medical director of mechanical circulatory
support and section head of the advanced heart failure program at
Detroit-based Henry Ford Health,
and one of the national co-principal investigators for the TEAM-HF
trial. "Too many patients are not receiving timely access to this
life-saving therapy and are needlessly dying of heart failure. The
importance of patient access to multidisciplinary heart failure
care is embodied in the trial acronym - TEAM-HF - and we feel this
study will be instrumental in helping providers identify patients
who may benefit from a heart pump earlier in their care
journey."
TEAM-HF: Deploying a New Approach to Therapy
Decisions
Patients with end-stage heart failure who rely on
IV-administered heart failure medications designed to strengthen
the heart's blood pumping ability have poor outcomes with a median
survival of nine months.2 Guideline recommendations for
treating patients who depend on these medications include advanced
therapies such as LVADs. However, patients who are not yet
dependent on medication also have a poor clinical prognosis but are
often not referred for these advanced options until their symptoms
worsen. This delay is partly due to the lack of objective measures
to identify patients who would most benefit from an LVAD.
The TEAM-HF trial will deploy a novel approach to assess the
impact of earlier interventions in patients with worsening heart
failure. Investigators will first examine PAP data securely
collected from participants using Abbott's CardioMEMS™ HF System.
The CardioMEMS sensor, placed in the pulmonary artery during a
minimally invasive outpatient procedure, monitors pulmonary artery
pressure changes over time. If pressures do not go down with
guideline directed medical therapy, the TEAM-HF trial will seek to
prove that such patients will benefit from advanced therapies.
These patients will be randomized to receive either the HeartMate 3
LVAD implant or continued treatment with their existing heart
failure medications. Patients whose existing medications reduce
their PAP levels will enter a single arm registry where they will
continue to be managed based on data from their CardioMEMS
sensor.
"As the only healthcare company in the world that has developed
medical devices designed to treat people at each stage of heart
failure, our hope is that the TEAM-HF study will revolutionize care
management for these patients and their families. Getting people on
a heart pump more quickly could mean more time spent out of the
hospital and with loved ones," said Keith
Boettiger, vice president, Abbott's heart failure business.
"By having more objective methods to accurately gauge heart failure
progression and refer people to receive this life-saving therapy
faster, healthcare experts will be able to provide patients with
improved survival rates and quality of life based on the
anticipated results of the TEAM-HF study."
Enrollment in TEAM-HF will commence shortly at sites across the
U.S. The trial's powered primary and secondary endpoints will be
evaluated at two years, with long-term follow up through five
years.
Decisions regarding the medical management of HeartMate 3
patients should be done by clinicians after fully considering
potential risks and benefits for each individual.
Indications and Important Safety Information
For U.S.
important safety information for the Abbott HeartMate 3, visit:
HeartMate 3 LVAD Indications, Safety and Warnings | Abbott
(cardiovascular.abbott).
For U.S. important safety information for the CardioMEMS HF
System, visit: Pulmonary Pressure Monitors | Abbott
(cardiovascular.abbott).
About Abbott
Abbott is a global healthcare leader that
helps people live more fully at all stages of life. Our portfolio
of life-changing technologies spans the spectrum of healthcare,
with leading businesses and products in diagnostics, medical
devices, nutritionals and branded generic medicines. Our 114,000
colleagues serve people in more than 160 countries.
Connect with us at www.abbott.com, on LinkedIn at
www.linkedin.com/company/abbott-/, on Facebook at
www.facebook.com/Abbott and on Twitter @AbbottNews.
1.
|
Bozkurt, et. al. Heart
Failure Epidemiology and Outcomes Statistics: A Report of the Heart
Failure Society of America. J Card Fail. 2023; 29(10):
1412–1451.
|
2.
|
Hashim, et al. Clinical
Characteristics and Outcomes of Intravenous Inotropic Therapy in
Advanced Heart Failure. Circ Heart Fail. 2015
Sep;8(5):880-6.
|
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SOURCE Abbott