Effect of the MobiusHD® in Patients With Heart Failure (HF-FIM)
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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT04590001 |
Recruitment Status :
Recruiting
First Posted : October 19, 2020
Last Update Posted : May 11, 2023
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Condition or disease | Intervention/treatment | Phase |
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Heart Failure With Reduced Ejection Fraction | Device: MobiusHD | Not Applicable |
Subjects presenting with Class II or III heart failure with a left ventricular ejection fraction of ≤ 40% and NT-proBNP ≥ 400 will be considered for the study. Subjects who meet the initial screening requirements will undergo non-invasive imaging of the carotid anatomy to assess adequacy of the anatomy to allow placement of the MobiusHD device. Eligible subjects will receive an implant placed in the internal carotid artery.
Following implantation of the device, subjects will be seen at 1 week, 1, 3, 6, 12, 18, and 24 months.
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 50 participants |
Allocation: | N/A |
Intervention Model: | Single Group Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | A Feasibility Study Exploring the Effect of the MobiusHD® in Patients With Heart Failure |
Actual Study Start Date : | October 2, 2020 |
Estimated Primary Completion Date : | June 2023 |
Estimated Study Completion Date : | December 2023 |

Arm | Intervention/treatment |
---|---|
Experimental: MobiusHD
Each subject enrolled in the study will undergo implantation of the MobiusHD device.
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Device: MobiusHD
The MobiusHD device is a nickel-titanium device that is implanted in the internal carotid sinus using a minimally invasive approach. |
- Change in New York Heart Association Heart Failure Class [ Time Frame: 24 months ]Change in New York Heart Association Heart Failure Class between baseline and 3 months, 6 months, 12 months, 18 months and 24 months
- Change in NT-proBNP blood test levels [ Time Frame: 24 months ]Change in Amino-terminal prohormone of brain natriuretic peptide (NT-proBNP) between baseline and 3 months, 6 months, 12 months, 18 months, and 24 months
- Change in QoL as measured by the Kansas City Cardiomyopathy Questionnaire (KCCQ) and the EQ-5D Questionnaire. [ Time Frame: 24 months ]Change in QoL measures between baseline and 3 months, 6 months, 12 months, 18 months, and 24 months will be measured. The KCCQ is used to measure the effect of heart failure on quality of life with a lower score indicating a worsening quality of life. The EQ-5D Questionnaire is a general measure of overall health with a lower score indicating a better overall health perception.
- Change in 6MHW distance [ Time Frame: 24 months ]Change in 6MHW distance between baseline and 3 months, 6 months, 12 months, 18 months and 24 months
- Change in cardiac function / structure [ Time Frame: 24 months ]Change will be evaluated using echocardiogram measured left ventricular ejection fraction, LV end diastolic volume, left atrial volume index, and severity of mitral regurgitation.
- Adverse Events [ Time Frame: 24 months ]Incidence and severity of adverse events and serious adverse events, including serious adverse cardiovascular and neurological events
- Cardiovascular Mortality [ Time Frame: 24 months ]Rate of cardiovascular mortality throughout the follow-up period will be reported.
- Heart Failure Hospitalizations [ Time Frame: 24 months ]Rate of heart failure hospitalizations throughout the follow-up period will be reported.

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age 18 years or above
- Currently NYHA Class II or III heart failure
- Left ventricular ejection fraction ≤ 40%
- NT-proBNP ≥ 400
- Prescribed optimally-tolerated, stable, Guideline Directed Medical Therapy (GDMT) per country specific guidelines for the treatment of heart failure for at least 4 weeks
- Six-minute hall walk (6MHW) distance of ≥ 150 m AND ≤ 400 m
- Deemed an acceptable candidate for the implant procedure by the investigator
Exclusion Criteria:
- Known or clinically suspected baroreflex failure or autonomic neuropathy
- Currently implanted with a barostimulator device
- Received cardiac resynchronization therapy (CRT) within six months of implantation
- Received a CardioMEMS device within three months of the screening visit
- History of any prior stroke with permanent neurologic defect or any prior intracranial bleed or other serious brain injury
- Body mass index > 45
- Serum estimated glomerular filtration rate (eGFR) < 30 mL/min/1.73 m2
- Presence of atherosclerotic plaque in the intended side for implantation as determined by carotid duplex
- Internal ICA lumen diameters <5.0 mm or >11.75 mm within the planned location of the implant placement, or evidence of landing zone restrictions, such as inadequate length, vessel tapering, and/or vessel curvature that would preclude safe placement of the implant

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04590001
Contact: Lisa Director, Clinical Operations | (949) 231-7602 | lgreen@vasculardynamics.com |
Australia, Sydney | |
St. Vincent's Hospital | Recruiting |
Darlinghurst, Sydney, Australia, NSW 2010 | |
Contact: Erika O'Dea erika.odea@svha.org.au | |
Principal Investigator: David Muller, MD | |
Australia, Western Australia | |
Fiona Stanley Hospital | Recruiting |
Murdoch, Western Australia, Australia, 6150 | |
Contact: Gillian Tulloch gillian.tulloch@health.wa.gov.au | |
Principal Investigator: Amit Shah, MD | |
Canada, Ontario | |
London Health Science Center | Recruiting |
London, Ontario, Canada, N6A 5A5 | |
Contact: Heather Hern 5196858500 heather.hern@lhsc.on.ca | |
Principal Investigator: Stuart Smith, MD | |
Canada, Quebec | |
Montreal Heart Institute | Recruiting |
Montreal, Quebec, Canada, H1T 1C8 | |
Contact: Helene Brown helene.brown@icm-mhi.org | |
Principal Investigator: Anique Ducharme, MD | |
Georgia | |
Helsicore Ltd "Israeli-Georgian Medical Research Clinic Helsicore" | Recruiting |
Tbilisi, Georgia | |
Contact: Anna Bekaia | |
Tbilisi Heart and Vascular Center | Recruiting |
Tbilisi, Georgia | |
Contact: George Shaburishvili | |
Germany | |
Charité Universitätsmedizin Berlin | Recruiting |
Berlin, Germany | |
Contact: Katharina Gille katharina.gille@dhzc-charite.de | |
Principal Investigator: Mohammad Sherif, Prof. dr. med | |
Heart Center, University Hospital Dresden | Recruiting |
Dresden, Germany | |
Contact: Cecile Bosredon cecile.bosredon1@tu-dresden.de | |
Principal Investigator: Axel Linke, Prof. dr. med | |
CardioVascular Center - CVC Frankfurt | Recruiting |
Frankfurt, Germany | |
Contact: Stefanie Schlimm s.schlimm@cvcfrankfurt.de | |
Principal Investigator: Horst Sievert, Prof. dr. med | |
Justus-Liebig-Universitat Giessen | Recruiting |
Gießen, Germany | |
Contact: Anne Drewenka anne.drewenka@innere.med.uni-giessen.de | |
Principal Investigator: Christian Hamm, Prof. dr med | |
University of Saarlandes - Homburg | Recruiting |
Homburg, Germany | |
Contact: Christina Koch christina.koch@uks.edu | |
Principal Investigator: Felix Mahfoud, Prof. dr. med | |
Krankenhaus der Barmherzigen Brüder Trier | Recruiting |
Trier, Germany | |
Contact: Hannah Waschbuesch h.waschbuesch@bbtgruppe.de | |
Principal Investigator: Jurgen Leick, Dr. med |
Responsible Party: | Vascular Dynamics, Inc. |
ClinicalTrials.gov Identifier: | NCT04590001 |
Other Study ID Numbers: |
CRD0593, 0594, 0595, 0596 |
First Posted: | October 19, 2020 Key Record Dates |
Last Update Posted: | May 11, 2023 |
Last Verified: | May 2023 |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Heart Failure Mobius HD |
Heart Failure Heart Diseases Cardiovascular Diseases |