Pumps for Kids, Infants, and Neonates



Status:Recruiting
Conditions:Cardiology
Therapuetic Areas:Cardiology / Vascular Diseases
Healthy:No
Age Range:Any
Updated:3/15/2019
Start Date:October 22, 2018
End Date:November 2022
Contact:Sandra Siami, MPH
Email:ssiami@neriscience.com
Phone:6179723317

Use our guide to learn which trials are right for you!

PumpKIN is a multicenter, two prospective, single-arm feasibility studies; One with Standard
Cardiac Anatomy and one with Challenging Cardiac Anatomy evaluating the investigational
Jarvik 2015 VAD in pediatric patients with heart failure. This feasibility trial will enroll
10 subjects, 5 Standard Cardiac Anatomy subjects reaching endpoints, and 5 Challenging
Cardiac Anatomy subjects reaching endpoints at up to 7 sites in the US.

The primary objectives of this investigational device exemption (IDE) clinical investigation
are to assess the feasibility of using the Jarvik 2015 in pediatric patients with severe
heart failure who require mechanical circulatory support. Feasibility will be assessed by
evaluating the safety profile of the Jarvik 2015 device in eligible subjects.


Inclusion Criteria

All children with severe (Ross or New York Heart Association (NYHA) class IV) heart failure
despite optimal medical therapy (INTERMACS profiles for pediatrics: Profiles 1 or 2) who
require mechanical circulatory support and meet the following criteria:

1. Males and females within weight range: 8.0 Kg ≤ weight ≤ 30.0 Kg

2. Males and females within Body surface area (BSA) range: 0.4 m2 ≤ BSA ≤ 1.0 m2

3. Cardiac anatomy categories:

1. Standard Cardiac Anatomy: Two-ventricle circulation, including cardiomyopathy,
repaired structural heart disease (e.g. anomalous left coronary artery from the
pulmonary artery [ALCAPA], aortic stenosis) or acquired heart disease (e.g.,
myocarditis, Kawasaki disease)

2. Challenging Cardiac Anatomy: Any challenging cardiac anatomy (including but not
limited to single ventricle heart disease, RCM, HCM3-5) that, in the opinion of
the investigator with confirmation from the PumpKIN Executive Committee, is
difficult to support with available (e.g. pulsatile) devices.

4. INTERMACS Profile 1 or 2 as evidenced by:

1. Inability to wean from extra-corporeal membrane oxygenation (ECMO) or other
temporary circulatory support (TCS), OR

2. Inability to wean from mechanical ventilator support, OR

3. Inotrope-dependent, decompensated heart failure AND meet one or more of the
following criteria within 48 hours prior to implant (unless otherwise noted)
which is attributed to decompensated heart failure despite optimal medical
therapy:

i. Urine output <0.5 cc/kg/hour for 12hr within 48 hours ii. Creatinine level >2 times
the upper limit of normal (ULN) for age iii. Alanine aminotransferase (ALT) or total
bilirubin result >3 times the ULN for age (either qualifies the patient) iv. Mixed
venous oxygen saturation (SvO2) <55% (or arteriovenous oxygen different >45%) in two
repeated measurements v. Acidosis: Base excess >-5 in 2 or more measurements vi.
Inability to tolerate appropriate enteral calories as prescribed by a registered
dietician vii. Inability to ambulate freely to participate fully in age-appropriate
activities of daily living (ADLs) and/or cardiac rehabilitation/physical therapy, OR

5. Potentially eligible (i.e., no medical or surgical contraindications) to be listed for
cardiac transplant, United Network for Organ Sharing status 1A, or equivalent

6. Written consent of parent(s) or legally authorized representative (LAR) where
appropriate.

Exclusion Criteria

To be eligible for this trial, the subjects must meet none of the following exclusion
criteria at the time of enrollment or between the enrollment and device implant:

1. Known contraindication to systemic anticoagulation

2. Currently participating in an interventional trial whose protocol prevents effective
application of the Jarvik 2015 device, potentially has an independent effect on trial
endpoints, or otherwise interferes with execution of the PumpKIN protocol

3. Stable inotrope dependence (INTERMACS profile 3)

4. Single ventricle anatomy prior to stage II surgical palliation (i.e. prior to superior
cavo-pulmonary anastomosis, also known as a Glenn or hemi-Fontan) or Fontan surgery

5. Presence of a mechanical heart valve

6. Unresolved malignancy

7. CPR with duration > 30 consecutive minutes within 48 hours prior to device implant or
CPR with uncertain neurological status prior to device implant

8. Renal dysfunction that is severe or, in the opinion of the investigator, irreversible

9. Hepatic dysfunction that is severe or, in the opinion of the investigator,
irreversible

10. Severe or irreversible pulmonary dysfunction

11. ECMO use for > 10 consecutive days

12. Unrepairable severe aortic insufficiency

13. Active, systemic infection unresponsive to antimicrobials therapy

14. Known cerebrovascular event within the past 30 days or uncertain neurological status

15. Severe right ventricular (RV) dysfunction or significant arrhythmia requiring
treatment with an RV assist device (RVAD) (i.e., biventricular assist device)

16. Unmanageable bleeding per judgment of the investigator
We found this trial at
7
sites
1405 Clifton Road NE
Atlanta, Georgia 30322
404-785-6000
Phone: 404-785-6330
Children's Healthcare of Atlanta Whether treating a toddler in an emergency or supporting a teen...
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Atlanta, GA
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3333 Burnet Avenue # Mlc3008
Cincinnati, Ohio 45229
 1-513-636-4200 
Cincinnati Children's Hospital Medical Center Patients and families from across the region and around the...
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Cincinnati, OH
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300 Longwood Ave
Boston, Massachusetts 02115
(617) 355-6000
Boston Children's Hospital Boston Children's Hospital is a 395-bed comprehensive center for pediatric health care....
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mi
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Boston, MA
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1935 Medical District Dr
Dallas, Texas 75235
(214) 456-7000
Phone: 214-456-5000
Children's Medical Center of Dallas Children's Medical Center is private, not-for-profit, and is the fifth-largest...
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Dallas, TX
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6621 Fannin St
Houston, Texas 77030
(832) 824-1000
Texas Children's Hospital Texas Children's Hospital, located in Houston, Texas, is a not-for-profit organization whose...
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Houston, TX
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630 W 168th St
New York, New York
212-305-2862
Phone: 212-305-5975
Columbia University Medical Center Situated on a 20-acre campus in Northern Manhattan and accounting for...
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New York, NY
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Palo Alto, CA
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