Registry for Cardiogenic Shock: Utility and Efficacy of Device Therapy — RESCUE  

Heart Failure Clinical Trial

Official title: Registry for Cardiogenic Shock: Utility and Efficacy of Device Therapy

Status Terminated

Clinical Trial Summary

The purpose of this study is to gather information on patients who have heart failure and are eligible for one of the following two procedures: 1) mechanical support, i.e. ventricular assist device (VAD) or 2) heart transplant. the study seeks to determine which patient populations benefit from heart transplant or ventricular assist device. This will allow to offer the state-of-the-art care to the patients in heart failure.

Clinical Trial Description

Cardiogenic shock (CS) develops in the end stage of various etiologies of heart failure and continues to hold high mortality; ranging from 50 to 80%. Expert consensus recommends use of more powerful mechanical circulatory support device (MCSD) in this patient population; however, scientific evidence has been anecdotal relying on mostly single-center small case series and, more fundamentally, because there is no unified definition to grade the severity of the highly heterogeneous condition CS. Well-designed studies are warranted to precisely characterize the various "phenotypes" of CS as well as the role of MCSD in this condition with still excessive mortality.

This multicenter registry will be the first multicenter large-scale registry focused on mechanical circulatory support (MCS) therapy for CS. The fundamental goal of RESCUE is to advance the understanding and application of MCSD in order to improve the persistently dismal survival of patients with CS with the following intents:

1. Elucidate current indication and outcomes of MCSD use in CS.

2. Redefine CS with better description of this disease entity, which will allow better prediction of outcomes, selection of treatment strategy, and comparison and design of studies.

3. Facilitate the refinement of patient selection to maximize outcomes with current and new device options.

4. Improve and expedite new device clinical trials by providing historical control data.

5. Develop consensus "best practice" guidelines to improve clinical management by reducing short and long-term complications of MCSD therapy. ;

Related Conditions & MeSH terms

• Cardiogenic Shock
• Heart Failure
• Shock
• Shock, Cardiogenic

• NCT number: NCT02790242
• Study type: Observational [Patient Registry]
• Source: Columbia University
• Status: Terminated
• Start date: November 2013
• Completion date: February 11, 2020