Cardiac Research Program

The Saint Barnabas Heart Centers participate in more clinical research trials than any other cardiac program in New Jersey. Our prominent cardiovascular research helps patients gain access to promising new treatments and technology.  

The cardiovascular research team participates in industry sponsored and investigator initiated research projects in a variety of subspecialties including diagnostic, invasive and non-invasive cardiology; electrophysiology; heart failure management; as well as cardiothoracic surgery and cardiac transplant.

In 2008, our cardiac research team participated in 20 studies and enrolled more than 100 patients. The team works closely to incorporate research findings into the comprehensive care to improve patient outcomes.

For more information about research trials at the Saint Barnabas Heart Centers, please contact the Cardiac Research Team at 973-926-8451.

CURRENTLY ENROLLING TRIALS


ACORN GEN-2---clinical evaluation of ACORN CORCAP GEN 2 cardiac support device: a feasibility trial protocol
            Enrollment is taking place at a select group of six to eight centers. The Corcap device is implanted through a thoracotomy incision in patients with evidence of left ventricular dilatation, reduced left ventricular function and symptoms of NYHA class II-IV heart failure despite standard medical therapy. Patients cannot have mitral regurgitation greater than 2+.
Principal Investigator: Margarita Camacho, MD

 

ACORN-MVRclinical evaluation of Acorn Cardiac Support Device Therapy in Patients with Dilated Cardiomyopathy: a confirmatory trial
A mesh-like support device designed to reduce left ventricular dilatation is implanted at the time of mitral valve repair or replacement.
Principal Investigator: Margarita Camacho, MD

 

ASCEND-HF—double-blind, Placebo-controlled, Multi-center Acute Study of Clinical Effectiveness of Nesiritide in Subjects with Decompensated Heart Failure
            Neseritide/placebo administered in addition to standard medical care to evaluate if it improves patient outcomes. (reduction in composite HF rehospitalization and all-cause mortality as well as relieving dyspnea symptoms and improving the subject’s self-assessed overall well-being)
Principal Investigator NBI: David Baran, MD
Principal Investigator CMC: Jose Iglesias, MD

 

ATOLL STUDY—acute STEMI treated with primary angioplasty and intravenous enoxaparin or unfractionated heparin to lower ischemia and bleeding events at short- and long-term follow-up
An international trial for patients presenting for primary PCI (percutaneous coronary intervention) of  ST elevation myocardial infarction within 12 hours of symptom onset and ongoing ischemia will be randomized to treatment with either IV Enoxaparin or IV unfractionated Heparin. Currently Newark Beth Israel Medical Center is the only U.S. site participating in this trial.
Principal Investigator: Marc Cohen, MD

 

CRISP AMI--- multi-center, randomized, controlled study of mechanical left ventricular unloading with counterpulsation to reduce infarct size pre-PCI for acute myocardial infarction
Subjects with anterior acute ST elevation MI will be randomized 1:1 to either IAB or no IAB before primary PCI. Primary objective is to determine whether placing an IAB before mechanical reperfusion decreases anterior MI size. Infarct size will be measured by MRI 3 to 5 days post-PCI or at discharge, whichever comes first.
Principal Investigator: Marc Cohen, MD

 

CTOT-05—an observational study of alloimmunity in cardiac transplant from the time of transplant to 1 year post-transplant
An NIH sponsored study to correlate current noninvasive monitoring tests (angiogram, echo and IVUS) with long term graft survival/function in heart transplant recipients and determine which tests are the most accurate predictors of survival.
Principal Investigator: David Baran, MD

 

DURAHEART LVAS-- evaluation of the safety and effectiveness the DuraHeart Left Ventricular Assist System in patients awaiting heart transplantation
This is a multi-center, prospective, single arm study. The patient population for this trial consists of patients with end-stage heart failure awaiting cardiac transplantation. Patients must be listed for transplant with UNOS as status 1A or 1B.
Principal Investigator: Margarita Camacho, MD

 

HEARTMATE II LVAS: evaluation of the HeartMate II Left Ventricular Assist System as destination therapy versus the HeartMate XVE System
Implantation of the HM II LVAS in patients as destination therapy for treatment of end stage heart failure. These patients are not transplant candidates and receive the device for long-term cardiac support.  **Device now marketed for bridge to transplant.
Principal Investigator: Margarita Camacho, MD

 

IMAGE-- invasive monitoring attenuation through gene expression trial
A randomized trial designed to evaluate the safety and efficacy of gene expression profiling (GEP) in the monitoring of asymptomatic heart transplant patients for acute rejection. The primary objective is to determine whether the use of GEP is not inferior to biopsy with respect to event-free survival.
Principal Investigator: David Baran, MD

 

UPCOMING TRIALS

CYPRESS—prospective, randomized, multi-center, double-blind trial to assess the effectiveness and safety of different durations of dual anti-platelet therapy (DAPT) in subjects undergoing percutaneous coronary intervention with the CYPHER® stent
            Patients undergoing PCI with lesions able to be treated with 2.25 to 3.5 mm Cypher stent.
            Phase 1- Non-randomized open label thienopyridine with aspirin therapy for 12 months.
            Phase 1- Randomized: patients who are treated with 12 months of DAPT are randomized to 18 months of DAPT or placebo. Both arms will continue aspirin therapy. The primary endpoint is target lesion failure or MACE events.    
Principal Investigator: Marc Cohen, MD

 

CVBT—human recombinant fibroblast growth factor-1 (FGF-1141) for the treatment of subjects with severe coronary heart disease, a double-blind, placebo-controlled, dose- varying study
This is a phase II, multi-center study using three dose levels of FGF-1141 and a placebo dose in subjects who demonstrate evidence of advanced symptoms of coronary heart disease despite optimization of conventional medical therapy, and CCS classification scores of Class II and IV.
The dose will be given as 10 myocardial injections (via the NOGA MyoStar injection catheter) into those areas of the left ventricle shown to be perfusion-limited by SPECT analyses, with supporting confirmation of localized ischemia by an angiogram.
Principal Investigator: Mark J. Zucker, MD, JD

 

MARVEL— phase II/III, double-blind, randomized, controlled, multi-center study to assess the safety and cardiovascular effects of MYOCELL implantation by a catheter delivery system in congestive heart failure patients post-myocardial infarction(s)
Implantation of autologous skeletal myoblasts post-myocardial infarction with the use of the NOGA XP cardiac navigation system. The myoblasts have the potential to differentiate into mature muscle and may lead to improvement of myocardial performance. **trial is temporarily on hold waiting for a protocol amendment with the FDA
Principal Investigator: Mark J. Zucker, MD, JD
 

RADAR—randomized, partially-blinded, multi-center, active-controlled, dose-ranging study assessing the safety, efficacy and pharmacodynamics of the REG1 Anticoagulation System compared to the unfractionated heparin or low molecular heparin in subjects with acute coronary syndrome
Novel first in class anticoagulation system consisting of a drug component (RB006, an oligonucleotide aptamer) and the active control agent specific to RB006 (RB007). Randomized to 1 of 5 parallel treatment groups. Groups 1 through 4 will receive a bolus of 1.0 mg/kg of RB006 and differing degrees of control-reversal agent RB007. Group 5 will receive Heparin. All subjects will have loading doses of both Clopidogrel and Aspirin.
Principal Investigator: Marc Cohen, MD

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