Cardiac Research Program
Newark Beth Israel Medical Center and
Saint Barnabas Medical Center

The Cardiac Research program at Newark Beth Israel and Saint Barnabas Medical Centers performs clinical research trials and program-initiated research projects in a variety of subspecialties of Cardiac Services, including diagnostic, invasive and non-invasive Cardiology, Electrophysiology, Heart Failure management as well as Cardiothoracic Surgery and Cardiac Transplantation. In 2005, the Cardiac Research team worked on 28 research studies and enrolled over 120 patients.

Lead by our experienced medical staff, the Cardiac Research team includes dedicated clinical research coordinators, a research assistant and an administrative director.


Clinical Research Trials

TRIUMPH: Tilarginine Acetate Injection in a Randomized International Study in Unstable AMI Patients with Cardiogenic Shock
Sponsored by: ArgiNOx Pharmaceuticals, Inc.
Investigator: David Baran, MD, FACC

TRIUMPH is a phase III international study to evaluate a first-in-class drug to treat cardiogenic shock (CS) following acute myocardial infarction. Despite major advances in acute cardiac care over the past two decades, the death rate of CS remains 40-50% or higher. TRIUMPH will evaluate the efficacy of Tilarginine Acetate to improve survival of these patients. The primary endpoint of the study is mortality at 30 days.

Newark Beth Israel Medical Center also participated in, and was the top enroller worldwide for, the phase II trial of the same compound (SHOCK 2).


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Clinical Investigation of the Mitroflow Stented Pericardial Aortic Valve Replacement
Sponsored by: CarboMedics, Inc.
Principal Investigator: Craig R. Saunders, MD

Heart valve


©2005 CarboMedics Inc.

CAUTION: INVESTIGATIONAL DEVICE. LIMITED BY FEDERAL LAW TO CLINICAL INVESTIGATIONAL USE.

Newark Beth Israel is one of the lead centers conducting the non-randomized trial of the Mitroflow Aortic Pericardial Heart Valve. The Mitroflow valve has been commercially available outside the United States for the past 22 years. Since the safety and effectiveness of the Mitroflow valve has not been proven in the United States, the goal of this study is to obtain data to support a pre-marketing application (PMA) to the U.S. Food and Drug Administration (FDA) to commercially sell the Mitroflow valve in the United States. The Mitroflow valve is constructed from a single piece of bovine pericardium wrapped around a supporting stent.

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SEPIA-PCI: A multinational, randomized, double-blind, double-dummy, exploratory, parallel group, dose-ranging phase II Study to Evaluate the Pharmacodynamics, the safety and tolerability, and the pharmacokinetics of several Intravenous regimens of the factor Xa inhibitor otamixAban (XRP0673), in comparison to intravenous unfractionated heparin, in subjects undergoing non-urgent Percutaneous Coronary Intervention
Sponsored by: Aventis, Inc.
Trial Coordinating Investigator & PI for Newark Beth Israel: Marc Cohen, MD, FACC

The trial is intended to determine the effect of several IV regimens of otamixaban on pharmacodynamic markers – including markers of thrombosis and coagulation – safety/ tolerability, clinical efficacy and pharmacokinetics in patients undergoing non-urgent angioplasty procedures via a femoral approach. 930 patients are to be enrolled over 80-100 sites in 10 countries, including Belgium, Canada, Czech Republic, France, Germany, Netherlands, Slovakia, South Africa, Spain and the United States.


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COMPASS-HF: Chronicle Offers Management of Patients with Signs and Symptoms of Heart Failure
Sponsored by: Medtronic, Inc.
Co-Investigators: Mark Zucker, MD, JD, FACC, FACP, and Marc Roelke, MD, FACC

The Chronicle device is an implantable hemodynamic monitor approximately the size of an average pacemaker. The nation-wide COMPASS-HF study was performed to assess the safety and effectiveness of continuous ambulatory cardiac pressures in hopes of improving heart failure morbidity. The COMPASS-HF study is no longer enrolling subjects but is following study subjects long-term.

Notice of Availability: Investigational Device.
Limited by US Law to Investigational Use

Chronicle® System Components

Chronicle deviceImplantable Hemodynamic Monitor
• Pressure sensor is implanted in RVOT
• Implanting technique similar to pacemaker
External Pressure Reference
• Pager sized external device which measures barometric pressure
• Is designed to correct absolute cardiac pressure, recorded in hemodynamic monitor, for changes in atmospheric pressure
Remote Monitor
• Home unit which allows patients to send Chronicle® data to a secure network
Chronicle® Information Network
• Web site which allows clinicians to view and evaluate Chronicle® data over time


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IM CALM: INTEGRATIVE MEDICINE APPROACH to MEDICAL CARE of ICD (Implantable Cardiac Defibrillator) PATIENTS - Prospective Study of the Effects of CAM (Complementary and Alternative Medicine) Treatments on Anxiety, Depression, Device Acceptance and Quality of Life in First-Time ICD Recipients
Supported by: Medtronic, Inc.
Principal Investigator: Marc Roelke, MD, FACC

This investigator-initiated randomized single-blinded study aims to begin development of an optimal long-term clinical-management model for the ICD patient population. The primary goal is to test the integrative medicine (IM) approach to care of ICD patients against the currently accepted traditional medical model. The researchers hope to demonstrate that the IM approach to treatment of ICD patients – including the best of traditional medical care, inpatient CAM therapies and the outpatient Mindfulness-Based Stress Reduction and Relaxation program (created by J. Kabat-Zinn, PhD) – will have a relative positive impact on overall psychological and physiological well-being of ICD recipients.


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Clinical Evaluation of the CorCap Cardiac Support Device in Patients with Dilated Cardiomyopathy
Sponsored by: Acorn Cardiovascular, Inc.
Principal Investigator: Margarita Camacho, MD

The Acorn Clinical Trial is the most extensive pre-market evaluation of a surgical treatment for heart failure ever undertaken, involving 300 patients at 29 centers across North America, including Newark Beth Israel. This trial was conducted to evaluate effectiveness of CorCap CSD therapy in the treatment of heart failure patients with an enlarged heart and progressive symptoms despite optimized drug therapy.

The CorCap™ Cardiac Support Device (CSD), a proprietary mesh wrap that is implanted around the heart, was developed to provide gentle support to the heart, while allowing normal cardiac function. The CorCap CSD is intended to prevent and reverse the progression of heart failure by improving the heart’s structure and function, leading to improvements in the quality of a patient’s life.


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ASSIST: Atrial Tachyarrhythmia Suppression Strategy in ICD Subjects
Sponsored by: St. Jude Medical
Principal Investigator: Roy Sauberman, MD, FACC

Atrial fibrillation (AF) is frequently associated with bradycardia (sick sinus syndrome) and increased vagal tone, and symptoms associated with AF include stroke, heart failure and incapacitating palpitations. Overdrive pacing minimizes pauses following ectopic beats, reduces the dispersion of refractoriness, and suppresses ectopic foci, which may be effective in preventing recurrent AF. St. Jude Medical has recently developed a unique overdrive suppression algorithm, AF Suppression, which supports circadian rhythm variation while delivering a high percentage of atrial pacing. The purpose of the ASSIST study is to evaluate the clinical benefits and outcomes of AF Suppression pacing in patients with an implantable cardioverter-defibrillator (ICD) indication. These benefits may include a reduction in atrial arrhythmia incidence and atrial arrhythmia burden as well as a reduction of inappropriate VT/VF device therapy.

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