Table 1.
Study | Methodology | Patient population | Sample size | Endpoint | HF hospitalization | Relative risk reduction (RRR) |
---|---|---|---|---|---|---|
CHAMPION | Prospective, randomized, double‐blinded |
NYHA III HFpEF or HFrEF |
550 280—control 270—treatment |
HFH 6 months |
0.44—control 0.32—treatment |
28% [0.60–0.85], P = 0.0002 37% (annualized) [0.52–0.77], P < 0.0001 |
CMS post‐approval | Retrospective cohort | FFS Medicare HFrEF/HFpEF | 1114 | HFH 6 months |
1020 events—pre 381 events—post |
55% [0.49–0.61], P < 0.001 |
CardioMEMS post‐approval | Prospective, open‐label, single‐arm | NYHA Class III & prior HFH within 12 months | 1200 | HFH 12 months |
1.25—pre 0.54—post |
57% [0.39–0.47], P < 0.0001 |
MEMS‐HF | Prospective, open‐label, single‐arm | NYHA Class III, ≥1 HFH in the preceding year | 234 | HFH 12 months |
1.55—pre 0.60—post |
62% [0.31–0.48], P < 0.0001 |
GUIDE‐HF | Prospective, randomized, double‐blinded | NYHA Class II–IV, ≥1 HFH or elevated BNP in the preceding year | 3600 | HFH, IV diuretics visits and all‐cause mortality 12 months | In process | In process |
CI, confidence interval, CMS, Center for Medicare and Medicaid Services; FFS, fee for service, GUIDE‐HF; Hemodynamic‐GUIDEd Management of Heart Failure; HFH, heart failure hospitalization; HFpEF, heart failure preserved ejection fraction; HFrEF, heart failure reduced ejection fraction; NYHA, New York Heart Association