Table 4.
Primary efficacy end point | Composite of the number of unplanned HF-related rehospitalizations or all-cause mortality 365 days after randomization (12-month time) |
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Primary safety end point |
1. Device/system-related complications (DSRC) of the patients as a result of the attempted or successful implantation of an CardioMEMS™ sensor at the 12-month time point and 2. Freedom from sensor failures at the 12-month time |
Secondary end points |
(A) Health-related quality of life Major secondary: changes in quality of life (QoL) measured using the Kansas City Cardiomyopathy Questionnaire (KCCQ) scores (TSS, OSS, CSS), after 6 and 12 months Changes in QoL scores measured after 6 and 12 months using Euro-QoL-5D (B) Mortality HF-related mortality in the 12-month period Other cardiovascular mortality in the 12-month period Non-cardiovascular mortality in the 12-month period All-cause mortality in the 12-month period (C) Unplanned hospitalizations HF-related hospitalizations in the 12-month period Other cardiac-related hospitalizations in the 12-month period Non-cardiovascular-related hospitalizations in the 12-month period All-cause hospitalizations in the 12-month period Number of days alive and out of hospital in the 12-month period (D) Adverse events Frequency of adverse events in the 12-month period Frequency of serious adverse events in the 12-month period (E) Symptoms of heart failure and psychometric assessments Patient-reported symptoms of heart failure assessed by the KCCQ Symptoms Score Unscheduled HF-related hospitalizations HF-related mortality Days alive and out of hospital Laboratory parameters for organ damage and disease progression Change in symptom burden of anxiety (GAD-7) at 6- and 12-month time points Change in symptom burden of depressive symptoms (PHQ-9) at 6- and 12-month time points (F) Care-related aspects Patient adherence in the intervention group in terms of obtaining PA pressure readings, at 6 and 12 months Change in PA pressure values at 6 and 12 months, based on the area under the curve Number of adjustments made within each guideline-recommended substance class and their underlying reasons Change in drug dose (equivalent dosages) of maximum guideline-recommended substance class received, at 6 and 12 months Rate of documented atrial and ventricular arrhythmias over a 12-month period Laboratory measures of organ damage and disease progression: renal and cardiac biomarkers with associated changes Health economic data (resource use) at 6- and 12-month time points |