MOMENTUM 3 Trial

Publications and Presentations

Six-Month Primary Outcomes in the MOMENTUM 3 Short-Term Cohort

Mehra, M.R., Naka, Y., Uriel, N., Goldstein, D.J., Cleveland, J.C., Colombo, P.C., …, Salerno, C., for the MOMENTUM 3 Investigators. (2017). A Fully Magnetically Levitated Circulatory Pump for Advanced Heart Failure. N Engl J Med, 376(5), 440-50. https://www.nejm.org/doi/10.1056/NEJMoa1610426.

In this primary six-month analysis of the MOMENTUM 3 trial, the HeartMate 3 LVAS demonstrates:

  • Improvement in outcomes driven by a reduction in the need for reoperation or replacement of the HeartMate 3 pump.
  • Patients treated with either the HeartMate 3 LVAS or the HeartMate II LVAS show similar functional quality of life improvement.
  • No suspected or confirmed pump thrombosis events.

Hemocompatibility Related Outcomes at Six Months in the MOMENTUM 3 Short-Term Cohort

Uriel, N., Colombo, P.C., Cleveland, J.C., Long, J.W., Salerno, C., Goldstein, D.J., … Mehra, M.R. (2017). Hemocompatibility-Related Outcomes in the MOMENTUM 3 Trial at 6 Months: A Randomized Controlled Study of a Fully Magnetically Levitated Pump in Advanced Heart Failure. Circulation, 135(21), 2003-12. https://doi.org/10.1161/CIRCULATIONAHA.117.028303

In this secondary analysis of the MOMENTUM 3 trial, the HeartMate 3 LVAS demonstrated higher freedom from an aggregate of hemocompatibility-related adverse events at six months in comparison to HeartMate II LVAS.

Impact of Age, Sex, Therapeutic Intent, Race and Severity of Advanced Heart Failure on Six-Month Outcomes in the MOMENTUM 3 Short-Term Cohort

Goldstein, D.J., Mehra, M.R., Naka, Y., Salerno, C., Uriel, N., Dean, D., … Cleveland, J. for the MOMENTUM 3 Investigators. (2018). Impact of age, sex, therapeutic intent, race and severity of advanced heart failure on short-term principal outcomes in the MOMENTUM 3 trial, J Heart Lung Transplant, 37 (1), 7-14. https://doi.org/10.1016/j.healun.2017.11.001

This analysis of the MOMENTUM 3 trial demonstrates the following:

  • Younger age at implant and pump choice of HeartMate 3 LVAS versus HeartMate II LVAS were independently associated with a greater likelihood of primary endpoint success.
  • Sex, therapeutic intent, severity of illness and race, when adjusted for age, do not influence primary endpoint success.

Quality of Life and Functional Capacity Outcomes at Six Months in the MOMENTUM 3 Short-Term Cohort

Cowger, J.A., Naka, Y., Aaronson, K.D., Horstmanshof, D., Gulati, S., Rinde-Hoffman, D., … Jorde, U.P. on behalf of the MOMENTUM 3 Investigators. (2018). Quality of life and functional capacity outcomes in the MOMENTUM 3 trial at 6 months: A call for new metrics for left ventricular assist device patients. J Heart Lung Transplant, 37 (1), 15-24. https://doi.org/10.1016/j.healun.2017.10.019

The analysis of this study on health-related quality of life (HR-QOL) and functional capacity shows that:

  • HR-QOL and functional capacity improved significantly in MOMENTUM 3 patients, independent of device use.
  • Two-thirds of patients met the endpoint of “Living Well on an LVAD” at six months.
  • Occurrence of an early serious adverse event did not influence HR-QOL but functional capacity was adversely affected.

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