Real-world survival outcomes with CCM®

Authors: Andrew J. Sauer, MD; Ryan Hass; Gary Cranke; Daniel Burkhoff, MD; Ishu Rao, MD
Title: Real-world survival Outcomes with Cardiac Contractility Modulation: Methodological Validation Using Cardiac Resynchronization Therapy Data
Sauer et. al. J Card Fail. 2025 May 22: 1071-9164(25)00232-5. doi: 10.1016/j.cardfail.2025.04.013 (Epub ahead of print)

Study Objectives

• • •

  • What is the observed real-world survival for CCM® patients and how does that benchmark against CRT?

Study Design

• • •

Retrospective analysis using Truveta™ real-world database.

[hospital] 900 hospitals
[clinic] 20k clinics
[patient] 120M + US patients

The Truveta™ real-world database was successfully validated for analysis, as demonstrated by comparable results in CRT populations for Truveta™ (74%) and CARE-HF (77%) when analyzing real-world survival rates.

Inclusion Criteria

CCM® and CRT HF populations from the Truveta™ database between Jan 2016 - Dec 2024.

n (CCM®) = 503
n (CRT) = 52,500

Results

• • •

CRT and CCM Survival (Kaplan-Meier estimates)

CRT Survival

The Kaplan-Meier survival curve for Cardiac Resynchronization Therapy (CRT) shows the following estimated survival probabilities:

  • CARE - HF: 77%
  • All CRT: 75%
  • CRT - LVEF ≤35%: 74%
The overall survival range observed for CRT patients in this analysis was 74-77% over 1,000 days.

Number at Risk for CRT:

Time to Event (Days) 0 250 500 750 1000
EF ≤35% 13222 10221 8147 6394 4985
All CRT 52500 40004 32065 25405 19850

CCM Survival

The Kaplan-Meier survival curve for Cardiac Contractility Modulation (CCM) shows the following estimated survival probabilities:

  • All CCM: 77%
  • CCM - LVEF 25-45%: 78%
The overall survival range observed for CCM patients in this analysis was 77-78% over 1,000 days.

Note: LVEF 25-45% Corresponds to current CCM® indication.

Number at Risk for CCM:

Time to Event (Days) 0 250 500 750 1000
EF 25-45%* 111 64 46 25
All CCM 503 327 185 129 84

* LVEF 25-45% Corresponds to current CCM® indication.

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