"The ROADMAP study shows that LVAD therapy is a treatment option for advanced heart failure patients not yet on inotropic therapy. Patients who desire to improve their quality of life and functional capacity may choose the option of LVAD before they become hospitalized and more critically ill," said Dr. Randall C. Starling, professor of medicine at the Cleveland Clinic. "It is important that referring physicians refer advanced heart failure patients early so they may learn more about their treatment options and fully understand and appreciate the risks and benefits associated with getting an LVAD. Patient decision making is preferable when they are ambulatory versus hospitalized and critically ill."Mechanical circulatory support (MCS) is a proven therapy for treating patients in the most advanced stages of heart failure. The majority of LVAD implants are performed in patients who are dependent on inotropic medications. Though indicated for HeartMate II LVAD therapy, less than 20 percent of patients in the INTER agency Registry for M echanically A ssisted C irculatory S upport (INTERMACS), are non-inotrope dependent. "We continue to see positive results from the ROADMAP study and are pleased these data provide confirmation of the importance for physicians to educate patients about early intervention with LVAD therapy," said Dr. John B. O'Connell, medical director for St. Jude Medical. "St. Jude Medical is committed to providing physicians with innovative technologies that treat the world's most expensive epidemic diseases, such as heart failure." Similar to the one year results, two-year survival on original therapy with overall functional improvement significantly favored HeartMate II LVAD support as measured by changes in New York Heart Association (NYHA) classification. Within the LVAD group, 48 percent of patients at two years improved at least one NYHA Class compared with only 13 percent in the OMM group. Quality of life metrics also favored HeartMate II LVAD despite the fact that adverse events in total were higher than with medical management. There is a trend for a reduction of adverse events in year two for the LVAD group. Additionally, 30 day mortality within the LVAD group was only one percent, which is equivalent to optimal medical management.
There were 23 patients originally in the medical management arm who received an LVAD during the two year follow up period. Although this group of patients is referred to as the "delayed" LVAD group in the study, approximately half of them were implanted in INTERMACS profile 4-6, which is still earlier than when the average patient is implanted. The study found that delaying the LVAD implant did not increase mortality; the opportunity to improve quality of life and functional status is delayed with OMM.About ROADMAPThe ROADMAP study was designed to examine the effectiveness of HeartMate II LVAD support compared with OMM for NYHA Class IIIB and IV patients categorized as INTERMACS profiles 4 through 7 and not dependent on intravenous inotropic support. The study enrolled 200 patients at 41 sites from October 2011 through July 2013, including 97 patients in the LVAD support group and 103 patients on optimal medical management. About St. Jude Medical's Heart Failure BusinessSt. Jude Medical is pioneering heart failure disease management with innovative solutions like the CardioMEMS ™ HF System, ground-breaking quadripolar technology, our first-to-market MultiPoint ™ pacing technology and, in select European markets, the HeartMate 3 ™ left ventricular assist system. St. Jude Medical collaborates with heart failure specialists, clinicians and advocacy partners to provide innovative, cost-effective solutions that help reduce hospitalizations and improve patient quality of life for heart failure patients around the world. For more information about St. Jude Medical's focus on heart failure, visit the St. Jude Medical Heart Failure Media Kit or the St. Jude Medical PULSE Blog. Information for patients to learn more about heart failure can be found at heartfailureanswers.com. About St. Jude MedicalSt. Jude Medical is a leading global medical device manufacturer and is dedicated to transforming the treatment of some of the world's most expensive epidemic diseases. The company has five major areas of focus that include heart failure, atrial fibrillation, neuromodulation, traditional cardiac rhythm management, and cardiovascular. For more information, please visit sjm.com or follow us on Twitter @SJM_Media. Forward-Looking Statements This news release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 that involve risks and uncertainties. Such forward-looking statements include the expectations, plans and prospects for the Company, including potential clinical successes, reimbursement strategies, anticipated regulatory approvals and future product launches, and projected revenues, margins, earnings and market shares. The statements made by the Company are based upon management's current expectations and are subject to certain risks and uncertainties that could cause actual results to differ materially from those described in the forward-looking statements. These risks and uncertainties include market conditions and other factors beyond the Company's control and the risk factors and other cautionary statements described in the Company's filings with the SEC, including those described in the Risk Factors and Cautionary Statements sections of the Company's Annual Report on Form 10-K for the fiscal year ended January 2, 2016. The Company does not intend to update these statements and undertakes no duty to any person to provide any such update under any circumstance.