Whellan Research
Positions:
  • James C. Wilson Professor of Medicine
  • Executive Director, Jefferson Clinical Research Institute (JCRI)

1015 Chestnut Street
Suite 317
Philadelphia, PA 19107

Contact Number(s):

Highlighted Publications

O'Connor CM, Whellan DJ, Lee KL, Keteyian SJ, Cooper LS, Ellis SJ, Leifer ES, Kraus WE, Kitzman DW, Blumenthal JA, Rendall DS, Miller NH, Fleg JL, Schulman KA, McKelvie RS, Zannad F, Piña IL; HF-ACTION Investigators. Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized controlled trial. JAMA. 2009 Apr 8;301(14):1439-50.

HF-ACTION was a multicenter, randomized controlled trial of 2,331 medically stable outpatients with heart failure and reduced ejection fraction conducted at 82 centers across the U.S., Canada, and France. It was the first large-scale randomized trial to examine a regular, structured, exercise intervention in a patient population with chronic heart failure. This publication presented the primary outcomes of the study, which showed modest significant reductions in the primary endpoints of all-cause mortality or hospitalization after adjustment for highly prognostic predictors of these endpoints.  (PDF)

Whellan DJ, Ousdigian KT, Al-Khatib SM, Pu W, Sarkar S, Porter CB, Pavri BB, O’Connor CM; PARTNERS Study Investigators. Combined heart failure device diagnostics identify patients at higher risk of subsequent heart failure hospitalizations; results from PARTNERS HF (Program to Access and Review Trending Information and Evaluate Correlation to Symptoms in Patients With Heart Failure) study. J Am Coll Cardiol 2010 Apr 27;55(17):1803-10.

The PARTNERS-HF (Program to Access and Review Trending Information and Evaluate Correlation to Symptoms in Patients With Heart Failure) study investigated the ability of diagnostics from implantable devices to predict clinical heart failure events. The trial resulted in the identification of specific device diagnostic parameters that successfully identified patients at higher risk for heart failure events within 30 days. (PDF)

Whellan DJ, Goldstein JL, Cryer BL, Eisen GM, Lanas A, Miller AB, Scheiman JM, Fort JG, Zhang Y, O'Connor C. PA32540 (a coordinated-delivery tablet of enteric-coated aspirin 325 mg and immediate-release omeprazole 40 mg) versus enteric-coated aspirin 325 mg alone in subjects at risk for aspirin-associated gastric ulcers: results of two 6-month, phase 3 studies. Am Heart J. 2014 Oct;168(4):495-502.e4.

While aspirin has been established as a mainstay of treatment in the secondary prevention of cardiovascular disease for many years, certain sub-populations, such as older patients and those with a history of gastric ulcer, may be at a higher risk of bleeding and gastrointestinal side effects with daily use. This clinical trial compared a novel coordinated-delivery tablet of 325 mg enteric-coated aspirin and 40 mg immediate-release omeprazole with a control of 325 mg enteric-coated aspirin. The results showed a statistically significant reduction in the rates of gastric ulcers without increasing the rate of major cardiovascular events or death. (PDF)

Whellan DJ, Tricoci P, Chen E, Huang Z, Leibowitz D, Vranckx P, Marhefka GD, Held C, Nicolau JC, Storey RF, Ruzyllo W, Huber K, Sinnaeve P, Weiss AT, Dery JP, Moliterno DJ, Van de Werf F, Aylward PE, White HD, Armstrong PW, Wallentin L, Strony J, Harrington RA, Mahaffey KW. Vorapaxar in acute coronary syndrome patients undergoing coronary artery bypass graft surgery: subgroup analysis from the TRACER trial (Thrombin Receptor Antagonist for Clinical Event Reduction in Acute Coronary Syndrome). J Am Coll Cardiol. 2014 Mar 25;63(11):1048-57.

This study evaluated effects of protease-activated receptor-1 antagonist vorapaxar (Merck, Whitehouse Station, New Jersey) versus placebo among the TRACER (Thrombin Receptor Antagonist for Clinical Event Reduction in Acute Coronary Syndrome) study patients with non-ST-segment elevation acute coronary syndromes undergoing coronary artery bypass grafting (CABG). Vorapaxar was associated with a significant reduction in ischemic events and no significant increase in major CABG-related bleeding. These data show promise for protease-activated receptor 1 antagonism in patients undergoing CABG and warrant confirmatory evidence in randomized trials. (PDF)

Whellan DJ, Ellis SJ, Kraus WE, et al. Method for establishing authorship in a multicenter clinical trial. Ann Intern Med. 2009 Sep 15;151(6):414-20.

During the implementation of the HF-ACTION trial, study leadership devised a scoring system which assigned points to participating sites based on contributions to the trial, such as the site’s rate of enrollment, adherence to the study protocol, and investigator committee participation. This novel system was used to assign authorship to investigators and study personnel across sites in a transparent and equitable manner and resulted in a wide distribution of authors across all sites. (PDF)

Recent Publications

Atrial Fibrillation Status and Physical Rehabilitation in Older Patients With Acute Decompensated Heart Failure: An Analysis From the REHAB-HF Trial

Prognostic Impact of Repeated NT-proBNP Measurements in Patients With Heart Failure With Reduced Ejection Fraction

Physical Activity for Patients With Heart Failure With Reduced Ejection Fraction: Pump up the Volume

Leadership Practices, Organization Structure, and Other Factors Associated with Higher 2022–2023 US News and World Report Ranking

Rewarding Site-Based Research: A Step Toward Improving the Ecosystem of Heart Failure Clinical Trials

Relationship of Race With Functional and Clinical Outcomes With the REHAB-HF Multidomain Physical Rehabilitation Intervention for Older Patients With Acute Heart Failure

Circulating Angiokines Are Associated With Reverse Remodeling and Outcomes in Chronic Heart Failure

Contemporary Homozygous Familial Hypercholesterolemia in the United States: Insights From the CASCADE FH Registry

Clinical Predictors of Adherence to Exercise Training among Individuals with Heart Failure: The HF-ACTION STUDY

Frailty and Effects of a Multidomain Physical Rehabilitation Intervention Among Older Patients Hospitalized for Acute Heart Failure: A Secondary Analysis of a Randomized Clinical Trial

Physical activity and relationship to physical function, quality of life, and cognitive function in older patients with acute decompensated heart failure

Quality of Life Trajectory and Its Mediators in Older Patients with Acute Decompensated Heart Failure Receiving a Multi-Domain Rehabilitation Intervention: Results from the Rehabilitation Therapy in Older Acute Heart Failure Patients Trial

Functional and Symptomatic Clinical Trial Endpoints: The HFC-ARC Scientific Expert Panel

Obesity Status and Physical Rehabilitation in Older Patients Hospitalized With Acute HF: Insights From REHAB-HF

Severity of functional impairments by race and sex in older patients hospitalized with acute decompensated heart failure

Cause of Death Among Patients With Diabetes and Heart Failure With Reduced Ejection Fraction

Titration of medical therapy and clinical outcomes among patients with heart failure with reduced ejection fraction: Findings from the HF-ACTION trial

Expenditure on Heart Failure in the United States: A Rising Tide Lifts All Boats

Effect of Omecamtiv Mecarbil on Exercise Capacity in Chronic Heart Failure with Reduced Ejection Fraction: The METEORIC-HF Randomized Clinical Trial

Frailty Status Modifies the Efficacy of Exercise Training among Patients with Chronic Heart Failure and Reduced Ejection Fraction: An Analysis from the HF-ACTION Trial

Intervention Adherence in REHAB-HF: Predictors and Relationship With Physical Function, Quality of Life, and Clinical Events

Developments in Exercise Capacity Assessment in Heart Failure Clinical Trials and the Rationale for the Design of METEORIC-HF

Weighing in on heart failure: the potential impact of bariatric surgery

Assessing race and ethnicity differences in outcomes based on GDMT and target NT-proBNP in patients with heart failure with reduced ejection fraction: An analysis of the GUIDE-IT study

Economic Outcomes of Rehabilitation Therapy in Older Patients with Acute Heart Failure in the REHAB-HF Trial: A Secondary Analysis of a Randomized Clinical Trial