Trial Outcomes & Findings for Electrophysiologically Guided PAcing Site Selection Study (NCT NCT00239226)

NCT ID: NCT00239226

Last Updated: 2013-11-25

Results Overview

Persistent Atrial Fibrillation (AF) incidence

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

102 participants

Primary outcome timeframe

1 year

Results posted on

2013-11-25

Participant Flow

Enrollment: november 2005 - may 2008 Sites:Ospedale P. Cosma Camposampiero-Ospedale Civile ULSS 13 Mirano-Ospdale Civile,Como-Ospedale Cisanello,Pisa-CRN,Pisa-Ospedale civile, Livorno-Ospedale Molinette, Torino-Presidi Ospedalieri Riuniti,Borgomanero-Ospedale San Pietro Igneo, Fucecchio-Azienda Ospedaliera di Desenzano del Garda Desenzano

Participant milestones

Participant milestones
Measure
IAS Pacing Study Group
Patients with with severe conduction delay (Delta CTos \>50 ms, Study Group) randomized to interatrial septum (IAS) pacing.
IAS Pacing Control Group
Patients without severe conduction delay (Delta CTos \<50 ms, Control Group) randomized to interatrial septum (IAS) pacing.
RAA Pacing Study Group
Patients with severe conduction delay (Delta CTos \>50 ms, Study Group) randomized to right atrial appendage (RAA) pacing.
RAA Pacing Control Group
Patients without severe conduction delay (Delta CTos \<50 ms, Control Group) randomized to right atrial appendage (RAA) pacing.
Overall Study
STARTED
30
18
37
17
Overall Study
COMPLETED
29
18
36
14
Overall Study
NOT COMPLETED
1
0
1
3

Reasons for withdrawal

Reasons for withdrawal
Measure
IAS Pacing Study Group
Patients with with severe conduction delay (Delta CTos \>50 ms, Study Group) randomized to interatrial septum (IAS) pacing.
IAS Pacing Control Group
Patients without severe conduction delay (Delta CTos \<50 ms, Control Group) randomized to interatrial septum (IAS) pacing.
RAA Pacing Study Group
Patients with severe conduction delay (Delta CTos \>50 ms, Study Group) randomized to right atrial appendage (RAA) pacing.
RAA Pacing Control Group
Patients without severe conduction delay (Delta CTos \<50 ms, Control Group) randomized to right atrial appendage (RAA) pacing.
Overall Study
permAF during stabilization period
0
0
0
3
Overall Study
Lost to Follow-up
1
0
1
0

Baseline Characteristics

Electrophysiologically Guided PAcing Site Selection Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
IAS Pacing Study Group
n=30 Participants
Patients with with severe conduction delay (Delta CTos \>50 ms, Study Group) randomized to interatrial septum (IAS) pacing.
IAS Pacing Control Group
n=18 Participants
Patients without severe conduction delay (Delta CTos \<50 ms, Control Group) randomized to interatrial septum (IAS) pacing.
RAA Pacing Study Group
n=37 Participants
Patients with severe conduction delay (Delta CTos \>50 ms, Study Group) randomized to right atrial appendage (RAA) pacing.
RAA Pacing Control Group
n=17 Participants
Patients without severe conduction delay (Delta CTos \<50 ms, Control Group) randomized to right atrial appendage (RAA) pacing.
Total
n=102 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=93 Participants
0 Participants
n=4 Participants
8 Participants
n=27 Participants
0 Participants
n=483 Participants
10 Participants
n=36 Participants
Age, Categorical
>=65 years
28 Participants
n=93 Participants
18 Participants
n=4 Participants
29 Participants
n=27 Participants
17 Participants
n=483 Participants
92 Participants
n=36 Participants
Age Continuous
75 years
STANDARD_DEVIATION 7 • n=93 Participants
79 years
STANDARD_DEVIATION 6 • n=4 Participants
75 years
STANDARD_DEVIATION 7 • n=27 Participants
81 years
STANDARD_DEVIATION 5 • n=483 Participants
77 years
STANDARD_DEVIATION 7 • n=36 Participants
Sex: Female, Male
Female
18 Participants
n=93 Participants
9 Participants
n=4 Participants
21 Participants
n=27 Participants
10 Participants
n=483 Participants
58 Participants
n=36 Participants
Sex: Female, Male
Male
12 Participants
n=93 Participants
9 Participants
n=4 Participants
16 Participants
n=27 Participants
7 Participants
n=483 Participants
44 Participants
n=36 Participants
Region of Enrollment
Italy
30 participants
n=93 Participants
18 participants
n=4 Participants
37 participants
n=27 Participants
17 participants
n=483 Participants
102 participants
n=36 Participants

PRIMARY outcome

Timeframe: 1 year

Population: 97 pts completed the study after a mean fu period of 15±7 months.

Persistent Atrial Fibrillation (AF) incidence

Outcome measures

Outcome measures
Measure
IAS Pacing Study Group
n=29 Participants
Patients with with severe conduction delay (Delta CTos \>50 ms, Study Group) randomized to interatrial septum (IAS) pacing.
IAS Pacing Control Group
n=18 Participants
Patients without severe conduction delay (Delta CTos \<50 ms, Control Group) randomized to interatrial septum (IAS) pacing.
RAA Pacing Study Group
n=36 Participants
Patients with severe conduction delay (Delta CTos \>50 ms, Study Group) randomized to right atrial appendage (RAA) pacing.
RAA Pacing Control Group
n=14 Participants
Patients without severe conduction delay (Delta CTos \<50 ms, Control Group) randomized to right atrial appendage (RAA) pacing.
Number of Patients With Persistent Atrial Fibrillation (AF) After a Mean Follow-up of 15±7 Months: Comparison Between IAS and RAA Pacing in the Study Group
2 Number of patients with persistent AF
2 Number of patients with persistent AF
9 Number of patients with persistent AF
2 Number of patients with persistent AF

SECONDARY outcome

Timeframe: January 2009

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: January 2009

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: January 2009

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: January 2009

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: January 2009

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: January 2009

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: January 2009

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: January 2009

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: January 2009

Outcome measures

Outcome data not reported

Adverse Events

IAS Pacing Study Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

IAS Pacing Control Group

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

RAA Pacing Study Group

Serious events: 2 serious events
Other events: 0 other events
Deaths: 0 deaths

RAA Pacing Control Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
IAS Pacing Study Group
n=29 participants at risk
Patients with with severe conduction delay (Delta CTos \>50 ms, Study Group) randomized to interatrial septum (IAS) pacing.
IAS Pacing Control Group
n=18 participants at risk
Patients without severe conduction delay (Delta CTos \<50 ms, Control Group) randomized to interatrial septum (IAS) pacing.
RAA Pacing Study Group
n=36 participants at risk
Patients with severe conduction delay (Delta CTos \>50 ms, Study Group) randomized to right atrial appendage (RAA) pacing.
RAA Pacing Control Group
n=14 participants at risk
Patients without severe conduction delay (Delta CTos \<50 ms, Control Group) randomized to right atrial appendage (RAA) pacing.
Cardiac disorders
Hospitalization for HF
0.00%
0/29
5.6%
1/18 • Number of events 1
5.6%
2/36 • Number of events 2
0.00%
0/14

Other adverse events

Adverse event data not reported

Additional Information

Giorgio Corbucci - Sr Principal Scientist

Medtronic BRC - Medtronic Italia SpA

Phone: +39 02 241371

Results disclosure agreements

  • Principal investigator is a sponsor employee INVESTIGATOR may publish/present the results of the work. However, INVESTIGATOR shall provide copies of any abstracts, or manuscripts to the sponsor for review at least 30 (thirty) days prior to submittal for publication or presentation. The sponsor shall limit its review to a determination of whether Confidential Information is disclosed and to check for technical correctness. Sponsor shall not attempt to censor or in any way interfere with INVESTIGATOR's presentation or conclusions.
  • Publication restrictions are in place

Restriction type: OTHER