PROSPECT: Predictors of Response to Cardiac Re-Synchronization Therapy

NCT ID: NCT00253357

Last Updated: 2007-12-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

450 participants

Study Classification

OBSERVATIONAL

Study Start Date

2004-03-31

Study Completion Date

2006-06-30

Brief Summary

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Heart failure is a progressive disease that decreases the pumping action of the heart. This may cause a backup of fluid in the heart and may result in heart beat changes. Using a medical device like a pacemaker or a defibrillator can help the heart to pump in regular beats. However, not all patients do better with a device. Currently, there is not a way to identify which patients will benefit from the device. The purpose of this study is to determine if using medical tests, Echocardiogram, can help in predicting which patients will improve. The types of patients needed for this study are those who have been diagnosed with moderate or severe heart failure.

Detailed Description

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Conditions

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Heart Failure Congestive Heart Failure Cardiomyopathy

Keywords

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Heart Failure Congestive Heart Failure Fluid overload Left sided heart failure Pacemaker Defibrillator

Study Design

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Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Moderate to severe heart failure

* Ejection Fraction ( measurement of blood pumped out of the heart) less than 35%
* Wide (greater than 130 milliseconds) QRS duration for US patients only.
* May include patients with less than 130 millisecond QRS duration if they have mechanical dyssynochrony (uncoordinated heart contractions) in Europe.
* All patients enrolled should be stable on medications that include at least an ACE inhibitor or Angiotensin Receptor Blocker (ARB) and at optimal level for at least one month prior to surgery

Exclusion Criteria

* Patients that are not eligible for this study are those that have a mechanical right heart valve or are experiencing the following medical conditions within the last 3 months:

* Chest pain / unstable angina
* Acute heart attack
* Chronic or permanent atrial arrhythmias such as atrial fibrillation
* Contrary artery bypass graft (CABG)
* Percutaneous transluminal coronary angioplasty (PTCA)
* Patients who have had intermittent or continuous Inotropic drug therapy are not eligible for this study.
* Patients who have had heart transplant or a prior Cardiac Resynchronization Therapy device are not eligible for this study.
* Patients who are pregnant or are of child-bearing potential are not on a form of birth control may not participate in this study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medtronic

INDUSTRY

Sponsor Role collaborator

Medtronic Cardiac Rhythm and Heart Failure

INDUSTRY

Sponsor Role lead

Principal Investigators

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William T Abraham, MD

Role: PRINCIPAL_INVESTIGATOR

University of Ohio

Locations

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Several Locations, California, United States

Site Status

Gainsville, Florida, United States

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Atlanta, Georgia, United States

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Columbus, Illinois, United States

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Kansas City, Kansas, United States

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New Orleans, Louisiana, United States

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Grand Rapids, Michigan, United States

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Several Locations, New Jersey, United States

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Several Locations, New York, United States

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Winston-Salem, North Carolina, United States

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Several Locations, Ohio, United States

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Dolyestown, Pennsylvania, United States

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Nashville, Tennessee, United States

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Burlington, Vermont, United States

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Norfolk, Virginia, United States

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Seattle, Washington, United States

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Several Locations, , Austria

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Several Locations, , Belgium

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Several Locations, , Denmark

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Several Locations, , Finland

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Several Locations, , France

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Several Locations, , Germany

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Several Locations, , Hong Kong

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Several Locations, , Italy

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Several Locations, , Netherlands

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Several Locations, , Norway

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Several Locations, , Spain

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Several Locations, , United Kingdom

Site Status

Countries

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United States Austria Belgium Denmark Finland France Germany Hong Kong Italy Netherlands Norway Spain United Kingdom

References

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Hsing JM, Selzman KA, Leclercq C, Pires LA, McLaughlin MG, McRae SE, Peterson BJ, Zimetbaum PJ. Paced left ventricular QRS width and ECG parameters predict outcomes after cardiac resynchronization therapy: PROSPECT-ECG substudy. Circ Arrhythm Electrophysiol. 2011 Dec;4(6):851-7. doi: 10.1161/CIRCEP.111.962605. Epub 2011 Sep 28.

Reference Type DERIVED
PMID: 21956038 (View on PubMed)

Chan PS, Khumri T, Chung ES, Ghio S, Reid KJ, Gerritse B, Nallamothu BK, Spertus JA. Echocardiographic dyssynchrony and health status outcomes from cardiac resynchronization therapy: insights from the PROSPECT trial. JACC Cardiovasc Imaging. 2010 May;3(5):451-60. doi: 10.1016/j.jcmg.2009.08.012.

Reference Type DERIVED
PMID: 20466340 (View on PubMed)

Chung ES, Leon AR, Tavazzi L, Sun JP, Nihoyannopoulos P, Merlino J, Abraham WT, Ghio S, Leclercq C, Bax JJ, Yu CM, Gorcsan J 3rd, St John Sutton M, De Sutter J, Murillo J. Results of the Predictors of Response to CRT (PROSPECT) trial. Circulation. 2008 May 20;117(20):2608-16. doi: 10.1161/CIRCULATIONAHA.107.743120. Epub 2008 May 5.

Reference Type DERIVED
PMID: 18458170 (View on PubMed)

Other Identifiers

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226

Identifier Type: -

Identifier Source: org_study_id