SAVEPACe - Search AV Extension and Managed Ventricular Pacing for Promoting Atrio-Ventricular Conduction

NCT ID: NCT00284830

Last Updated: 2008-02-29

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

Clinical Phase

NA

Total Enrollment

1070 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-01-31

Study Completion Date

2008-02-29

Brief Summary

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SAVE PACe is a large, prospective, single-blinded, randomized clinical trial with the main objective to study the effect of unnecessary right ventricular apical pacing on the clinical outcome of time to development of persistent AF.

Detailed Description

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Conventional dual-chamber pacing maintains atrioventricular synchrony but results in high percentages of ventricular pacing, which causes ventricular desynchronization and has been linked to an increased risk of atrial fibrillation in patients with sinus-node disease.

Patients with sinus-node disease and intact atrioventricular conduction are randomly assigned to receive conventional dual-chamber pacing or dual-chamber minimal ventricular pacing with the use of new Medtronic pacemaker features designed to promote atrioventricular conduction, preserve ventricular conduction, and prevent ventricular desynchronization. The primary end point was time to persistent atrial fibrillation.

Conditions

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Sick Sinus Syndrome Heart Failure, Congestive Atrial Fibrillation Bradycardia Ventricular Dysfunction

Keywords

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Right Ventricular Pacing Persistent Atrial Fibrillation Atrioventricular Conduction Heart Failure Hospitalization Cardiovascular Health Care Utilization Sinus-node Disease Minimized Ventricular Pacing

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants

Study Groups

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1

dual-chamber minimal ventricular pacing with the use of new pacemaker features designed to promote atrioventricular conduction, preserve ventricular conduction, and prevent ventricular desynchronization

Group Type ACTIVE_COMPARATOR

Implantable Pulse Generators

Intervention Type DEVICE

dual-chamber minimal ventricular pacing with the use of new pacemaker features designed to promote atrioventricular conduction, preserve ventricular conduction, and prevent ventricular desynchronization

2

conventional dual-chamber pacing

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Implantable Pulse Generators

dual-chamber minimal ventricular pacing with the use of new pacemaker features designed to promote atrioventricular conduction, preserve ventricular conduction, and prevent ventricular desynchronization

Intervention Type DEVICE

Other Intervention Names

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Search AV+ Search AV MVP Medtronic Dual-Chamber Pacemaker

Eligibility Criteria

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Inclusion Criteria

* 18 years of age and older
* Willing and able to give informed consent
* Willing and able to comply with the study follow-up schedule
* Class I/ClassII indications for dual chamber pacing
* Initial implant of a Kappa 700, Kappa 900, EnPulse, or EnRhythm dual chamber IPG
* Demonstrate 1 to 1 conduction and a QRS interval of \< 120ms at 100 beats per minutes for a period of nine seconds while atrial pacing

Exclusion Criteria

* Less than 18 years of age
* Unwilling or unable to give informed consent
* Unwilling or unable to commit to follow-up schedule
* Medical conditions that would preclude the testing required by the protocol or limit study participation
* Enrolled or intend to participate in another clinical trial during the course of this study
* A life expectancy of less than 2 years
* History of continuous atrial fibrillation for the 6 months prior to screen visit
* Two or more cardioversions, chemical or electrical, within the past 6 months prior to screen
* History of persistent second or third degree atrioventricular block
* A prior implant of pacemaker or defibrillator device
* A baseline, pre-paced QRS \>120 ms on surface ECG
* Failure of the 1 to 1 atrioventricular conduction test
* Anticipated major cardiac surgery within the course of the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medtronic Cardiac Rhythm and Heart Failure

INDUSTRY

Sponsor Role lead

Responsible Party

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Medtronic CRDM Clinical Research

Principal Investigators

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Michael O. Sweeney, MD

Role: PRINCIPAL_INVESTIGATOR

Brigham and Women's Hospital

Locations

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Phoenix, Arizona, United States

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Scottsdale, Arizona, United States

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Conway, Arkansas, United States

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Glendale, California, United States

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La Mesa, California, United States

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Santa Rosa, California, United States

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Boulder, Colorado, United States

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Denver, Colorado, United States

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Clearwater, Florida, United States

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Ft. Pierce, Florida, United States

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Lakeland, Florida, United States

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Miami Beach, Florida, United States

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Orlando, Florida, United States

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Verro Beach, Florida, United States

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Atlanta, Georgia, United States

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Tifton, Georgia, United States

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Maywood, Illinois, United States

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Rockford, Illinois, United States

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Lexington, Kentucky, United States

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Lacombe, Louisiana, United States

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Annapolis, Maryland, United States

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Salisbury, Maryland, United States

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Boston, Massachusetts, United States

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Worcester, Massachusetts, United States

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Ann Arbor, Michigan, United States

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Grand Rapids, Michigan, United States

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Saint Joseph, Michigan, United States

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Southfield, Michigan, United States

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Minneapolis, Minnesota, United States

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Saint Cloud, Minnesota, United States

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Saint Paul, Minnesota, United States

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Tupelo, Mississippi, United States

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St Louis, Missouri, United States

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Hastings, Nebraska, United States

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Cherry Hill, New Jersey, United States

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Elmer, New Jersey, United States

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Albuquerque, New Mexico, United States

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East Syracuse, New York, United States

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Johnson City, New York, United States

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New Hyde Park, New York, United States

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Syracuse, New York, United States

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The Bronx, New York, United States

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Charlotte, North Carolina, United States

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Durham, North Carolina, United States

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Gastonia, North Carolina, United States

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Bismarck, North Dakota, United States

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Cincinnati, Ohio, United States

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Kettering, Ohio, United States

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Mansfield, Ohio, United States

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Toledo, Ohio, United States

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Corvallis, Oregon, United States

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Salem, Oregon, United States

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Easton, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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York, Pennsylvania, United States

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Cookeville, Tennessee, United States

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Germantown, Tennessee, United States

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Nashville, Tennessee, United States

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Austin, Texas, United States

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Houston, Texas, United States

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Plano, Texas, United States

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Tyler, Texas, United States

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Richmond, Virginia, United States

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Vancouver, British Columbia, Canada

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Winnipeg, Manitoba, Canada

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Sainte-Foy, Quebec, Canada

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Trois-Rivières, Quebec, Canada

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Countries

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United States Canada

References

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Sweeney MO, Bank AJ, Nsah E, Koullick M, Zeng QC, Hettrick D, Sheldon T, Lamas GA; Search AV Extension and Managed Ventricular Pacing for Promoting Atrioventricular Conduction (SAVE PACe) Trial. Minimizing ventricular pacing to reduce atrial fibrillation in sinus-node disease. N Engl J Med. 2007 Sep 6;357(10):1000-8. doi: 10.1056/NEJMoa071880.

Reference Type RESULT
PMID: 17804844 (View on PubMed)

Other Identifiers

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191

Identifier Type: -

Identifier Source: org_study_id