Dual Site Left Ventricular (LV) Pacing

NCT ID: NCT00944125

Last Updated: 2024-10-21

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-06-30

Study Completion Date

2013-07-31

Brief Summary

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The purpose of this study is to compare Dual LV (left ventricular) pacing to standard single LV pacing (BiV pacing) to see if Dual LV pacing:

1. Improves the way the heart's left ventricle functions
2. Decreases the number of hospital and clinic visits for heart failure related symptoms
3. Slows the rate patients experience certain heart failure symptoms
4. Reduces uncoordinated heart contractions

Detailed Description

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Conditions

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Congestive Heart Failure LV Dysfunction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Dual Site LV Pacing

Prospective randomized blinded crossover study of patients meeting current CRT-D indication implanted with Dual LV pacing leads compared to BiV pacing.

Group Type ACTIVE_COMPARATOR

Dual Site LV Pacing

Intervention Type DEVICE

Dual Site LV Pacing vs. BiV Pacing for a total of six months which includes two three crossover periods.

BiV Pacing

Intervention Type DEVICE

Dual Site LV Pacing vs. BiV Pacing for a total of six months which includes two three crossover periods.

BiV Pacing

Prospective randomized blinded crossover study of patients meeting current CRT-D indication implanted with Dual LV pacing leads compared to BiV pacing.

Group Type ACTIVE_COMPARATOR

Dual Site LV Pacing

Intervention Type DEVICE

Dual Site LV Pacing vs. BiV Pacing for a total of six months which includes two three crossover periods.

BiV Pacing

Intervention Type DEVICE

Dual Site LV Pacing vs. BiV Pacing for a total of six months which includes two three crossover periods.

Interventions

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Dual Site LV Pacing

Dual Site LV Pacing vs. BiV Pacing for a total of six months which includes two three crossover periods.

Intervention Type DEVICE

BiV Pacing

Dual Site LV Pacing vs. BiV Pacing for a total of six months which includes two three crossover periods.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Moderate or severe heart failure, defined as NYHA Class III-IV despite optimal pharmacological heart failure therapy
* On heart failure medical regimen (beta blockers and ACE-I or ARB's) for at least one month before randomization
* A 12-lead electrocardiogram (ECG) obtained no more than 90 days prior to enrollment documenting a QRS duration \> 120 ms
* Left ventricular ejection fraction (LVEF) \< 35% or equal
* Willing and capable of undergoing the device implant procedure and participating in all testing associated with this clinical study
* Have a life expectancy of more than 180 days, per physician discretion
* Age 40 or above, ensuring of legal age to give informed consent specific to state and national law

Exclusion Criteria

* Have had previous cardiac resynchronization therapy or a previous coronary venous lead
* Unable to perform a Six-Minute Hall Walk (6MHW) Test
* Have an atrial tachyarrhythmia that is permanent (i.e., does not terminate spontaneously and cannot be terminated with medical intervention)without CHB or planned AVJ ablation prior to randomization
* Have an atrial tachyarrhythmia that is persistent (i.e. can be terminated with medical intervention, but does not terminate spontaneously) without planned and successful cardioversion prior to randomization (patients with unsuccessful cardioversions and no AVJ Ablation will be exited.)
* Have hypertrophic obstructive cardiomyopathy or infiltrative cardiomyopathy (e.g., amyloidosis, sarcoidosis)
* Have a mechanical tricuspid prosthesis
* Has severe aortic or mitral stenosis
* Enrolled in any concurrent study that may confound the results of this study
* Patients who are or suspect they may be pregnant or plan to become pregnant
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medtronic

INDUSTRY

Sponsor Role collaborator

Wake Forest University Health Sciences

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Imran K Niazi, MD

Role: PRINCIPAL_INVESTIGATOR

Wake Forest University Health Sciences

Locations

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Aurora Cardiovascular Services

Lake Geneva, Wisconsin, United States

Site Status

Aurora Cardiovascular Services

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

Other Identifiers

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L-08-166

Identifier Type: -

Identifier Source: org_study_id

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