Evaluation of a Diagnostic Feature in a Cardiac Resynchronization Therapy (CRT) Device

NCT ID: NCT00957541

Last Updated: 2014-05-15

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

PHASE2

Total Enrollment

520 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-09-30

Study Completion Date

2013-04-30

Brief Summary

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The purpose of this study is to evaluate the performance of a new sensor-based diagnostic feature, which has been implemented in a cardiac resynchronization therapy (CRT) device. This trial will study the effectiveness of the diagnostic feature to detect heart failure events in medically stable, ICD-indicated, congestive heart failure patients.

Detailed Description

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The purpose of this study is to evaluate the performance of a new sensor-based diagnostic feature, which has been implemented in a cardiac resynchronization therapy (CRT) device. This trial will study the effectiveness of the diagnostic feature to detect heart failure events in medically stable, ICD-indicated, congestive heart failure patients. The ability of the diagnostic feature to 'detect' and 'predict' heart failure events will be studied.

Conditions

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Congestive Heart Failure

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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CRT Therapy

All patients will receive CRT therapy with the Physiological Diagnosis (PhD) feature enabled.

Group Type EXPERIMENTAL

Paradym CRT + Physiological Diagnosis (PhD)

Intervention Type DEVICE

All subjects will undergo CRT therapy with the Physiological Diagnosis (PhD) feature enabled.

Interventions

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Paradym CRT + Physiological Diagnosis (PhD)

All subjects will undergo CRT therapy with the Physiological Diagnosis (PhD) feature enabled.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Subject eligible for implantation of a CRT-D device according to current available guidelines for cardiac resynchronization therapy
* Subject has severe heart failure (NYHA Class III or IV)
* Subject has experienced at least one heart failure event within six months prior to enrollment
* Subject continues to have heart failure symptoms despite receiving optimal medical therapy
* Schedule for implant of a PARADYM CRT-D (Model 8770)
* Subject has signed and dated an informed consent form

Exclusion Criteria

* Any contraindication for standard cardiac pacing
* Any contraindication for ICD therapy
* Abdominal implantation site
* Hypertrophic or obstructive cardiomyopathy
* Acute myocarditis
* Unstable coronary symptoms (unstable angina or myocardial infarction) within the last month
* Recent (within the last month) or planned cardiac revascularization or coronary angioplasty
* Correctable valvular disease that is the primary cause of heart failure
* Mechanical tricuspid valve
* Receiving continuous intra-venous infusion of positive inotropic therapy or intermittent therapy (intravenous infusion) more than twice per week
* Heart transplant recipient
* Renal insufficiency requiring dialysis
* Already included in another clinical study
* Life expectancy less than 12 months
* Inability to understand the purpose of the study or refusal to cooperate
* Inability or refusal to provide informed consent or HIPAA
* Unavailability for scheduled follow-up at the implanting center
* Known sensitivity to 1mg dexamethasone sodium phosphate (DSP)
* Under guardianship
* Age of less than 18 years
* Pregnancy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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LivaNova

INDUSTRY

Sponsor Role collaborator

ELA Medical, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Mountain Vista Hospital

Mesa, Arizona, United States

Site Status

Countries

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United States

References

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Auricchio A, Brugada J, Ellenbogen KA, Gold MR, Leyva F; CLEPSYDRA investigators. Assessment of a novel device-based diagnostic algorithm to monitor patient status in moderate-to-severe heart failure: rationale and design of the CLEPSYDRA study. Eur J Heart Fail. 2010 Dec;12(12):1363-71. doi: 10.1093/eurjhf/hfq170. Epub 2010 Oct 14.

Reference Type BACKGROUND
PMID: 20947571 (View on PubMed)

Other Identifiers

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ITSY02

Identifier Type: -

Identifier Source: org_study_id

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