S-ICD® System IDE Clinical Study

NCT ID: NCT01064076

Last Updated: 2017-03-27

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

COMPLETED

Clinical Phase

NA

Total Enrollment

330 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-01-31

Study Completion Date

2013-01-31

Brief Summary

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This clinical study is designed to evaluate the safety and effectiveness of the subcutaneous implantable defibrillator (S-ICD) System.

Detailed Description

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This clinical study is a prospective, non-randomized, multicenter clinical study without a control group conducted in the United States, Europe, and New Zealand.

Patients meeting eligibility criteria for implanting an S-ICD System will be enrolled in this clinical study, implanted with an S-ICD System, and followed prior to hospital discharge, and post-implant at 30 days, 90 days, and 180 days. After the 180-day post-implant follow-up visit, patients will continue to be followed semi-annually until study closure.

Eligible patients enrolled in this clinical study may also participate in the chronic conversion sub-study.

The safety endpoint will be evaluated through the use of a 180-day S-ICD System complication-free rate. The effectiveness endpoint will be evaluated using an induced ventricular fibrillation (VF) conversion efficacy rate. Spontaneous episodes and chronic conversion testing data will be evaluated using descriptive statistics to provide additional data supporting the continued chronic performance of the S-ICD System.

Conditions

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Tachycardia, Ventricular

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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S-ICD System

This is a single arm study

Group Type EXPERIMENTAL

S-ICD System

Intervention Type DEVICE

The S-ICD System is an implantable technology that uses a subcutaneous pulse generator and subcutaneous electrode system to treat ventricular tachyarrhythmias. The S-ICD System consists of the SQ-RX pulse generator (Model 1010), the Q-TRAK subcutaneous electrode (Model 3010), the Q-TECH programmer (Model 2020), and Q-GUIDE electrode insertion tools (Models 4010 and 4020).

Interventions

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S-ICD System

The S-ICD System is an implantable technology that uses a subcutaneous pulse generator and subcutaneous electrode system to treat ventricular tachyarrhythmias. The S-ICD System consists of the SQ-RX pulse generator (Model 1010), the Q-TRAK subcutaneous electrode (Model 3010), the Q-TECH programmer (Model 2020), and Q-GUIDE electrode insertion tools (Models 4010 and 4020).

Intervention Type DEVICE

Other Intervention Names

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SQ-RX Pulse Generator Q-TRAK Subcutaneous Electrode Q-GUIDE Electrode Insertion Tools Q-TECH Programmer

Eligibility Criteria

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Inclusion Criteria

* For patients without an existing transvenous device

• Patient meets Class I, Class IIa or Class IIb indications/recommendations for ICD implantation per the current published guidelines at the time of enrollment
* For patients with an existing transvenous device

• Patient requires replacement or revision of an existing implanted transvenous ICD system
* Age is ≥ 18 years
* An appropriate pre-operative ECG per template provided

Exclusion Criteria

* Any condition which precludes the subject's ability to comply with the study requirements, including completion of the study.
* Females who are pregnant or lactating and pre-menopausal women who are unwilling to use adequate birth control for the duration of the study.
* Participation in any other investigational study without prior written consent from the study sponsor.
* Patients with a serious medical condition and life expectancy of less than one year.
* Patients with documented spontaneous and frequently recurring VT that is reliably terminated with anti-tachycardia pacing, unless the patient is not a candidate for a transvenous ICD system.
* Patients with existing epicardial patches or subcutaneous electrodes in the left thoracic quadrant.
* Patients with unipolar pacemakers or implanted devices that revert to unipolar pacing.
* Patients with severely impaired kidney function as measured by a Cockcroft-Gault Glomerular Filtration Rate (GFR) with an estimated GFR ≤ 29.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Boston Scientific Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michael Husby, M.S., MPH

Role: STUDY_DIRECTOR

Cameron Health, Inc. a Subsidiary of Boston Scientific

Locations

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Arizona Arrhythmia Consultants

Scottsdale, Arizona, United States

Site Status

University of Southern California

Los Angeles, California, United States

Site Status

Foothill Cardiology

Pasadena, California, United States

Site Status

CMCA / Sequoia Hospital

Redwood City, California, United States

Site Status

Sharp Grossmont Hospital

San Diego, California, United States

Site Status

Sharp Memorial Hospital

San Diego, California, United States

Site Status

Pacific Heart Institute

Santa Monica, California, United States

Site Status

South Bay Electrophysiology

Torrance, California, United States

Site Status

Washington Hospital Center

Washington D.C., District of Columbia, United States

Site Status

Emory University School of Medicine

Atlanta, Georgia, United States

Site Status

Northwestern University

Chicago, Illinois, United States

Site Status

University of Chicago

Chicago, Illinois, United States

Site Status

Midwest Heart Foundation

Oakbrook Terrace, Illinois, United States

Site Status

Parkview Research Center

Fort Wayne, Indiana, United States

Site Status

Cooper University Hospital

Camden, New Jersey, United States

Site Status

Mount Sinai School of Medicine

New York, New York, United States

Site Status

Mid Carolina Cardiology Research

Charlotte, North Carolina, United States

Site Status

Forsyth Medical Center

Winston-Salem, North Carolina, United States

Site Status

Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

The Ohio State University

Columbus, Ohio, United States

Site Status

Drexel University College of Medicine

Philadelphia, Pennsylvania, United States

Site Status

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Inova Fairfax Hospital

Falls Church, Virginia, United States

Site Status

Sentara Heart Hospital

Norfolk, Virginia, United States

Site Status

University of Washington Medical Center

Seattle, Washington, United States

Site Status

Heart Clinics Northwest

Spokane, Washington, United States

Site Status

The Vancouver Clinic

Vancouver, Washington, United States

Site Status

St. Antonius Ziekenhuis

Nieuwegein, , Netherlands

Site Status

Erasmus Medical Center

Rotterdam, , Netherlands

Site Status

Auckland City Hospital

Auckland, , New Zealand

Site Status

Christchurch Hospital

Christchurch, , New Zealand

Site Status

Papworth Hospital NHS Trust

Papworth Everard, Cambridge, United Kingdom

Site Status

Countries

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United States Netherlands New Zealand United Kingdom

References

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Amin AK, Gold MR, Burke MC, Knight BP, Rajjoub MR, Duffy E, Husby M, Stahl WK, Weiss R. Factors Associated With High-Voltage Impedance and Subcutaneous Implantable Defibrillator Ventricular Fibrillation Conversion Success. Circ Arrhythm Electrophysiol. 2019 Apr;12(4):e006665. doi: 10.1161/CIRCEP.118.006665.

Reference Type DERIVED
PMID: 30917689 (View on PubMed)

Burke MC, Gold MR, Knight BP, Barr CS, Theuns DAMJ, Boersma LVA, Knops RE, Weiss R, Leon AR, Herre JM, Husby M, Stein KM, Lambiase PD. Safety and Efficacy of the Totally Subcutaneous Implantable Defibrillator: 2-Year Results From a Pooled Analysis of the IDE Study and EFFORTLESS Registry. J Am Coll Cardiol. 2015 Apr 28;65(16):1605-1615. doi: 10.1016/j.jacc.2015.02.047.

Reference Type DERIVED
PMID: 25908064 (View on PubMed)

Weiss R, Knight BP, Gold MR, Leon AR, Herre JM, Hood M, Rashtian M, Kremers M, Crozier I, Lee KL, Smith W, Burke MC. Safety and efficacy of a totally subcutaneous implantable-cardioverter defibrillator. Circulation. 2013 Aug 27;128(9):944-53. doi: 10.1161/CIRCULATIONAHA.113.003042.

Reference Type DERIVED
PMID: 23979626 (View on PubMed)

Related Links

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http://www.bostonscientific.com

Boston Scientific Website

Other Identifiers

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DN-03909

Identifier Type: -

Identifier Source: org_study_id

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