Advisa MRI Clinical Study

NCT ID: NCT01110915

Last Updated: 2013-04-30

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

269 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-06-30

Study Completion Date

2013-03-31

Brief Summary

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The purpose of the Advisa MRI System clinical study is to confirm safety and effectiveness in the clinical MRI (Magnetic Resonance Imaging) environment when subjects receive MRI scans up to 2W/kg Specific Absorption Rate (SAR) without positioning restrictions (MRI scans may occur anywhere on the body including the chest).

Detailed Description

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The Advisa MRI IPG is a dual chamber, multi-programmable IPG. The IPG is indicated to restore heart rates, improve cardiac output, prevent symptoms, or protect against arrhythmias related to cardiac impulse formation or conduction disorders. The IPG is indicated for use in patients who may benefit from rate-responsive pacing to support cardiac output during varying levels of activity and has been modified for use during an MRI exam.

Subjects will have required follow-up visits after implant, at 2 months, 9-12 weeks, 3 months, 4 months, 6 months and every 6 months thereafter until the study ends. The MR scans will occur at the 9-12 weeks visit.

Conditions

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Magnetic Resonance Imaging Cardiac Pacemaker, Artificial

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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MRI group

Subjects randomized to the MRI group will undergo a one-hour MRI scan, including 16 individual sequences in the chest and head region, at 9-12 weeks post-implant.

Group Type EXPERIMENTAL

Medtronic Advisa MRI Implantable Pulse Generator (IPG)

Intervention Type DEVICE

Advisa MRI IPG is a dual chamber, multi-programmable IPG indicated to restore heart rates, improve cardiac output, prevent symptoms, or protect against arrhythmias related to cardiac impulse formation or conduction disorders. The IPG is indicated for use in patients who may benefit from rate-responsive pacing to support cardiac output during varying levels of activity and has been modified for use during an MRI exam.

Medtronic CapSureFix MRI™ active fixation MRI lead

Intervention Type DEVICE

The Medtronic CapSureFix MRI™ active fixation MRI lead is a transvenous, bipolar, silicone, steroid eluting and active fixation pacing lead. It is based on the commercially available Medtronic Model 5076 lead and has been modified for use in the MRI environment. The MRI lead is used for both atrial and ventricular applications.

Control group

Subjects randomized to the Control group will wait for one hour without having any MRI scan at 9-12 weeks post-implant.

Group Type ACTIVE_COMPARATOR

Medtronic Advisa MRI Implantable Pulse Generator (IPG)

Intervention Type DEVICE

Advisa MRI IPG is a dual chamber, multi-programmable IPG indicated to restore heart rates, improve cardiac output, prevent symptoms, or protect against arrhythmias related to cardiac impulse formation or conduction disorders. The IPG is indicated for use in patients who may benefit from rate-responsive pacing to support cardiac output during varying levels of activity and has been modified for use during an MRI exam.

Medtronic CapSureFix MRI™ active fixation MRI lead

Intervention Type DEVICE

The Medtronic CapSureFix MRI™ active fixation MRI lead is a transvenous, bipolar, silicone, steroid eluting and active fixation pacing lead. It is based on the commercially available Medtronic Model 5076 lead and has been modified for use in the MRI environment. The MRI lead is used for both atrial and ventricular applications.

Interventions

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Medtronic Advisa MRI Implantable Pulse Generator (IPG)

Advisa MRI IPG is a dual chamber, multi-programmable IPG indicated to restore heart rates, improve cardiac output, prevent symptoms, or protect against arrhythmias related to cardiac impulse formation or conduction disorders. The IPG is indicated for use in patients who may benefit from rate-responsive pacing to support cardiac output during varying levels of activity and has been modified for use during an MRI exam.

Intervention Type DEVICE

Medtronic CapSureFix MRI™ active fixation MRI lead

The Medtronic CapSureFix MRI™ active fixation MRI lead is a transvenous, bipolar, silicone, steroid eluting and active fixation pacing lead. It is based on the commercially available Medtronic Model 5076 lead and has been modified for use in the MRI environment. The MRI lead is used for both atrial and ventricular applications.

Intervention Type DEVICE

Other Intervention Names

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Model A2DR01 Model A3DR01 Model 5086 MRI lead

Eligibility Criteria

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Inclusion Criteria

* Subjects who have a Class I or II indication for implantation of a dual chamber pacemaker according to the American College of Cardiology (ACC)/American Heart Association (AHA)/Heart Rhythm Society (HRS) guidelines
* Subjects who are able to undergo a pectoral implant
* Subjects who are able and willing to undergo elective magnetic resonance (MR) scanning without sedation
* Subjects who are geographically stable and available for follow-up at the study center for the length of the study

Exclusion Criteria

* Subjects with a mechanical tricuspid heart valve
* Subjects with a history of significant tricuspid valvular disease
* Subjects for whom a single dose of 1.0 milligram (mg) dexamethasone acetate may be contraindicated
* Subjects who require a legally authorized representative to obtain consent
* Subjects who have a previously implanted pacemaker or implantable cardioverter defibrillator (ICD) (abandoned pacemaker and/or defibrillator leads are not permitted; however subjects with complete system explants are not excluded)
* Subjects who are immediate candidates for an ICD
* Subjects who require an indicated MR scan, other than those specifically described in the study, before the 4 months follow-up
* Subjects with previously implanted active medical devices
* Subjects with a non-MRI compatible device (such as ICDs or neurostimulators) or material implant (e.g. non-MRI compatible sternal wires, neurostimulators, biostimulators, metals or alloys)
* Subjects with medical conditions that preclude the testing required by the protocol or limit study participation
* Subjects who are enrolled or intend to participate in another clinical trial (of an investigational drug or device, new indication for an approved drug or device, or requirement of additional testing beyond standard clinical practice) during this clinical study
* Pregnant women, or women of child bearing potential and who are not on a reliable form of birth control
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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Responsibility Role SPONSOR

Principal Investigators

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Advisa MRI Trial Leader

Role: STUDY_CHAIR

Medtronic

Locations

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Central Coast Cardiology

Salinas, California, United States

Site Status

Mid Florida Cardiology

Orlando, Florida, United States

Site Status

Iowa Heart Center

West Des Moines, Iowa, United States

Site Status

Mid America Heart Institute

Kansas City, Missouri, United States

Site Status

Raleigh Cardiology Associates

Raleigh, North Carolina, United States

Site Status

The Lindner Research Center

Cincinnati, Ohio, United States

Site Status

Oklahoma Heart Institute

Tulsa, Oklahoma, United States

Site Status

Greenville Hospital System

Greenville, South Carolina, United States

Site Status

Cardiology Associates of East Tennesee

Knoxville, Tennessee, United States

Site Status

Baylor Heart & Vascular Hosptial

Dallas, Texas, United States

Site Status

University of Virginia Health System

Charlottesville, Virginia, United States

Site Status

St. George Hospital

Kogarah, New South Wales, Australia

Site Status

The Prince Charles Hospital

Chermside, Queensland, Australia

Site Status

Adelaide Cardiology

Adelaide, South Australia, Australia

Site Status

Epworth

Richmond, Victoria, Australia

Site Status

Landesklinikum St. Pölten

Sankt Pölten, , Austria

Site Status

Hôpital Saint-Joseph

Gilly, , Belgium

Site Status

Montreal Heart Institute

Montreal, Quebec, Canada

Site Status

Institut Universitaire de Cardiologie et de Pneumologie de Québec (IUCPQ)

Québec, Quebec, Canada

Site Status

CHRU Hôpital Arnaud de Villeneuve

Montpellier, , France

Site Status

CHU Hôpiteaux de Rouen

Rouen, , France

Site Status

Centre Hospitalier Universitaire Saint Étienne

Saint-Etienne, , France

Site Status

Universitätsklinikum Bonn

Bonn, , Germany

Site Status

Universitätsklinikum Rostock Anstalt öffentlichen Rechts und Medizinische Fakultät der Universität

Rostock, , Germany

Site Status

Universitätsklinikum Ulm

Ulm, , Germany

Site Status

Semmelweis Egyetem AOK

Budapest, , Hungary

Site Status

Rambam Health Care Campus

Haifa, , Israel

Site Status

IRCCS Policlinico San Donato

San Donato Milanese, Milano, Italy

Site Status

Azienda Complesso Ospedaliero San Filippo Neri

Roma, , Italy

Site Status

Onze Lieve Vrouwe Gasthuis - Locatie Oosterpark

Amsterdam, , Netherlands

Site Status

VU Medisch Centrum

Amsterdam, , Netherlands

Site Status

St. Antonius Ziekenhuis

Nieuwegein, , Netherlands

Site Status

HagaZiekenhuis - Locatie Leyweg

The Hague, , Netherlands

Site Status

Centre Hospitalier Universitaire Vaudois

Lausanne, , Switzerland

Site Status

UniversitätsSpital Zürich

Zurich, , Switzerland

Site Status

Royal Bournemouth Hospital

Bournemouth, , United Kingdom

Site Status

Wythenshawe Hospital

Manchester, , United Kingdom

Site Status

Countries

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United States Australia Austria Belgium Canada France Germany Hungary Israel Italy Netherlands Switzerland United Kingdom

References

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Gimbel JR, Bello D, Schmitt M, Merkely B, Schwitter J, Hayes DL, Sommer T, Schloss EJ, Chang Y, Willey S, Kanal E; Advisa MRI System Study Investigators. Randomized trial of pacemaker and lead system for safe scanning at 1.5 Tesla. Heart Rhythm. 2013 May;10(5):685-91. doi: 10.1016/j.hrthm.2013.01.022. Epub 2013 Jan 17.

Reference Type RESULT
PMID: 23333721 (View on PubMed)

Schwitter J, Kanal E, Schmitt M, Anselme F, Albert T, Hayes DL, Bello D, Toth A, Chang Y, van Osch D, Sommer T; Advisa MRI System Study Investigators. Impact of the Advisa MRI pacing system on the diagnostic quality of cardiac MR images and contraction patterns of cardiac muscle during scans: Advisa MRI randomized clinical multicenter study results. Heart Rhythm. 2013 Jun;10(6):864-72. doi: 10.1016/j.hrthm.2013.02.019. Epub 2013 Feb 19.

Reference Type RESULT
PMID: 23434621 (View on PubMed)

Other Identifiers

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AdvisaMRI

Identifier Type: -

Identifier Source: org_study_id