Post-Myocardial Infarction Remodeling Prevention Therapy

NCT ID: NCT01213251

Last Updated: 2016-12-15

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

129 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-12-31

Study Completion Date

2016-04-30

Brief Summary

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The purpose of this study is to demonstrate the feasibility of pacing as a therapy to prevent adverse remodeling of the myocardium following an acute myocardial infarction (MI) in patients at highest risk for adverse myocardial remodeling.

Detailed Description

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Conditions

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Acute Myocardial Infarction Pacing Therapy Cardiac Remodeling Heart Failure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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Single Site Pacing

Group Type EXPERIMENTAL

Single Site Pacing

Intervention Type DEVICE

Subjects will be implanted with a CRT-D that delivers pacing via the Left Ventricular lead.

Dual Site Pacing

Group Type EXPERIMENTAL

Dual Site Pacing

Intervention Type DEVICE

Subjects will be implanted with a CRT-D that delivers pacing via the Left Ventricular and Right Ventricular lead.

Control

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Single Site Pacing

Subjects will be implanted with a CRT-D that delivers pacing via the Left Ventricular lead.

Intervention Type DEVICE

Dual Site Pacing

Subjects will be implanted with a CRT-D that delivers pacing via the Left Ventricular and Right Ventricular lead.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Myocardial Infarction (MI) within the past 10 days
* Peak Creatine Phosphokinase (CPK) greater than 3000 Units/Litre (U/L) at time of MI, or a troponin T (TnT) greater than 10 micrograms/Litre (mcg/L)
* At least 18 years old
* Willing to comply with the protocol

Exclusion Criteria

* Documented MI greater than 10 days
* Chronic renal disease, as defined by estimated glomerular filtration rate (eGFR) less than 30 milliliters/minute/1.73 square meter
* Life expectancy less than 18 months, as determined by a physician
* Existing pacemaker, Implantable Cardioverter Defibrillator (ICD), or Cardiac Resynchronization Therapy (CRT) device
* QRS duration greater than 120 milliseconds (ms)
* Coronary Artery Bypass Graft (CABG) within 30 days prior to MI, or CABG procedure planned
* Third degree atrioventricular (AV) block or symptomatic bradyarrhythmia
* Persistent atrial fibrillation (AF) that is not self terminating within 7 days or is terminated electrically or pharmacologically
* Permanent AF that is non self terminating, with cardioversion failed or not attempted within the past year
* New York Heart Association (NYHA) Class IV
* Non-ischemic cardiomyopathy
* Pregnant or planning to become pregnant during the study
* Enrolled or planning to participate in a concurrent drug and/or device study during the course of this clinical trial. Co-enrollment in concurrent trials is only allowed with documented pre-approval from Medtronic, documenting that there is not a concern that co-enrollment could confound the results of this trial.
* Breast feeding
* Of a vulnerable population as determined by local law or requirement, or a physician
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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Responsibility Role SPONSOR

Principal Investigators

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Gregg Stone, MD

Role: PRINCIPAL_INVESTIGATOR

Columbia University

Angel Leon, MD

Role: PRINCIPAL_INVESTIGATOR

Emory University

Locations

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Arizona Arrhythmia Consultants

Scottsdale, Arizona, United States

Site Status

Kaiser Permanente

Los Angeles, California, United States

Site Status

Emory University Hospital Midtown

Atlanta, Georgia, United States

Site Status

Lexington Cardiac Research Foundation

Lexington, Kentucky, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Michigan Heart, PC

Ypsilanti, Michigan, United States

Site Status

Carolina Heart Specialists

Gastonia, North Carolina, United States

Site Status

Lindner Clinical Trial Center

Cincinnati, Ohio, United States

Site Status

Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status

The Chattanooga Heart Institute

Chattanooga, Tennessee, United States

Site Status

The Stern Cardiovascular Foundation

Germantown, Tennessee, United States

Site Status

Saint Thomas Research Institute, LLC

Nashville, Tennessee, United States

Site Status

Baylor Jack and Jane Hamilton Heart and Vascular Hospital

Dallas, Texas, United States

Site Status

Delgado Cardiovascular Associates

Houston, Texas, United States

Site Status

Spokane Cardiology

Spokane, Washington, United States

Site Status

Rigshospitalet

Copenhagen, , Denmark

Site Status

Hôpital Cardiologique du Haut-Lévêque

Bordeaux-Pessac, , France

Site Status

Centre Hospitalier Régional Universitaire de Lille

Lille, , France

Site Status

Herzzentrum Leipzig GmbH

Leipzig, , Germany

Site Status

University Hospital Mannheim

Mannheim, , Germany

Site Status

Maygar Honvédség Honvédkorház

Budapest, , Hungary

Site Status

Semmelweis University Heart Center

Budapest, , Hungary

Site Status

Prince Salman Heart Centre

King Fahad Medical City, , Saudi Arabia

Site Status

Vychodoslovensky ustav srdcovych a cievnych chorob, a.s.

Košice, , Slovakia

Site Status

Countries

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United States Denmark France Germany Hungary Saudi Arabia Slovakia

References

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Stone GW, Chung ES, Stancak B, Svendsen JH, Fischer TM, Kueffer F, Ryan T, Bax J, Leon A; PRomPT Trial Investigators. Peri-infarct zone pacing to prevent adverse left ventricular remodelling in patients with large myocardial infarction. Eur Heart J. 2016 Feb 1;37(5):484-93. doi: 10.1093/eurheartj/ehv436. Epub 2015 Aug 30.

Reference Type DERIVED
PMID: 26321236 (View on PubMed)

Related Links

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http://dx.doi.org/10.1016/j.cardfail.2015.03.005

The Post-Myocardial Infarction Pacing Remodeling Prevention Therapy (PRomPT) Trial: Design and Rationale

Other Identifiers

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PRomPT

Identifier Type: -

Identifier Source: org_study_id