Trial Outcomes & Findings for Multicenter Automatic Defibrillator Implantation Trial With Cardiac Resynchronization Therapy Post Approval Registry (NCT NCT01294449)

NCT ID: NCT01294449

Last Updated: 2014-12-04

Results Overview

Outcome measured for total population. Not broken down by indication received.

Recruitment status

COMPLETED

Target enrollment

394 participants

Primary outcome timeframe

5 years

Results posted on

2014-12-04

Participant Flow

For this trial permission was received by several institutional review boards to include subjects death information for participants in the MADIT-CRT IDE (NCT00180271) who died between the end of the IDE and the start of the Registry. This includes 14 subjects, 7 from each arm.

Participant milestones

Participant milestones
Measure
MADIT-CRT ICD
MADIT-CRT ICD: Patients that were randomized to the the implantable cardioverter defibrillator (ICD) device for the study.
MADIT-CRT CRT-D
MADIT-CRT CRT-D: Patients that were randomized to the the cardiac resynchronization therapy with defibrillation (CRT-D) device for the study.
Overall Study
STARTED
156
252
Overall Study
Consent to Registry
149
245
Overall Study
COMPLETED
144
237
Overall Study
NOT COMPLETED
12
15

Reasons for withdrawal

Reasons for withdrawal
Measure
MADIT-CRT ICD
MADIT-CRT ICD: Patients that were randomized to the the implantable cardioverter defibrillator (ICD) device for the study.
MADIT-CRT CRT-D
MADIT-CRT CRT-D: Patients that were randomized to the the cardiac resynchronization therapy with defibrillation (CRT-D) device for the study.
Overall Study
Death
11
12
Overall Study
Withdrawal by Subject
1
3

Baseline Characteristics

Multicenter Automatic Defibrillator Implantation Trial With Cardiac Resynchronization Therapy Post Approval Registry

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
MADIT-CRT ICD
n=156 Participants
MADIT-CRT ICD: Patients that were randomized to the the implantable cardioverter defibrillator (ICD) device for the study.
MADIT-CRT CRT-D
n=252 Participants
MADIT-CRT CRT-D: Patients that were randomized to the the cardiac resynchronization therapy with defibrillation (CRT-D) device for the study.
Total
n=408 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
77 Participants
n=5 Participants
126 Participants
n=7 Participants
203 Participants
n=5 Participants
Age, Categorical
>=65 years
79 Participants
n=5 Participants
126 Participants
n=7 Participants
205 Participants
n=5 Participants
Sex: Female, Male
Female
36 Participants
n=5 Participants
78 Participants
n=7 Participants
114 Participants
n=5 Participants
Sex: Female, Male
Male
120 Participants
n=5 Participants
174 Participants
n=7 Participants
294 Participants
n=5 Participants
Region of Enrollment
United States
156 participants
n=5 Participants
252 participants
n=7 Participants
408 participants
n=5 Participants
New York Heart Association (NYHA) Class
NYHA Class I - Ischemic
21 participants
n=5 Participants
36 participants
n=7 Participants
57 participants
n=5 Participants
New York Heart Association (NYHA) Class
NYHA Class II - Ischemic
54 participants
n=5 Participants
87 participants
n=7 Participants
141 participants
n=5 Participants
New York Heart Association (NYHA) Class
NYHA Class II - Non Ischemic
81 participants
n=5 Participants
129 participants
n=7 Participants
210 participants
n=5 Participants
Left Ventricular Ejection Fraction
24 percentage
STANDARD_DEVIATION 5 • n=5 Participants
24 percentage
STANDARD_DEVIATION 6 • n=7 Participants
24 percentage
STANDARD_DEVIATION 6 • n=5 Participants
QRS duration
158 milliseconds
STANDARD_DEVIATION 21 • n=5 Participants
159 milliseconds
STANDARD_DEVIATION 18 • n=7 Participants
159 milliseconds
STANDARD_DEVIATION 19 • n=5 Participants
Conduction disorder
Left Bundle Branch Block
110 participants
n=5 Participants
181 participants
n=7 Participants
291 participants
n=5 Participants
Conduction disorder
Right Bundle Brach Block
22 participants
n=5 Participants
31 participants
n=7 Participants
53 participants
n=5 Participants
Conduction disorder
Nonspecific Intraventricular Conduction
24 participants
n=5 Participants
40 participants
n=7 Participants
64 participants
n=5 Participants

PRIMARY outcome

Timeframe: 5 years

Outcome measured for total population. Not broken down by indication received.

Outcome measures

Outcome measures
Measure
MADIT-CRT ICD
n=156 Participants
MADIT-CRT ICD: Patients that were randomized to the the implantable cardioverter defibrillator (ICD) device for the study.
MADIT-CRT CRT-D
n=252 Participants
MADIT-CRT CRT-D: Patients that were randomized to the the cardiac resynchronization therapy with defibrillation (CRT-D) device for the study.
All-Cause Mortality
11 participants
12 participants

Adverse Events

MADIT-CRT ICD

Serious events: 58 serious events
Other events: 9 other events
Deaths: 0 deaths

MADIT-CRT CRT-D

Serious events: 93 serious events
Other events: 16 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
MADIT-CRT ICD
n=149 participants at risk
MADIT-CRT ICD: Patients that were randomized to the the implantable cardioverter defibrillator (ICD) device for the study.
MADIT-CRT CRT-D
n=245 participants at risk
MADIT-CRT CRT-D: Patients that were randomized to the the cardiac resynchronization therapy with defibrillation (CRT-D) device for the study.
Metabolism and nutrition disorders
Laboratory Values - Abnormal
0.67%
1/149 • Number of events 1
0.82%
2/245 • Number of events 2
Blood and lymphatic system disorders
Cancer
0.67%
1/149 • Number of events 1
3.3%
8/245 • Number of events 8
Surgical and medical procedures
Normal ERI -Device Replacement
2.7%
4/149 • Number of events 4
4.1%
10/245 • Number of events 10
Cardiac disorders
Chest Pain - Ischemic
0.00%
0/149
0.82%
2/245 • Number of events 2
General disorders
Death
0.67%
1/149 • Number of events 1
0.82%
2/245 • Number of events 2
General disorders
Dizziness
0.67%
1/149 • Number of events 2
0.82%
2/245 • Number of events 2
General disorders
Dyspnea
2.7%
4/149 • Number of events 4
0.41%
1/245 • Number of events 1
Surgical and medical procedures
ERI - device component failure
0.00%
0/149
0.41%
1/245 • Number of events 1
Endocrine disorders
Endocrine
0.67%
1/149 • Number of events 1
0.41%
1/245 • Number of events 1
Skin and subcutaneous tissue disorders
Erosion
0.67%
1/149 • Number of events 1
0.41%
1/245 • Number of events 1
Surgical and medical procedures
Extracardiac Stimulation, Left Ventricular
0.67%
1/149 • Number of events 1
0.41%
1/245 • Number of events 1
General disorders
Fatigue
0.00%
0/149
0.41%
1/245 • Number of events 1
Gastrointestinal disorders
Gastrointestinal
2.0%
3/149 • Number of events 3
2.9%
7/245 • Number of events 7
Renal and urinary disorders
Genitourinary
4.7%
7/149 • Number of events 7
0.82%
2/245 • Number of events 2
General disorders
Head, Ears, Eyes, Nose and Throat
0.00%
0/149
1.2%
3/245 • Number of events 3
Cardiac disorders
Heart Failure Symptoms
15.4%
23/149 • Number of events 43
10.6%
26/245 • Number of events 33
Blood and lymphatic system disorders
Hematological
0.00%
0/149
1.2%
3/245 • Number of events 3
Blood and lymphatic system disorders
Hematoma
0.00%
0/149
0.82%
2/245 • Number of events 2
Cardiac disorders
Hypotention
1.3%
2/149 • Number of events 2
0.82%
2/245 • Number of events 2
Surgical and medical procedures
Infection (> 30 days post implant procedure)
0.00%
0/149
0.82%
2/245 • Number of events 2
Skin and subcutaneous tissue disorders
Integumentary
0.67%
1/149 • Number of events 1
0.82%
2/245 • Number of events 2
Musculoskeletal and connective tissue disorders
Musculoskelatal
6.0%
9/149 • Number of events 9
3.7%
9/245 • Number of events 9
Cardiac disorders
Myocardial Infarction
0.00%
0/149
1.6%
4/245 • Number of events 4
Nervous system disorders
Neurological
1.3%
2/149 • Number of events 3
1.2%
3/245 • Number of events 3
Surgical and medical procedures
Lead Related, Left Ventricular
0.67%
1/149 • Number of events 1
2.0%
5/245 • Number of events 5
Cardiac disorders
Patient Condition - Cardiovascular
1.3%
2/149 • Number of events 2
0.82%
2/245 • Number of events 2
General disorders
Patient Condition - noncardiovascular
1.3%
2/149 • Number of events 2
0.82%
2/245 • Number of events 2
Surgical and medical procedures
Device related, pulse generator
1.3%
2/149 • Number of events 2
0.41%
1/245 • Number of events 1
General disorders
Physical Trauma
0.00%
0/149
0.41%
1/245 • Number of events 1
Surgical and medical procedures
Hemorrhage, pocket
0.00%
0/149
0.82%
2/245 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Pulmonary
3.4%
5/149 • Number of events 5
1.6%
4/245 • Number of events 4
Respiratory, thoracic and mediastinal disorders
Pulmonary Embolism
0.00%
0/149
0.41%
1/245 • Number of events 1
Renal and urinary disorders
Renal
1.3%
2/149 • Number of events 2
1.6%
4/245 • Number of events 5
Cardiac disorders
Supraventricular tachycardia
2.7%
4/149 • Number of events 7
2.9%
7/245 • Number of events 7
General disorders
Syncope
0.67%
1/149 • Number of events 1
0.41%
1/245 • Number of events 1
Infections and infestations
Systemic Infection
1.3%
2/149 • Number of events 2
1.2%
3/245 • Number of events 3
General disorders
Threshold Related, Left Ventricular
0.00%
0/149
0.41%
1/245 • Number of events 1
Vascular disorders
Thromboembolic
0.67%
1/149 • Number of events 1
2.9%
7/245 • Number of events 9
Cardiac disorders
Valvular Related
0.00%
0/149
0.41%
1/245 • Number of events 1
Vascular disorders
Vascular Related
0.67%
1/149 • Number of events 1
1.2%
3/245 • Number of events 3
Cardiac disorders
Ventricular Arrhythmia
6.0%
9/149 • Number of events 10
4.1%
10/245 • Number of events 13
Cardiac disorders
Cardiogenic Shock
0.67%
1/149 • Number of events 1
0.00%
0/245
Cardiac disorders
Hypertension
0.67%
1/149 • Number of events 1
0.00%
0/245
General disorders
Chest Pain - Non-Cardiac
2.7%
4/149 • Number of events 7
1.2%
3/245 • Number of events 3
Cardiac disorders
Premature Ventricular Contractions
0.00%
0/149
0.41%
1/245 • Number of events 1

Other adverse events

Other adverse events
Measure
MADIT-CRT ICD
n=149 participants at risk
MADIT-CRT ICD: Patients that were randomized to the the implantable cardioverter defibrillator (ICD) device for the study.
MADIT-CRT CRT-D
n=245 participants at risk
MADIT-CRT CRT-D: Patients that were randomized to the the cardiac resynchronization therapy with defibrillation (CRT-D) device for the study.
Cardiac disorders
Heart Failure Symptoms
6.0%
9/149 • Number of events 10
6.5%
16/245 • Number of events 21

Additional Information

Dr. Arthur Moss

University of Rochester Heart Research Follow-up Program

Phone: 585-275-5291

Results disclosure agreements

  • Principal investigator is a sponsor employee The restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 30 days from the time submitted to the sponsor for review. The sponsor can request changes to the communication.
  • Publication restrictions are in place

Restriction type: OTHER