Vest Prevention of Early Sudden Death Trial and VEST Registry

NCT ID: NCT01446965

Last Updated: 2021-01-20

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

2348 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-07-31

Study Completion Date

2019-05-31

Brief Summary

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This study explores the hypothesis that wearable defibrillators can impact mortality by reducing sudden death during the first three months after a heart attack in persons with high risk for life-threatening arrhythmias.

Detailed Description

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In patients with ventricular dysfunction immediately following myocardial infarction, sudden death may be responsible for up to 50% of total mortality. Wearable defibrillators may reduce sudden death by providing immediate detection and treatment of ventricular arrhythmias. This study is design to demonstrate a reduction in sudden death measured at three months following myocardial infarction among patients who have ventricular dysfunction.

Conditions

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Myocardial Infarction Ventricular Dysfunction Sudden Death Ventricular Tachycardia Ventricular Fibrillation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Wearable defibrillator

subjects in the Device Group will receive a LifeVest® wearable cardioverter-defibrillator (manufacturer: ZOLL Medical Corporation) plus guideline-directed medical therapy for post-myocardial infarction patients

Group Type EXPERIMENTAL

wearable defibrillator

Intervention Type DEVICE

LifeVest wearable defibrillator

Conventional treatment

subjects in the Control Group will only receive guideline-directed medical therapy for post-myocardial infarction patients

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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wearable defibrillator

LifeVest wearable defibrillator

Intervention Type DEVICE

Other Intervention Names

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LifeVest wearable cardioverter-defibrillator WCD WD

Eligibility Criteria

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Inclusion Criteria

* Patients identified in the hospital or within 7 days after discharge with a diagnosis of an acute MI (STEMI or Non-STEMI)
* LV ejection fraction ≤35% determined at the following time point:

1. If no PCI within the first 8 hours following the MI: ≥ 8 hours after MI
2. If acute PCI occurs within 8 hours of MI: ≥8 hours after PCI
3. If CABG is planned (before or within 7 days of discharge), wait to enroll and then use the most recent assessment at least 48 hours post CABG
* Age ≥ 18 years

Exclusion Criteria

* Existing ICD or indication for an ICD at the time of screening
* Existing unipolar pacemakers/leads
* Chronic renal failure requiring hemodialysis after hospital discharge
* Chest circumference too small or too large for LifeVest garment\*
* Participants discharged to an institutional setting with an anticipated stay \> 7 days
* Pregnancy
* Inability to consent
* Any other condition or circumstance that in the judgment of the clinician makes the participant unsuitable for the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Zoll Medical Corporation

INDUSTRY

Sponsor Role collaborator

University of California, San Francisco

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jeffrey E Olgin, MD

Role: PRINCIPAL_INVESTIGATOR

University of California, San Francisco

Byron K Lee, MD

Role: STUDY_DIRECTOR

University of California, San Francisco

Mark J Pletcher, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

University of California, San Francisco

Locations

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Alaska Heart Institute

Anchorage, Alaska, United States

Site Status

Cardiovascular Consultants Heart Center

Fresno, California, United States

Site Status

Salinas Valley Memorial Healthcare System

Salinas, California, United States

Site Status

University of California, San Francisco

San Francisco, California, United States

Site Status

University of Colorado

Aurora, Colorado, United States

Site Status

Hartford Hospital

Hartford, Connecticut, United States

Site Status

Christiana Care Health Services

Newark, Delaware, United States

Site Status

University of Florida

Gainesville, Florida, United States

Site Status

Watson Clinic for Research, Inc.

Lakeland, Florida, United States

Site Status

Melbourne Cardiac Resarch Institute

Melbourne, Florida, United States

Site Status

Florida Heart Group/Florida Hospital

Orlando, Florida, United States

Site Status

Advocate Christ Hospital

Oak Lawn, Illinois, United States

Site Status

Lutheran General

Park Ridge, Illinois, United States

Site Status

The Heart Group/Deaconess Hospital

Evansville, Indiana, United States

Site Status

Indiana University

Indianapolis, Indiana, United States

Site Status

St. Vincent Medical Group

Indianapolis, Indiana, United States

Site Status

Western Kentucky Heart and Lung

Bowling Green, Kentucky, United States

Site Status

University of Kentucky Gill Heart Institute

Lexington, Kentucky, United States

Site Status

Ochsner Clinic

New Orleans, Louisiana, United States

Site Status

Tufts Medical Center

Boston, Massachusetts, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

University of Massachusetts Memorial

Worcester, Massachusetts, United States

Site Status

The Valley Hospital

Ridgewood, New Jersey, United States

Site Status

Presbyterian Heart Group

Albuquerque, New Mexico, United States

Site Status

Albany Associates in Cardiology

Albany, New York, United States

Site Status

United Health Services

Johnson City, New York, United States

Site Status

Long Island Jewish Hospital

New Hyde Park, New York, United States

Site Status

St. Luke's- Roosevelt Hospital Center

New York, New York, United States

Site Status

Mount Sinai Hospital

New York, New York, United States

Site Status

Lenox Hill Hospital

New York, New York, United States

Site Status

Huntington Hospital

New York, New York, United States

Site Status

University Cardiovascular Associates (Rochester)

Rochester, New York, United States

Site Status

Stony Brook University

Stony Brook, New York, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

University of North Carolina @ Chapel Hill

Chapel Hill, North Carolina, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

Wake Heart Research

Raleigh, North Carolina, United States

Site Status

Wake Forest University Health Sciences

Winston-Salem, North Carolina, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

University Hospital Case Medical Center

Columbus, Ohio, United States

Site Status

North Ohio Heart Center-North Ohio Research

Elyria, Ohio, United States

Site Status

Cardiovascular Research Center, LLC/Mercy St Vincent

Toledo, Ohio, United States

Site Status

Oklahoma Heart Institute-Hillcrest

Tulsa, Oklahoma, United States

Site Status

Oregon Heart & Vascular

Springfield, Oregon, United States

Site Status

Chambersburg Hospital

Chambersburg, Pennsylvania, United States

Site Status

Geisinger Heart Institute

Danville, Pennsylvania, United States

Site Status

The Guthrie Clinic/Guthrie Medical Group

Sayre, Pennsylvania, United States

Site Status

Brown Medical School-Rhode Island Hospital

Providence, Rhode Island, United States

Site Status

Providence/South Carolina Heart Center

Columbia, South Carolina, United States

Site Status

McLeod Health/Pee Dee Cardiology

Florence, South Carolina, United States

Site Status

Wellmont Holston Valley

Kingsport, Tennessee, United States

Site Status

Turkey Creek Medical Center

Knoxville, Tennessee, United States

Site Status

Baylor University Medical Center

Dallas, Texas, United States

Site Status

University of Texas Southwestern Medical Center

Dallas, Texas, United States

Site Status

Carilion Clinic

Roanoke, Virginia, United States

Site Status

Cardiac Study Center

Tacoma, Washington, United States

Site Status

Med. Uniklinik Heidelberg

Heidelberg, Deutschland, Germany

Site Status

Herzzentrum Duisburg Kaiser-Wilhelm-Krankenhaus

Duisburg, North Rhine-Westphalia, Germany

Site Status

Klinikum Links der Weser gGmbh Klinik

Bremen, , Germany

Site Status

Klinikum Göttingen Georg-August-Universität Göttingen

Göttingen, , Germany

Site Status

Klinikum der Stadt Ludwigshafen

Ludwigshafen, , Germany

Site Status

UNIVERSITÄTSMEDIZIN der Johannes Gutenberg-Universität Mainz

Mainz, , Germany

Site Status

Universitätsklinikum Mannheim

Mannheim, , Germany

Site Status

Gdanski Uniwersytet Medyczny

Gdansk, , Poland

Site Status

Specjalistyczna Poradnia Kardiologiczna

Kielce, , Poland

Site Status

Mc Tronik

Lodz, , Poland

Site Status

Samodzielny Publiczny Zaklad Opieki Zdrowotnej Ministerstwa Spraw Wewnetrznych w Rzeszowie

Rzeszów, , Poland

Site Status

II Klinika Choroby Wiencowej, Instytut Kardiologii (Institute of Cardiology, Clinic II)

Warsaw, , Poland

Site Status

Medical University of Warsaw

Warsaw, , Poland

Site Status

Institute of Cardiology

Warsaw, , Poland

Site Status

Countries

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United States Germany Poland

References

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Olgin JE, Pletcher MJ, Vittinghoff E, Wranicz J, Malik R, Morin DP, Zweibel S, Buxton AE, Elayi CS, Chung EH, Rashba E, Borggrefe M, Hue TF, Maguire C, Lin F, Simon JA, Hulley S, Lee BK; VEST Investigators. Wearable Cardioverter-Defibrillator after Myocardial Infarction. N Engl J Med. 2018 Sep 27;379(13):1205-1215. doi: 10.1056/NEJMoa1800781.

Reference Type RESULT
PMID: 30280654 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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https://clinicaltrials.gov/show/NCT00628966

Linked to VEST/PREDICTS registration: NCT00628966

Other Identifiers

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90D0114

Identifier Type: -

Identifier Source: org_study_id

NCT00628966

Identifier Type: -

Identifier Source: nct_alias

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