Trial Outcomes & Findings for Adaptive Cardiac Resynchronization Therapy Optimization at Rest and During Exercise (AdOPT CRT) (NCT NCT01475175)

NCT ID: NCT01475175

Last Updated: 2019-08-05

Results Overview

Difference in stroke volume (SV) between BiV pacing with aCRT settings and BiV pacing with nominal settings at rest. Biventricular pacing is a type of pacing that paces both the right and left ventricles of the heart. Stroke volume is the volume of blood pumped from a ventricle in one heart beat.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

12 participants

Primary outcome timeframe

Test day visit (within 14 days of enrollment)

Results posted on

2019-08-05

Participant Flow

Twelve subjects were enrolled at six centers in Europe between November 2011 and March 2012.

Participant milestones

Participant milestones
Measure
Adaptive CRT Pacing
Cardiac resynchronization therapy (CRT) with adaptive pacing.
Overall Study
STARTED
12
Overall Study
COMPLETED
12
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Adaptive Cardiac Resynchronization Therapy Optimization at Rest and During Exercise (AdOPT CRT)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Adaptive CRT Pacing
n=12 Participants
Cardiac resynchronization therapy (CRT) with adaptive pacing.
Age, Categorical
<=18 years
0 Participants
n=93 Participants
Age, Categorical
Between 18 and 65 years
5 Participants
n=93 Participants
Age, Categorical
>=65 years
7 Participants
n=93 Participants
Age, Continuous
64.3 years
STANDARD_DEVIATION 16.8 • n=93 Participants
Sex: Female, Male
Female
2 Participants
n=93 Participants
Sex: Female, Male
Male
10 Participants
n=93 Participants
Region of Enrollment
Belgium
2 participants
n=93 Participants
Region of Enrollment
Denmark
1 participants
n=93 Participants
Region of Enrollment
Austria
2 participants
n=93 Participants
Region of Enrollment
Norway
2 participants
n=93 Participants
Region of Enrollment
Netherlands
3 participants
n=93 Participants
Region of Enrollment
Germany
2 participants
n=93 Participants

PRIMARY outcome

Timeframe: Test day visit (within 14 days of enrollment)

Population: Echo SV data was complete for all 12 subjects.Two patients were programmed incorrectly during the study procedure.

Difference in stroke volume (SV) between BiV pacing with aCRT settings and BiV pacing with nominal settings at rest. Biventricular pacing is a type of pacing that paces both the right and left ventricles of the heart. Stroke volume is the volume of blood pumped from a ventricle in one heart beat.

Outcome measures

Outcome measures
Measure
Adaptive CRT Pacing
n=10 Participants
Cardiac resynchronization therapy (CRT) with adaptive pacing.
Stroke Volume at Rest
12.1 mL
Interval 8.4 to 22.2

PRIMARY outcome

Timeframe: Test day visit (within 14 days of enrollment)

Population: Echo SV data was complete for all 12 subjects.

Difference in SV between BiV pacing with aCRT settings and BiV pacing with nominal settings during atrial pacing. Atrial pacing occurs at 20 beats-per-minute (bpm) above the subject's resting heart rate.

Outcome measures

Outcome measures
Measure
Adaptive CRT Pacing
n=12 Participants
Cardiac resynchronization therapy (CRT) with adaptive pacing.
Stroke Volume During Atrial Pacing.
9.4 mL
Interval 6.7 to 16.0

PRIMARY outcome

Timeframe: Test day visit (within 14 days of enrollment)

Population: Echo SV data was complete for all 12 subjects.

Difference in SV between BiV pacing with aCRT settings and BiV pacing with nominal settings during sub-maximal exercise. Sub-maximal exercise is exercise performed at a level below maximum effort. The subject will perform sub-maximal exercise to achieve target heart rate close to 75% of the age-predicted maximal heart rate.

Outcome measures

Outcome measures
Measure
Adaptive CRT Pacing
n=12 Participants
Cardiac resynchronization therapy (CRT) with adaptive pacing.
Stroke Volume During Sub-maximal Exercise.
11.3 mL
Interval 8.0 to 19.2

SECONDARY outcome

Timeframe: Test day visit (within 14 days of enrollment)

Population: Data were not collected.

Difference in blood pressure (BP)-derived and echocardiogram (echo)-derived parameters of cardiac function between BiV pacing with aCRT settings and BiV pacing with nominal settings at rest.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Test day visit (within 14 days of enrollment)

Population: Data were not collected

Difference in BP-derived and echo-derived parameters of cardiac function between BiV pacing with nominal settings and intrinsic conduction at rest.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Test day visit (within 14 days of enrollment)

Population: Data were not collected.

Difference in BP-derived and echocardiogram (echo)-derived parameters of cardiac function between BiV pacing with aCRT settings and BiV pacing with nominal settings during sub-maximal exercise.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Test day visit (within 14 days of enrollment)

Population: Data were not collected.

Difference in BP-derived and echo-derived parameters of cardiac function between BiV pacing with nominal settings and intrinsic conduction during sub-maximal exercise.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Test day visit (within 14 days of enrollment)

Population: Data were not collected.

Electrical conduction will be evaluated at rest by measuring the subject's intrinsic atrio-ventricular (AV) interval. The AV interval is the amount time between the start of atrial contraction and the start of ventricular contraction.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Time Frame: Test day visit (within 14 days of enrollment)

Population: Data were not collected.

Electrical conduction will be evaluated during sub-maximal exercise by measuring the subject's intrinsic AV interval.

Outcome measures

Outcome data not reported

Adverse Events

Adaptive CRT Pacing

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

AdOpt CRT Clinical Research Specialist

Medtronic CRDM

Phone: 800-328-2518

Results disclosure agreements

  • Principal investigator is a sponsor employee In most cases, contracts allow investigators to publish study results per the protocol and publication plan following Medtronic's review to determine whether confidential information (CI) is disclosed. Any such CI is deleted prior to publication/presentation. Medtronic may not censor/interfere with the publication except as described. Investigators may not publish any single-site publications until the main multi-site study publication has occurred.
  • Publication restrictions are in place

Restriction type: OTHER