Safety and Efficacy of the Accent Magnetic Resonance Imaging™ (MRI) Pacemaker and Tendril MRI™ Lead

NCT ID: NCT01576016

Last Updated: 2020-11-10

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

950 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-03-30

Study Completion Date

2018-02-02

Brief Summary

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The MRI Study is a prospective, multi-center, clinical study designed to evaluate the safety and efficacy of the Accent MRI™ System in a patient population indicated for implant of a pacemaker within and outside of the MRI environment.

Detailed Description

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The MRI Study is a prospective, multi-center, clinical study designed to evaluate the safety and efficacy of the Accent MRI System in a patient population indicated for implant of a pacemaker within and outside of the MRI environment. The study consisted of two phases, a Lead Safety Phase which evaluated the safety of the Tendril MRI lead, and an MRI Phase which evaluated the safety and efficacy of the Accent MRI pacemaker system in an MRI environment.

The safety and efficacy of the Accent MRI pacemaker and Tendril MRI lead will be evaluated as described below:

Lead Safety Safety of the Tendril MRI™ lead will be evaluated in terms of freedom from right atrial (RA) and right ventricle (RV) lead-related complications at implant to 2 months (acute timeframe), and at the 2 through the 12 month visit (chronic timeframe).

MRI Safety The safety of the Accent MRI™ system will be evaluated in terms of freedom from MRI scan related complications in the month following the MRI scan.

Lead Efficacy Efficacy of the Tendril MRI™ lead will be evaluated in terms of the change in atrial and ventricular capture and sensing thresholds before and after the MRI scan.

MRI Efficacy Efficacy of the Tendril MR lead will be evaluated in terms of the change in bipolar atrial and ventricular capture and sensing thresholds before and after the MRI scan.

Secondary Endpoints Safety Safety of the Accent MRI™ system will be evaluated in terms of freedom from system-related complications through the 12 month visit.

Efficacy Efficacy of the Tendril MRI™ lead will be evaluated in terms of the atrial and ventricular capture thresholds at the MRI Visit.

Conditions

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Adverse Effect of MRI on an Implanted Pacemaker Lead Adverse Effect of MRI on an Implanted Pacemaker

Keywords

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bradycardia MRI scans

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Lead Safety

Patient implanted with an Accent MRI system to evaluate safety of the Tendril MRI lead

Group Type EXPERIMENTAL

Accent MRI system (lead safety)

Intervention Type DEVICE

Patients implanted with an Accent MRI system

Accent MRI system MRI Scan Group

Patient implanted with an Accent MRI system will receive an MRI scan to evaluate safety and efficacy of the Accent MRI system in an MRI environment

Group Type EXPERIMENTAL

Accent MRI system (with MRI scan)

Intervention Type DEVICE

Patients implanted with an Accent MRI system will receive an MRI scan

Interventions

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Accent MRI system (lead safety)

Patients implanted with an Accent MRI system

Intervention Type DEVICE

Accent MRI system (with MRI scan)

Patients implanted with an Accent MRI system will receive an MRI scan

Intervention Type DEVICE

Other Intervention Names

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Accent MRI pacemaker Tendril MRI lead Accent MRI pacemaker Tendril MRI lead

Eligibility Criteria

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Inclusion Criteria

Eligible patients will meet all of the following:

1. Have an approved indication per American College of Cardiology (ACC)/American Heart Association (AHA)/Heart Rhythm Society (HRS) guidelines for implantation of a pacemaker
2. Will receive a new pacemaker and lead
3. Be willing to undergo an elective MRI scan without sedation
4. Be able to provide informed consent for study participation (legal guardian is NOT acceptable)
5. Be willing and able to comply with the prescribed follow-up tests and schedule of evaluations
6. Is not contraindicated for an MRI scan (per the pre-MRI safety screening form)

Exclusion Criteria

Patients will be excluded if they meet any of the following:

1. Are medically indicated for an MRI scan at the time of enrollment
2. Have an existing pacemaker or implantable cardioverter defibrillator (ICD). A new pacemaker and lead is required for enrollment
3. Have an existing active/inactive implanted medical device, e.g., neurostimulator, infusion pump, etc.
4. Have a non-MRI compatible device or material implanted (e.g., intracranial aneurysm clip, non-MRI compatible devices or material, metals or alloys, etc.)
5. Have a lead extender or adaptor
6. Be unable to fit in MRI bore; will come into contact with the magnet façade inside the MRI bore.
7. Have a prosthetic tricuspid heart valve
8. Are currently participating in a clinical investigation that includes an active treatment arm
9. Are allergic to dexamethasone sodium phosphate (DSP)
10. Are pregnant or planning to become pregnant during the duration of the study
11. Have a life expectancy of less than 12 months due to any condition
13. Are unable to comply with the follow up schedule
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Abbott Medical Devices

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Grant Kim

Role: STUDY_DIRECTOR

Abbott Medical Devices

Locations

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University Hospital of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Heart Center Research

Huntsville, Alabama, United States

Site Status

Arizona Arrhythmia Research Center

Phoenix, Arizona, United States

Site Status

Baptist Health Medical Center

Little Rock, Arkansas, United States

Site Status

Arkansas Heart Hospital

Little Rock, Arkansas, United States

Site Status

Mercy Hospital Northwest Arkansas

Rogers, Arkansas, United States

Site Status

Central Cardiology

Bakersfield, California, United States

Site Status

Raymond Schaerf, MD

Burbank, California, United States

Site Status

John Muir Medical Center

Concord, California, United States

Site Status

St. Jude Hospital

Fullerton, California, United States

Site Status

Glendale Adventist Medical Center

Glendale, California, United States

Site Status

Scripps Green Hospital

La Jolla, California, United States

Site Status

Memorial Medical Center

Modesto, California, United States

Site Status

Premier Cardiology, Inc / Hoag Hospital

Newport Beach, California, United States

Site Status

Desert Cardiology Consultants

Rancho Mirage, California, United States

Site Status

Mercy General Hospital

Sacramento, California, United States

Site Status

Sutter Memorial Hospital

Sacramento, California, United States

Site Status

Aurora Denver Cardiology Associates

Denver, Colorado, United States

Site Status

South Denver Cardiology Associates PC

Littleton, Colorado, United States

Site Status

Medical Center of the Rockies

Loveland, Colorado, United States

Site Status

Medical Specialists of the Palm Beaches

Atlantis, Florida, United States

Site Status

Watson Clinic Center

Lakeland, Florida, United States

Site Status

Florida Hospital Orlando

Orlando, Florida, United States

Site Status

Orlando Health

Orlando, Florida, United States

Site Status

Brevard Cardiovascular Research Associates

Rockledge, Florida, United States

Site Status

Tallahassee Research Institute

Tallahassee, Florida, United States

Site Status

University of South Florida, Cardiovascular Services

Tampa, Florida, United States

Site Status

Athens Cardiology Group, PC

Athens, Georgia, United States

Site Status

Atlanta Heart Specialist

Atlanta, Georgia, United States

Site Status

Prairie Education and Research Cooperative

Springfield, Illinois, United States

Site Status

Central Baptist Hospital

Lexington, Kentucky, United States

Site Status

Ochsner Medical Center

New Orleans, Louisiana, United States

Site Status

Spectrum Health

Grand Rapids, Michigan, United States

Site Status

Thoracic Cardio Healthcare Foundation

Lansing, Michigan, United States

Site Status

Providence Hospital

Southfield, Michigan, United States

Site Status

Minneapolis Heart Institute

Minneapolis, Minnesota, United States

Site Status

St. Luke's Hospital

Kansas City, Missouri, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

Missouri Baptist Medical Center

St Louis, Missouri, United States

Site Status

Alegent Creighton Health

Omaha, Nebraska, United States

Site Status

University of Rochester Medical Center

Rochester, New York, United States

Site Status

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States

Site Status

Mid Carolina Cardiology

Charlotte, North Carolina, United States

Site Status

Wake Forest University Medical Center Clinical Sciences

Winston-Salem, North Carolina, United States

Site Status

The Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

The Ohio State University

Columbus, Ohio, United States

Site Status

Columbus Cardiovascular Associates

Columbus, Ohio, United States

Site Status

EMH Regional Medical Center

Elyria, Ohio, United States

Site Status

St. Elizabeth Health Center

Youngstown, Ohio, United States

Site Status

Integris Baptist Medical Center

Oklahoma City, Oklahoma, United States

Site Status

Oklahoma Heart Institute at Utica

Tulsa, Oklahoma, United States

Site Status

Abington Medical Specialists

Abington, Pennsylvania, United States

Site Status

Allegheny Singer Research Institute

Pittsburgh, Pennsylvania, United States

Site Status

Donald Guthrie Foundation for Education and Research

Sayre, Pennsylvania, United States

Site Status

York Hospital

York, Pennsylvania, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

PMG Research of Charleston, LLC

Charleston, South Carolina, United States

Site Status

Austin Heart

Austin, Texas, United States

Site Status

South Texas Cardiovascular Consultants

San Antonio, Texas, United States

Site Status

Scott & White Memorial Hospital

Temple, Texas, United States

Site Status

Martha Jefferson Hospital

Charlottesville, Virginia, United States

Site Status

Virginia Cardiovascular Associates, PC

Manassas, Virginia, United States

Site Status

Sentara Norfolk General Hospital

Norfolk, Virginia, United States

Site Status

Kitsap Cardiology Consultants

Bremerton, Washington, United States

Site Status

The Heart Institute at Virginia Mason

Seattle, Washington, United States

Site Status

Aurora Medical Group

Milwaukee, Wisconsin, United States

Site Status

St. Andrews Hospital

Adelaide, South Australia, Australia

Site Status

Cliniques Universitaires Saint Luc

Brussels, B CAP R, Belgium

Site Status

Kuopio University Hospital

Kuopio, East Finland, Finland

Site Status

Diakonessenhuis Utrecht

Utrecht, , Netherlands

Site Status

Countries

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United States Australia Belgium Finland Netherlands

Provided Documents

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Document Type: Study Protocol, Statistical Analysis Plan, and Informed Consent Form

View Document

Other Identifiers

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60028820

Identifier Type: -

Identifier Source: org_study_id