S-ICD® System Post Approval Study

NCT ID: NCT01736618

Last Updated: 2024-03-18

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

1766 participants

Study Classification

OBSERVATIONAL

Study Start Date

2013-03-12

Study Completion Date

2021-10-15

Brief Summary

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The purpose of the S-ICD Post Approval Study is to document long term safety and effectiveness outcomes associated with the implantation of the SQ-RX pulse generator and Q-TRAK electrode in a commercial clinical setting.

Detailed Description

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The S-ICD Post Approval Study is a non-randomized registry that will retrospectively enroll subjects who participated in the S-ICD Clinical Investigation (IDE G090013) and prospectively enroll new candidates for the S-ICD System. The target enrollment sample size is 1,616 subjects at up to 150 investigational sites to achieve 1,025 subjects in the analysis cohort at 60 months.

* The primary safety endpoint of the study is the Type I (caused by the S-ICD System) Complication Free Rate at 60 months compared to a performance goal of 85%.
* The primary effectiveness endpoint is the Overall Shock Effectiveness in Converting Spontaneous Discrete Episodes of ventricular tachycardia /ventricular fibrillation (VT/VF) through 60 months compared to a performance goal of 94%.
* The secondary safety endpoint of the study is the Electrode-Related Complication Free Rate at 60 months compared to a performance goal of 92.5%.
* The secondary effectiveness endpoint is First Shock Effectiveness in Converting Induced (Acute) and Spontaneous Discrete Episodes of VT/VF through 60 months compared to a performance goal of 84.0%.

Additional objectives include characterization of long term safety and effectiveness in subjects of varied body habitus and in traditionally underrepresented populations.

Subjects must meet the following criteria to be eligible for inclusion in the study:

1. Eligible for implantation with an S-ICD System, OR previously implanted with an S-ICD System in the S-ICD System Clinical Investigation (IDE G090013)
2. Willing and able to provide written informed consent or have informed consent provided by a legal representative

Subjects who meet the following criteria must be excluded from the study:

1\. Remaining life expectancy of less than 360 days

Enrolled subjects will be followed at the implant procedure, pre-discharge and annual (±60 days) follow-up visits. Subjects are followed according to the standard of care at their participating investigational center.

The primary and secondary safety and effectiveness endpoints will include a compilation of S-ICD IDE study and S-ICD PAS study subject data

Conditions

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Primary Prevention of Sudden Cardiac Arrest Secondary Prevention of Sudden Cardiac Arrest

Study Design

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Observational Model Type

COHORT

Study Time Perspective

OTHER

Study Groups

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S-ICD System Implant Attempt

All participants undergo an S-ICD System Implant attempt.

S-ICD System

Intervention Type DEVICE

Interventions

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S-ICD System

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Eligible for implantation with an S-ICD System, OR previously implanted with an S-ICD System in the S-ICD System Clinical Investigation (IDE G090013)

AND

* Willing and able to provide written informed consent or have informed consent provided by a legal representative

Exclusion Criteria

* Remaining life expectancy of less than 360 days
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Boston Scientific Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Maria Macuare-Gorden, MD

Role: STUDY_DIRECTOR

Boston Scientific Corporation

Locations

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Heart Center Research, LLC

Huntsville, Alabama, United States

Site Status

Cardiovascular Associates of Mesa

Mesa, Arizona, United States

Site Status

Phoenix Cardiovascular Group

Phoenix, Arizona, United States

Site Status

Arizona Arrhythmia Consultants, PLC

Scottsdale, Arizona, United States

Site Status

PIMA Heart Physicians, PC

Tucson, Arizona, United States

Site Status

St. Vincent Heart Clinic Arkansas

Little Rock, Arkansas, United States

Site Status

Providence St. Joseph Medical Center

Burbank, California, United States

Site Status

Sequoia Hospital

East Palo Alto, California, United States

Site Status

Sharp Grossmont Hospital

El Cajon, California, United States

Site Status

California Heart Associates

Fountain Valley, California, United States

Site Status

University of California San Diago

La Jolla, California, United States

Site Status

University of Southern California

Los Angeles, California, United States

Site Status

Huntington Memorial Hospital/Foothill Cardiology

Pasadena, California, United States

Site Status

Sharp Memorial Hospital

San Diego, California, United States

Site Status

St. John's Health Center

Santa Monica, California, United States

Site Status

Memorial Medical Center (UCH-MHS)

Colorado Springs, Colorado, United States

Site Status

Washington Hospital Center

Washington D.C., District of Columbia, United States

Site Status

Cardiac Arrhythmia Services, Inc

Fort Lauderdale, Florida, United States

Site Status

St. Vincent's Ambulatory Care (Jacksonville, FL)

Jacksonville, Florida, United States

Site Status

James A Haley Veterans Affairs Hospital

Tampa, Florida, United States

Site Status

University Community Hospital (Florida Hospital)/Advent Health Tampa

Tampa, Florida, United States

Site Status

Emory University

Atlanta, Georgia, United States

Site Status

University Hospital (Augusta, GA)

Augusta, Georgia, United States

Site Status

Augusta University

Augusta, Georgia, United States

Site Status

Gwinnett Medical Center

Lawrenceville, Georgia, United States

Site Status

St. Joseph Hospital

Savannah, Georgia, United States

Site Status

CorVita Science Foundation

Chicago, Illinois, United States

Site Status

Northwestern University

Chicago, Illinois, United States

Site Status

University of Chicago

Chicago, Illinois, United States

Site Status

Advocate Health and Hospitals Corporation/Midwest Heart Foundation

Lombard, Illinois, United States

Site Status

Parkview Research Center

Fort Wayne, Indiana, United States

Site Status

Indiana University -Ball

Muncie, Indiana, United States

Site Status

St. Luke's Unity Point

Cedar Rapids, Iowa, United States

Site Status

Norton Audobon Hospital

Louisville, Kentucky, United States

Site Status

Union Memorial Hospital

Baltimore, Maryland, United States

Site Status

John's Hopkins University

Baltimore, Maryland, United States

Site Status

Brigham and Women's Hosptial

Boston, Massachusetts, United States

Site Status

University of Michigan

Ann Arbor, Michigan, United States

Site Status

Henry Ford Hospital

Detroit, Michigan, United States

Site Status

Mercy Hospital

Coon Rapids, Minnesota, United States

Site Status

Abbott Northwestern Hospital

Minneapolis, Minnesota, United States

Site Status

Mid-America Heart Institute - St. Luke's Hospital

Kansas City, Missouri, United States

Site Status

Cox Health Center for Research and Innovation

Springfield, Missouri, United States

Site Status

Barnes Jewish Hospital

St Louis, Missouri, United States

Site Status

Bergen Cardiology

Omaha, Nebraska, United States

Site Status

Catholic Medical Center

Manchester, New Hampshire, United States

Site Status

Cooper University Hospital

Camden, New Jersey, United States

Site Status

Our Lady of Lourdes Medical Center

Haddon Heights, New Jersey, United States

Site Status

Jersery Shore Medical Center

Neptune City, New Jersey, United States

Site Status

Valley Hospital

Ridgewood, New Jersey, United States

Site Status

Albany Medical Center

Albany, New York, United States

Site Status

Maimonides Hospital

Brooklyn, New York, United States

Site Status

Beth Israel Medical Center

New York, New York, United States

Site Status

Mount Sinai

New York, New York, United States

Site Status

Stonybrook University Medical Center

Stony Brook, New York, United States

Site Status

Novant Health Heart and Vascular

Charlotte, North Carolina, United States

Site Status

Duke University

Durham, North Carolina, United States

Site Status

Forsyth Medical Center

Winston-Salem, North Carolina, United States

Site Status

Summa Health

Akron, Ohio, United States

Site Status

Good Samaritan Hospital

Cincinnati, Ohio, United States

Site Status

University Hospital Cleveland

Cleveland, Ohio, United States

Site Status

The Cleveland Clinic

Cleveland, Ohio, United States

Site Status

The Ohio State University

Columbus, Ohio, United States

Site Status

Ohio Health Research

Columbus, Ohio, United States

Site Status

The Toledo Hospital

Toledo, Ohio, United States

Site Status

Lake West Hospital

Willoughby, Ohio, United States

Site Status

Oregon Health Sciences University

Portland, Oregon, United States

Site Status

Drexel University College of Medicine

Philadelphia, Pennsylvania, United States

Site Status

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Temple University

Philadelphia, Pennsylvania, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

South Carolina Heart Center

Columbia, South Carolina, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

HeartPlace Mid-Cities EP

Bedford, Texas, United States

Site Status

North Texas Heart Center

Dallas, Texas, United States

Site Status

Univeristy of Texas Health Science Center

The Woodlands, Texas, United States

Site Status

University of Utah Hospital and Clinic

Salt Lake City, Utah, United States

Site Status

University of Virginia Medical Center

Charlottesville, Virginia, United States

Site Status

Inova Fairfax

Falls Church, Virginia, United States

Site Status

Sentara Cardiovascular Research Institute

Norfolk, Virginia, United States

Site Status

Hunter Holmes VA Medical Center

Richmond, Virginia, United States

Site Status

Virginia Cardiovascular Specialists

Richmond, Virginia, United States

Site Status

Virginia Commonwealth Univeristy

Richmond, Virginia, United States

Site Status

University of Washington Medical Center

Seattle, Washington, United States

Site Status

Kootenai Heart Clinics

Spokane, Washington, United States

Site Status

The Vancouver Clinic

Vancouver, Washington, United States

Site Status

St. Mary's Hospital

Huntington, West Virginia, United States

Site Status

Countries

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United States

References

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Weiss R, Knight BP, El-Chami M, Aasbo J, Hanon S, Sadhu A, Sidhu M, Brisben AJ, Carter N, Burke MC, Gold M. Impact of Age on Subcutaneous Implantable Cardioverter-Defibrillator in a Large Patient Cohort: Mid-Term Follow-Up. JACC Clin Electrophysiol. 2023 Oct;9(10):2132-2145. doi: 10.1016/j.jacep.2023.06.013. Epub 2023 Sep 6.

Reference Type DERIVED
PMID: 37676200 (View on PubMed)

Gold MR, El-Chami MF, Burke MC, Upadhyay GA, Niebauer MJ, Prutkin JM, Herre JM, Kutalek S, Dinerman JL, Knight BP, Leigh J, Lucas L, Carter N, Brisben AJ, Aasbo JD, Weiss R; S-ICD System Post Approval Study Investigators. Postapproval Study of a Subcutaneous Implantable Cardioverter-Defibrillator System. J Am Coll Cardiol. 2023 Aug 1;82(5):383-397. doi: 10.1016/j.jacc.2023.05.034.

Reference Type DERIVED
PMID: 37495274 (View on PubMed)

Gold MR, Aasbo JD, Weiss R, Burke MC, Gleva MJ, Knight BP, Miller MA, Schuger CD, Carter N, Leigh J, Brisben AJ, El-Chami MF. Infection in patients with subcutaneous implantable cardioverter-defibrillator: Results of the S-ICD Post Approval Study. Heart Rhythm. 2022 Dec;19(12):1993-2001. doi: 10.1016/j.hrthm.2022.07.031. Epub 2022 Aug 6.

Reference Type DERIVED
PMID: 35944889 (View on PubMed)

Burke MC, Aasbo JD, El-Chami MF, Weiss R, Dinerman J, Hanon S, Kalahasty G, Bass E, Gold MR. 1-Year Prospective Evaluation of Clinical Outcomes and Shocks: The Subcutaneous ICD Post Approval Study. JACC Clin Electrophysiol. 2020 Nov;6(12):1537-1550. doi: 10.1016/j.jacep.2020.05.036. Epub 2020 Aug 26.

Reference Type DERIVED
PMID: 33213814 (View on PubMed)

El-Chami MF, Burke MC, Herre JM, Shah MH, Sadhu A, Niebauer MJ, Kutalek SP, Carter N, Gold MR. Outcomes of subcutaneous implantable cardioverter-defibrillator in dialysis patients: Results from the S-ICD post-approval study. Heart Rhythm. 2020 Sep;17(9):1566-1574. doi: 10.1016/j.hrthm.2020.04.036. Epub 2020 May 4.

Reference Type DERIVED
PMID: 32376304 (View on PubMed)

Gold MR, Aasbo JD, El-Chami MF, Niebauer M, Herre J, Prutkin JM, Knight BP, Kutalek S, Hsu K, Weiss R, Bass E, Husby M, Stivland TM, Burke MC. Subcutaneous implantable cardioverter-defibrillator Post-Approval Study: Clinical characteristics and perioperative results. Heart Rhythm. 2017 Oct;14(10):1456-1463. doi: 10.1016/j.hrthm.2017.05.016. Epub 2017 May 11.

Reference Type DERIVED
PMID: 28502872 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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BSC CRM CDM00055718

Identifier Type: REGISTRY

Identifier Source: secondary_id

BSC CRM CDM00055718

Identifier Type: -

Identifier Source: org_study_id

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