Confirmatory Clinical Trial of the Evera MRI System for Conditionally-safe MRI Access

NCT ID: NCT02117414

Last Updated: 2016-11-28

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

275 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-04-30

Study Completion Date

2015-09-30

Brief Summary

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The purpose of the Evera MRI™ study is to confirm safety and efficacy of the Evera MRI ICD (Implantable cardioverter-defibrillator) System in the clinical MRI (Magnetic Resonance Imaging) environment when subjects receive MRI scans without positioning restrictions (MRI scans may occur anywhere on the body).

Detailed Description

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Conditions

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Implantable Defibrillator

Keywords

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Magnetic Resonance Imaging (MRI)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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MRI Group

Subjects randomized to the MRI group will undergo a series of MRI scans at the MRI visit (9-12 weeks post-implant).

Group Type EXPERIMENTAL

MRI scan sequences of the head and chest regions

Intervention Type DEVICE

Non-diagnostic MRI scans

Control Group

Subjects randomized to the Control group will wait for 1 hour without having a series of MRI scans at the waiting period visit (9-12 weeks post-implant).

Group Type SHAM_COMPARATOR

Waiting Period Visit

Intervention Type OTHER

Waiting period time will equate to 1 hour

Interventions

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MRI scan sequences of the head and chest regions

Non-diagnostic MRI scans

Intervention Type DEVICE

Waiting Period Visit

Waiting period time will equate to 1 hour

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Subjects who are indicated for implantation of an ICD at the time of study enrollment.
* Subjects who are able to undergo a pectoral implant.
* Subjects who are receiving an ICD for the first time.
* Subjects who are able and willing to undergo elective MRI scanning without sedation.
* Subjects who are geographically stable and available for follow-up at the study site for the length of the study.
* Subjects who are at least 18 years of age (or older, if required by local law).

Exclusion Criteria

* Subjects with a history of significant tricuspid valvular disease .
* Subjects for whom a single dose of 1.0mg dexamethasone sodium phosphate and/or dexamethasone acetate may be contraindicated.
* Subjects who require a legally authorized representative to obtain informed consent.
* Subjects undergoing device upgrades, change-outs, lead extractions, and/or lead or device revisions.
* Subjects with abandoned or capped leads.
* Subjects who require an indicated MRI scan, other than those specifically described in the Evera MRI™ study, before the one-month post-MRI/waiting period follow-up (approximately 4 months post-implant).
* Subjects with a non-MRI compatible device (such as neurostimulators) or material implant (e.g., non-MRI compatible sternal wires, neurostimulators, biostimulators, metals or alloys).
* Subjects with medical conditions that preclude the testing required by the study protocol or limit study participation.
* Subjects who are enrolled or intend to participate in another clinical trial (of an investigational drug or device, new indication for an approved drug or device, or requirement of additional testing beyond standard clinical practice) during the Evera MRI™ study. Co-enrollment in concurrent trials is only allowed when documented pre-approval is obtained from the Medtronic study manager.
* Female patient who is pregnant, or of childbearing potential and not on a reliable form of birth control. Women of childbearing potential are required to have a negative pregnancy test within seven (7) days prior to device implant.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medtronic Cardiac Rhythm and Heart Failure

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michael R Gold, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Medical University of South Carolina

Emanuel Kanal, MD, FACR

Role: PRINCIPAL_INVESTIGATOR

University of Pittsburgh Medical Center, USA

Juerg Schwitter, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital Lausanne (CHUV), Switzerland

Torsten Sommer, MD

Role: PRINCIPAL_INVESTIGATOR

German Red Cross Hospital (DRK) Neuwied, Germany

Locations

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Central Coast Cardiology

Salinas, California, United States

Site Status

Stanford Hospitals & Clinics

Stanford, California, United States

Site Status

Hartford Hospital

Hartford, Connecticut, United States

Site Status

Orlando Health

Orlando, Florida, United States

Site Status

Prairie Education & Research Cooperative (Springfield IL)

Springfield, Illinois, United States

Site Status

Iowa Heart

West Des Moines, Iowa, United States

Site Status

Washington Hospital Center

Washington DC, Maryland, United States

Site Status

DLP Upper Michigan Cardiovascular Associates PC

Marquette, Michigan, United States

Site Status

Park Nicollet Methodist Hospital

Saint Louis Park, Minnesota, United States

Site Status

United Heart and Vascular Clinic

Saint Paul, Minnesota, United States

Site Status

Mid America Heart Institute (MAHI)

Kansas City, Missouri, United States

Site Status

HealthCare Partners CCNV

Henderson, Nevada, United States

Site Status

Cooper University Hospital

Camden, New Jersey, United States

Site Status

Morristown Memorial Hospital

Morristown, New Jersey, United States

Site Status

NYU Langone Medical Center

New York, New York, United States

Site Status

University of North Carolina (UNC) Memorial Hospital

Chapel Hill, North Carolina, United States

Site Status

Carolinas Medical Center

Charlotte, North Carolina, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

OhioHealth Research Institute

Columbus, Ohio, United States

Site Status

Oklahoma Heart Institute

Tulsa, Oklahoma, United States

Site Status

Lancaster General Hospital

Lancaster, Pennsylvania, United States

Site Status

University of Pittsburgh Medical Center UPMC Presbyterian

Pittsburgh, Pennsylvania, United States

Site Status

Medical University of South Carolina (MUSC)

Charleston, South Carolina, United States

Site Status

Sentara Norfolk General Hospital

Norfolk, Virginia, United States

Site Status

Aurora St. Luke's Medical Center

Milwaukee, Wisconsin, United States

Site Status

Centre Hospitalier Régional de la Citadelle

Liège, , Belgium

Site Status

University of Calgary

Calgary, Alberta, Canada

Site Status

Queen Elizabeth II Health Sciences Centre

Halifax, Nova Scotia, Canada

Site Status

Institut Universitaire de Cardiologie et de Pneumologie de Québec (IUCPQ)

Québec, Quebec, Canada

Site Status

Hospital Clínico Pontificia Universidad Católica

Santiago, , Chile

Site Status

Universitätsklinikum Bonn

Bonn, , Germany

Site Status

Praxisklinik Herz und Gefässe

Dresden, , Germany

Site Status

Medizinische Hochschule Hannover

Hanover, , Germany

Site Status

Universitätsklinikum Jena - Friedrich Schiller Universität

Jena, , Germany

Site Status

Queen Mary Hospital

Hong Kong, , Hong Kong

Site Status

Semmelweis Egyetem AOK

Budapest, , Hungary

Site Status

Medanta-The Medicity

Gurgaon, , India

Site Status

Azienda Ospedaliera SS Annunziata

Taranto, , Italy

Site Status

HagaZiekenhuis - Locatie Leyweg

The Hague, , Netherlands

Site Status

Prince Sultan Cardiac Center

Riyadh, , Saudi Arabia

Site Status

Akademiska Sjukhuset

Uppsala, , Sweden

Site Status

Centre Hospitalier Universitaire Vaudois

Lausanne, , Switzerland

Site Status

Countries

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Austria France Spain United States Belgium Canada Chile Germany Hong Kong Hungary India Italy Netherlands Saudi Arabia Sweden Switzerland

References

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Schwitter J, Gold MR, Al Fagih A, Lee S, Peterson M, Ciuffo A, Zhang Y, Kristiansen N, Kanal E, Sommer T; Evera-MRI Study Investigators. Image Quality of Cardiac Magnetic Resonance Imaging in Patients With an Implantable Cardioverter Defibrillator System Designed for the Magnetic Resonance Imaging Environment. Circ Cardiovasc Imaging. 2016 May;9(5):e004025. doi: 10.1161/CIRCIMAGING.115.004025.

Reference Type DERIVED
PMID: 27151268 (View on PubMed)

Gold MR, Sommer T, Schwitter J, Al Fagih A, Albert T, Merkely B, Peterson M, Ciuffo A, Lee S, Landborg L, Cerkvenik J, Kanal E; Evera MRI Study Investigators. Full-Body MRI in Patients With an Implantable Cardioverter-Defibrillator: Primary Results of a Randomized Study. J Am Coll Cardiol. 2015 Jun 23;65(24):2581-2588. doi: 10.1016/j.jacc.2015.04.047. Epub 2015 May 14.

Reference Type DERIVED
PMID: 25982014 (View on PubMed)

Other Identifiers

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Evera MRI

Identifier Type: -

Identifier Source: org_study_id