Wearable Cardioverter Defibrillator in Hemodialysis Patients (WED-HED) Study

NCT ID: NCT02481206

Last Updated: 2021-01-19

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

TERMINATED

Clinical Phase

NA

Total Enrollment

66 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-06-30

Study Completion Date

2017-12-31

Brief Summary

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A multi-center, prospective, randomized controlled clinical trial with 1:1 assignment of treatment and control. This study will evaluate the impact of wearable cardioverter defibrillator use on sudden cardiac death in incident hemodialysis patients. The study will enroll up to 2,600 subjects. A maximum of 200 sites in the USA will be used for enrollment.

Detailed Description

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Objective:

To study the impact of wearable cardioverter defibrillator (WCD) use on sudden cardiac death in hemodialysis patients.

Study Population:

Participants will be patients beginning hemodialysis (\<2 months from initiation) who are ≥ 50 years old.

Intervention:

A WCD will be used for protection against sudden cardiac death (SCD).

Study Design:

The study will be a multi-center, prospective, randomized controlled trial with 1:1 assignment of treatment and control.

Study Size:

The study will enroll up to 2,600 subjects. A maximum of 200 sites will be used for enrollment.

Conditions

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Sudden Cardiac Death Sudden Cardiac Arrest

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 Cardioverter Defibrillator

End Stage Renal Disease (ESRD) patients beginning hemodialysis will use a Wearable Cardioverter Defibrillator for six months

Group Type EXPERIMENTAL

Wearable Cardioverter Defibrillator

Intervention Type DEVICE

Wearable Cardioverter Defibrillator

Conventional Treatment

Conventional Treatment

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Wearable Cardioverter Defibrillator

Wearable Cardioverter Defibrillator

Intervention Type DEVICE

Other Intervention Names

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WCD LifeVest

Eligibility Criteria

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Inclusion Criteria

* End stage renal disease (ESRD) requiring hemodialysis
* On hemodialysis for ≤ 2 calendar months or scheduled to begin hemodialysis within 1 calendar month
* ≥50 years of age
* Documented Ejection Fraction \> 35% within the previous calendar year
* \- If the patient has been hospitalized for a myocardial infarction or heart failure decompensation, the Ejection Fraction measurement must have occurred during the last hospitalization or after discharge

Exclusion Criteria

* Is receiving or will receive hemodialysis due to acute kidney injury and is not expected to receive subsequent chronic hemodialysis therapy
* Patient has an active ICD
* Patient has a unipolar pacemaker
* Patient has physical or mental conditions preventing him/her from interacting with or wearing a Wearable Cardioverter Defibrillator
* Patient has a chest circumference at the level of the xiphoid of \< 24 inches
* Patient has a chest circumference at the level of the xiphoid of \> 56 inches
* Patient has an advance directive prohibiting resuscitation
* Patient has cancer or other terminal disease (excluding ESRD) with expected survival less than 6 months
* Patient is medically unstable for reasons not specifically related to kidney disease
* Patient is scheduled for live-donor kidney transplantation within 6 calendar months
* Patient is unable to consent
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Zoll Medical Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Wojciech Zareba, M.D., Ph.D

Role: PRINCIPAL_INVESTIGATOR

University of Rochester

Charles A. Herzog, M.D.

Role: PRINCIPAL_INVESTIGATOR

Chronic Disease Research Group, Hennepin County Medical Center, University of Minnesota

Locations

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Corona, California, United States

Site Status

Downey, California, United States

Site Status

Escondido, California, United States

Site Status

Los Angeles, California, United States

Site Status

Sacramento, California, United States

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San Dimas, California, United States

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San Luis Obispo, California, United States

Site Status

Whittier, California, United States

Site Status

Stamford, Connecticut, United States

Site Status

Hialeah, Florida, United States

Site Status

Miami, Florida, United States

Site Status

Pembroke Pines, Florida, United States

Site Status

Winter Garden, Florida, United States

Site Status

Albany, Georgia, United States

Site Status

Columbus, Georgia, United States

Site Status

Fort Wayne, Indiana, United States

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Greenbelt, Maryland, United States

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Detroit, Michigan, United States

Site Status

Rochester Hills, Michigan, United States

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Minneapolis, Minnesota, United States

Site Status

Kansas City, Missouri, United States

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Las Vegas, Nevada, United States

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New Brunswick, New Jersey, United States

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The Bronx, New York, United States

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Durham, North Carolina, United States

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Canton, Ohio, United States

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Greenville, South Carolina, United States

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Chattanooga, Tennessee, United States

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Knoxville, Tennessee, United States

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Houston, Texas, United States

Site Status

San Antonio, Texas, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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90D0126

Identifier Type: -

Identifier Source: org_study_id

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