Trial Outcomes & Findings for Micra Transcatheter Pacing System Continued Access Study Protocol (NCT NCT02488681)

NCT ID: NCT02488681

Last Updated: 2018-04-12

Results Overview

Micra system and/or procedure-related complication rate

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

285 participants

Primary outcome timeframe

3 months post last follow up

Results posted on

2018-04-12

Participant Flow

A total of 285 subjects were consented at 31 research centers in the United States from June 2015 to April 2016 when FDA approval was obtained.

Of the 285 patients that were consented to participate in the study, 276 patients underwent a Micra implant attempt. Nine patients who were consented into the study did not ultimately have a Micra implant attempt prior to study closure.

Participant milestones

Participant milestones
Measure
Micra Pacemaker Implant
Patients who underwent a Micra implant attempt
Overall Study
STARTED
276
Overall Study
COMPLETED
269
Overall Study
NOT COMPLETED
7

Reasons for withdrawal

Reasons for withdrawal
Measure
Micra Pacemaker Implant
Patients who underwent a Micra implant attempt
Overall Study
Implant unsuccessful
7

Baseline Characteristics

Micra Transcatheter Pacing System Continued Access Study Protocol

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Micra Pacemaker Implant
n=276 Participants
All subjects who attempted Micra implant procedure
Age, Continuous
76.1 years
STANDARD_DEVIATION 11.9 • n=5 Participants
Sex: Female, Male
Female
121 Participants
n=5 Participants
Sex: Female, Male
Male
155 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
264 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
6 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
3 Participants
n=5 Participants
Race (NIH/OMB)
Asian
4 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
19 Participants
n=5 Participants
Race (NIH/OMB)
White
248 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
Region of Enrollment
United States
276 participants
n=5 Participants

PRIMARY outcome

Timeframe: 3 months post last follow up

Population: All subjects who attempted Micra implant procedure

Micra system and/or procedure-related complication rate

Outcome measures

Outcome measures
Measure
Micra Pacemaker Implant
n=276 Participants
All subjects who attempted Micra implant procedure
Complications
4 % participants with complication
Interval 2.0 to 7.0

Adverse Events

Micra Pacemaker Implant

Serious events: 27 serious events
Other events: 16 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Micra Pacemaker Implant
n=276 participants at risk
All subjects who attempted Micra implant procedure
Cardiac disorders
Atrioventricular block complete
0.72%
2/276 • Number of events 2 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
Cardiac disorders
Cardiac perforation
0.72%
2/276 • Number of events 2 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
Cardiac disorders
Cardio-respiratory arrest
0.36%
1/276 • Number of events 1 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
Cardiac disorders
Cardiogenic shock
0.36%
1/276 • Number of events 1 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
Cardiac disorders
Myocardial infarction
0.36%
1/276 • Number of events 1 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
Cardiac disorders
Pericardial effusion
0.72%
2/276 • Number of events 2 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
Cardiac disorders
Supraventricular tachycardia
0.36%
1/276 • Number of events 1 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
General disorders
Adverse drug reaction
0.36%
1/276 • Number of events 1 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
General disorders
Device capturing issue
0.36%
1/276 • Number of events 2 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
General disorders
Device pacing issue
0.36%
1/276 • Number of events 1 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
General disorders
Multi-organ failure
0.36%
1/276 • Number of events 1 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
Hepatobiliary disorders
Hepatic cirrhosis
0.36%
1/276 • Number of events 1 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
Infections and infestations
Endocarditis
0.36%
1/276 • Number of events 1 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
Infections and infestations
Sepsis
0.36%
1/276 • Number of events 1 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
Injury, poisoning and procedural complications
Incision site haemorrhage
1.1%
3/276 • Number of events 3 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
Injury, poisoning and procedural complications
Vascular pseudoaneurysm
0.36%
1/276 • Number of events 1 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer
0.36%
1/276 • Number of events 1 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer metastatic
0.36%
1/276 • Number of events 1 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
Nervous system disorders
Cerebrovascular accident
0.36%
1/276 • Number of events 1 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.72%
2/276 • Number of events 2 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
Respiratory, thoracic and mediastinal disorders
Pneumonia aspiration
0.36%
1/276 • Number of events 1 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
Vascular disorders
Deep vein thrombosis
0.36%
1/276 • Number of events 1 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.

Other adverse events

Other adverse events
Measure
Micra Pacemaker Implant
n=276 participants at risk
All subjects who attempted Micra implant procedure
Cardiac disorders
Atrioventricular block complete
0.72%
2/276 • Number of events 2 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
Cardiac disorders
Cardiac discomfort
0.36%
1/276 • Number of events 1 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
Cardiac disorders
Pericarditis
0.36%
1/276 • Number of events 1 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
General disorders
Device capturing issue
0.36%
1/276 • Number of events 1 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
General disorders
Device pacing issue
1.4%
4/276 • Number of events 4 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
Infections and infestations
Incision site infection
0.36%
1/276 • Number of events 1 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
Injury, poisoning and procedural complications
Incision site haematoma
1.1%
3/276 • Number of events 3 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
Injury, poisoning and procedural complications
Incision site haemorrhage
0.36%
1/276 • Number of events 1 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
Injury, poisoning and procedural complications
Seroma
0.36%
1/276 • Number of events 1 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.
Nervous system disorders
Neurological symptom
0.36%
1/276 • Number of events 1 • From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.

Additional Information

Micra CA Study Manager

Medtronic

Phone: 800-328-2518

Results disclosure agreements

  • Principal investigator is a sponsor employee Generally, contracts allow investigators to publish study results per the protocol and publication plan. Investigators and Participating Institutions will provide any publication of Study Data generated by PI and/or Participating Institution to Medtronic for review prior to submission to determine if confidential information ("CI") is included and to check for technical correctness. Medtronic may not censor/interfere with the publication beyond the extent necessary to protect CI.
  • Publication restrictions are in place

Restriction type: OTHER