Assessment of Primary Prevention Patients Receiving An ICD - Systematic Evaluation of ATP

NCT ID: NCT02923726

Last Updated: 2024-10-22

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

2692 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-09-30

Study Completion Date

2023-07-06

Brief Summary

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The primary objective is to understand the role of antitachycardia pacing (ATP) in primary prevention patients indicated for implantable cardioverter-defibrillator (ICD) therapy and programmed according to current guidance of higher rate cut-offs and therapy delays. The time to first all-cause shock will be tested in subjects with standard therapy (ATP and shocks) compared to subjects programmed to shock only to assess equivalency.

Detailed Description

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Conditions

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Sudden Cardiac Death

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

SINGLE

Participants

Study Groups

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ATP and Shock

Once tachycardia has been detected and duration met, this group would receive antitachycardia pacing prior to shock therapy.

Group Type ACTIVE_COMPARATOR

Arm 1 (ATP+Shock)

Intervention Type DEVICE

Subjects will be randomized and device programmed to the respective arm.

Shock only

Once tachycardia has been detected and duration met, this group would receive shock therapy only.

Group Type EXPERIMENTAL

Arm 2 (shock only)

Intervention Type DEVICE

Subjects will be randomized and device programmed to the respective arm.

Interventions

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Arm 1 (ATP+Shock)

Subjects will be randomized and device programmed to the respective arm.

Intervention Type DEVICE

Arm 2 (shock only)

Subjects will be randomized and device programmed to the respective arm.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Subject with a Boston Scientific transvenous ICD (de novo implant or upgrade from pacemaker to ICD) implanted because of one of the following:

* Prior myocardial infarction (MI) and left ventricular ejection fraction (LVEF) ≤ 30% OR
* Ischemic or non-ischemic cardiomyopathy, and LVEF ≤ 35%, and a New York Heart Association (NYHA) class II or III
* Subject is age 21 or above, or is considered of legal age per given geography
* Subject is willing and capable of providing informed consent
* Subject is willing and capable of complying with follow-up visits as defined by this protocol

Exclusion Criteria

* History of spontaneous sustained Ventricular Tachycardia (VT) (≥ 160 bpm at ≥ 30 seconds in duration) or Ventricular Fibrillation (VF) not due to a reversible cause
* NYHA Class IV documented in the medical records within 90 calendar days prior to enrollment
* Subject is eligible and scheduled for cardiac resynchronization (CRT) implant
* Subjects with a previous subcutaneous ICD (S-ICD)
* Subject with existing transvenous ICD (TV-ICD) device implanted for greater than 60 days
* Subjects with coronary artery bypass graft surgery or percutaneous coronary intervention within the past 90 calendar days prior to enrollment
* Subjects with documented myocardial infarction within the past 90 calendar days prior to enrollment
* Subjects on the active heart transplant list
* Subject who has a ventricular assist device (VAD) or is to receive a VAD
* Life expectancy shorter than 18 months due to any medical condition (e.g., cancer, uremia, liver failure, etc…)
* Subjects currently requiring hemodialysis
* Subject who is known to pregnant or plans to become pregnant over the course of the trial
* Subject is enrolled in any other concurrent clinical study, with the exception of local mandatory governmental registries and observational studies/registries, without the written approval from Boston Scientific
Minimum Eligible Age

21 Years

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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Claudio Schuger, M.D.

Role: PRINCIPAL_INVESTIGATOR

University of Rochester Clincal Cardiovascular Research Center

Locations

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Heart Center Research, LLC

Huntsville, Alabama, United States

Site Status

Providence Alaska Medical Center

Anchorage, Alaska, United States

Site Status

Tri-City Cardiology

Mesa, Arizona, United States

Site Status

Cardiovascular Consultants, LTD

Phoenix, Arizona, United States

Site Status

Yuma Regional Medical Center

Yuma, Arizona, United States

Site Status

Arrhythmia Research Group

Jonesboro, Arkansas, United States

Site Status

Mercy Clinic Cardiology

Rogers, Arkansas, United States

Site Status

Comprehensive Cardiovascular Specialists

Alhambra, California, United States

Site Status

Scripps Mercy Chula Vista

Chula Vista, California, United States

Site Status

VA Loma Linda

Loma Linda, California, United States

Site Status

Cardiovascular Consultants Medical Group

Los Angeles, California, United States

Site Status

Sharp Memorial Hospital

San Diego, California, United States

Site Status

South Denver Cardiology Associates PC

Littleton, Colorado, United States

Site Status

Cardiac Specialists

Danbury, Connecticut, United States

Site Status

Stamford Hospital

Stamford, Connecticut, United States

Site Status

Christiana Hospital

Newark, Delaware, United States

Site Status

Bradenton Cardiology

Bradenton, Florida, United States

Site Status

The Cardiac and Vascular Institute Research Foundation

Gainesville, Florida, United States

Site Status

St Vincent's Medical Center

Jacksonville, Florida, United States

Site Status

Heart of the Villages

Lady Lake, Florida, United States

Site Status

Watson Clinic Center for Research, Inc

Lakeland, Florida, United States

Site Status

Charlotte Heart & Vascular

Port Charlotte, Florida, United States

Site Status

Brevard Cardiovascular Research Associates, Inc

Rockledge, Florida, United States

Site Status

Tallahassee Memorial Hospital

Tallahassee, Florida, United States

Site Status

AdventHeatlh Tampa

Tampa, Florida, United States

Site Status

CorVita Science Foundation

Chicago, Illinois, United States

Site Status

Adventist Hinsdale Hospital

Chicago, Illinois, United States

Site Status

Alexian Brothers Medical Center

Elk Grove Village, Illinois, United States

Site Status

Lutheran Medical Group

Fort Wayne, Indiana, United States

Site Status

Ball Memorial Hospital

Muncie, Indiana, United States

Site Status

University of Iowa Hospitals and Clinics

Iowa City, Iowa, United States

Site Status

Mercy Hospital Medical Center

West Des Moines, Iowa, United States

Site Status

Overland Park Regional Medical Center

Overland Park, Kansas, United States

Site Status

Baptist Health Lexington

Lexington, Kentucky, United States

Site Status

Louisiana State University

Shreveport, Louisiana, United States

Site Status

Union Memorial Hospital

Baltimore, Maryland, United States

Site Status

Johns Hopkins Hospital

Baltimore, Maryland, United States

Site Status

Richard A. Henson Research Institute of Peninsula Regional Medical Center

Salisbury, Maryland, United States

Site Status

Lahey Clinic Hospital

Burlington, Massachusetts, United States

Site Status

Southcoast Physicians Group

Fall River, Massachusetts, United States

Site Status

Mass Heart and Rhythm

Leominster, Massachusetts, United States

Site Status

University of Massachusetts Memorial Medical Center

Worcester, Massachusetts, United States

Site Status

Henry Ford Hospital

Detroit, Michigan, United States

Site Status

Cardiology Consultants of East Michigan

Flint, Michigan, United States

Site Status

Western Michigan University - Homer Stryker M.D. School of Medicine

Kalamazoo, Michigan, United States

Site Status

Great Lakes Heart & Vascular Institute

Saint Joseph, Michigan, United States

Site Status

Munson Medical Center

Traverse City, Michigan, United States

Site Status

Metro Health Hospital

Wyoming, Michigan, United States

Site Status

St. Joseph Mercy Hospital

Ypsilanti, Michigan, United States

Site Status

St. Luke's Hospital of Duluth

Duluth, Minnesota, United States

Site Status

Heart and Vascular Hattiesburg Clinic

Hattiesburg, Mississippi, United States

Site Status

Cox Health

Springfield, Missouri, United States

Site Status

The Nebraska Medical Center

Omaha, Nebraska, United States

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Dartmouth-Hitchcock Medical Center

Lebanon, New Hampshire, United States

Site Status

Cardiovascular Associates of the Delaware Valley.

Haddon Heights, New Jersey, United States

Site Status

Jersey Shore University Medical Center

Neptune City, New Jersey, United States

Site Status

St. Joseph's Region Medical Center

Paterson, New Jersey, United States

Site Status

Weill Cornell Medical University

New York, New York, United States

Site Status

Memorial Mission Hospital

Asheville, North Carolina, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

Wake Forest University School of Medicine

Winston-Salem, North Carolina, United States

Site Status

Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

Kettering Medical Center

Kettering, Ohio, United States

Site Status

Regional Cardiac Arrhythmia, Inc

Steubenville, Ohio, United States

Site Status

Mount Carmel Columbus Cardiology Consultants

Westerville, Ohio, United States

Site Status

Lehigh Valley Hospital Pocono

Allentown, Pennsylvania, United States

Site Status

Bryn Mawr Medical Specialists

Bryn Mawr, Pennsylvania, United States

Site Status

The Arrhythmia Institute

Newtown, Pennsylvania, United States

Site Status

Presbyterian University of Pennsylvania Medical Center

Philadelphia, Pennsylvania, United States

Site Status

Temple University Hospital

Philadelphia, Pennsylvania, United States

Site Status

Trident Medical Center

Charleston, South Carolina, United States

Site Status

McLeod Cardiology Associates

Florence, South Carolina, United States

Site Status

Lexington Medical Center

West Columbia, South Carolina, United States

Site Status

Monument Health Rapid City Hospital, Inc.

Rapid City, South Dakota, United States

Site Status

VA North Texas Health Care System in Dallas

Dallas, Texas, United States

Site Status

Apex Trials Group, LLC

Fort Worth, Texas, United States

Site Status

University of Texas Houston Health Science Center

Houston, Texas, United States

Site Status

Heart Institute of East Texas

Lufkin, Texas, United States

Site Status

Mission Research Institute

New Braunfels, Texas, United States

Site Status

McKay Dee Cardiology

Ogden, Utah, United States

Site Status

University of Utah Hospitals and Clinics

Salt Lake City, Utah, United States

Site Status

VA Salt Lake City Health System

Salt Lake City, Utah, United States

Site Status

Bon Secours Heart & Vascular Institute

Mechanicsville, Virginia, United States

Site Status

Sentara Norfolk General Hospital

Norfolk, Virginia, United States

Site Status

Virginia Cardiovascular Specialist

Richmond, Virginia, United States

Site Status

Providence Regional Medical Centre Everett

Everett, Washington, United States

Site Status

PeaceHealth Southwest Medical

Vancouver, Washington, United States

Site Status

Charleston Area Medical Center

Charleston, West Virginia, United States

Site Status

Bellin Health

Green Bay, Wisconsin, United States

Site Status

Kepler Universitaetsklinikum GmbH

Linz, , Austria

Site Status

Klinikum Wels-Grieskirchen GmbH

Wels, , Austria

Site Status

Royal Alexandra Hospital

Edmonton, Alberta, Canada

Site Status

Royal Columbian Hospital

New Westminster, British Columbia, Canada

Site Status

Victoria Cardiac Arrhythmia Trials, Inc.

Victoria, British Columbia, Canada

Site Status

Hamilton General Hospital

Hamilton, Ontario, Canada

Site Status

Scarborough Health Network-Centenary Site

Scarborough Village, Ontario, Canada

Site Status

Institut de Cardiologie de Montreal

Montreal, Quebec, Canada

Site Status

Centre Hospitalier de l'Universite de Montreal

Montreal, Quebec, Canada

Site Status

Institut universitaire de Cardiologie et de Pneumologie de Quebec.

Québec, Quebec, Canada

Site Status

Policlinico di Modena

Modena, Emilia-Romagna, Italy

Site Status

Osp. Civile S. Maria Delle Grazie

Pozzuoli, Southern Cluster, Italy

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Presidio Ospedale San Giovanni Bosco

Napoli, , Italy

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Hospital Buon Consiglio

Napoli, , Italy

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Ospedale dei Pellegrini

Napoli, , Italy

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Az. Osp. S. Andrea

Rome, , Italy

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Chiba University Hospital

Chiba, Chiba, Japan

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Kokura Memorial Hospital

Kitakyushu-Shi, Fukuoka, Japan

Site Status

Kitasato University Hospital

Sagamihara-shi, Kanagawa, Japan

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Kumamoto University Hospital

Kumamoto, Kumamoto, Japan

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Kyoto University Hospital

Kyoto, Kyoto-shi,, Japan

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Tachikawa General Hospital

Nagaoka-shi, Niigata, Japan

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Niigata University Medical and Dental Hospital

Niigata, Niigata, Japan

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National Crebral and Cardiovascular Center Hospital

Suita, Osaka, Japan

Site Status

Saitama Medical University International Medical Cnter

Hidaka-shi, Saitama, Japan

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Chonnam National University

Gwangju, Donggu, South Korea

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Samsung Medical Center

Seoul, Gangnam-gu, South Korea

Site Status

Sejong General Hospital

Bucheon-si, Gyeonggi-do, South Korea

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Seoul National University Bundang Hospital

Seongnam-si, Gyeonggi-do, South Korea

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Pusan National University Yangsan Hospital

Yangsan, Gyeongsang, South Korea

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Severance Hospital, Yonsei University Health System

Seoul, Seodaemun-gu, South Korea

Site Status

Inje University Busan Paik Hospital

Busan, , South Korea

Site Status

Keimyung University Dongsan Medical Center

Daegu, , South Korea

Site Status

Kyungpook National University Hospital

Daegu, , South Korea

Site Status

Korea University Anam Hospital

Seoul, , South Korea

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

The Catholic University of Korea, Seoul St. Mary's Hospital

Seoul, , South Korea

Site Status

Hospital Clínic de Barcelona

Barcelona, , Spain

Site Status

Hospital La Paz

Madrid, , Spain

Site Status

Hospital Donostia

San Sebastián, , Spain

Site Status

Royal Bournemouth Hospital

Bournemouth, Dorset, United Kingdom

Site Status

Royal Stoke University Hospital

Stoke-on-Trent, Staffordshire, United Kingdom

Site Status

Liverpool Heart and Chest - LHCH

Liverpool, , United Kingdom

Site Status

St. Bartholomew's Hospital

London, , United Kingdom

Site Status

King's College Hospital

London, , United Kingdom

Site Status

Countries

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United States Austria Canada Italy Japan South Korea Spain United Kingdom

References

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Schuger C, Joung B, Ando K, Mont L, Lambiase PD, O'Hara GE, Jennings JM, Yung D, Boriani G, Piccini JP, Wold N, Stein KM, Daubert JP; APPRAISE ATP Investigators. Assessment of Antitachycardia Pacing in Primary Prevention Patients: The APPRAISE ATP Randomized Clinical Trial. JAMA. 2024 Nov 26;332(20):1723-1731. doi: 10.1001/jama.2024.16531.

Reference Type DERIVED
PMID: 39361311 (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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C1924

Identifier Type: -

Identifier Source: org_study_id

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