ECG Belt for CRT Response

NCT ID: NCT03504020

Last Updated: 2023-02-03

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

Clinical Phase

NA

Total Enrollment

498 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-07-13

Study Completion Date

2022-04-20

Brief Summary

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The purpose of this clinical study is to compare ECG Belt Research System managed cardiac resynchronization therapy (CRT) patients and a control CRT group with respect to left ventricular (LV) remodeling.

Detailed Description

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The ECG Belt study is a prospective, interventional, randomized, multi-center, investigational, pre-market research study. The ECG Belt Research System will be used at implant and follow-up to help implanters choose a suitable LV pacing site within the recommended locations for LV lead implantation and optimize pacing vector/timing parameters.

Conditions

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Heart Failure

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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ECG Belt

The ECG Belt arm will utilize the ECG Belt Research System at implant and all follow up visits.

Group Type EXPERIMENTAL

ECG Belt Research System

Intervention Type DEVICE

The ECG Belt Research System is used to identify the best vector and programming parameters.

Control Arm

Standard CRT through 6 months follow-up.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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ECG Belt Research System

The ECG Belt Research System is used to identify the best vector and programming parameters.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Indicated for CRT, with QRS duration ≥130 ms, and planned to be implanted with a market-released Medtronic CRT device with AdaptivCRT and a Medtronic quadripolar LV lead.
* Meets at least one of the following criteria: QRS duration \< 150 ms, Prior documented Myocardial Infarction, Non-LBBB
* LVEDD ≥ 55 mm, as determined by site

Exclusion Criteria

* Permanent/persistent AF or presenting with AF
* Pre-existing or previous LV lead or other confounding devices e.g. Left Ventricular Assist Device, Vagal Nerve Stimulator
* Currently implanted with IPG or ICD with \> 10% RV pacing
* Permanent complete AV block
* Enrolled in a concurrent study that may confound the results of this study. Pre-approval from the study manager is required for enrollment of a patient that is in a concurrent study.
* Less than 1 year life expectancy
* Vulnerable adults
* Younger than 18 years of age
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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ECG Belt for CRT Response Clinical Research Specialist

Role: STUDY_CHAIR

Medtronic

Locations

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Hartford Hospital

Hartford, Connecticut, United States

Site Status

Yale School of Medicine

New Haven, Connecticut, United States

Site Status

MedStar Washington Hospital Center

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

Site Status

University of Florida Health Shands Hospital

Gainesville, Florida, United States

Site Status

Florida Hospital Cardiovascular Research Institute

Orlando, Florida, United States

Site Status

BayCare Health System

Tampa, Florida, United States

Site Status

NorthShore University Health System

Evanston, Illinois, United States

Site Status

Iowa Heart Center

West Des Moines, Iowa, United States

Site Status

Heartland Cardiology

Wichita, Kansas, United States

Site Status

Cardiovascular Institute of the South

Houma, Louisiana, United States

Site Status

Advanced Cardiovascular Specialists

Shreveport, Louisiana, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

Saint Lukes Hospital of Kansas City

Kansas City, Missouri, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

Bryan Heart

Lincoln, Nebraska, United States

Site Status

Morristown Memorial Hospital

Morristown, New Jersey, United States

Site Status

Atrium Health's Carolina Medical Center

Charlotte, North Carolina, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

North Carolina Heart and Vascular

Raleigh, North Carolina, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Mount Carmel East

Columbus, Ohio, United States

Site Status

OhioHealth Research and Innovation Institute (OHRI)

Columbus, Ohio, United States

Site Status

Oklahoma Heart Hospital

Oklahoma City, Oklahoma, United States

Site Status

Lehigh Valley Hospital- Cedar Crest

Allentown, Pennsylvania, United States

Site Status

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

University of Pittsburgh Medical Center UPMC Presbyterian

Pittsburgh, Pennsylvania, United States

Site Status

Geisinger Wyoming Valley Medical Center

Wilkes-Barre, Pennsylvania, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Wellmont CVA Heart Institute

Kingsport, Tennessee, United States

Site Status

Vanderbilt University medical Center

Nashville, Tennessee, United States

Site Status

Texas Cardiac Arrhythmia Research Foundation

Austin, Texas, United States

Site Status

Texas Health Research & Education Institute

Fort Worth, Texas, United States

Site Status

The University of Vermont Medical Center

Burlington, Vermont, United States

Site Status

Aurora St. Lukes

Milwaukee, Wisconsin, United States

Site Status

Onze-Lieve-Vrouwziekenhuis-campus aalst

Aalst, , Belgium

Site Status

Cliniques Universitaires Saint-Luc

Brussels, , Belgium

Site Status

University of Ottawa Heart Institute

Ottawa, Ontario, Canada

Site Status

Montreal Heart Institute

Montreal, Quebec, Canada

Site Status

Rigshospitalet

Copenhagen, , Denmark

Site Status

Policlinico Sant' Orsola - Malpighi

Bologna, , Italy

Site Status

Istituto Auxologico Italiano - Istituto Scientifico Ospedale San Luca

Milan, , Italy

Site Status

Maastricht Universitair Medisch Centrum (MUMC)

Maastricht, , Netherlands

Site Status

Centre Hospitalier Universitaire Vaudois

Lausanne, , Switzerland

Site Status

Countries

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United States Belgium Canada Denmark Italy Netherlands Switzerland

References

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Rickard J, Jackson K, Biffi M, Vernooy K, Bank A, Cerkvenik J, Ghosh S, Gold MR. The ECG Belt for CRT response trial: Design and clinical protocol. Pacing Clin Electrophysiol. 2020 Oct;43(10):1063-1071. doi: 10.1111/pace.13985. Epub 2020 Sep 1.

Reference Type RESULT
PMID: 32537740 (View on PubMed)

Rickard J, Jackson K, Gold M, Biffi M, Ziacchi M, Silverstein J, Ramza B, Metzl M, Grubman E, Abben R, Varma N, Tabbal G, Jensen C, Wouters G, Ghosh S, Vernooy K; ECG Belt for CRT Response Study Group. Electrocardiogram Belt guidance for left ventricular lead placement and biventricular pacing optimization. Heart Rhythm. 2023 Apr;20(4):537-544. doi: 10.1016/j.hrthm.2022.11.015. Epub 2022 Nov 25.

Reference Type RESULT
PMID: 36442824 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Informed Consent Form

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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ECG Belt for CRT Response

Identifier Type: -

Identifier Source: org_study_id

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