Trial Outcomes & Findings for Master Study of the BIOMONITOR III and Incision and Insertion Tool (FIT OneStep) (NCT NCT04025710)

NCT ID: NCT04025710

Last Updated: 2024-11-27

Results Overview

SADE-free rate related to BIOMONITOR III and BIOMONITOR IIIm including incision and insertion tool set until 3-month follow-up

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

167 participants

Primary outcome timeframe

3 months

Results posted on

2024-11-27

Participant Flow

167 patients completed the informed consent process and signed the informed consent sheet. 166 patients successfully received the investigational device, the BM III.

March 18, 2020: temporary suspension of the enrollment due to the Covid-19 pandemic was announced. All investigators were informed about it and continuation of the follow-up phase. Instructions were given for the safety reporting, deviations from follow-up plan, and reporting of deviation in case these processes are impaired by Covid-19 situation. The suspension was lifted site by site based on pre-specified criteria between June 24, 2020 and February 5, 2021.

Participant milestones

Participant milestones
Measure
All Patients
BIOMONITOR III and BIOMONITOR IIIm: - Insertion of BIOMONITOR III or BIOMONITOR IIIm * three scheduled in-office follow-ups * 48-hour Holter ECG
Overall Study
STARTED
167
Overall Study
COMPLETED
116
Overall Study
NOT COMPLETED
51

Reasons for withdrawal

Reasons for withdrawal
Measure
All Patients
BIOMONITOR III and BIOMONITOR IIIm: - Insertion of BIOMONITOR III or BIOMONITOR IIIm * three scheduled in-office follow-ups * 48-hour Holter ECG
Overall Study
Death
3
Overall Study
Lost to Follow-up
5
Overall Study
Withdrawal by Subject
1
Overall Study
Patient unable or unwilling to attend required visits
8
Overall Study
Drop-out according to protocol
34

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Patients
n=167 Participants
BIOMONITOR III and BIOMONITOR IIIm: - Insertion of BIOMONITOR III or BIOMONITOR IIIm * three scheduled in-office follow-ups * 48-hour Holter ECG
Age, Continuous
63.5 years
STANDARD_DEVIATION 15.2 • n=167 Participants
Sex: Female, Male
Female
67 Participants
n=167 Participants
Sex: Female, Male
Male
100 Participants
n=167 Participants
Region of Enrollment
Australia
22 participants
n=167 Participants
Region of Enrollment
Austria
23 participants
n=167 Participants
Region of Enrollment
Switzerland
8 participants
n=167 Participants
Region of Enrollment
Denmark
3 participants
n=167 Participants
Region of Enrollment
Spain
14 participants
n=167 Participants
Region of Enrollment
Germany
97 participants
n=167 Participants

PRIMARY outcome

Timeframe: 3 months

Population: All patients who either had a primary endpoint or who had reached 3 months of follow-up

SADE-free rate related to BIOMONITOR III and BIOMONITOR IIIm including incision and insertion tool set until 3-month follow-up

Outcome measures

Outcome measures
Measure
All Patients
n=159 Participants
BIOMONITOR III and BIOMONITOR IIIm: - Insertion of BIOMONITOR III or BIOMONITOR IIIm * three scheduled in-office follow-ups * 48-hour Holter ECG
SADE-free Rate Until the 3-month Follow-up
141 Participants

SECONDARY outcome

Timeframe: 10 days to 4 weeks after insertion; 3-months

The secondary endpoint 1 evaluates the R-wave amplitude at the 1st follow-up and at 3-month follow-up by measuring both, the lowest and the highest amplitude value via the programmer.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 10 days to 4 weeks after insertion; 3-months

The secondary endpoint 2 evaluates the noise burden at the 1st follow-up and at 3-month follow-up by retrieving the percentage of noise via the programmer.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 10 days to 4 weeks after insertion; 3-months

The secondary endpoint 3 evaluates the P-wave visibility at 1st, 3- and 12-month follow-up. The investigator will evaluate whether P-waves can be recognized in the stored sECGs showing sinus rhythm. The number of heart cycles and observed P-waves which can undoubtly be identified in ECGs will be assessed by the investigator.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12-months

The secondary endpoint 4 is the SADE-free rate related to the BIOMONITOR III and BIOMONITOR IIIm 12 months after insertion.

Outcome measures

Outcome data not reported

Adverse Events

All Patients

Serious events: 103 serious events
Other events: 59 other events
Deaths: 3 deaths

Serious adverse events

Serious adverse events
Measure
All Patients
n=167 participants at risk
BIOMONITOR III and BIOMONITOR IIIm: - Insertion of BIOMONITOR III or BIOMONITOR IIIm * three scheduled in-office follow-ups * 48-hour Holter ECG
Cardiac disorders
Acute myocardial infarction
0.60%
1/167 • Number of events 1 • 1 year
General disorders
Adverse drug reaction
3.6%
6/167 • Number of events 6 • 1 year
Musculoskeletal and connective tissue disorders
Antisynthetase syndrome
0.60%
1/167 • Number of events 1 • 1 year
Cardiac disorders
Aortic valve stenosis
0.60%
1/167 • Number of events 1 • 1 year
Nervous system disorders
Aphasia
0.60%
1/167 • Number of events 1 • 1 year
Cardiac disorders
Atrial fibrillation
13.8%
23/167 • Number of events 24 • 1 year
Cardiac disorders
Atrial flutter
1.8%
3/167 • Number of events 3 • 1 year
Cardiac disorders
Atrioventricular block
0.60%
1/167 • Number of events 1 • 1 year
Cardiac disorders
Atrioventricular block complete
4.2%
7/167 • Number of events 7 • 1 year
Eye disorders
Blepharospasm
0.60%
1/167 • Number of events 1 • 1 year
Investigations
Blood glucose increased
0.60%
1/167 • Number of events 1 • 1 year
Cardiac disorders
Bradycardia
4.2%
7/167 • Number of events 7 • 1 year
Cardiac disorders
Cardiac arrest
4.8%
8/167 • Number of events 8 • 1 year
Cardiac disorders
Cardiac failure
1.2%
2/167 • Number of events 2 • 1 year
Cardiac disorders
Cardiac tamponade
0.60%
1/167 • Number of events 1 • 1 year
Infections and infestations
Cellulitis
0.60%
1/167 • Number of events 1 • 1 year
General disorders
Chest pain
0.60%
1/167 • Number of events 1 • 1 year
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
1.2%
2/167 • Number of events 2 • 1 year
Vascular disorders
Circulatory collapse
1.2%
2/167 • Number of events 2 • 1 year
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer
0.60%
1/167 • Number of events 1 • 1 year
General disorders
Condition aggravated
1.2%
2/167 • Number of events 2 • 1 year
Cardiac disorders
Cor pulmonale
0.60%
1/167 • Number of events 1 • 1 year
Infections and infestations
Corona virus infection
1.2%
2/167 • Number of events 2 • 1 year
Cardiac disorders
Coronary artery disease
0.60%
1/167 • Number of events 1 • 1 year
Cardiac disorders
Coronary artery stenosis
1.2%
2/167 • Number of events 2 • 1 year
General disorders
Cyst
0.60%
1/167 • Number of events 1 • 1 year
Ear and labyrinth disorders
Deafness
0.60%
1/167 • Number of events 1 • 1 year
General disorders
Death
0.60%
1/167 • Number of events 1 • 1 year
Product Issues
Device dislocation
1.2%
2/167 • Number of events 2 • 1 year
Product Issues
Device extrusion
0.60%
1/167 • Number of events 1 • 1 year
Gastrointestinal disorders
Diarrhoea
0.60%
1/167 • Number of events 1 • 1 year
Cardiac disorders
Dilatation atrial
0.60%
1/167 • Number of events 1 • 1 year
Gastrointestinal disorders
Diverticulum
0.60%
1/167 • Number of events 1 • 1 year
Nervous system disorders
Dizziness
0.60%
1/167 • Number of events 1 • 1 year
Respiratory, thoracic and mediastinal disorders
Dyspnoea
1.2%
2/167 • Number of events 2 • 1 year
Investigations
Ejection fraction decreased
1.2%
2/167 • Number of events 2 • 1 year
Nervous system disorders
Epilepsy
0.60%
1/167 • Number of events 1 • 1 year
Musculoskeletal and connective tissue disorders
Facet joint syndrome
0.60%
1/167 • Number of events 1 • 1 year
Injury, poisoning and procedural complications
Fall
1.2%
2/167 • Number of events 2 • 1 year
Musculoskeletal and connective tissue disorders
Foot deformity
0.60%
1/167 • Number of events 1 • 1 year
Gastrointestinal disorders
Gastric ulcer
0.60%
1/167 • Number of events 1 • 1 year
Gastrointestinal disorders
Gastritis
0.60%
1/167 • Number of events 1 • 1 year
Renal and urinary disorders
Haematuria
0.60%
1/167 • Number of events 1 • 1 year
Nervous system disorders
Haemorrhage intracranial
0.60%
1/167 • Number of events 1 • 1 year
Injury, poisoning and procedural complications
Head injury
0.60%
1/167 • Number of events 1 • 1 year
Nervous system disorders
Headache
1.2%
2/167 • Number of events 2 • 1 year
Investigations
Heart rate increased
0.60%
1/167 • Number of events 1 • 1 year
Gastrointestinal disorders
Hiatus hernia
0.60%
1/167 • Number of events 1 • 1 year
Cardiac disorders
Hypertensive heart disease
0.60%
1/167 • Number of events 1 • 1 year
Respiratory, thoracic and mediastinal disorders
Hyperventilation
0.60%
1/167 • Number of events 1 • 1 year
Respiratory, thoracic and mediastinal disorders
Hypoxia
0.60%
1/167 • Number of events 1 • 1 year
General disorders
Implant site haematoma
0.60%
1/167 • Number of events 2 • 1 year
General disorders
Implant site haemorrhage
0.60%
1/167 • Number of events 1 • 1 year
Infections and infestations
Implant site infection
0.60%
1/167 • Number of events 1 • 1 year
General disorders
Implant site pain
1.2%
2/167 • Number of events 2 • 1 year
Infections and infestations
Influenza
0.60%
1/167 • Number of events 1 • 1 year
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
0.60%
1/167 • Number of events 1 • 1 year
Blood and lymphatic system disorders
Iron deficiency anaemia
0.60%
1/167 • Number of events 1 • 1 year
Nervous system disorders
Ischaemic cerebral infarction
1.2%
2/167 • Number of events 2 • 1 year
Product Issues
Lead dislodgement
0.60%
1/167 • Number of events 1 • 1 year
Cardiac disorders
Left atrial dilatation
0.60%
1/167 • Number of events 1 • 1 year
Cardiac disorders
Left ventricular dysfunction
0.60%
1/167 • Number of events 1 • 1 year
Skin and subcutaneous tissue disorders
Lichen sclerosus
0.60%
1/167 • Number of events 1 • 1 year
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung adenocarcinoma
0.60%
1/167 • Number of events 1 • 1 year
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastasis
0.60%
1/167 • Number of events 1 • 1 year
Musculoskeletal and connective tissue disorders
Metatarsalgia
0.60%
1/167 • Number of events 1 • 1 year
Cardiac disorders
Mitral valve incompetence
1.8%
3/167 • Number of events 4 • 1 year
Respiratory, thoracic and mediastinal disorders
Nasal cyst
0.60%
1/167 • Number of events 1 • 1 year
Infections and infestations
Nasopharyngitis
0.60%
1/167 • Number of events 1 • 1 year
Musculoskeletal and connective tissue disorders
Neck pain
0.60%
1/167 • Number of events 1 • 1 year
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasm progression
0.60%
1/167 • Number of events 1 • 1 year
Renal and urinary disorders
Nephrolithiasis
0.60%
1/167 • Number of events 1 • 1 year
Investigations
Oxygen saturation decreased
0.60%
1/167 • Number of events 1 • 1 year
Musculoskeletal and connective tissue disorders
Pain in extremity
1.2%
2/167 • Number of events 2 • 1 year
Cardiac disorders
Palpitations
1.2%
2/167 • Number of events 2 • 1 year
Cardiac disorders
Pericardial effusion
0.60%
1/167 • Number of events 1 • 1 year
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.60%
1/167 • Number of events 1 • 1 year
Infections and infestations
Pneumonia
0.60%
1/167 • Number of events 1 • 1 year
Respiratory, thoracic and mediastinal disorders
Pneumonia aspiration
0.60%
1/167 • Number of events 1 • 1 year
Infections and infestations
Pneumonia mycoplasmal
0.60%
1/167 • Number of events 1 • 1 year
Injury, poisoning and procedural complications
Post procedural complication
0.60%
1/167 • Number of events 1 • 1 year
Nervous system disorders
Presyncope
0.60%
1/167 • Number of events 1 • 1 year
Skin and subcutaneous tissue disorders
Pruritus
0.60%
1/167 • Number of events 1 • 1 year
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.60%
1/167 • Number of events 1 • 1 year
Respiratory, thoracic and mediastinal disorders
Pulmonary hypertension
0.60%
1/167 • Number of events 1 • 1 year
Respiratory, thoracic and mediastinal disorders
Respiratory failure
1.2%
2/167 • Number of events 3 • 1 year
Infections and infestations
Respiratory tract infection
0.60%
1/167 • Number of events 1 • 1 year
Cardiac disorders
Right ventricular dilatation
0.60%
1/167 • Number of events 1 • 1 year
Skin and subcutaneous tissue disorders
Scar pain
0.60%
1/167 • Number of events 1 • 1 year
Cardiac disorders
Sinoatrial block
0.60%
1/167 • Number of events 1 • 1 year
Cardiac disorders
Sinus arrest
3.0%
5/167 • Number of events 5 • 1 year
Cardiac disorders
Sinus arrhythmia
0.60%
1/167 • Number of events 1 • 1 year
Cardiac disorders
Sinus bradycardia
1.2%
2/167 • Number of events 2 • 1 year
Cardiac disorders
Sinus node dysfunction
2.4%
4/167 • Number of events 4 • 1 year
Injury, poisoning and procedural complications
Skin laceration
0.60%
1/167 • Number of events 1 • 1 year
Musculoskeletal and connective tissue disorders
Spinal stenosis
0.60%
1/167 • Number of events 1 • 1 year
Cardiac disorders
Supraventricular extrasystoles
0.60%
1/167 • Number of events 1 • 1 year
Cardiac disorders
Supraventricular tachycardia
2.4%
4/167 • Number of events 5 • 1 year
Nervous system disorders
Syncope
3.6%
6/167 • Number of events 6 • 1 year
Nervous system disorders
Tension headache
0.60%
1/167 • Number of events 1 • 1 year
Nervous system disorders
Transient ischaemic attack
0.60%
1/167 • Number of events 1 • 1 year
Cardiac disorders
Tricuspid valve incompetence
0.60%
1/167 • Number of events 1 • 1 year
Investigations
Troponin increased
0.60%
1/167 • Number of events 1 • 1 year
Renal and urinary disorders
Urinary retention
0.60%
1/167 • Number of events 1 • 1 year
Infections and infestations
Urinary tract infection
0.60%
1/167 • Number of events 1 • 1 year
Gastrointestinal disorders
Varices oesophageal
0.60%
1/167 • Number of events 1 • 1 year
Cardiac disorders
Ventricular extrasystoles
0.60%
1/167 • Number of events 1 • 1 year
Cardiac disorders
Ventricular tachycardia
3.0%
5/167 • Number of events 5 • 1 year
Nervous system disorders
Vertebral artery occlusion
0.60%
1/167 • Number of events 1 • 1 year
Musculoskeletal and connective tissue disorders
Vertebral foraminal stenosis
0.60%
1/167 • Number of events 1 • 1 year
Eye disorders
Visual impairment
0.60%
1/167 • Number of events 1 • 1 year
Injury, poisoning and procedural complications
Wrist fracture
0.60%
1/167 • Number of events 1 • 1 year

Other adverse events

Other adverse events
Measure
All Patients
n=167 participants at risk
BIOMONITOR III and BIOMONITOR IIIm: - Insertion of BIOMONITOR III or BIOMONITOR IIIm * three scheduled in-office follow-ups * 48-hour Holter ECG
General disorders
Impaired healing
0.60%
1/167 • Number of events 1 • 1 year
General disorders
Implant site bruising
1.2%
2/167 • Number of events 2 • 1 year
General disorders
Implant site haematoma
1.8%
3/167 • Number of events 3 • 1 year
General disorders
Implant site haemorrhage
1.2%
2/167 • Number of events 2 • 1 year
Infections and infestations
Implant site infection
0.60%
1/167 • Number of events 1 • 1 year
General disorders
Implant site pain
0.60%
1/167 • Number of events 1 • 1 year
General disorders
Implant site reaction
0.60%
1/167 • Number of events 1 • 1 year
General disorders
Influenza like illness
0.60%
1/167 • Number of events 1 • 1 year
Injury, poisoning and procedural complications
Intercepted medication error
0.60%
1/167 • Number of events 1 • 1 year
Investigations
International normalised ratio fluctuation
0.60%
1/167 • Number of events 1 • 1 year
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
0.60%
1/167 • Number of events 1 • 1 year
Injury, poisoning and procedural complications
Ligament sprain
0.60%
1/167 • Number of events 1 • 1 year
Nervous system disorders
Loss of consciousness
0.60%
1/167 • Number of events 1 • 1 year
General disorders
Malaise
1.2%
2/167 • Number of events 2 • 1 year
General disorders
Medical device site discomfort
0.60%
1/167 • Number of events 1 • 1 year
Psychiatric disorders
Munchausen's syndrome
0.60%
1/167 • Number of events 1 • 1 year
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
0.60%
1/167 • Number of events 1 • 1 year
Nervous system disorders
Orthostatic intolerance
0.60%
1/167 • Number of events 1 • 1 year
Product Issues
Oversensing
1.2%
2/167 • Number of events 2 • 1 year
Musculoskeletal and connective tissue disorders
Pain in extremity
0.60%
1/167 • Number of events 1 • 1 year
Social circumstances
Patient dissatisfaction with device
0.60%
1/167 • Number of events 1 • 1 year
General disorders
Peripheral swelling
0.60%
1/167 • Number of events 1 • 1 year
Injury, poisoning and procedural complications
Post procedural complication
0.60%
1/167 • Number of events 1 • 1 year
Skin and subcutaneous tissue disorders
Pyoderma gangrenosum
0.60%
1/167 • Number of events 1 • 1 year
Gastrointestinal disorders
Rectal haemorrhage
0.60%
1/167 • Number of events 1 • 1 year
Injury, poisoning and procedural complications
Rib fracture
0.60%
1/167 • Number of events 1 • 1 year
Nervous system disorders
Seizure
0.60%
1/167 • Number of events 1 • 1 year
Cardiac disorders
Sinus tachycardia
1.2%
2/167 • Number of events 2 • 1 year
Social circumstances
Social problem
0.60%
1/167 • Number of events 1 • 1 year
Cardiac disorders
Supraventricular extrasystoles
1.2%
2/167 • Number of events 2 • 1 year
Cardiac disorders
Supraventricular tachycardia
1.8%
3/167 • Number of events 3 • 1 year
Nervous system disorders
Syncope
1.8%
3/167 • Number of events 4 • 1 year
Cardiac disorders
Tachycardia
0.60%
1/167 • Number of events 1 • 1 year
Product Issues
Undersensing
1.2%
2/167 • Number of events 2 • 1 year
Vascular disorders
Varicose vein
0.60%
1/167 • Number of events 1 • 1 year
Cardiac disorders
Ventricular extrasystoles
0.60%
1/167 • Number of events 1 • 1 year
Cardiac disorders
Ventricular tachycardia
1.2%
2/167 • Number of events 2 • 1 year
Ear and labyrinth disorders
Vertigo
1.2%
2/167 • Number of events 2 • 1 year
Eye disorders
Visual impairment
0.60%
1/167 • Number of events 1 • 1 year
Gastrointestinal disorders
Abdominal pain
0.60%
1/167 • Number of events 1 • 1 year
Gastrointestinal disorders
Abdominal pain upper
0.60%
1/167 • Number of events 1 • 1 year
General disorders
Adverse drug reaction
3.6%
6/167 • Number of events 6 • 1 year
Nervous system disorders
Amnesia
0.60%
1/167 • Number of events 1 • 1 year
Musculoskeletal and connective tissue disorders
Antisynthetase syndrome
0.60%
1/167 • Number of events 1 • 1 year
Psychiatric disorders
Anxiety disorder
0.60%
1/167 • Number of events 1 • 1 year
Cardiac disorders
Atrial fibrillation
1.2%
2/167 • Number of events 2 • 1 year
Nervous system disorders
Balance disorder
0.60%
1/167 • Number of events 1 • 1 year
Investigations
Blood potassium decreased
0.60%
1/167 • Number of events 1 • 1 year
Cardiac disorders
Bradycardia
1.2%
2/167 • Number of events 2 • 1 year
Cardiac disorders
Cardiac arrest
0.60%
1/167 • Number of events 1 • 1 year
General disorders
Chest discomfort
1.2%
2/167 • Number of events 2 • 1 year
General disorders
Chest pain
2.4%
4/167 • Number of events 5 • 1 year
Gastrointestinal disorders
Chronic gastritis
0.60%
1/167 • Number of events 1 • 1 year
General disorders
Condition aggravated
0.60%
1/167 • Number of events 1 • 1 year
Injury, poisoning and procedural complications
Contusion
0.60%
1/167 • Number of events 1 • 1 year
Ear and labyrinth disorders
Deafness
0.60%
1/167 • Number of events 1 • 1 year
Product Issues
Device dislocation
0.60%
1/167 • Number of events 1 • 1 year
Product Issues
Device physical property issue
1.2%
2/167 • Number of events 2 • 1 year
Nervous system disorders
Dizziness
1.2%
2/167 • Number of events 2 • 1 year
Respiratory, thoracic and mediastinal disorders
Dyspnoea
1.2%
2/167 • Number of events 2 • 1 year
Nervous system disorders
Epilepsy
0.60%
1/167 • Number of events 1 • 1 year
Eye disorders
Eye haemorrhage
0.60%
1/167 • Number of events 1 • 1 year
Injury, poisoning and procedural complications
Facial bones fracture
0.60%
1/167 • Number of events 1 • 1 year
Injury, poisoning and procedural complications
Fall
1.8%
3/167 • Number of events 5 • 1 year
General disorders
Fatigue
0.60%
1/167 • Number of events 1 • 1 year
Infections and infestations
Gastroenteritis
0.60%
1/167 • Number of events 1 • 1 year
Injury, poisoning and procedural complications
Head injury
0.60%
1/167 • Number of events 1 • 1 year
Nervous system disorders
Headache
0.60%
1/167 • Number of events 1 • 1 year
Investigations
Heart rate increased
1.2%
2/167 • Number of events 2 • 1 year
Skin and subcutaneous tissue disorders
Hyperhidrosis
0.60%
1/167 • Number of events 1 • 1 year
Vascular disorders
Hypertension
0.60%
1/167 • Number of events 1 • 1 year

Additional Information

Senior Director Clinical Project Management

BIOTRONIK SE & Co.KG

Phone: +49 30 68905

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place