Observational Study on Inappropriate Therapies

NCT ID: NCT04118803

Last Updated: 2023-06-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

881 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-01-31

Study Completion Date

2025-05-30

Brief Summary

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The purpose of the study is to assess the incidence of inappropriate shocks at 2 years, in a population of patients undergoing a generator replacement (VR/DR/CRT) or upgrade from a previously implanted ICD (VR/DR)

Detailed Description

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All subjects will be included during an inclusion visit (within 7 days post generator replacement or upgrade), and followed up at a post replacement visit (1 - 6 months post replacement or upgrade), at 12, 18 and 24 months post replacement or upgrade. These follow-up visits will be performed in-clinic except for the 18 months post replacement or upgrade visit, which could be performed through device remote monitoring.

Additional follow-ups can be performed at physician's discretion. Data on reportable adverse events will be collected throughout the study. All study data will be collected using an EDC system.

All delivered anti-tachycardia therapies (shock or ATP) will be reviewed by an independent board of experts in order to evaluate appropriateness.

The programming of the device parameters is at physician's discretion (suggested settings is slow VT monitoring zone 150 - 185 bpm with 30 cycles persistence, VT zone 185 - 230 bpm with 16 cycles persistence, remote monitoring activated).

Conditions

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Inappropriate Shocks From Implanted Defibrillator ICD Replacement or Upgrade

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Interventions

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ICD replacement or upgrade

Currently, it is common for patients to survive beyond their initial prophylactic ICD generator. It is unclear whether further benefit related to inappropriate shocks or ATP is derived from long-term device therapy, particularly if there has been a change in the patient's cardiovascular condition.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Any subject that had an ICD/CRT-D replacement/upgrade according to the latest relevant clinical guidelines with a MicroPort CRM ICD / CRT-D for less than 7 days
2. Signed and dated the informed consent form

Exclusion Criteria

1. RV lead replacement
2. Previous ICD/CRT-D inactivated or already explanted
3. Active myocarditis
4. Primary prevention for Arrhythmogenic Ventricular Cardiomyopathy, Ion channelopathies, Hypertrophic Cardiomyopathy and Infiltrative or Inherited Cardiomyopathy.
5. Heart transplant (done or on waiting list) or implanted with a ventricular assist device (VAD)
6. Already included in an Interventional study that could confound the results of this study
7. Inability to understand the purpose of the study or to meet follow-up visits as defined in the investigational plan
8. Minor age (\<18 years) or under guardianship or kept in detention
9. Ongoing drug or alcohol addiction or abuse which would interfere with the subject's ability to be compliant with the study.
10. Life expectancy less than 1 year
11. Pregnant or breast feeding
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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MicroPort CRM

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Christoff Kolb, Dr.

Role: PRINCIPAL_INVESTIGATOR

Deutsches Herzzentrum, Lazarettstraße 36, 80636 Munich, Germany

Locations

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Broward Health Medical Center

Fort Lauderdale, Florida, United States

Site Status

The University of Chicago Medicine Hospital

Chicago, Illinois, United States

Site Status

Loyola University Medical Center

Maywood, Illinois, United States

Site Status

Rutgers New Jersey Medical School

Newark, New Jersey, United States

Site Status

St. Mary Medical Center

Langhorne, Pennsylvania, United States

Site Status

Universitätsklinik Innsbruck - Kardiologie und Angiologie

Innsbruck, , Austria

Site Status

Akademisches Krankenhaus Wien

Vienna, , Austria

Site Status

Landesklinikum Wiener Neustadt

Wiener Neustadt, , Austria

Site Status

UZ Brussel

Jette, , Belgium

Site Status

UCL Mont-Godinne

Yvoir, , Belgium

Site Status

CH du Pays d'Aix

Aix-en-Provence, , France

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CH Annecy Genevois

Annecy, , France

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Clinique Rhône Durance

Avignon, , France

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CHU Brest

Brest, , France

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Hôpital d'Instruction des Armées Percy

Clamart, , France

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CHU de Grenoble

Grenoble, , France

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CH de Libourne Robert Boulin

Libourne, , France

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CHU Dupuytren

Limoges, , France

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Hôpital Nord

Marseille, , France

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Hôpital Privé Clairval

Marseille, , France

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Clinique du Millénaire

Montpellier, , France

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CHU Nice

Nice, , France

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CHU Groupe HU Caremeau

Nîmes, , France

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CH de Perpignan CHG St Jean

Perpignan, , France

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CHU Poitiers

Poitiers, , France

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CHU - Hôpital Nord - Saint-Étienne

Saint-Etienne, , France

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CHI Toulon La Seyne Sur Mer

Toulon, , France

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Centre Hospitalier de Rangueil

Toulouse, , France

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Centre Hospitalier de Valence

Valence, , France

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UKSH Schleswig Holstein Campus Kiel

Kiel, , Germany

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Deutsches Herzzentrum München

Munich, , Germany

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Cardiologicum

Pirna, , Germany

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Katharinen Hospital Unna

Unna, , Germany

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Ospedale L. Bonomo

Andria, , Italy

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Azienda Ospedaliera G. Moscati

Avellino, , Italy

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Ospedale Clinicizzato SS. Annunziata

Chieti, , Italy

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Presidio Ospedaliero di Chioggia

Chioggia, , Italy

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Ospedale Santa Maria dei Battuti

Conegliano, , Italy

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Ospedale San Salvatore

L’Aquila, , Italy

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Grande Ospedale Metropolitano Niguarda Ca Granda

Milan, , Italy

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Ospedale S. Gerardo

Monza, , Italy

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Ospedale Policlinico Federico II

Napoli, , Italy

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Ospedale Giovanni Paolo II

Ragusa, , Italy

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Ospedale Giuseppe Mazzini

Teramo, , Italy

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Azienda Ospedaliero Universitaria Ospedali Riuniti Di Trieste

Trieste, , Italy

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Isala Klinieken

Zwolle, , Netherlands

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Centro Hospitalar Lisboa Norte - Hospital de Santa Maria

Lisbon, , Portugal

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Hospital General Universitario de Alicante

Alicante, , Spain

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Hospital Universitario de La Ribera

Alzira, , Spain

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Hospital Universitario Virgen de las Nieves

Granada, , Spain

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Hospital Universitario Virgen de la Victoria

Málaga, , Spain

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Hospital General Universitario de Valencia

Valencia, , Spain

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Complejo Hospitalario Universitario de Vigo

Vigo, , Spain

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Universitätsspital Basel

Basel, , Switzerland

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GZO Spital Wetzikon AG

Wetzikon, , Switzerland

Site Status

Belfast Health & Social Care Trust

Belfast, , United Kingdom

Site Status

Papworth Hospital NHS Foundation Trust

Cambridge, , United Kingdom

Site Status

Northampton General Hospital NHS TRUST

Northampton, , United Kingdom

Site Status

Countries

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United States Austria Belgium France Germany Italy Netherlands Portugal Spain Switzerland United Kingdom

Other Identifiers

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RTSY04 - OSIRIS

Identifier Type: -

Identifier Source: org_study_id

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