Atrial Fibrillation Associated With Heart Failure Treated by BIOTRONIK's CRT-DX System

NCT ID: NCT04870281

Last Updated: 2022-01-28

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

TERMINATED

Total Enrollment

13 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-05-28

Study Completion Date

2021-12-29

Brief Summary

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The purpose of the BIO-AffectDX Study is to prospectively evaluate improvement from baseline in heart failure subjects with atrial fibrillation (AF) implanted with a two-lead CRT-DX system, with emphasis on a comparison of patient outcomes between AF subtypes.

Detailed Description

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There is a need for more evidence about the benefits of Cardiac Resynchronization Therapy (CRT) in a patient population with heart failure and atrial fibrillation. The BIO-AffectDX Study will gather information about adults with heart failure and atrial fibrillation who are treated with a CRT-DX device from many locations across the United States. The BIO-AffectDX Study will look at the results of treatment in participants with the primary goal to evaluate the improvement in overall health prior to device implant through 12 months. Overall health will be measured by your study doctor for AF improvement, physical fitness, and general quality of life.

Conditions

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Heart Failure Atrial Fibrillation Cardiac Resynchronization Therapy

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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CRT-DX System

CRT-DX

Intervention Type DEVICE

Evaluation of overall health, including heart failure and atrial fibrillation improvement, changes in physical fitness, and general quality of life.

Interventions

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CRT-DX

Evaluation of overall health, including heart failure and atrial fibrillation improvement, changes in physical fitness, and general quality of life.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Standard CRT-D indication according to current guidelines
* Patient has documented history of paroxysmal, persistent, or long-standing persistent atrial fibrillation
* De novo implant or upgrade from a DX implantable cardioverter-defibrillator (ICD) system
* Implant planned to occur within 30 days of consent
* Patient is able to understand English or Spanish
* Patient is able to understand the nature of the study and provide informed consent
* Patient is willing and able to complete all routine study visits at the investigational site for up to 12 months of follow-up
* Patient is willing to utilize BIOTRONIK Home Monitoring® via CardioMessenger
* Patient age is greater than or equal to 18 years


* Baseline subject assessment is evaluated as New York Heart Association class II, III or ambulatory IV heart failure at study Enrollment Visit
* Baseline subject assessment of six-minute walk test is completed at study Enrollment Visit and walk distance ≤ 450 meters (1,476 feet)

Exclusion Criteria

* Contraindication to CRT-D/CRT-DX
* Patient has current or previous atrial pacing need
* Patient is considered for a His Bundle Pacing system
* Patient has current or previous pacemaker, non-DX ICD implant, or bi-ventricular pacing system prior to enrolling
* Patient is currently planned for a pulmonary vein isolation catheter ablation procedure within 3 months of consent
* Patient life expectancy is less than 1 year
* Patient is expected to receive heart transplantation or ventricular assist device within 1 year after implant
* Patient is expected to have a cardiac surgical procedure, such as coronary artery bypass graft or valve transcatheter replacement/repair or surgery, planned to occur within 6-months after implant (excludes atrioventricular node ablation procedures)
* Patient is currently on dialysis, or is expected to receive dialysis within 1 year of implant
* Patient is enrolled in any investigational cardiac device or drug trial that might significantly affect the studied outcomes
* Any condition (e.g. severe arthritis, wheelchair bound, etc.) preventing the patient from performing the required six-minute walk test
* Conditions that prohibit placement of any of the system leads
* Patient reports pregnancy at the time of consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Biotronik, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Alexandru Costea, MD

Role: STUDY_CHAIR

University of Cincinnati Heart

Locations

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University of California San Diego - La Jolla

La Jolla, California, United States

Site Status

Cardiology Associates Medical Group

Ventura, California, United States

Site Status

Orlando Health Heart Institute

Orlando, Florida, United States

Site Status

AdventHealth Tampa

Tampa, Florida, United States

Site Status

University of Iowa Hospitals and Clinics

Iowa City, Iowa, United States

Site Status

University of Kansas Medical Center

Kansas City, Kansas, United States

Site Status

Kansas City Heart Rhythm Institute

Overland Park, Kansas, United States

Site Status

Baptist Health Lexington

Lexington, Kentucky, United States

Site Status

University of Kentucky - Gill Heart and Vascular Institute

Lexington, Kentucky, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

University of Michigan

Ann Arbor, Michigan, United States

Site Status

Michigan Heart

Ypsilanti, Michigan, United States

Site Status

Cardiology Associates of North Mississippi

Tupelo, Mississippi, United States

Site Status

Mercy Hospital Springfield

Springfield, Missouri, United States

Site Status

Glacier View Research Institute Cardiology

Kalispell, Montana, United States

Site Status

Weill Cornell Medicine

New York, New York, United States

Site Status

Lenox Hill Hospital

New York, New York, United States

Site Status

Heart Rhythm Associates

Greenville, North Carolina, United States

Site Status

University of Cincinnati

Cincinnati, Ohio, United States

Site Status

ProMedica Northwest Ohio Cardiology Consultants

Toledo, Ohio, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Upstate Cardiology

Greenville, South Carolina, United States

Site Status

Erlanger Institute for Clinical Research

Chattanooga, Tennessee, United States

Site Status

Countries

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United States

Other Identifiers

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BIO-AffectDX

Identifier Type: -

Identifier Source: org_study_id

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