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临床试验/NCT01227785
NCT01227785已完成不适用

Next Generation INCEPTA ICD and CRT-D Field Following Study: Respiratory Rate Trend Evaluation in Heart Failure (HF) Patients

Guidant Corporation1 个研究点 分布在 1 个国家目标入组 120 人开始时间: 2010年10月最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
120
试验地点
1
主要终点
Clinical Performance at Implant for Right Ventricle (RV) Sensing Amplitude

研究概览

简要总结

This study has 2 purposes:

The first purpose of the study is to test a new family of Boston Scientific Implantable Cardioverter Defibrillators ("ICDs") and cardiac resynchronization therapy ICDs ("CRT-Ds") and show how well these new devices work in patients. This new family is called the INCEPTA ICD and the INCEPTA CRT-D.

The second purpose of the study is to collect data from a feature that monitors breathing. It is called the Respiratory Rate Trend (RRT). These data will help to better understand how changes in breathing relate to changes in clinical conditions.

详细描述

Study Purpose

Study purpose I:

To evaluate and document appropriate clinical performance of the INCEPTA (DR and VR) implantable cardioverter defibrillator (ICD) system and the INCEPTA cardiac resynchronization therapy ICD (CRT-D) system and associated application software.

Study purpose II:

Demonstrate the clinical relevance of chronic ambulatory daily median Respiratory Rate Trend (RRT) in HF patients

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients who are willing and capable of providing informed consent, undergoing a device implant, participating in all testing associated with this clinical study;
  • Patients whose age is 18 or above, or of legal age to give informed consent specific to national law
  • Patients indicated for an ICD according to normal clinical practice (for those patients receiving an INCEPTA ICD).
  • As soon as 20 ICD patients are included in the study for purpose I, only NYHA Class III patients will be allowed in the study.
  • New York Heart Association (NYHA) Class III patients indicated for a CRT-D according to normal clinical practice (for those patients receiving an INCEPTA CRT-D).

排除标准

  • Women of childbearing potential who are or might be pregnant at the time of the study (method of assessment upon physician's discretion)
  • Enrolled in any other concurrent study.
  • Inability or refusal to comply with the follow-up schedule
  • Patients that have received routinely scheduled intravenous inotropic therapy as part of their drug regimen within the past 90 days
  • Patients prescribed to positive airway pressure therapy
  • A life expectancy of less than 1 year, per physician discretion
  • Patient in NYHA Class IV during the last 4 weeks

结局指标

主要结局

Clinical Performance at Implant for Right Ventricle (RV) Sensing Amplitude

时间窗: implant

RV Sensed Amplitude results were reported at implant for CRT-D and ICD patients

Clinical Performance for Left Ventricular (LV) Sensing Amplitude at Implant for CRT-D Patients

时间窗: implant

Left Ventricular (LV) Sensed Amplitude results were reported at implant for CRT-D patients.

Clinical Performance at Pre-discharge for LV Sensing Amplitude for CRT-D Patients

时间窗: pre-discharge

Left Ventricular (LV) Sensed Amplitude results were reported pre-discharge for CRT-D patients.

Clinical Performance at1-month for Left Ventricular (LV) Sensing Amplitude for CRT-D Patients

时间窗: 1-month

LV Sensed Amplitude results were reported at 1-month post-implant for CRT-D patients.

Clinical Performance at Implant for Right Atrium (RA) Sensing Amplitude

时间窗: implant

RA Sensed Amplitude results were reported for implant for CRT-D and ICD patients

Clinical Performance at Pre-discharge for RA Sensing Amplitude

时间窗: pre-discharge

RA Sensed Amplitude results were reported at pre-discharge for CRT-D and ICD patients

Clinical Performance at1-month for RA Sensing Amplitude

时间窗: 1-month

RA Sensed Amplitude results were reported at 1-month post-implant for CRT-D and ICD patients

Clinical Performance at Pre-discharge for Right Ventricle (RV) Sensing Amplitude

时间窗: pre-discharge

RV Sensed Amplitude results were reported at pre-discharge for CRT-D and ICD patients

Clinical Performance at1-month for Right Ventricle (RV) Sensing Amplitude

时间窗: 1month

RV Sensed Amplitude results were reported at 1-month post-implant for CRT-D and ICD patients

Clinical Performance at Implant for LV Pacing Threshold

时间窗: implant

LV pacing threshold results were reported for CRT-D patients at implant.

Clinical Performance at Pre-discharge for LV Pacing Threshold

时间窗: pre-discharge

LV pacing threshold results were reported at pre-discharge for CRT-D patients.

Clinical Performance at1-month for LV Pacing Threshold

时间窗: 1-month

LV pacing threshold results were reported at 1-month post-implant for CRT-D patients.

Clinical Performance at Implant for RV Pacing Threshold

时间窗: implant

RV pacing threshold results were reported at implant

Clinical Performance at Pre-discharge for RV Pacing Threshold

时间窗: pre-discharge

RV pacing threshold results were reported at pre-discharge

Clinical Performance at 1-month for RV Pacing Threshold

时间窗: 1-month

RV pacing threshold results were reported at 1-month post-implant

Clinical Performance at Implant for RA Pacing Threshold

时间窗: implant

RA pacing threshold results were reported for implant

Clinical Performance at Pre-discharge for RA Pacing Threshold

时间窗: pre-discharge

RA pacing threshold results were reported at pre-discharge

Clinical Performance at 1-month for RA Pacing Threshold

时间窗: 1-month

RA pacing threshold results were reported at 1-month post-implant

Clinical Performance at Implant LV Pacing Impedance for CRT-D.

时间窗: implant

LV pacing impedance results at implant were measured in CRT-D.

Clinical Performance at Pre-discharge for LV Pacing Impedance for CRT-D.

时间窗: pre-discharge

LV pacing impedance results were reported for pre-discharge visit

Clinical Performance at 1-month for LV Pacing Impedance for CRT-D.

时间窗: 1-month

LV pacing impedance results were reported at 1-month post-implant

Clinical Performance at Implant for RV Pacing Impedance

时间窗: implant

RV pacing impedance results were reported at implant

Clinical Performance at Pre-discharge for RV Pacing Impedance

时间窗: pre-discharge

RV pacing impedance results were reported for pre-discharge

Clinical Performance at 1-month for RV Pacing Impedance

时间窗: 1-month

RV pacing impedance results were reported at 1-month post-implant

Clinical Performance at Implant for RA Pacing Impedance

时间窗: implant

RA pacing impedance results were reported at implant

Clinical Performance at Pre-discharge for RA Pacing Impedance

时间窗: pre-discharge

RA pacing impedance results were reported at pre-discharge

Clinical Performance at 1-month for RA Pacing Impedance

时间窗: 1-month

RA pacing impedance results were reported at 1-month post-implant

Product Experiences Reported by the Site for All Patients for Study Duration

时间窗: Overall study results

Product experiences reported may include the shock impedance noise display, problems encountered with the universal serial bus (USB), a program parameter mismatch, reverse mode switches, electrogram (EGM) noise without oversensing, lead connection issues, or customer device feedback.

Induced Ventricular Tachycardia / Ventricular Fibrillation (VT/VF) Episode Successful Conversion Rates at Implant

时间窗: implant

The % of successful conversions after inducing a VT/VF episode was analyzed for available data from CRT and ICD group patients. All episodes of induced VT/VF that resolved with successful conversion were counted from the total attempted conversions and reported as the % of successful conversions from those attempted.

Induced VT/VF Episode Successful Conversion Rates at 1-month

时间窗: 1-month

The % of successful conversions after inducing a VT/VF episode was analyzed for available data from CRT and ICD group patients. All episodes of induced VT/VF that resolved with successful conversion were counted from the total attempted conversions and reported as the % of successful conversions from those attempted.

Induced VT/VF Episode Successful Conversion Rates at 3-months

时间窗: 3-month

The % of successful conversions after inducing a VT/VF episode was analyzed for available data from CRT and ICD group patients. All episodes of induced VT/VF that resolved with successful conversion were counted from the total attempted conversions and reported as the % of successful conversions from those attempted.

Induced Episode Detection Times at Implant

时间窗: implant

The mean time it took to complete a successful conversion after inducing a VT/VF episode was analyzed for available data from CRT and ICD group patients. The time was recorded (in seconds) for the time duration that was required to successfully convert the patient after inducing VT/VF.

Induced Episode Detection Times at 1-month

时间窗: 1-month

The mean time it took to complete a successful conversion after inducing a VT/VF episode was analyzed for available data from CRT and ICD group patients. The time was recorded (in seconds) for the time duration that was required to successfully convert the patient after inducing VT/VF.

Induced Episode Detection Times at 3 Months

时间窗: 3-month

The mean time it took to complete a successful conversion after inducing a VT/VF episode was analyzed for available data from CRT and ICD group patients. The time was recorded (in seconds) for the time duration that was required to successfully convert the patient after inducing VT/VF.

Spontaneous Episode Conversion Success Rate at 3 Months

时间窗: 3-month

Of the total patients that experienced a spontaneous episode, the % of patients with a spontaneous rhythm conversion that was successful was determined.

Wanded Telemetry Issues at Pre-discharge Follow-up

时间窗: Pre-Discharge visit occurred after implant but prior to 1 month follow-up visit

The Investigators completed a questionnaire based on the performance of the wanded telemetry during device interrogations at pre-discharge follow-up. The number of problems reported were counted from the entire study cohort.

次要结局

  • Evaluate the Daily Median Respiratory Rate Trend in Patients Who Experience a HF-event Compared to Patients Who do Not Experience a HF-event.(Results were captured from implant time window to the first event for patients with HFE, up to an average of 9 months)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (1)

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