Sleep ApnoeaPhase 4NCT00708786
Ventricular Arrhythmias Incidence According to Sleep Apnea Syndrome in Implantable Cardioverter-Defibrillator (ICD) Patients
A Phase 4 study testing ICD and CRT-D in people with Sleep Apnoea, run by LivaNova at 31 sites in 4 countries.
Trial summary
The purpose of this study is to report the incidence of ventricular arrhythmias correlated to the SAS and to focus on the interest of diagnosing Sleep-disorders breathing in ICD patients. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Sleep Apnoea
- What is being tested?
- ICD and CRT-D
- Type of treatment
- Medical device
- How many people
- 755 participants
- Where
- 31 sitesin 4 countries
- Study dates
- Apr 2004to Oct 2007
- Phase
- Phase 4
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients who are at risk of sudden death due to ventricular arrhythmia and who satisfy at least one of the following criteria are eligible for enrolment:
- Class I indications for ICD
- Survival of at least one episode of cardiac arrest due to VT or VF not due to a transient or reversible cause, or presumed to be due to VF when electrophysiological testing is precluded by other medical conditions; or
- Spontaneous sustained ventricular tachycardia, or
- Syncope of undetermined origin with clinically relevant haemodynamically significant sustained VT or VF induced at electrophysiological study when drug therapy is ineffective, not tolerated or not preferred, or
- Class IIa Indication for ICD
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- Non-sustained VT with coronary disease, prior myocardial infarction, left ventricular dysfunction (≤ 40%) and inducible VF or sustained VT at electrophysiological study.
- With prior myocardial infarction and LVEF less than 30 % (without prior life-threatening arrhythmia or sustained VT).
- Patients candidate for cardiac resynchronization therapy (CRT) need to be in functional Class III or IV of the NYHA classification.
- Patients will be included only after having granted their informed consent to participate in the study, preceded by the delivery of appropriate information
Who cannot join
- VT/VF is associated with drug toxicity, electrolyte imbalance, hypoxia, electrocution or other reversible cause;
- VT/VF occurred during the acute phase of infarction (< 1 week) or during an unstable ischemic phase;
- Incessant VT/VF;
- Implanted pacemaker that is not going to be explanted or otherwise disabled;
- Inability or refusal to provided informed consent
- Tricuspid valvular disease or tricuspid mechanical heart valve (lead contraindication);
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- Unable to understand the purpose and plan of the study;
- Geographically unstable or not available for follow-up as defined in the investigational plan;
- Reduced life expectancy (≤ 1 year) for other than cardiovascular reasons;
- Patient participating in another clinical study;
- Patient of minor age (< 18 years);
- Pregnancy (Women of childbearing potential are required to have a negative pregnancy test within seven days prior to enrollment).
Trial locations and contacts
31 sites in 4 countries.
31 sites in 4 countries
France20 sites
CHRU Hopital de la cavale blanche
Brest
CHU
Clermont-Ferrand
CHU - Hopital Michallon
Grenoble, 38043
CHU Dupuytren
Limoges
Hopital cardiologique
Lyon
Hopital Saint Joseph et saint Luc
Lyon
Hopital Nord
Marseille
CHR Notre Dame de Bonsecours
Metz
CH Montpellier
Montpellier
Nouvelle Clinique Nantaise
Nantes
Clinique Bizet
Paris, 75116
Clinique Bizet
Paris
CH Pau
Pau
CHU Hopital la Milétrie
Poitiers
CHR Cardiologie A
Rennes
CHU Charles Nicolle
Rouen
Clinique Pasteur
Toulouse
CHRU Hopital Trousseau
Tours
Clinique Saint gatien
Tours
CHRU Brabois
Vandœuvre-lès-Nancy
Italy7 sites
Ospedale Mellini
Chiari (BS)
Osp. Civile
Desio
Casa di Cura Montevergine
Mercogliano
Policlinico de Modenna
Modenna
Instituto di Cura
Pavia
Hospitale civile Guglielmo da Saliceto
Piacenza
Policlinico San Donato
San Donato
Germany3 sites
Herz-Kreislauf-Klinik Bevensen AG
Bad Bevensen
Universitatsklinikum Hamburg Eppendorf
Hamburg
Prof. Frey Praxis Starnberg
Starnberg
About this study
Official title: Ventricular Arrhythmias Incidence According to Sleep Apnea Syndrome in ICD Patients
The purpose of this study is to report the incidence of ventricular arrhythmias correlated to the SAS and to focus on the interest of diagnosing Sleep-disorders breathing in ICD patients. This diagnosis will be assessed by an ambulatory nasal pressure recording with portable multi-channel recorder associated to a complete SAS related symptoms questionnaire.This clinical trial will be the first step to gather information about the suspected sleep relation between ventricular arrhythmias and Sleep breathing disorders, in order to improve the management and treatment of such arrhythmias in next generation of defibrillators which will integrate a minute ventilation sensor able to monitor breathing.
- Conditions
- Sleep Apnoea
- Being tested
- ICD, CRT-D
- Medical subject headings
- Sleep Apnea Syndromes
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ICDDevice
Ventricular arrhythmia treatment
CRT-DDevice
Ventricular arrhythmia treatment
What is being measured
The primary outcome is the main question the study is designed to answer.
The primary objective of this study is to assess the correlation between ventricular arrhythmias and Sleep apnoea syndrome in ICD patients during a 12-month follow-up.
Measured: 12 months
Secondary outcomes (3)
To determine the number of arrhythmias in the morning (between 06:00 and 12:00 AM). The circadian distribution of global arrhythmias will be presented.
Measured: 12 months
To report and compare the number of hospitalizations, mortality, and morbidity according to Respiratory Disturbance Index (RDI).
Measured: 12 months
To evaluate the incidence of adverse events in the studied population: device-related adverse events with an actual or potential effect on the patient, serious adverse events not related to the device, mortality, and unanticipated adverse device effects
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Jul 2008 (estimated)
- Study startApr 2004
- Primary completionOct 2007
- Study completionOct 2007
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Sleep ApnoeaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 755 participants (estimated)
Sponsor and investigators
- Lead sponsor
- LivaNova
- Sponsor type
- Industry (pharma, biotech, devices)
- Investigators
- Frédéric Anselme, MD, Principal investigator, CHU Charles Nicolle - Rouen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00708786
- Sponsor's protocol ID
- ITAC01-VISION
- Status last verified
- Jun 2008
- First submitted
- 7 Apr 2008
- Last updated
- 2 Jul 2008
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 2 Jul 2008. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Ventricular Arrhythmias Incidence According to Sleep Apnea Syndrome in ICD Patients
- ClinicalTrials.gov ID
- NCT00708786
- Acronym / sponsor ID
- ITAC01-VISION
- Conditions
- Sleep Apnoea
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 755 participants (estimated)
- Lead sponsor
- LivaNovaIndustry (pharma, biotech, devices)
- Study start
- Apr 2004
- Primary completion
- Oct 2007 (actual)
- Study completion
- Oct 2007 (actual)
- First posted
- 2 Jul 2008 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to report the incidence of ventricular arrhythmias correlated to the SAS and to focus on the interest of diagnosing Sleep-disorders breathing in ICD patients. This diagnosis will be assessed by an ambulatory nasal pressure recording with portable multi-channel recorder associated to a complete SAS related symptoms questionnaire.This clinical trial will be the first step to gather information about the suspected sleep relation between ventricular arrhythmias and Sleep breathing disorders, in order to improve the management and treatment of such arrhythmias in next generation of defibrillators which will integrate a minute ventilation sensor able to monitor breathing.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Patients who are at risk of sudden death due to ventricular arrhythmia and who satisfy at least one of the following criteria are eligible for enrolment:
- Class I indications for ICD
- Class IIa Indication for ICD
- Patients candidate for cardiac resynchronization therapy (CRT) need to be in functional Class III or IV of the NYHA classification.
- Patients will be included only after having granted their informed consent to participate in the study, preceded by the delivery of appropriate information
Key exclusion criteria (12 listed)
- VT/VF is associated with drug toxicity, electrolyte imbalance, hypoxia, electrocution or other reversible cause;
- VT/VF occurred during the acute phase of infarction (< 1 week) or during an unstable ischemic phase;
- Incessant VT/VF;
- Implanted pacemaker that is not going to be explanted or otherwise disabled;
- Inability or refusal to provided informed consent
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ICDVentricular arrhythmia treatment | Device | – |
| CRT-DVentricular arrhythmia treatment | Device | – |
Primary outcome
The primary objective of this study is to assess the correlation between ventricular arrhythmias and Sleep apnoea syndrome in ICD patients during a 12-month follow-up.
Time frame: 12 months
3 secondary outcomes
To determine the number of arrhythmias in the morning (between 06:00 and 12:00 AM). The circadian distribution of global arrhythmias will be presented.
Time frame: 12 months
To report and compare the number of hospitalizations, mortality, and morbidity according to Respiratory Disturbance Index (RDI).
Time frame: 12 months
To evaluate the incidence of adverse events in the studied population: device-related adverse events with an actual or potential effect on the patient, serious adverse events not related to the device, mortality, and unanticipated adverse device effects
Time frame: 12 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Jul 2008.
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Apnea, Sleep Disorders
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Frédéric Anselme, MD principal investigator
CHU Charles Nicolle - Rouen
31 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing ICD and CRT-D in people with Sleep Apnoea, run by LivaNova at 31 sites in 4 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 2 Jul 2008. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 31 sites in France, Italy, Germany, Greece. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The primary objective of this study is to assess the correlation between ventricular arrhythmias and Sleep apnoea syndrome in ICD patients during a 12-month follow-up. (time frame: 12 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Jul 2008.