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Sudden Cardiac DeathNOTICE-HFNCT01227785

Next Generation INCEPTA Implantable Cardioverter Defibrillator (ICD) and Cardiac Resynchronization Therapy (CRT-D) Field Following Study

An observational study of Sudden Cardiac Death and Heart Failure, run by Guidant Corporation at 1 site in Germany.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

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. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Sudden Cardiac Death, Heart Failure
What is being tested?
INCEPTA ICD or CRT-D
Type of treatment
Medical device
How many people
120 participants
Where
1 siteGermany
Study dates
Oct 2010to Dec 2011
Phase
Observational
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

Study population: Patients should be selected from the investigator's general population and be indicated for an ICD or CRT-D implantation.

Who may be able to join

  • 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).

Who cannot join

  • 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

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • Deutsches Herzzentrum Berlin

    Berlin, State of Berlin

Other trials in Germany

About this study

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

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.

Read the detailed description

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

Study Device

  • INCEPTA (DR and VR) implantable cardioverter defibrillator (ICD) system (Models F160, F161, F162, F163)
  • INCEPTA cardiac resynchronization therapy ICD (CRT-D) system (Models P162, P163, P165)

Indication ICD / CRT-D Indication according to standard clinical practice

Study Objectives

The study has two primary objectives, linked to the respective study purposes:

For purpose I:

The objective is to collect data on the clinical performance of the INCEPTA ICD and CRT-D devices during standard clinical use at implant, pre-discharge and at a 1-month post-implant. Clinical performance included analysis of pacing thresholds, pacing impedance, sensing thresholds, number of successfully converted VT/VF episodes, induced episodes detection times, spontaneous episodes, wanded telemetry, adverse events (AEs) and product experiences.

For purpose II:

The objective is to show that daily median respiratory rate increases more in patients who experience an HF-event (Group 1) than in patients who do not experience an HF-event (Group 2).

This is a prospective, multi-centre, field following study.

Up to 35 study centers in the International geography will enrol 120 patients.

Being tested
INCEPTA ICD or CRT-D
Medical subject headings
Death, Sudden, Cardiac, Heart Failure

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • INCEPTA ICD or CRT-DDevice

Study groups in NCT01227785
Study groupRoleWhat they receive
INCEPTA ICD and CRT-DICD and CRT-D indicated patients were included in the study. Overall patient population, CRT-D or ICD populations, and patients experiencing or not experiencing a protocol-defined heart failure event were included (dependent on outcomes measured).
Receives: Device: INCEPTA ICD or CRT-D

What is being measured

The primary outcome is the main question the study is designed to answer.

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

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

    Measured: implant

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

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

    Measured: pre-discharge

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

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

    Measured: 1-month

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

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

    Measured: implant

  5. Clinical Performance at Pre-discharge for RA Sensing Amplitude

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

    Measured: pre-discharge

  6. Clinical Performance at1-month for RA Sensing Amplitude

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

    Measured: 1-month

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

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

    Measured: implant

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

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

    Measured: pre-discharge

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

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

    Measured: 1month

  10. Clinical Performance at Implant for LV Pacing Threshold

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

    Measured: implant

  11. Clinical Performance at Pre-discharge for LV Pacing Threshold

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

    Measured: pre-discharge

  12. Clinical Performance at1-month for LV Pacing Threshold

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

    Measured: 1-month

  13. Clinical Performance at Implant for RV Pacing Threshold

    RV pacing threshold results were reported at implant

    Measured: implant

  14. Clinical Performance at Pre-discharge for RV Pacing Threshold

    RV pacing threshold results were reported at pre-discharge

    Measured: pre-discharge

  15. Clinical Performance at 1-month for RV Pacing Threshold

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

    Measured: 1-month

  16. Clinical Performance at Implant for RA Pacing Threshold

    RA pacing threshold results were reported for implant

    Measured: implant

  17. Clinical Performance at Pre-discharge for RA Pacing Threshold

    RA pacing threshold results were reported at pre-discharge

    Measured: pre-discharge

  18. Clinical Performance at 1-month for RA Pacing Threshold

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

    Measured: 1-month

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

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

    Measured: implant

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

    LV pacing impedance results were reported for pre-discharge visit

    Measured: pre-discharge

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

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

    Measured: 1-month

  22. Clinical Performance at Implant for RV Pacing Impedance

    RV pacing impedance results were reported at implant

    Measured: implant

  23. Clinical Performance at Pre-discharge for RV Pacing Impedance

    RV pacing impedance results were reported for pre-discharge

    Measured: pre-discharge

  24. Clinical Performance at 1-month for RV Pacing Impedance

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

    Measured: 1-month

  25. Clinical Performance at Implant for RA Pacing Impedance

    RA pacing impedance results were reported at implant

    Measured: implant

  26. Clinical Performance at Pre-discharge for RA Pacing Impedance

    RA pacing impedance results were reported at pre-discharge

    Measured: pre-discharge

  27. Clinical Performance at 1-month for RA Pacing Impedance

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

    Measured: 1-month

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

    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.

    Measured: Overall study results

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

    Measured: implant

  30. Induced VT/VF Episode Successful Conversion Rates at 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.

    Measured: 1-month

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

    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.

    Measured: 3-month

  32. Induced Episode Detection Times at 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.

    Measured: implant

  33. Induced Episode Detection Times at 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.

    Measured: 1-month

  34. Induced Episode Detection Times at 3 Months

    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.

    Measured: 3-month

  35. Spontaneous Episode Conversion Success Rate at 3 Months

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

    Measured: 3-month

  36. Wanded Telemetry Issues at Pre-discharge Follow-up

    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.

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

Secondary outcomes (1)
  1. Evaluate the Daily Median Respiratory Rate Trend in Patients Who Experience a HF-event Compared to Patients Who do Not Experience a HF-event.

    A comparison of the change in respiratory rate trend over time was made between patients who experienced a protocol-defined HF event (HFE) (Group1: Patients with a HFE) and patients who did not experience a protocol-defined heart failure event (Group 2: Patients without a HFE). Only patients with at least 3 valid daily respiratory rate values (60%) out of each 5-day window were evaluated. The objective was to show that daily median respiratory rate increases more in patients who experience a HFE (Group 1) than in patients who do not experience an HFE (Group 2). A comparison between patients who experience a HFE (Group 1) and patients who do not experience a HFE (Group 2). Two average daily median respiratory rates were done per patient: 60 to 56 days before an index time and 11 to 7 days before the same index time; the difference between these two averaged daily median respiratory rates was done. Index time=day of the first HFE (Group 1) and day of 6-month visit (Group 2).

    Measured: Results were captured from implant time window to the first event for patients with HFE, up to an average of 9 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Oct 2010 (estimated)
  2. Study startOct 2010
  3. Primary completionDec 2011
  4. Study completionDec 2011

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
120 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01227785
Sponsor's protocol ID
NOTICE-HF 0410
Acronym
NOTICE-HF
Status last verified
Apr 2014
First submitted
22 Oct 2010
Last updated
25 Apr 2014
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

An observational study of Sudden Cardiac Death and Heart Failure, run by Guidant Corporation at 1 site in Germany.

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 5 inclusion and 7 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 25 Apr 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. 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.

Are results available for this study?

Yes. Results are posted in the registry (first posted 8 Apr 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Clinical Performance for Left Ventricular (LV) Sensing Amplitude at Implant for CRT-D Patients (time frame: implant). The study lists 36 primary outcomes in all. 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 25 Apr 2014.

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