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Heart FailureCAPTIVATENCT02097290

Evaluation of Automatic Threshold Algorithms

A study testing CRT-D in people with Heart Failure, run by Boston Scientific Corporation at 36 sites in United States.

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 will evaluate the PaceSafe Right Ventricular Autothreshold (RVAT) and Left Ventricular Autothreshold (LVAT) features for AUTOGEN Cardiac Resynchronization Therapy Defibrillator (CRT-D) devices. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Heart Failure
What is being tested?
CRT-D
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
216 participants
Where
36 sitesUnited States
Study dates
Apr 2014to May 2017
Phase
Interventional
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

Who may be able to join

  • Subjects prescribed a CRT-D and indicated per guidelines, who will receive an AUTOGEN CRT-D model G160, G161, G172, G173
  • Subjects who have an implanted functional endocardial right ventricular defibrillation lead or who will receive a endocardial right ventricular defibrillation lead
  • Subjects who have an implanted functional bipolar or unipolar left ventricular lead or who will receive a bipolar or unipolar left ventricular lead
  • Subjects who are willing and capable of providing informed consent to undergo a device implant procedure, and to participate in all testing and follow-ups defined in this protocol
  • Subjects whose age is 18 or above, or of legal age to give informed consent specific to national law

Who cannot join

  • Subjects who have an implanted multipolar (>2poles) left ventricular lead or who will receive a multipolar (>2poles) left ventricular lead
  • Subjects with an unknown model/manufacturer, or implant date for the RA, RV or LV lead
  • Subjects for whom a RV defibrillation lead manufactured by St. Jude Medical or Biotronik is implanted, is planned to be implanted, or has been abandoned
  • Implanted with an active Medtronic Sprint Fidelis® lead models: 6930, 6931, 6948 or 6949
  • Subjects with an implanted or abandoned St. Jude Medical QuickSite® or QuickFlex® lead models: 1056T, 1058T, 1156T, 1158T
  • Subjects with a RV or LV lead revision or extraction within 30 days of enrollment
Show all 15Show fewer
  • Subjects with an implanted lead that is planned to be extracted during the study implant procedure
  • Subjects with an active implanted RA or RV lead that is greater than 10 years old, unless the lead will be abandoned
  • Subjects with an active implanted LV lead that is greater than 8 years old, unless the lead will be abandoned
  • Subjects preexisting unipolar pacemaker that will not be explanted/abandoned
  • Subjects with a life expectancy less than 6 months
  • Subjects with a prosthetic mechanical tricuspid heart valve
  • Women of childbearing age who are pregnant or plan to become pregnant. NOTE: women of childbearing potential with an uncertain pregnancy status must have a negative pregnancy test within 7 days prior to enrollment. Pregnancy tests are required as part of standard routing clinical practice at all centers whenever female patients are exposed to x-ray radiation. Since this protocol does not require any exposure of the female patients to x-ray and x-ray exposure is part of the clinical procedure, it is the responsibility of the investigators to ensure that pregnant females will not be exposed to x-ray at any time
  • Subject enrolled in a concurrent study, except national/governmental registries that do not require a signed informed consent form, without the written approval from Boston Scientific
  • Subjects who are not geographically stable, to the extent that it would prevent attending the study follow-ups at the investigational center

Trial locations and contacts

36 sites in 1 country.

36 sites in 1 country

United States36 sites
  • Summa Health System

    Akron, Ohio, 44034

  • Delray Medical Center

    Atlantis, Florida, 33462

  • Seton Medical Center

    Austin, Texas, 78705

  • University of Maryland Medical System

    Baltimore, Maryland, 21201

  • Steward St. Elizabeth's Medical Center of Boston, Inc.

    Boston, Massachusetts, 02135

  • St. Luke's Hospital

    Cedar Rapids, Iowa, 52043

  • Lindner Center for Research and Education

    Cincinnati, Ohio, 45219

  • Danbury Hospital

    Danbury, Connecticut, 06810

  • University of Iowa Hospitals and Clinics

    Davenport, Iowa, 52803

  • St. John Hospital & Medical Center

    Detroit, Michigan, 48236

  • Glendale Adventist Medical Center

    Glendale, California, 91204

  • University Medical Center-Greenville Memorial Hospital

    Greenville, South Carolina, 29605

  • St. Mary's Medical Center

    Huntington, West Virginia, 25702

  • St. Vincent's Medical Center

    Jacksonville, Florida, 32204

  • Baptist Medical Center

    Jacksonville, Florida, 32207

  • First Coast Cardiovascular

    Jacksonville, Florida, 32216

  • IU Health LaPorte

    La Porte, Indiana, 46350

  • Sparrow Health System

    Lansing, Michigan, 48912

  • Good Samaritan Hospital

    Lebanon, Pennsylvania, 17042

  • Norton Cardiovascular Associates

    Louisville, Kentucky, 40205

  • St. Patrick Hospital

    Missoula, Montana, 59802

  • Orlando Regional Medical Center

    Orlando, Florida, 32806

  • St. Elizabeth Health Center

    Poland, Ohio, 44514

  • Wake Medical Center

    Raleigh, North Carolina, 27610

  • Virginia Commonwealth University Health

    Richmond, Virginia, 23298

  • Rochester General Hospital

    Rochester, New York, 14621

  • University of Utah Hospital and Clinics

    Salt Lake City, Utah, 84132

  • Cardiology Clinic of San Antonio

    San Antonio, Texas, 78229

  • Cox Health

    Springfield, Missouri, 65807

  • University Community Hospital

    Trinity, Florida, 34655

  • North Mississippi Medical Center

    Tupelo, Mississippi, 38801

  • Carle Foundation Hospital

    Urbana, Illinois, 61801

  • PeaceHealth Southwest Medical

    Vancouver, Washington, 98664

  • Washington Hospital Center

    Washington D.C., District of Columbia, 20010

  • Via-Christi Regional Medical Center

    Wichita, Kansas, 67208

  • Winter Haven Hospital

    Winter Haven, Florida, 33881

Other trials in United States

About this study

Official title: CAPTure Information Via Automatic Threshold Evaluation

This study will evaluate the PaceSafe Right Ventricular Autothreshold (RVAT) and Left Ventricular Autothreshold (LVAT) features for AUTOGEN Cardiac Resynchronization Therapy Defibrillator (CRT-D) devices.

Read the detailed description

The objective of the CAPTIVATE Clinical Study is to gather data to establish the safety and effectiveness of the PaceSafe Right Ventricular Autothreshold (RVAT) and Left Ventricular Autothreshold (LVAT) features to support the regulatory approval of the AUTOGEN CRT-D family of devices.

Conditions
Heart Failure
Being tested
CRT-D
Keywords
Threshold algorithms, CRT-D
Medical subject headings
Heart Failure

What participants receive

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

  • CRT-DDevice

    For all subjects with the AUTOGEN CRT-D, the autothreshold algorithms will be evaluated

Study groups in NCT02097290
Study groupRoleWhat they receive
CRT-DExperimentalFor all subjects with the AUTOGEN CRT-D, the autothreshold algorithms will be evaluated
Receives: Device: CRT-D

What is being measured

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

  1. Primary Safety Endpoint is to Evaluate the System-related Complication-free Rate

    Safety of the AUTOGEN was evaluated by the system-related complication-free rate (CFR) at 3-months post-implant. The system consists of the implanted AUTOGEN CRT-D pulse generator, RA lead (if implanted), RV lead, and LV lead.

    Measured: 3 months

  2. The Accuracy of the RVAT Commanded Test Will be Evaluated by Comparing the RVAT Determined Threshold to a Core Lab (Independent Physician) Determined Threshold.

    Accuracy of the algorithm will be measured for all patients, by comparing algorithm determined threshold to a core lab determined threshold at both the 1-month and 3-month follow-up visits. The RVAT determined threshold for all patients at 1-month and 3-month follow-up visits are pooled for final analysis. An accurate commanded threshold is defined by: |commanded threshold - core lab determined threshold| ≤ 0.2 V; if the commanded threshold is ≤ 3.5V or |commanded threshold - core lab determined threshold| ≤ 0.5 V; if the commanded threshold is > 3.5V. Subjects were allowed to contribute multiple paired datasets for this endpoint analysis, one set each from the 1-month and 3-month visits. Paired datasets from the 1-month and 3-month visits were pooled for the purpose of this endpoint analysis.

    Measured: 1-month and 3-month follow-up visits

  3. The Accuracy of the LVAT Commanded Test Will be Evaluated by Comparing the LVAT Determined Threshold to a Core Lab (Independent Physician) Determined Threshold.

    Accuracy of the algorithm will be measured for all patients, by comparing algorithm determined threshold to a core lab determined threshold at both the 1-month and 3-month follow-up visits. The LVAT determined threshold for all patients at 1-month and 3-month follow-up visits are pooled for final analysis. An accurate commanded threshold is defined by: commanded threshold - core lab determined threshold| ≤ 0.2 V; if the commanded threshold is ≤ 3.5V or |commanded threshold - core lab determined threshold| ≤ 0.5 V; if the commanded threshold is > 3.5V. Paired datasets from the 1-month and 3-month visits were pooled for the purpose of this endpoint analysis. Subjects were allowed to contribute multiple paired datasets for this endpoint analysis, one set each from the 1-month and 3-month visits. Paired datasets from the 1-month and 3-month visits were pooled for the purpose of this endpoint analysis.

    Measured: 1-month and 3-month follow up visits

  4. The Accuracy of the RVAT Ambulatory Test Will be Evaluated by Comparing the RVAT Determined Threshold to a Core Lab (Independent Physician) Determined Threshold

    Accuracy of the algorithm will be measured for all patients, by comparing algorithm determined threshold to a core lab determined threshold at both the 1-month and 3-month follow-up visits.The RVAT determined threshold for all patients at 1-month and 3-month follow-up visits are pooled for final analysis. An accurate Ambulatory threshold is defined by:|Ambulatory threshold - ECG threshold| ≤ 0.6 V; if the ECG threshold is ≤ 3.5V or |Ambulatory threshold - ECG threshold| ≤ 1.0 V; if the ECG threshold is > 3.5V. Subjects were allowed to contribute multiple paired datasets for this endpoint analysis, one set each from the 1-month and 3-month visits. Paired datasets form the 1-month and 3-month visits were pooled for purposes of endpoint analysis.

    Measured: 1-month and 3-month follow up visits

  5. The Accuracy of the LVAT Ambulatory Test Will be Evaluated by Comparing the LVAT Determined Threshold to a Core Lab (Independent Physician) Determined Threshold

    Accuracy of the algorithm will be measured for all patients, by comparing algorithm determined threshold to a core lab determined threshold at both the 1-month and 3-month follow-up visits. The LVAT determined threshold for all patients at 1-month and 3-month follow-up visits are pooled for final analysis. An accurate Ambulatory threshold is defined by: |Ambulatory threshold - ECG threshold| ≤ 1.0 V. Paired datasets from the 1-month and 3-month visits were pooled for the purpose of this endpoint analysis. Subjects were allowed to contribute multiple paired datasets for this endpoint analysis, one set each from the 1-month and 3-month visits. Paired datasets form the 1-month and 3-month visits were pooled for purposes of endpoint analysis.

    Measured: 1-month and 3-month follow up visits

Secondary outcomes (2)
  1. RVAT Secondary Efficacy Endpoint: The Percent of RVAT Commanded Tests That Result in an Appropriate Outcome

    This endpoint will evaluate the percent of RVAT commanded tests that result in an appropriate outcome. There are three possible outcomes to a commanded test:

    1. A device-determined threshold
    2. A threshold test code (indicating that a threshold could not be determined) representing an error condition that is beyond the control of the RVAT feature and could occur in the manual threshold tests
    3. A threshold test code (indicating that a threshold could not be determined) that was due to a limitation of the RVAT feature and might not occur in manual threshold tests An appropriate RVAT outcome consists of the first two outcomes listed above: a device-determined threshold and a threshold test code representing an error condition that is beyond the control of the RVAT feature and could occur in the manual threshold tests. An inappropriate RVAT outcome consists of the last of the three outcomes listed above.

    Measured: 3-month follow up visit

  2. LVAT Secondary Efficacy Endpoint: The Percent of LVAT Commanded Tests That Result in an Appropriate Outcome

    This endpoint will evaluate the percent of LVAT commanded tests that result in an appropriate outcome. There are three possible outcomes to a commanded test:

    1. A device-determined threshold
    2. A threshold test code (indicating that a threshold could not be determined) representing an error condition that is beyond the control of the LVAT feature and could occur in the manual threshold tests
    3. A threshold test code (indicating that a threshold could not be determined) that was due to a limitation of the LVAT feature and might not occur in manual threshold tests An appropriate LVAT outcome consists of the first two outcomes listed above: a device-determined threshold and a threshold test code representing an error condition that is beyond the control of the LVAT feature and could occur in the manual threshold tests. An inappropriate LVAT outcome consists of the last of the three outcomes listed above.

    Measured: 3-month follow up visit

Timeline

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

  1. First posted27 Mar 2014 (estimated)
  2. Study startApr 2014
  3. Primary completionJan 2016
  4. Study completionMay 2017

Resources

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 N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
216 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02097290
Sponsor's protocol ID
CAPTIVATE
Other IDs
IDE# G130241
Acronym
CAPTIVATE
Status last verified
Jan 2018
First submitted
20 Mar 2014
Last updated
19 Apr 2018
Data monitoring committee
No

Publications

  • Friedman DJ, Burr J, Jones PW, Wold N. Automatic Threshold Function With Left Bundle Branch Area Versus Traditional Right Ventricular Lead Placement. J Cardiovasc Electrophysiol. 2025 Jun;36(6):1419-1422. doi: 10.1111/jce.16696. Epub 2025 Apr 28.

    PubMed 40296252

Questions about this trial

What is this clinical trial studying?

A study testing CRT-D in people with Heart Failure, run by Boston Scientific Corporation at 36 sites in United States.

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 15 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 19 Apr 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 36 sites in United States. 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 1 Sep 2017). 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?

Primary Safety Endpoint is to Evaluate the System-related Complication-free Rate (time frame: 3 months). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02097290, which also lists 1 linked publication.

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 19 Apr 2018.

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