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Sudden Cardiac DeathWEARIT-FRNCT03319160

LifeVest Safety and Efficacy in Real Life Settings in France

An observational study of Sudden Cardiac Death and Left Ventricular Dysfunction, run by Zoll Medical Corporation at 2 sites in France.

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 post-market study is a prospective observational study evaluating the efficacy and safety of the LifeVest in real-life settings. Read more about this study

Who is it for?
Any age
What is being tested?
Wearable Cardioverter Defibrillator
Type of treatment
Medical device
How many people
1,164 participants
Where
2 sitesFrance
Study dates
2 Feb 2017to 30 Mar 2019
How long will I take part?
3 Months
Phase
Observational

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 Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Residents of France All patient who were prescribed a LifeVest were approached for consent. In addition to those prospectively enrolled, patients who had completed LifeVest use prior to the study start were eligible for retrospective enrollment.

Who may be able to join

  • Patients receiving a LifeVest prescription in clinical routine for the following indications:
  • implantable cardiac defibrillator (ICD) removal due to cardiac device infections,
  • a bridge to heart transplantation,
  • in the early post-myocardial infarct (MI) period with left ventricular (LV) dysfunction (LVEF <30%),
  • a recent coronary revascularization with LV dysfunction (LVEF < 30%).
  • Patients who have given their consent to participate.

Who cannot join

  • There are no exclusion criteria for this study

Trial locations and contacts

2 sites in 1 country.

France2 sites
  • Hôpital Européen Georges Pompidou

    Paris

  • Clinique PASTEUR

    Toulouse

Other trials in France

About this study

Official title: Post-market Clinical Follow-up Study Evaluating the Efficacy and Safety of LifeVest in Real-life Settings in France

This post-market study is a prospective observational study evaluating the efficacy and safety of the LifeVest in real-life settings.

Read the detailed description

LifeVest has obtained coverage for 4 indications: (i) implantable cardiac defibrillator (ICD) removal due to cardiac device infections, (ii) a bridge to heart transplantation, (iii) in the early post-myocardial infarction period with left ventricular (LV) dysfunction (LVEF <30%), (iv) and a recent coronary revascularization with LV dysfunction (LVEF < 30%). There is no current comparator to LifeVest. In France, patients at high risk for sudden cardiac arrest (SCD) and waiting for heart transplant or ICD are hospitalized or discharged home without any particular ECG monitoring. LifeVest has been demonstrated to automatically detect and terminate rapid ventricular arrhythmias. Introduction of LifeVest into the current patient management would definitely improve the clinical outcomes and benefit the patients with temporary risk of SCD. The use of LifeVest was shown to be effective in protecting patients against SCD in the United States. However, the clinical impact of using LifeVest in France remains unassessed. Therefore we are planning to conduct a post-market study in France to provide efficacy and safety data for the reimbursement dossier renewal before April 2017.

Being tested
Wearable Cardioverter Defibrillator
Medical subject headings
Death, Sudden, Cardiac, Ventricular Dysfunction, Left, Cardiovascular Diseases

What participants receive

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

  • Wearable Cardioverter DefibrillatorDevice

    Also called LifeVest

    A non-invasive wearable cardioverter defibrillator detects and treats VT/VF without the need for bystander intervention

Study groups in NCT03319160
Study groupRoleWhat they receive
All LifeVest UsersPatients who were prescribed and used a LifeVest in France
Receives: Device: Wearable Cardioverter Defibrillator

What is being measured

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

  1. Appropriate Shock Events Per Patient

    Appropriate shock events were defined as at least one WCD therapy shock delivered during sustained (at least 30 seconds) ventricular tachycardia (VT) or ventricular fibrillation (VF). All shocks delivered within 24 hours of the first shock were considered one event. Adjudication of cardiac rhythms recorded during WCD therapy shocks was performed by 3 cardiologists familiar with device-recorded ECG tracings.

    For assessing incidence per 100 patient years, all appropriate shock events were considered.

    Measured: start to end of WCD use (3 months typical prescription)

  2. Risk of Not Receiving Appropriate Shocks When Necessary

    While wearing a WCD, how often does a shock not occur when 1) VF or a sustained (> 30 seconds duration) VT occurs and 2) the response buttons are not used. Response button use is a surrogate for either a conscious patient or bystander presence.

    Measured: from start to end of WCD use (3 months typical prescription)

  3. Inappropriate Shock Events Per Patient

    Inappropriate shock events were defined as having at least one WCD therapy shock delivered when neither sustained (at least 30 seconds in duration) ventricular tachycardia (VT) or ventricular fibrillation (VF) was not present. All shocks delivered within 24 hours of the first shock were considered one event. Adjudication of cardiac rhythms recorded during WCD therapy shocks was performed by 3 cardiologists familiar with device-recorded ECG tracings. For assessing incidence per 100 patient years, all inappropriate shock events were considered.

    Measured: from start to end of WCD use (3 months typical prescription)

Secondary outcomes (2)
  1. Survival During WCD Use

    The number of patients that were alive at the end of the use of the Wearable Cardioverter Defibrillator (WCD) compared to the total population of patients prescribed the LifeVest

    Measured: from start to end of WCD use (3 months typical prescription)

  2. Quality of Life Relative to Health State

    Measured through the administration of a patient quality of life survey. This survey has been used previously in a published study of patient quality of life.

    Agreement score according to 5-point Likert scale (lower is better):

    1. = Strongly Agree
    2. = Agree
    3. = Neither Agree nor Disagree
    4. = Disagree
    5. = Strongly Disagree

    Measured: Time of enrollment

Timeline

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

  1. First posted24 Oct 2017
  2. Study start2 Feb 2017
  3. Primary completion30 Sep 2018
  4. Study completion30 Mar 2019

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
Other
Enrolment
1,164 participants (actual)
Target duration
3 Months
IDs, dates and publications
ClinicalTrials.gov ID
NCT03319160
Sponsor's protocol ID
90D0130
Acronym
WEARIT-FR
Status last verified
Oct 2024
First submitted
19 Oct 2017
Last updated
9 Dec 2024
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes

Publications

  • Garcia R, Warming PE, Narayanan K, Defaye P, Guedon-Moreau L, Blangy H, Piot O, Leclercq C, Marijon E; WEARIT-France Investigators. Dynamic changes in nocturnal heart rate predict short-term cardiovascular events in patients using the wearable cardioverter-defibrillator: from the WEARIT-France cohort study. Europace. 2023 May 19;25(5):euad062. doi: 10.1093/europace/euad062.

    PubMed 37021342
  • Garcia R, Combes N, Defaye P, Narayanan K, Guedon-Moreau L, Boveda S, Blangy H, Bouet J, Briand F, Chevalier P, Cottin Y, Da Costa A, Degand B, Deharo JC, Eschalier R, Extramiana F, Goralski M, Guy-Moyat B, Guyomar Y, Hermida JS, Jourda F, Lellouche N, Mahfoud M, Manenti V, Mansourati J, Martin A, Pasquie JL, Ritter P, Rollin A, Tibi T, Yalioua A, Gras D, Sadoul N, Piot O, Leclercq C, Marijon E. Wearable cardioverter-defibrillator in patients with a transient risk of sudden cardiac death: the WEARIT-France cohort study. Europace. 2021 Jan 27;23(1):73-81. doi: 10.1093/europace/euaa268.

    PubMed 33257972

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