AzTrials
AzTrials

Sudden Cardiac ArrestNCT03715790

Improve SCA Bridge Study

An observational study of Sudden Cardiac Arrest and Acute Myocardial Infarction, run by Medtronic Cardiac Rhythm and Heart Failure at 52 sites in 16 countries.

Completed

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

Official record
Search all trials

Trial summary

The purpose of the Improve SCA Bridge study is to characterize the care pathway flow of post-acute myocardial infarction (MI) patients as a result of standard assessments of left ventricular ejection fraction (LVEF) in the acute phase (≤14 days post- acute MI) and chronic phase (≥40-90 days post-acute MI). Read more about this study

Who is it for?
Ages 18 to 90 years
What is being tested?
EP referred group and Non-Referred group
How many people
1,491 participants
Where
52 sitesin 16 countries
Study dates
2 Nov 2018to 27 May 2021
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 to 90 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients who have an acute Myocardial Infarction (MI) (STEMI or Non-STEMI).

Who may be able to join

  • Age 18 and above (or meet age requirements per local law)
  • Patients who have an acute Myocardial Infarction (MI) (STEMI or Non-STEMI) ≤ 30 days of study enrollment and have a LVEF <50% measurement ≤ 14 days post-acute MI
  • Willing and able to give valid Informed Consent

Who cannot join

  • Patient has previously received or currently implanted with an ICD or CRT-D
  • Patient has any contraindication for ICD/CRT-D
  • Patient has a life expectancy of less than 12 months
  • Patient who has had an EP referral within the last 12 months
  • Any exclusion criteria required by local law (e.g. pregnancy, breast feeding etc.)
  • Patient is unable (e.g. mental disorder) or unwilling to be compliant with the responsibilities as specified in the informed consent form.
  • Patient is enrolled in a concurrent study that has not been approved for concurrent enrollment by the Medtronic Clinical Trial Leader

Trial locations and contacts

52 sites in 16 countries.

52 sites in 16 countries

China15 sites
  • Fuwai Hospital Chinese Academy of Medical Sciences and Peking Union Medical College

    Beijing

  • Peking University First Hospital

    Beijing

  • The Second Xiangya Hospital of Central South University

    Changsha

  • West China Hospital of Sichuan University

    Chendu

  • Sun Yat-SEN Memorial hospital, Sun Yat-sen University

    Guangzhou

  • Guizhou Provincial People's Hospital

    Guizhou

  • Hangzhou First People Hospital

    Hangzhou

  • Sir Run Run Shaw Hospital School of Medicine Zhejiang University

    Hangzhou

  • The first Hospital of Lanzhou Hospital

    Lanzhou

  • Nanjing First Hospital

    Nanjing

  • Shanghai Chest Hospital

    Shanghai

  • Sichuan Provincial People's Hospital

    Sichuan

  • Wuhan Asia heart hospital

    Wuhan

  • Xiamen Cardiovascular Hospital

    Xiamen

  • The First Affiliated Hospital of Xinjiang Medical University

    Xinjiang

Other trials in China

South Korea9 sites
  • Chonnam National University Hospital

    Gwangju

  • Sejong General Hospital

    Gyeonggi-do

  • Pusan National University Yangsan Hospital

    Pusan

  • Asan Medical Center

    Seoul

  • Keimyung University Dongsan Medical Center

    Seoul

  • Korea University Anam Hospital

    Seoul

  • Samsung Medical Center

    Seoul

  • Seoul National University Bundang Hospital

    Seoul

  • Seoul National University Hospital

    Seoul

Other trials in South Korea

Taiwan6 sites
  • Kaohsiung Chang Gung Memorial Hospital of CGMF

    Kaohsiung City

  • Far Eastern Memorial Hospital

    New Taipei City

  • China Medical University Hospital

    Taichung

  • Mackay Memorial Hospital

    Taipei

  • National Taiwan University Hospital

    Taipei

  • Linkou Chang Gung Memorial Hospital

    Taoyuan

Other trials in Taiwan

India5 sites
  • The Madras Medical Mission

    Chennai

  • Eternal Hospital

    Jaipur

  • Kasturba Medical College Hospital

    Mangalore

  • Batra Hospital and Medical Research Centre (BHMRC)

    New Delhi

  • Fortis Escorts Heart Institute

    New Delhi

Other trials in India

Malaysia3 sites
  • Hospital Serdang

    Kajang

  • Queen Elizabeth II Hospital

    Kota Kinabalu

  • Sarawak Heart Centre

    Kota Samarahan

Other trials in Malaysia

Indonesia2 sites
  • National Cardiovascular Center Harapan Kita

    Jakarta

  • Rumah Sakit Cipto Mangunkusumo

    Jakarta

Other trials in Indonesia

Saudi Arabia2 sites
  • King Fahad Armed Forces Hospital

    Jeddah

  • Prince Sultan Cardiac Center

    Riyadh

Other trials in Saudi Arabia

South Africa2 sites
  • Mediclinic Panorama

    Cape Town

  • Netcare Unitas Hospital

    Pretoria

Other trials in South Africa

Bangladesh1 site
  • National Heart Foundation Hospital and Research Institute

    Dhaka

Other trials in Bangladesh

Brunei1 site
  • Gleneagles Jerudong Park Medical Centre

    Brunei

Egypt1 site
  • International Cardic Center

    Alexandria

Other trials in Egypt

Pakistan1 site
  • National Institute of Cardiovascular Diseases

    Karachi

Other trials in Pakistan

Philippines1 site
  • Chinese General Hospital and Medical Center

    Manila

Other trials in Philippines

Singapore1 site
  • Changi General Hospital

    Singapore

Other trials in Singapore

Thailand1 site
  • King Chulalongkorn Memorial Hospital

    Bangkok

Other trials in Thailand

Tunisia1 site
  • The Military Hospital of Tunis

    Montfleury

Other trials in Tunisia

About this study

Official title: Improve Sudden Cardiac Arrest (SCA) Bridge Study

The purpose of the Improve SCA Bridge study is to characterize the care pathway flow of post-acute myocardial infarction (MI) patients as a result of standard assessments of left ventricular ejection fraction (LVEF) in the acute phase (≤14 days post- acute MI) and chronic phase (≥40-90 days post-acute MI).

Read the detailed description

To determine how many patients are referred for sudden cardiac death (SCD) risk stratification and management, indicated for implantable cardioverter defibrillator (ICD), or cardiac resynchronization therapy- defibrillator (CRT-D) implant, and how many receive such devices within 12 months of experiencing an MI.

Being tested
EP referred group, Non-Referred group
Medical subject headings
Death, Sudden, Cardiac

What participants receive

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

  • EP referred groupBehavioural

    Referred for sudden cardiac death (SCD) risk stratification and management

  • Non-Referred groupBehavioural

    Not referred for sudden cardiac death (SCD) risk stratification and management.

Study groups in NCT03715790
Study groupRoleWhat they receive
EP Referred GroupSubjects with EF ≤ 40% or meeting one of the referral criteria
Receives: Behavioral: EP referred group
Non-Referred GroupSubjects with 40%< EF <50%.
Receives: Behavioral: Non-Referred group

What is being measured

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

  1. Percentage of Post-Acute MI Patients Who Are Referred for Sudden Cardiac Death Risk Stratification > Risk (SCD) Stratification and Management

    The numerator for this endpoint will be defined as the number of patients who met the clinician's determination to refer the subject for SCD risk stratification and management at any of the three follow-up visits. The denominator for this endpoint is the number of patients who completed a 3-month follow-up visit. While the participant study flow is composed of "referred" and "not referred" groups, these groups are simply the results of the referral process in the single arm of enrolled patients. Thus the analysis of the endpoints is conducted within this one arm.

    No hypotheses were tested for this endpoint.

    Measured: 3-months post-MI to 12-months post-MI

Secondary outcomes (5)
  1. Percentage of Post-Acute MI Patients Who Are Known to be Indicated for an ICD/CRT-D Within 12 Months Post-MI

    The numerator for this endpoint will be the number of subjects who were indicated for an ICD/CRT-D device during any of the three follow-up visits. The denominator will be the number of subjects who completed a 3-month follow-up visit.

    While the participant study flow is composed of "referred" and "not referred" groups, these groups are simply the results of the referral process in the single arm of enrolled patients. Thus the analysis of the endpoints is conducted within this single arm. The analysis cannot be performed within the "referred" and "not referred" groups as patients not referred are not eligible for the secondary endpoints involving device indication or implant.

    No hypotheses were tested for this endpoint.

    Measured: 3-months post-MI to 12-months post-MI

  2. Percentage of Post-Acute MI Patients Who Receive an ICD/CRT-D Within 12 Months Post-MI.

    The numerator for this endpoint will be the number of subjects who received an ICD/CRT-D device during any of the three follow-up visits. The denominator for this endpoint will be the number of patients who completed a 3-month follow-up visit.

    While the participant study flow is composed of "referred" and "not referred" groups, these groups are simply the results of the referral process in the single arm of enrolled patients. Thus the analysis of the endpoints is conducted within this single arm. The analysis cannot be performed within the "referred" and "not referred" groups as patients not referred are not eligible for the secondary endpoints involving device indication or implant.

    No hypotheses were tested for this endpoint.

    Measured: 3-months post-MI to 12-months post-MI

  3. Percentage of ICD Indicated Patients Who Were Not Referred, Refused Referral or Refused Implant of an ICD

    The outcome measure will be the percentage of patients with ICD indication, who were not referred, refused referral or refused implant. The denominator will count all patients with at least one of the below:

    1. a reduced ejection fraction, as measured by the Left Ventricular Ejection Fraction (LVEF) being lower or equal than 40%. >
    2. ventricular arrhythmia, AV block, new onset bundle branch block, or conduction abnormalities as measured by ECGs. >
    3. unexplained syncope, clinically significant palpitations or symptomatic bradycardia as assessed by the physician. > The numerator will count the patients included in the denominator who were not referred, refused referral or refused implant of an ICD/CRT-D. While the participant study flow is composed of "referred" and "not referred" groups, these groups are simply the referral process results in the single arm of enrolled patients, with analysis performed within this arm. No hypotheses were tested for this endpoint.

    Measured: 3-months post-MI to 12-months post-MI

  4. Percentage of Post-Acute MI Patients Who Experience Cardiovascular Mortality

    The numerator for this endpoint will be the number of patients who experience cardiovascular mortality. The denominator will be the number of patients enrolled in the study.

    No hypotheses were tested for this endpoint.

    Measured: Enrollment to 12-months post-MI

  5. Evolution of the Ejection Fraction Over the Immediate Period of Post MI

    The Left Ventricular Ejection Fraction (LVEF) will be measured acutely post MI (≤14 days after MI onset) and chronically (40-90 days). The acute measurement will occur over all 1491 subjects assessed at baseline, while the chronic assessment will be measured over the 1046 subjects with a 3-month LVEF assessment. This outcome will compare the average LVEF, by percent, between these two phases.

    No hypotheses were tested for this endpoint.

    Measured: Enrollment to 3-months post-MI

Timeline

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

  1. First posted23 Oct 2018
  2. Study start2 Nov 2018
  3. Primary completion16 Apr 2021
  4. Study completion27 May 2021

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
Other
Time perspective
Prospective
Enrolment
1,491 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03715790
Sponsor's protocol ID
MDT18019
Status last verified
Apr 2023
First submitted
3 Oct 2018
Last updated
16 Jan 2024
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Chew DS, Wilton SB, Kavanagh K, Southern DA, Tan-Mesiatowsky LE, Exner DV; APPROACH Investigators. Left ventricular ejection fraction reassessment post-myocardial infarction: Current clinical practice and determinants of adverse remodeling. Am Heart J. 2018 Apr;198:91-96. doi: 10.1016/j.ahj.2017.11.014. Epub 2017 Dec 5.

    PubMed 29653653
  • Adabag AS, Therneau TM, Gersh BJ, Weston SA, Roger VL. Sudden death after myocardial infarction. JAMA. 2008 Nov 5;300(17):2022-9. doi: 10.1001/jama.2008.553.

    PubMed 18984889
  • Chia YMF, Teng TK, Tan ESJ, Tay WT, Richards AM, Chin CWL, Shimizu W, Park SW, Hung CL, Ling LH, Ngarmukos T, Omar R, Siswanto BB, Narasimhan C, Reyes EB, Yu CM, Anand I, MacDonald MR, Yap J, Zhang S, Finkelstein EA, Lam CSP. Disparity Between Indications for and Utilization of Implantable Cardioverter Defibrillators in Asian Patients With Heart Failure. Circ Cardiovasc Qual Outcomes. 2017 Nov;10(11):e003651. doi: 10.1161/CIRCOUTCOMES.116.003651.

    PubMed 29150533
  • O'Gara PT, Kushner FG, Ascheim DD, Casey DE Jr, Chung MK, de Lemos JA, Ettinger SM, Fang JC, Fesmire FM, Franklin BA, Granger CB, Krumholz HM, Linderbaum JA, Morrow DA, Newby LK, Ornato JP, Ou N, Radford MJ, Tamis-Holland JE, Tommaso CL, Tracy CM, Woo YJ, Zhao DX; American College of Cardiology Foundation; American Heart Association Task Force on Practice Guidelines; American College of Emergency Physicians; Society for Cardiovascular Angiography and Interventions. 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: executive summary: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines: developed in collaboration with the American College of Emergency Physicians and Society for Cardiovascular Angiography and Interventions. Catheter Cardiovasc Interv. 2013 Jul 1;82(1):E1-27. doi: 10.1002/ccd.24776. Epub 2013 Jan 8. No abstract available.

    PubMed 23299937
  • Zhang S, Chen WJ, Sankardas MA, Ahmed WH, Liew HB, Gwon HC, Nesa Malik FT, Tang B, Haggui A, Oh IY, Ong TK, Cheng CI, Liu X, Seth A, Choi YJ, Qamar N, Rungpradubvong V, Wang CC, Jeon J, Wong G, Lemme F, Van Dorn B, Lexcen D, Huang D; Improve Sudden Cardiac Arrest Bridge Investigators. Improve the Prevention of Sudden Cardiac Arrest in Patients With Post-Acute Myocardial Infarction. JACC Asia. 2022 Sep 20;2(5):559-571. doi: 10.1016/j.jacasi.2022.06.006. eCollection 2022 Oct.

    PubMed 36518723

Questions about this trial

What is this clinical trial studying?

An observational study of Sudden Cardiac Arrest and Acute Myocardial Infarction, run by Medtronic Cardiac Rhythm and Heart Failure at 52 sites in 16 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 3 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 16 Jan 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 52 sites in China, South Korea, Taiwan, India, Malaysia and 11 more countries. 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 16 Jan 2024). 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?

Percentage of Post-Acute MI Patients Who Are Referred for Sudden Cardiac Death Risk Stratification > Risk (SCD) Stratification and Management (time frame: 3-months post-MI to 12-months post-MI). 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 NCT03715790, which also lists 5 linked publications.

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 16 Jan 2024.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in