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Cardiac Resynchronization TherapyCRT-DRIVENCT05327062

Cardiac Resynchronization Therapy Delivery Guided Non-Invasive Electrical and Venous Anatomy Assessment

A study testing CRT implantation guided by XSpline, a non-invasive electrical and venous anatomy assessment in people with Cardiac Resynchronization Therapy and Chronic Heart Failure, run by XSpline S.p.A. at 13 sites in 7 countries.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

The objective of this prospective, multicenter controlled study is to assess the feasibility of a patient-tailored implantation by creating a cloud-based pre-procedural multimodality CRT-roadmap by integration of 3D images from 3D activation sequence from ECG, and coronary venous anatomy from cardiac computed… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
CRT implantation guided by XSpline, a non-invasive electrical and venous anatomy assessment
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
150 participants
Where
13 sitesin 7 countries
Study dates
6 Mar 2023to Sep 2025
Phase
Interventional
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

None listed.

Who cannot join

  • History of persistent or permanent atrial fibrillation
  • Previous pacemaker or ICD implantation
  • Indication to pacing due to bradycardia
  • Patients considered for His bundle pacing or cardiac conduction pacing
  • Patients with unstable angina
  • Subject experienced a recent myocardial infarction, within 40 days prior to enrollment
Show all 18Show fewer
  • Subject underwent coronary artery bypass graft or valve surgery, within 90 days prior to enrollment
  • Subject is post heart transplantation, or is actively listed on the transplantation list, or has reasonable probability (per investigator's discretion) of undergoing transplantation in the next year
  • Subject is implanted with a left ventricular assist device
  • Subject is on continuous or uninterrupted infusion (inotropic) therapy for heart failure
  • Subject has severe aortic stenosis (with a valve area of <1.0 cm2 or significant valve disease expected to be operated within study period)
  • Subject has congenital heart disease
  • Subject has a mechanical right-sided heart valve
  • Subject has a life expectancy of less than one year in the opinion of the investigator
  • Pregnant or breastfeeding women, or women of child bearing potential and who are not on a reliable form of birth control
  • Subject is enrolled in one or more concurrent studies that would confound the results of this study
  • Patients who have contraindications to CT scanning.
  • Patients with chronic kidney diseases and estimated glomerular filtration rate (eGMR) calculated based on CKD-EPI 2009 < 40 ml/min/1.73m2

Trial locations and contacts

13 sites in 7 countries.

Claudia M Amatruda, PhD contact

+390471200372

amatruda@xspline.com

13 sites in 7 countries

United States4 sites, 4 recruiting
  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

    Jag Singh, JSINGH@mgh.harvard.edu

    William J Hucker, MD, PhD

    Recruiting
  • Rush University Medical center

    Chicago, Illinois, 60637

    Parikshit S Sharma, parikshit_S_Sharma@rush.edu

    Parikshit S Sharma, MD

    Not yet recruiting
  • The University of Chicago Medicine

    Chicago, Illinois, 60637

    Gaurav Upadhyay, gupadhyay@medicine.bsd.uchicago.edu

    Gaurav Upadhyay, MD

    Not yet recruiting
  • Duke University Hospital

    Durham, North Carolina, 27710

    Daniel Friedman, daniel.friedman@duke.edu

    Daniel Friedman, MD

    Recruiting

Other trials in United States

Italy4 sites, 4 recruiting
  • General Hospital of Bolzano

    Bolzano

    Rainer Oberhollenzer, rainer.oberhollenzer@sabes.it

    Rainer Oberhollenzer, MD

    Not yet recruiting
  • Fondazione IRCCS Policlinico San Matteo

    Pavia, Pavia

    Roberto Rordorf, MD, R.Rordorf@smatteo.pv.it

    Not yet recruiting
  • University Tor Vergata

    Roma, Roma

    Claudia Tamburro, MD, claudia.tamburro96@gmail.com

    Not yet recruiting
  • Ospedale S. Maria del Carmine di Rovereto

    Rovereto

    Maurizio del Greco, MD, maurizio.delgreco@apss.tn.it

    Not yet recruiting

Other trials in Italy

Austria1 site, 1 recruiting
  • Ordensklinikum Linz Elisabethinen Hospital

    Linz

    Helmut Puererfellner, helmut.puererfellner@ordensklinikum.at

    Georgios Kollias, MSc

    Recruiting

Other trials in Austria

Hungary1 site, 1 recruiting
  • Semmelweis University

    Budapest

    Bela Merkely, merkely.bela@gmail.com

    Bela Merkely, PhD DSc FESC

    Not yet recruiting

Other trials in Hungary

Netherlands1 site, 1 recruiting
  • Maastricht University Medical Center

    Maastricht

    Kevin Vernooy, kevin.vernooy@mumc.nl

    Kevin Vernooy, MD

    Not yet recruiting

Other trials in Netherlands

Spain1 site, 1 recruiting
  • Univeristat de Barcelona

    Barcelona

    Lluis Mont, lmont@clinic.cat

    Mont, MD

    Recruiting

Other trials in Spain

Switzerland1 site, 1 recruiting
  • Istituto Cardiocentro Ticino

    Lugano

    Angelo Auricchio, angelo.auricchio@eoc.ch

    Tardu Özkartal, MD

    Recruiting

Other trials in Switzerland

About this study

Official title: CRT-DRIVE: Cardiac Resynchronization Therapy Delivery Guided Non-Invasive Electrical and Venous Anatomy Assessment

The objective of this prospective, multicenter controlled study is to assess the feasibility of a patient-tailored implantation by creating a cloud-based pre-procedural multimodality CRT-roadmap by integration of 3D images from 3D activation sequence from ECG, and coronary venous anatomy from cardiac computed tomography. This CRT-roadmap will be used to guide LV lead placement to a coronary vein in an electrically late-activated region.

Study Hypothesis: At least 75% of patients undergoing a CRT implantation guided by non-invasive electrical and venous anatomy assessment (XSPLINE technology) will show a reduction of left ventricular end-systolic volume of 15% or more at 6-month evaluation.

Being tested
CRT implantation guided by XSpline, a non-invasive electrical and venous anatomy assessment
Keywords
Non-invasive activation mapping, Coronary Sinus
Medical subject headings
Bundle-Branch Block

What participants receive

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

  • CRT implantation guided by XSpline, a non-invasive electrical and venous anatomy assessmentDevice

    The following information and data will be obtained from the routine clinical work up of the patients: Patient demographics, cardiovascular medical history, and clinical examination; 12-lead ECG; Standard echocardiography; Computed tomography angiography for visualization of atria, ventricle, and coronary sinus.

    Imaging data will be transferred to the cloud-based web-platform using a dedicated software provided by study sponsor. Data processing includes evaluating the quality of the data and calculation of various anatomical and electrical parameters, and identification of the target zone as a point in the target vein closest to the latest activation zone.

    LV-lead location is based on the information provided by the dedicated software followed by visual X-ray based verification of anatomically suitable/most desirable position.

    The patient will undergo CRT device implantation according to local protocols.

Study groups in NCT05327062
Study groupRoleWhat they receive
CRT implantation guided by XSplineExperimentalThe sample size estimation was based on two recent studies including CRT patients with similar clinical and demographic characteristics as in this study: the SMART-MSP and the SMART CRT. The SMART-MSP is a prospective, observational study that enrolled 584 CRT recipients at 52 US sites. In a typical modern CRT population, 75% of patients had a reduction of the end-systolic volume ≥ 15% at 6-month follow-up. The SMART-CRT study enrolled 699 CRT patients randomized to a treatment arm and a control group. At 6-months follow-up, a reduction of LVESV ≥15% was achieved for 67.7% of the patients in the control group and for 74.8% of those in the treatment arm. Therefore, it is assumed that in a modern CRT population at least 70% of the patients will have a reduction of the LVESV ≥15% of the baseline value at 6-months after CRT implantation. To demonstrate that this proportion of patients can be equally achieved with the approach tested in this study at least 150 patients need to be included.
Receives: Device: CRT implantation guided by XSpline, a non-invasive electrical and venous anatomy assessment

What is being measured

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

  1. Reduction of left ventricular end-systolic volume of at least 15% in 75% of CRT treated patients

    Increase in efficacy of CRT using XSpline technology assessed by reduction of left ventricular end-systolic volume of at least 15% at 6-month follow-up in 75% of CRT treated patients, based on routine echo-cardiographic measurements

    Measured: 6 months follow-up

Secondary outcomes (3)
  1. Feasibility of systematic use of XSpline platform for CRT implantation

    Feasibility of systematic use of automatic cloud-based, AI-based XSpline technology through statistics on software performance (e.g. percentage of core tasks completed higher than defined thresholds)

    Measured: 6 months follow-up

  2. CRT procedural time difference

    Evaluate the change in CRT procedural time by comparing with standard approach as found in literature, time in minutes

    Measured: 6 months follow-up

  3. Total X-ray exposure time difference

    Evaluate the change in total X-ray exposure time by comparing with standard approach as found in literature, time in minutes

    Measured: 6 months follow-up

Timeline

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

  1. First posted14 Apr 2022
  2. Study start6 Mar 2023
  3. Primary completionMar 2025 (estimated)
  4. Study completionSep 2025 (estimated)

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
Diagnosis
Allocation
Not applicable
Intervention model
Single group
Model description
The investigation will include 9 European and 4 US investigational sites. The goal is to enroll a total number of 150 patients. It is expected about 1.5 patients per site per month over a period of maximum 8 months after site opening. The study duration is set at 12-month, 6 months for patient enrollment and 6 months of follow-up.
Masking
None (open label)
Enrolment
150 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05327062
Sponsor's protocol ID
CRT-DRIVE_01
Acronym
CRT-DRIVE
Status last verified
Oct 2024
First submitted
22 Mar 2022
Last updated
24 Oct 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • Glikson M, Nielsen JC, Kronborg MB, Michowitz Y, Auricchio A, Barbash IM, Barrabes JA, Boriani G, Braunschweig F, Brignole M, Burri H, Coats AJS, Deharo JC, Delgado V, Diller GP, Israel CW, Keren A, Knops RE, Kotecha D, Leclercq C, Merkely B, Starck C, Thylen I, Tolosana JM; ESC Scientific Document Group. 2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy. Eur Heart J. 2021 Sep 14;42(35):3427-3520. doi: 10.1093/eurheartj/ehab364. No abstract available.

    PubMed 34455430
  • KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Kidney Int Suppl (2011) [Internet] 2013;3(1):163. Available from: https://kdigo.org/wp-content/uploads/2017/02/KDIGO_2012_CKD_GL.pdf

  • Ramanathan C, Ghanem RN, Jia P, Ryu K, Rudy Y. Noninvasive electrocardiographic imaging for cardiac electrophysiology and arrhythmia. Nat Med. 2004 Apr;10(4):422-8. doi: 10.1038/nm1011. Epub 2004 Mar 14.

    PubMed 15034569
  • Cluitmans MJ, Peeters RL, Westra RL, Volders PG. Noninvasive reconstruction of cardiac electrical activity: update on current methods, applications and challenges. Neth Heart J. 2015 Jun;23(6):301-11. doi: 10.1007/s12471-015-0690-9.

    PubMed 25896779
  • Pezzuto S, Prinzen FW, Potse M, Maffessanti F, Regoli F, Caputo ML, Conte G, Krause R, Auricchio A. Reconstruction of three-dimensional biventricular activation based on the 12-lead electrocardiogram via patient-specific modelling. Europace. 2021 Apr 6;23(4):640-647. doi: 10.1093/europace/euaa330.

    PubMed 33241411
  • Zubarev S, Chmelevsky M, Budanova M, Trukshina M, Lyubimtseva T, Lebedeva V, et al. Non-invasive electrophysiological mapping in assessment of association of cardiac resynchronization effect from position of left ventricular electrode. Europace 2017;19(suppl_3):iii326-iii326. doi: 10.1093/ehjci/eux158.182

  • Zubarev S, Chmelevsky M, Budanova M, Ryzhkov AV, Trukshina M, Lebedeva V, et al. Comparison of the late activation zone and the changes in the structure of the left ventricular myocardium in candidates for cardiac resynchronization therapy. Europace 2018;20(suppl_1):i54-i54. doi: 10.1093/europace/euy015.145

  • Brignole M, Auricchio A, Baron-Esquivias G, Bordachar P, Boriani G, Breithardt OA, Cleland J, Deharo JC, Delgado V, Elliott PM, Gorenek B, Israel CW, Leclercq C, Linde C, Mont L, Padeletti L, Sutton R, Vardas PE; ESC Committee for Practice Guidelines (CPG); Zamorano JL, Achenbach S, Baumgartner H, Bax JJ, Bueno H, Dean V, Deaton C, Erol C, Fagard R, Ferrari R, Hasdai D, Hoes AW, Kirchhof P, Knuuti J, Kolh P, Lancellotti P, Linhart A, Nihoyannopoulos P, Piepoli MF, Ponikowski P, Sirnes PA, Tamargo JL, Tendera M, Torbicki A, Wijns W, Windecker S; Document Reviewers; Kirchhof P, Blomstrom-Lundqvist C, Badano LP, Aliyev F, Bansch D, Baumgartner H, Bsata W, Buser P, Charron P, Daubert JC, Dobreanu D, Faerestrand S, Hasdai D, Hoes AW, Le Heuzey JY, Mavrakis H, McDonagh T, Merino JL, Nawar MM, Nielsen JC, Pieske B, Poposka L, Ruschitzka F, Tendera M, Van Gelder IC, Wilson CM. 2013 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy: the Task Force on cardiac pacing and resynchronization therapy of the European Society of Cardiology (ESC). Developed in collaboration with the European Heart Rhythm Association (EHRA). Eur Heart J. 2013 Aug;34(29):2281-329. doi: 10.1093/eurheartj/eht150. Epub 2013 Jun 24. No abstract available.

    PubMed 23801822

Questions about this trial

What is this clinical trial studying?

A study testing CRT implantation guided by XSpline, a non-invasive electrical and venous anatomy assessment in people with Cardiac Resynchronization Therapy and Chronic Heart Failure, run by XSpline S.p.A. at 13 sites in 7 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 0 inclusion and 18 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: status not confirmed, as of the sponsor's last update on 24 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 sites in United States, Italy, Austria, Hungary, Netherlands and 2 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Claudia M Amatruda, PhD (+390471200372, amatruda@xspline.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Reduction of left ventricular end-systolic volume of at least 15% in 75% of CRT treated patients (time frame: 6 months follow-up). 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 NCT05327062, which also lists 8 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 24 Oct 2024.

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