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Attain Performa(TM) Quadripolar Lead Study

Primary Purpose

Heart Failure

Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
Device: Attain Performa Pacing Lead (along with a standard CRT-D system)
Sponsored by
Medtronic Cardiac Rhythm and Heart Failure
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Heart Failure focused on measuring heart failure, cardiac pacing, cardiac resynchronization therapy, left ventricular lead

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patient is indicated for implant of a CRT-D device and left-heart lead per local indications (In US only this is based on Class I and II indications for CRT-D implant per HRS/ACC/AHA guidelines)
  • Patient (or legally authorized representative) has signed and dated the study-specific Consent Form
  • Patient is 18 years of age or older, or is of legal age to give informed consent per local and national law
  • Patient is expected to remain available for follow-up visits
  • Patient understands the study and agrees to comply with study protocol

Exclusion Criteria:

  • Patient has a previous LV lead implanted or previous implant attempt within 30 days of enrollment or has ongoing AEs from a previous unsuccessful implant attempt
  • Patient has contraindications for standard transvenous cardiac pacing (e.g., mechanical right heart valve)
  • Patient has had a heart transplant (Note: Patients waiting for heart transplants are allowed in the study)
  • Patient is contraindicated for < 1 mg dexamethasone acetate
  • Patient is currently enrolled or planning to participate in a potentially confounding drug or device study during the course of this study. (Note: Co-enrollment in concurrent studies may be allowed provided that documented pre-approval is obtained from Medtronic's study manager)
  • Patient has a life expectancy less than 180 days
  • Patient with exclusion criteria required by local law (e.g. age, pregnancy, breast feeding, etc.)

    • In US, women of childbearing potential must have a negative pregnancy test 7 days prior to implant to be included
  • Patient is unable to tolerate an urgent thoracotomy

Sites / Locations

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Attain Performa LV Lead (Models 4298, 4398, 4598)

Arm Description

N/A: single arm study, separate analysis for each lead model (total of 3).

Outcomes

Primary Outcome Measures

Lead Complication-free Rate at 6 Months
The three Attain Performa LV leads models are evaluated separately. The primary safety objective is listed as following: - Model 4298/4398: The Attain Performa Model 4298/4398 lead will be considered safe if the probability of subjects freed of Attain Performa lead-related complications at 6 months post-implant is greater than 87% (i.e., the one-sided 97.5% lower confidence bound must be greater than 87%). - Model 4598: The safety performance of the Attain Performa Model 4598 lead will be characterized by summarizing the probability of subjects who are free from Attain Performa LV lead related complications at 6 months. The lower boundaries of the 97.5% confidence intervals for the all lead models are greater than the pacing threshold of 87%, thus concluding that the crtiera was met for all lead models.
LV Pacing Capture Thresholds Per Attain Performa Lead Model

Secondary Outcome Measures

Percentage of Subjects With Presence of PNS in All LV Lead Pacing Polarities
Percentage of patients with presence of PNS in all LV lead pacing polarities at 8.0 V at 0.5ms performed at 6-month visit.
Percentage of Subjects With Successful Implant Per Attain Performa Lead Model
Rate of Overall Acceptable Lead Handling Per Attain Performa Lead Model
Pacing Capture Thresholds at the Final Programmed Pacing Polarity
Implant Related Times Per Attain Performa Lead Model
Pacing Impedance at the Final Programmed Pacing Polarity
Pacing impedance for each LV pacing polarity. Noticed that pacing impedance values are not recorded for reversed LV pacing polarities, since impedance from LV1 to LV2 is the same as from LV2 to LV1. Impedance is a measurement of current/resistance between the pacing lead and the cardiac tissue (measured in Ohms).
Complication Rate for Individual Attain Performa Lead Related Events

Full Information

First Posted
December 3, 2012
Last Updated
October 12, 2016
Sponsor
Medtronic Cardiac Rhythm and Heart Failure
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1. Study Identification

Unique Protocol Identification Number
NCT01751022
Brief Title
Attain Performa(TM) Quadripolar Lead Study
Official Title
Attain Performa(TM) Quadripolar Lead Study
Study Type
Interventional

2. Study Status

Record Verification Date
October 2016
Overall Recruitment Status
Completed
Study Start Date
December 2012 (undefined)
Primary Completion Date
February 2015 (Actual)
Study Completion Date
February 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Medtronic Cardiac Rhythm and Heart Failure

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of the study is to evaluate the safety and efficacy of the Medtronic Attain Performa Quadripolar Leads (Model 4298, 4398, and 4598) during and post the implant procedure. This study will also assess the interactions of the Attain Performa leads with the entire Medtronic CRT-D system.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Heart Failure
Keywords
heart failure, cardiac pacing, cardiac resynchronization therapy, left ventricular lead

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
1202 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Attain Performa LV Lead (Models 4298, 4398, 4598)
Arm Type
Experimental
Arm Description
N/A: single arm study, separate analysis for each lead model (total of 3).
Intervention Type
Device
Intervention Name(s)
Device: Attain Performa Pacing Lead (along with a standard CRT-D system)
Intervention Description
Implant and follow-up of study lead, separate analysis for each lead model
Primary Outcome Measure Information:
Title
Lead Complication-free Rate at 6 Months
Description
The three Attain Performa LV leads models are evaluated separately. The primary safety objective is listed as following: - Model 4298/4398: The Attain Performa Model 4298/4398 lead will be considered safe if the probability of subjects freed of Attain Performa lead-related complications at 6 months post-implant is greater than 87% (i.e., the one-sided 97.5% lower confidence bound must be greater than 87%). - Model 4598: The safety performance of the Attain Performa Model 4598 lead will be characterized by summarizing the probability of subjects who are free from Attain Performa LV lead related complications at 6 months. The lower boundaries of the 97.5% confidence intervals for the all lead models are greater than the pacing threshold of 87%, thus concluding that the crtiera was met for all lead models.
Time Frame
Implant to 6 months post-implant
Title
LV Pacing Capture Thresholds Per Attain Performa Lead Model
Time Frame
6 months post-implant
Secondary Outcome Measure Information:
Title
Percentage of Subjects With Presence of PNS in All LV Lead Pacing Polarities
Description
Percentage of patients with presence of PNS in all LV lead pacing polarities at 8.0 V at 0.5ms performed at 6-month visit.
Time Frame
6 months post-implant
Title
Percentage of Subjects With Successful Implant Per Attain Performa Lead Model
Time Frame
Implant up to 1-month post implant
Title
Rate of Overall Acceptable Lead Handling Per Attain Performa Lead Model
Time Frame
Implant up to 1-month post implant
Title
Pacing Capture Thresholds at the Final Programmed Pacing Polarity
Time Frame
6 months post-implant
Title
Implant Related Times Per Attain Performa Lead Model
Time Frame
Implant up to 1-month post implant
Title
Pacing Impedance at the Final Programmed Pacing Polarity
Description
Pacing impedance for each LV pacing polarity. Noticed that pacing impedance values are not recorded for reversed LV pacing polarities, since impedance from LV1 to LV2 is the same as from LV2 to LV1. Impedance is a measurement of current/resistance between the pacing lead and the cardiac tissue (measured in Ohms).
Time Frame
6 month post-implant
Title
Complication Rate for Individual Attain Performa Lead Related Events
Time Frame
6 month post-Implant

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient is indicated for implant of a CRT-D device and left-heart lead per local indications (In US only this is based on Class I and II indications for CRT-D implant per HRS/ACC/AHA guidelines) Patient (or legally authorized representative) has signed and dated the study-specific Consent Form Patient is 18 years of age or older, or is of legal age to give informed consent per local and national law Patient is expected to remain available for follow-up visits Patient understands the study and agrees to comply with study protocol Exclusion Criteria: Patient has a previous LV lead implanted or previous implant attempt within 30 days of enrollment or has ongoing AEs from a previous unsuccessful implant attempt Patient has contraindications for standard transvenous cardiac pacing (e.g., mechanical right heart valve) Patient has had a heart transplant (Note: Patients waiting for heart transplants are allowed in the study) Patient is contraindicated for < 1 mg dexamethasone acetate Patient is currently enrolled or planning to participate in a potentially confounding drug or device study during the course of this study. (Note: Co-enrollment in concurrent studies may be allowed provided that documented pre-approval is obtained from Medtronic's study manager) Patient has a life expectancy less than 180 days Patient with exclusion criteria required by local law (e.g. age, pregnancy, breast feeding, etc.) In US, women of childbearing potential must have a negative pregnancy test 7 days prior to implant to be included Patient is unable to tolerate an urgent thoracotomy
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Nieuwegein
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Bergen
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Riyadh
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Beograd
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Niš
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12. IPD Sharing Statement

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Attain Performa(TM) Quadripolar Lead Study

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