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Cardiac MR (CMR) in Cardiac Resynchronization Therapy Non-responders

Primary Purpose

Heart Failure

Status
Terminated
Phase
Not Applicable
Locations
Germany
Study Type
Interventional
Intervention
CRT reprogramming (Medtronic CRT)
Sponsored by
University Hospital, Bonn
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Heart Failure focused on measuring CRT, heart failure, CMR, safety

Eligibility Criteria

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

Inclusion Criteria:

  • presence of CRT device
  • CRT non responder

Exclusion Criteria:

  • pregnancy
  • end-stage renal failure

Sites / Locations

  • University Hospital, University of Bonn

Outcomes

Primary Outcome Measures

improvement in NYHA-class

Secondary Outcome Measures

safety of CMR in CRT-patients
pacing capture threshold, sensing and lead impedances will be monitored for significant and/or clinically relevant changes.

Full Information

First Posted
June 1, 2011
Last Updated
January 31, 2014
Sponsor
University Hospital, Bonn
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1. Study Identification

Unique Protocol Identification Number
NCT01367691
Brief Title
Cardiac MR (CMR) in Cardiac Resynchronization Therapy Non-responders
Official Title
Cardiac MR (CMR) in Cardiac Resynchronization Therapy (CRT) Non-responders: Therapy Optimization by Means of Tissue Characterization, Hemodynamic Analysis and Analysis of Myocardial Activation
Study Type
Interventional

2. Study Status

Record Verification Date
January 2014
Overall Recruitment Status
Terminated
Study Start Date
June 2011 (undefined)
Primary Completion Date
December 2013 (Actual)
Study Completion Date
December 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University Hospital, Bonn

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Cardiac MR (CMR) will be used to assess myocardial activation and hemodynamics in patients with CRT. Goals are to demonstrate that differences in Left ventricle (LV)- right ventricle (RV) pacing delays cause differences in myocardial activation differences in LV-RV pacing delays cause differences in LV/RV hemodynamics and to use these data to optimize CRT.
Detailed Description
CMR will be performed in patients under CRT who are currently not responding to CRT. Different LV-RV delays will be programmed during CMR and LV function and different dyssynchrony parameters will be assessed. Results will be used to determine the optimal LV-RV delay, and CRT-devices will be reprogrammed accordingly. Improvement in NYHA-class/conversion to therapy responder will be determined clinically after 3 months.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Heart Failure
Keywords
CRT, heart failure, CMR, safety

7. Study Design

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

8. Arms, Groups, and Interventions

Intervention Type
Device
Intervention Name(s)
CRT reprogramming (Medtronic CRT)
Other Intervention Name(s)
Medtronic CRT devices by Medtronic are eligable to be included in this study.
Intervention Description
CRT devices will be reprogrammed according to CMR analysis
Primary Outcome Measure Information:
Title
improvement in NYHA-class
Time Frame
6 months
Secondary Outcome Measure Information:
Title
safety of CMR in CRT-patients
Description
pacing capture threshold, sensing and lead impedances will be monitored for significant and/or clinically relevant changes.
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: presence of CRT device CRT non responder Exclusion Criteria: pregnancy end-stage renal failure
Facility Information:
Facility Name
University Hospital, University of Bonn
City
Bonn
State/Province
NRW
ZIP/Postal Code
53105
Country
Germany

12. IPD Sharing Statement

Learn more about this trial

Cardiac MR (CMR) in Cardiac Resynchronization Therapy Non-responders

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