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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01751022
Registration number
NCT01751022
Ethics application status
Date submitted
3/12/2012
Date registered
17/12/2012
Date last updated
5/12/2016
Titles & IDs
Public title
Attain Performa(TM) Quadripolar Lead Study
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Scientific title
Attain Performa(TM) Quadripolar Lead Study
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Secondary ID [1]
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Attain Performa(TM)
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Heart Failure
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Condition category
Condition code
Cardiovascular
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Coronary heart disease
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Cardiovascular
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Other cardiovascular diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - Device: Attain Performa Pacing Lead (along with a standard CRT-D system)
Experimental: Attain Performa LV Lead (Models 4298, 4398, 4598) - N/A: single arm study, separate analysis for each lead model (total of 3).
Treatment: Devices: Device: Attain Performa Pacing Lead (along with a standard CRT-D system)
Implant and follow-up of study lead, separate analysis for each lead model
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Lead Complication-free Rate at 6 Months
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Assessment method [1]
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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.
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Timepoint [1]
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Implant to 6 months post-implant
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Primary outcome [2]
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LV Pacing Capture Thresholds Per Attain Performa Lead Model
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Assessment method [2]
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Timepoint [2]
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6 months post-implant
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Secondary outcome [1]
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Percentage of Subjects With Presence of PNS in All LV Lead Pacing Polarities
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Assessment method [1]
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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.
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Timepoint [1]
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6 months post-implant
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Secondary outcome [2]
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Percentage of Subjects With Successful Implant Per Attain Performa Lead Model
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Assessment method [2]
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Timepoint [2]
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Implant up to 1-month post implant
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Secondary outcome [3]
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Rate of Overall Acceptable Lead Handling Per Attain Performa Lead Model
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Assessment method [3]
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Timepoint [3]
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Implant up to 1-month post implant
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Secondary outcome [4]
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Pacing Capture Thresholds at the Final Programmed Pacing Polarity
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Assessment method [4]
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Timepoint [4]
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6 months post-implant
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Secondary outcome [5]
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Implant Related Times Per Attain Performa Lead Model
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Assessment method [5]
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Timepoint [5]
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Implant up to 1-month post implant
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Secondary outcome [6]
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Pacing Impedance at the Final Programmed Pacing Polarity
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Assessment method [6]
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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).
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Timepoint [6]
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6 month post-implant
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Secondary outcome [7]
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Complication Rate for Individual Attain Performa Lead Related Events
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Assessment method [7]
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Timepoint [7]
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6 month post-Implant
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Eligibility
Key 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
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key 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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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
NA
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/12/2012
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Date of last participant enrolment
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Actual
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Date of last data collection
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Actual
1/02/2015
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Sample size
Target
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Accrual to date
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Final
1202
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,VIC,WA
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- Randwick
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- Chermside
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- Randwick
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- Chermside
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- Adelaide
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- Heidelberg
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- Perth
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Medtronic Cardiac Rhythm and Heart Failure
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Ethics approval
Ethics application status
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Summary
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.
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Trial website
https://clinicaltrials.gov/study/NCT01751022
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT01751022
Download to PDF