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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00800384
Registration number
NCT00800384
Ethics application status
Date submitted
27/11/2008
Date registered
2/12/2008
Date last updated
30/03/2018
Titles & IDs
Public title
Shockless Implant Evaluation
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Scientific title
Shockless Implant Evaluation
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Secondary ID [1]
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11-2007
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Universal Trial Number (UTN)
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Trial acronym
SIMPLE
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Ventricular Fibrillation
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Ventricular Tachycardia
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Condition category
Condition code
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 - Implantable defibrillator
Experimental: 1 - ICD implant without defibrillation testing
Active comparator: 2 - ICD implant with defibrillation testing
Treatment: Devices: Implantable defibrillator
Implantable defibrillator to detect and terminate ventricular arrhythmias
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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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First Occurrence of the Composite of Failed First Appropriate Clinical Shock From the Implantable Cardioverter Defibrillator (ICD) or Arrhythmic Death
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Assessment method [1]
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The number of patients having experienced either an appropriate inefficient shock and/or arrhythmic death during the follow-up time frame of 3.1 years is compared between both groups.
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Timepoint [1]
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Mean follow-up of 3.1 years
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Secondary outcome [1]
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Perioperative Complication Rate
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Assessment method [1]
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A predefined set of expected complications attributed to defibrillation testing during implant procedure was analyzed in both groups.
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Timepoint [1]
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30 days
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Eligibility
Key inclusion criteria
* Age = 18 years
* Patients undergoing initial implant of an ICD or CRT-D device (can be upgrade from a pacemaker)
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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
* Patients, who in the opinion of their treating physicians are ineligible for either strategy (DT or no DT)
* Patients on active transplant list
* Patients unwilling to provide informed consent
* Patients not available for follow-up
* Pregnancy or women of child bearing potential not following an effective method of contraception
* Anticipated right sided implantation of the ICD generator
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Study design
Purpose of the study
Other
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Allocation to intervention
Randomised controlled trial
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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
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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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
1/01/2009
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/05/2014
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Sample size
Target
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Accrual to date
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Final
2500
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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The Royal Melbourne Hospital - Melbourne
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Recruitment postcode(s) [1]
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3050 - Melbourne
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Recruitment outside Australia
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Austria
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St. Poelten
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Austria
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Vienna
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Austria
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Wels
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Canada
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Alberta
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Canada
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British Columbia
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Canada
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Manitoba
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Canada
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Nova Scotia
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Ontario
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Prague
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Tampere
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Grenoble
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France
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Lille
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France
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Nancy
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France
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Pau
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France
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Rennes
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Bad Berka
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Germany
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Berlin
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Heidelberg
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Landshut
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Leipzig
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Trier
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Tübingen
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Zwickau
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Petah-Tikva
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Tychy
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Barcelona
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Madrid
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Spain
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Pamplona
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Spain
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Valencia
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Sweden
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Stockholm
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Thailand
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Bangkok
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United Kingdom
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Chertsey
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United Kingdom
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Liverpool
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United Kingdom
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Newcastle-upon-Tyne
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Boston Scientific Corporation
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Address
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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Guidant Corporation
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Address [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
This trial will assess the safety of defibrillator testing and the influence of defibrillation testing on the efficacy of clinical shocks. The trial will test the hypothesis that implantable cardioverter defibrillator (ICD) implantation without defibrillation testing (DT) is non-inferior to implantation with testing against the composite endpoint of ineffective first appropriate clinical shock or arrhythmic death. It will also test the hypothesis, that defibrillation testing increases the peri-operative (30 days) complication rate of ICD implantation.
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Trial website
https://clinicaltrials.gov/study/NCT00800384
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Trial related presentations / publications
Vamos M, Healey JS, Wang J, Connolly SJ, Mabo P, Van Erven L, Kautzner J, Glikson M, Neuzner J, O'Hara G, Vinolas X, Gadler F, Hohnloser SH. Implantable cardioverter-defibrillator therapy in hypertrophic cardiomyopathy: A SIMPLE substudy. Heart Rhythm. 2018 Mar;15(3):386-392. doi: 10.1016/j.hrthm.2017.11.020. Epub 2017 Nov 20. Vamos M, Healey JS, Wang J, Duray GZ, Connolly SJ, van Erven L, Vinolas X, Neuzner J, Glikson M, Hohnloser SH. Troponin levels after ICD implantation with and without defibrillation testing and their predictive value for outcomes: Insights from the SIMPLE trial. Heart Rhythm. 2016 Feb;13(2):504-10. doi: 10.1016/j.hrthm.2015.11.009. Epub 2015 Nov 11. Healey JS, Hohnloser SH, Glikson M, Neuzner J, Mabo P, Vinolas X, Kautzner J, O'Hara G, VanErven L, Gadler F, Pogue J, Appl U, Gilkerson J, Pochet T, Stein KM, Merkely B, Chrolavicius S, Meeks B, Foldesi C, Thibault B, Connolly SJ; Shockless IMPLant Evaluation [SIMPLE] investigators. Cardioverter defibrillator implantation without induction of ventricular fibrillation: a single-blind, non-inferiority, randomised controlled trial (SIMPLE). Lancet. 2015 Feb 28;385(9970):785-91. doi: 10.1016/S0140-6736(14)61903-6. Epub 2015 Feb 23.
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Public notes
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Contacts
Principal investigator
Name
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Jeff Healey, MD
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Address
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Population Health Research Institute Canada
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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/NCT00800384
Download to PDF