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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02113722
Registration number
NCT02113722
Ethics application status
Date submitted
7/04/2014
Date registered
15/04/2014
Titles & IDs
Public title
Is Left Stellate Ganglionectomy Beneficial to Patients With Life Threatening Ventricular Arrhythmias
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Scientific title
Does Left Cardiac Sympathectomy Stellate Ganglionectomy Confer an Added Benefit Over Optimal Medical Therapy in the Reduction of Therapy Delivered From an Implanted Cardioverter Defibrillator in Patients at High Risk of Sudden Cardiac Death
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Secondary ID [1]
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Version 1 dated 12 March 2014
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Secondary ID [2]
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14_145
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Universal Trial Number (UTN)
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Trial acronym
Reduce-SCD
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Sudden Cardiac Death
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Condition category
Condition code
Cardiovascular
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0
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Coronary heart disease
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Cardiovascular
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0
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0
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Diseases of the vasculature and circulation including the lymphatic system
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Cardiovascular
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0
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0
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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: Surgery - Left cardiac sympathetic denervation
Treatment: Surgery - Standard of Care
Active comparator: Left cardiac sympathetic denervation - Left cardiac sympathetic denervation
Placebo comparator: Standard of care - Continuing medical therapy
Treatment: Surgery: Left cardiac sympathetic denervation
Left cardiac sympathetic denervation via a video
Treatment: Surgery: Standard of Care
Medical therapy
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Intervention code [1]
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Treatment: Surgery
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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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Composite outcome measure of intra-cardiac shock frequency and frequency of anti-tachycardia pacing
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Assessment method [1]
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Hypothesis Does video assisted minimal access approach for left cardiac sympathetic denervation in patients with an ICD implanted and on amiodarone for secondary prevention at high risk of sudden death reduce shock frequency and anti-tachycardia pacing compared to optimal medical treatment - a prospective study.
Primary End Point Intra-cardiac shock frequency and frequency of anti-tachycardia pacing over a 12 month period commencing from time of randomisation to a minimum of 365 days post-study entry.
The ICD will be interrogated as per clinical practice prior to signing the Informed Consent form as well as at the 6 and 12 month study follow-up visits. The device will be interrogated within 24 hours of delivery of an intra-cardiac shock or if the patient feels there has been therapy delivery (e.g. ATP).
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Timepoint [1]
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12 months
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Eligibility
Key inclusion criteria
* Age 18yrs old or older.
* Medical indication for an ICD for secondary prevention as per standard ESC/ACC guidelines.
* Patients with single, dual chamber or biventricular defibrillators (CRT-D) will be included.
* Intra-cardiac shock or ATP for VT or VF:
* For study inclusion the patient must have had a recent intra-cardiac shock or ATP (=30 days).
* For study inclusion the patient must be on optimised amiodarone therapy (=3 months) or have documented evidence of amiodarone intolerance.
* For study inclusion the Intra-cardiac shock or ATP for VT or VF must not be secondary to a reversible biochemical or drug induced arrhythmia.
* Ejection fraction of = 40% measured = 6 months prior to the Baseline Visit.
* Surgical review to ensure patient is suitable for surgery.
* Women of childbearing potential must have a negative pregnancy test.
* Written informed consent.
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Minimum age
18
Years
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Maximum age
100
Years
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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
* Age less than 18years.
* Pregnancy.
* Predicted life expectancy of less than one year.
* Intra-cardiac shock or ATP for VT or VF secondary to a reversible biochemical or drug induced arrhythmia.
* Severe renal impairment with an estimated glomerular filtration rate (eGFR) of less than 20mL/mins.
* Unsuitable for cardiac surgery.
* Non-optimised heart failure medications (ACE inhibitors/ARB blockers and/or beta-blockers).
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Study design
Purpose of the study
Treatment
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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 analysing the results/data
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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
Withdrawn
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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
1/07/2014
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Actual
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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
1/06/2015
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Sample size
Target
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
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Princess Alexandra Hospital - Brisbane
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Recruitment postcode(s) [1]
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4102 - Brisbane
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Funding & Sponsors
Primary sponsor type
Other
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Name
Cindy Hall
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to determine whether the incidence of recurrent life threatening ventricular arrhythmias in patients with an implanted cardiac defibrillator (ICD) can be reduced if a surgical left stellate ganglionectomy is performed.
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Trial website
https://clinicaltrials.gov/study/NCT02113722
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Gerald Kaye, MBBS
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Address
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Princess Alexandra Hospital
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Country
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Phone
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Fax
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0
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Data is de-identified and will not be shared.
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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 not provided in
https://clinicaltrials.gov/study/NCT02113722