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Optimize RV Selective Site Pacing Clinical Trial

Information source: Medtronic Cardiac Rhythm Disease Management
Information obtained from ClinicalTrials.gov on February 12, 2009
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Cardiac Pacing, Artificial; Cardiac Pacemaker, Artificial

Intervention: Implantable Pulse Generator (Device)

Phase: N/A

Status: Recruiting

Sponsored by: Medtronic Cardiac Rhythm Disease Management

Official(s) and/or principal investigator(s):
Optimize RV Team, Study Chair, Affiliation: Medtronic

Overall contact:
Optimize RV Team, Email: medtroniccrmtrials@medtronic.com

Summary

The purpose of the Optimize RV study is to determine the long-term effect of selective site pacing. Selective site pacing refers to which area of the right ventricle the lead is placed. The goal of select site pacing is to improve how the heart contracts when paced in the ventricle. By pacing in select sites, it is possible to better copy the natural pattern of contraction of the heart.

Clinical Details

Official title: Optimize RV Selective Site Pacing Clinical Trial

Study design: Treatment, Randomized, Single Blind (Subject), Active Control, Parallel Assignment

Primary outcome: Identify if pacing at selective RV sites (mid-septum or apex) will have a different impact on the change in left ventricular ejection fraction (LVEF) after two years follow up.

Secondary outcome: Data collected to observe if Optimize RV (mid-septal) pacing is superior to RVA pacing in high % Vpaced subjects with normal to moderately impaired LV function.

Eligibility

Minimum age: 18 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Subjects that are expected to be RV paced >90% of the time

- Subjects with EF >40% within 3 months prior to enrollment

- Subjects >18yrs of age

- Subjects that are indicated for a dual chamber pacemaker

- Subjects that will be implanted with a market released dual chamber Medtronic

pacemaker and 3830 SelectSecure Lead in the ventricle

Exclusion Criteria:

- Subjects indicated for cardiac resynchronization therapy (CRT) (based on ACC/AHA/HRS

guidelines)

- Subjects indicated for an implantable cardiac defibrillator (ICD)

- Subjects with permanent atrial fibrillation (AF)

- Subjects with expected managed ventricular pacing (MVP) turned on

- Subjects with a previously implanted pacemaker or ICD, CRT

- Subjects with an myocardial infarction (MI) within 3 months to enrollment

- Subjects that received bypass surgery within 3 months prior to enrollment

- Subjects that had valve replacement within 3 months prior to enrollment

- Subjects where a RV lead cannot be placed, (i. e., complex congenital heart disease

- Subjects with a mechanical right heart valve

- Women who are pregnant or nursing

- Significant co-morbidity preventing study completion

- Terminal conditions with a life expectancy of less than two years

- Participation in another study that would confound the results of this study

Locations and Contacts

Optimize RV Team, Email: medtroniccrmtrials@medtronic.com

Montreal, Canada; Recruiting

Hong Kong, China; Not yet recruiting

Ramat Gan, Israel; Recruiting

Firenze, Italy; Recruiting

Rovigo, Italy; Recruiting

Maastricht, Netherlands; Not yet recruiting

Dordrecht, Netherlands; Not yet recruiting

Doha, Qatar; Not yet recruiting

Belgrade, Serbia; Withdrawn

Little Rock, Arkansas, United States; Withdrawn

Palo Alto, California, United States; Recruiting

Bridgeport, Connecticut, United States; Recruiting

Clearwater, Florida, United States; Recruiting

Hudson, Florida, United States; Recruiting

Atlanta, Georgia, United States; Withdrawn

Indianapolis, Indiana, United States; Withdrawn

Des Moines, Iowa, United States; Recruiting

Silver Spring, Maryland, United States; Recruiting

Takoma Park, Maryland, United States; Recruiting

Southfield, Michigan, United States; Recruiting

Saint Paul, Minnesota, United States; Recruiting

Jackson, Mississippi, United States; Withdrawn

Omaha, Nebraska, United States; Recruiting

Cary, North Carolina, United States; Withdrawn

Cincinnati, Ohio, United States; Withdrawn

Cleveland, Ohio, United States; Recruiting

Salem, Oregon, United States; Withdrawn

Nashville, Tennessee, United States; Recruiting

Fort Worth, Texas, United States; Recruiting

Dallas, Texas, United States; Recruiting

Tomball, Texas, United States; Recruiting

Salt Lake City, Utah, United States; Recruiting

Burlington, Vermont, United States; Recruiting

Additional Information

Starting date: January 2007
Ending date: June 2012
Last updated: June 26, 2008

Page last updated: February 12, 2009

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