Patent Foramen Ovale Closure or Medical Therapy After Stroke - RESPECT Trial

Sponsor
Abbott Medical Devices (Industry)
Overall Status
Completed
CT.gov ID
NCT00465270
Collaborator
(none)
980
69
2
153
14.2
0.1

Study Details

Study Description

Brief Summary

The purpose of this study is to investigate whether percutaneous Patent Foramen Ovale (PFO) closure, using the AMPLATZER PFO Occluder, is superior to current standard of care medical treatment in the prevention of recurrent embolic stroke.

Condition or Disease Intervention/Treatment Phase
  • Device: AMPLATZER PFO Occluder
  • Other: Standard of Care - Medical Management
N/A

Detailed Description

The AMPLATZER PFO Occluder is a percutaneous, transcatheter occlusion device intended for the non-surgical closure of patent foramen ovale in subjects who have had a cryptogenic stroke due to presumed paradoxical embolism within the last 270 days.

Study Design

Study Type:
Interventional
Actual Enrollment :
980 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Intervention Model Description:
AMPLATZER PFO OccluderAMPLATZER PFO Occluder
Masking:
None (Open Label)
Primary Purpose:
Prevention
Official Title:
Randomized Evaluation of Recurrent Stroke Comparing PFO Closure to Established Current Standard of Care Treatment (RESPECT)
Actual Study Start Date :
Aug 1, 2003
Actual Primary Completion Date :
May 1, 2012
Actual Study Completion Date :
May 1, 2016

Arms and Interventions

Arm Intervention/Treatment
Experimental: Device

AMPLATZER PFO Occluder

Device: AMPLATZER PFO Occluder
patent foramen ovale closure device

Active Comparator: Standard or Care - Medical Management

Medical treatment with Aspirin alone, Coumadin alone, Clopidogrel alone, or Aspirin combined with dipyridamole.

Other: Standard of Care - Medical Management
Medical management - aspirin alone, Coumadin alone, Clopidogrel alone, aspirin combined with dipyridamole

Outcome Measures

Primary Outcome Measures

  1. Composite of Recurrent Nonfatal Ischemic Stroke, Fatal Ischemic Stroke, or Early Death After Randomization [Trial enrollment was stopped once 25 unique subjects were mutually adjudicated by the CEC and DSMB as having experienced a primary endpoint event. This occurred on December 20, 2011. The mean follow-up time was 2.6 years.]

    Nonfatal stroke is defined as: focal neurological deficit presumed to be due to focal ischemia, and either 1) symptoms persisting 24 hours or greater, or 2) symptoms persisting less than 24 hours but associated with MR or CT imaging findings of a new, neuroanatomically relevent, cergral infarct. Post-randomization death is defined as: in the MM group as all-cause mortality within 45 days after randomization, and in the device group as all-cause mortality 30 days after implant or 45 days after randomizaiton, whichever occurs last.

Secondary Outcome Measures

  1. Rate of Complete PFO Closure (Assessed by TEE Bubble Study) at the 6-month Follow-up in the Device Group [6 months]

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 60 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Subjects who have had a cryptogenic stroke within the last 270 days

  • Subjects who have been diagnosed with a Patent Foramen Ovale (PFO)

  • Subjects willing to participate in follow-up visits

Exclusion Criteria:
  • Subjects with intracardiac thrombus or tumor

  • Subjects who have an acute or recent (within 6 months) myocardial infarction or unstable angina

  • Subjects with left ventricular aneurysm or akinesis

  • Subjects with atrial fibrillation/atrial flutter (chronic or intermittent)

  • Subjects with another source of right to left shunt identified at baseline, including an atrial septal defect and/or fenestrated septum

  • Subjects with contraindication to aspirin or Clopidogrel therapy

  • Pregnant or desire to become pregnant within the next year

Contacts and Locations

Locations

Site City State Country Postal Code
1 University of Alabama Birmingham Alabama United States 35249
2 Mayo Clinic Scottsdale Arizona United States 85259
3 LAC + USC Medical Center Los Angeles California United States 90033
4 UCLA Los Angeles California United States 90095
5 Summit Medical Center Oakland California United States 94609
6 Sharp Memorial Hospital San Diego California United States 92123
7 Kaiser Permanente San Francisco California United States 94115
8 University of Colorado Denver Colorado United States 80262
9 South Denver Cardiology Associates Littleton Colorado United States 80120
10 Medical Center of the Rockies Loveland Colorado United States 80538
11 Washington Hospital Center Washington District of Columbia United States 20010
12 George Washington University Hospital Washington District of Columbia United States 20037
13 St. Vincent's Medical Center Jacksonville Florida United States 32204
14 Northwestern University Chicago Illinois United States 60611-3078
15 University of Chicago Chicago Illinois United States 60637-1470
16 Neurologic Associates Inc Palos Heights Illinois United States 60463
17 OSF St. Francis Medical Center Peoria Illinois United States 61637
18 Southern Illinois University Neurology Springfield Illinois United States 62702
19 Indiana Heart Physicians Indianapolis Indiana United States 46237
20 Ruan Neurology Des Moines Iowa United States 50314
21 University of Iowa Hospitals and Clinics Iowa City Iowa United States 52242
22 Kansas University Medical Center Kansas City Kansas United States 66160
23 University of Kentucky Lexington Kentucky United States 40536
24 Ochsner Clinic Foundation New Orleans Louisiana United States 70121
25 Midatlantic Cardiovascular Associates Towson Maryland United States 21014
26 Tufts Medical Center Boston Massachusetts United States 02111
27 University of Michigan Health System Ann Arbor Michigan United States 48109-0316
28 St. Mary's Duluth Clinic Duluth Minnesota United States 55805
29 Abbott Northwestern Hospital Minneapolis Minnesota United States 55407
30 University of Minnesota Minneapolis Minnesota United States 55455
31 Methodist Hospital/Park Nicollet Medical Center Saint Louis Park Minnesota United States 55426
32 Washington University Saint Louis Missouri United States 63110
33 University of Nebraska Medical Center Omaha Nebraska United States 68198-2045
34 Our Lady of Lourdes Medical Center Cherry Hill New Jersey United States 08034
35 University of Medicine and Dentistry of New Jersy Newark New Jersey United States 07103
36 Albany Medical Center Albany New York United States 12208
37 DENT Neurologic Institute Amherst New York United States 14226
38 University of Rochester Rochester New York United States 14642
39 Duke University Medical Center Durham North Carolina United States 27710
40 Moses H. Cone Memorial Hospital Greensboro North Carolina United States 27410
41 Neurology and Neuroscience Associates Akron Ohio United States 44320
42 University Hospitals of Cleveland Cleveland Ohio United States 44106
43 Ohio State University Columbus Ohio United States 43210
44 Providence St. Vincent's Medical Center Portland Oregon United States 97225
45 Oregon Stroke Center, OHSU Portland Oregon United States 97329
46 LeHigh Valley Hospital Allentown Pennsylvania United States 18105
47 Penn State Milton South Hershey Medical Center Hershey Pennsylvania United States 17033
48 Lancaster General Hospital Lancaster Pennsylvania United States 17543
49 St. Mary's Medical Center Langhorne Pennsylvania United States 19067
50 Medical University of South Carolina Charleston South Carolina United States 29425
51 North Central Heart Institute Sioux Falls South Dakota United States 57108
52 St. Thomas Neurology Nashville Tennessee United States 37205
53 Vanderbilt University Nashville Tennessee United States 37232-8802
54 UT Southwestern Medical School Dallas Texas United States 75390-8897
55 University of Texas Houston Health Science Center Houston Texas United States 77030
56 Sentara Virginia Beach General Hospital Virginia Beach Virginia United States 23454
57 UW Medicine Stroke Center Seattle Washington United States 98104
58 Charleston Area Medical Center Charleston West Virginia United States 25304
59 University of Wisconsin Hospital Madison Wisconsin United States 53792
60 Marshfield Clinic Marshfield Wisconsin United States 54449
61 Medical College of Wisconsin Milwaukee Wisconsin United States 53226
62 University of Calgary Calgary Alberta Canada T2N 2T9
63 University of Alberta Edmonton Alberta Canada T6G 2B7
64 Royal Columbian Hospital New Westminster British Columbia Canada V3L 3W5
65 Vancouver General Hospital Vancouver British Columbia Canada V5Z 1M9
66 St. Paul's Hospital Vancouver British Columbia Canada V5Z 1Y6
67 Stroke Prevention & Atherosclerosis Research Center (SPARC) - Robarts Research Institute London Ontario Canada N6G 2V2
68 Toronto General Hospital Toronto Ontario Canada M5G 2C4
69 Montreal Heart Institute Montreal Quebec Canada H1T 1C8

Sponsors and Collaborators

  • Abbott Medical Devices

Investigators

  • Principal Investigator: Jeffrey Saver, MD, UCLA Stroke Center
  • Principal Investigator: John D Carroll, MD, University of Colorado, Denver
  • Principal Investigator: Richard Smalling, MD, University of Texas Houston Health Science Center
  • Principal Investigator: David Thaler, MD, Tufts Medical Center

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

Responsible Party:
Abbott Medical Devices
ClinicalTrials.gov Identifier:
NCT00465270
Other Study ID Numbers:
  • AGA-006
  • G990318
First Posted:
Apr 24, 2007
Last Update Posted:
Feb 18, 2019
Last Verified:
Jan 1, 2019
Keywords provided by Abbott Medical Devices
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title Device Medical Management
Arm/Group Description AMPLATZER PFO Occluder: patent foramen ovale closure device Aspirin alone, Coumadin alone, Clopidogrel alone, or Aspirin combined with dipyridamole.
Period Title: Overall Study
STARTED 499 481
COMPLETED 395 321
NOT COMPLETED 104 160

Baseline Characteristics

Arm/Group Title Device Medical Management Total
Arm/Group Description AMPLATZER PFO Occluder: patent foramen ovale closure device Aspirin alone, Coumadin alone, Clopidogrel alone, or Aspirin combined with dipyridamole Total of all reporting groups
Overall Participants 499 481 980
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
45.7
(9.7)
46.2
(10.0)
45.9
(9.9)
Sex: Female, Male (Count of Participants)
Female
231
46.3%
213
44.3%
444
45.3%
Male
268
53.7%
268
55.7%
536
54.7%

Outcome Measures

1. Primary Outcome
Title Composite of Recurrent Nonfatal Ischemic Stroke, Fatal Ischemic Stroke, or Early Death After Randomization
Description Nonfatal stroke is defined as: focal neurological deficit presumed to be due to focal ischemia, and either 1) symptoms persisting 24 hours or greater, or 2) symptoms persisting less than 24 hours but associated with MR or CT imaging findings of a new, neuroanatomically relevent, cergral infarct. Post-randomization death is defined as: in the MM group as all-cause mortality within 45 days after randomization, and in the device group as all-cause mortality 30 days after implant or 45 days after randomizaiton, whichever occurs last.
Time Frame Trial enrollment was stopped once 25 unique subjects were mutually adjudicated by the CEC and DSMB as having experienced a primary endpoint event. This occurred on December 20, 2011. The mean follow-up time was 2.6 years.

Outcome Measure Data

Analysis Population Description
All primary endpoints that occurred in the trial were recurrent non-fatal ischemic strokes.
Arm/Group Title Device Medical Management
Arm/Group Description AMPLATZER PFO Occluder: patent foramen ovale closure device Aspirin alone, Coumadin alone, Clopidogrel alone, or Aspirin combined with dipyridamole
Measure Participants 499 481
Count of Participants [Participants]
9
1.8%
16
3.3%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Device, Medical Management
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.08
Comments
Method Log Rank
Comments
Method of Estimation Estimation Parameter Cox Proportional Hazard
Estimated Value 0.49
Confidence Interval (2-Sided) 95%
0.22 to 1.11
Parameter Dispersion Type:
Value:
Estimation Comments
2. Secondary Outcome
Title Rate of Complete PFO Closure (Assessed by TEE Bubble Study) at the 6-month Follow-up in the Device Group
Description
Time Frame 6 months

Outcome Measure Data

Analysis Population Description
Only subjects with complete PFO closure data at 6-months were analyzed.
Arm/Group Title Device
Arm/Group Description AMPLATZER PFO Occluder: patent foramen ovale closure device
Measure Participants 349
Count of Participants [Participants]
249
49.9%
3. Post-Hoc Outcome
Title Rate of Recurrent Nonfatal Stroke, Post-randomization Death, and Fatal Ischemic Stroke Through Long Term Follow-up
Description
Time Frame Long Term Follow-up, median of 5.9 years

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Device Medical Management
Arm/Group Description AMPLATZER PFO Occluder: patent foramen ovale closure device Aspirin alone, Coumadin alone, Clopidogrel alone, or Aspirin combined with dipyridamole
Measure Participants 499 481
Count of Participants [Participants]
18
3.6%
28
5.8%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Device, Medical Management
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.046
Comments
Method Log Rank
Comments
Method of Estimation Estimation Parameter Cox Proportional Hazard
Estimated Value 0.55
Confidence Interval (2-Sided) 95%
0.31 to 0.999
Parameter Dispersion Type:
Value:
Estimation Comments

Adverse Events

Time Frame The results reported here include adverse events that occurred through the long term follow-up. Patients were followed for a median of 5.9 years.
Adverse Event Reporting Description
Arm/Group Title Device Medical Management
Arm/Group Description AMPLATZER PFO Occluder: patent foramen ovale closure device Aspirin alone, Coumadin alone, Clopidogrel alone, or Aspirin combined with dipyridamole
All Cause Mortality
Device Medical Management
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 7/499 (1.4%) 11/481 (2.3%)
Serious Adverse Events
Device Medical Management
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 201/499 (40.3%) 173/481 (36%)
General disorders
ASD 1/499 (0.2%) 1 0/481 (0%) 0
Abdominal Pain 2/499 (0.4%) 2 2/481 (0.4%) 3
Abnormal Lab Value 0/499 (0%) 0 1/481 (0.2%) 1
Acute Bacterial Endocarditis (ABE) 1/499 (0.2%) 1 0/481 (0%) 0
Acute Bronchitis 1/499 (0.2%) 1 0/481 (0%) 0
Acute Erosive Gastritis 1/499 (0.2%) 1 0/481 (0%) 0
Acute Gastroenteritis 2/499 (0.4%) 2 0/481 (0%) 0
Acute Pancreatitis 2/499 (0.4%) 2 0/481 (0%) 0
Acute Peritonitis 0/499 (0%) 0 1/481 (0.2%) 1
Acute Pulmonary Edema 0/499 (0%) 0 1/481 (0.2%) 1
Acute Renal Failure 1/499 (0.2%) 1 1/481 (0.2%) 1
Acute Subdural Hematoma 1/499 (0.2%) 1 0/481 (0%) 0
Alcohol Intoxication 1/499 (0.2%) 1 0/481 (0%) 0
Allergic Device Reaction 0/499 (0%) 0 1/481 (0.2%) 1
Allergic Drug Reaction 2/499 (0.4%) 2 0/481 (0%) 0
Altered Sensorium 1/499 (0.2%) 1 0/481 (0%) 0
Anemias 4/499 (0.8%) 4 0/481 (0%) 0
Angina Pectoris 1/499 (0.2%) 1 1/481 (0.2%) 1
Ankle Fracture 1/499 (0.2%) 1 0/481 (0%) 0
Anterior Meniscus Tear 0/499 (0%) 0 1/481 (0.2%) 1
Anxiety 0/499 (0%) 0 2/481 (0.4%) 2
Aortic Aneurysms 2/499 (0.4%) 2 0/481 (0%) 0
Appendicitis 4/499 (0.8%) 4 2/481 (0.4%) 2
Arm Fracture 2/499 (0.4%) 2 1/481 (0.2%) 1
Arterial Hypertension/Hypertension 4/499 (0.8%) 4 1/481 (0.2%) 1
Arthritis 2/499 (0.4%) 2 0/481 (0%) 0
Asthma 2/499 (0.4%) 2 1/481 (0.2%) 1
Atrial Fibrillation 6/499 (1.2%) 8 4/481 (0.8%) 4
Atrial Flutter 1/499 (0.2%) 1 0/481 (0%) 0
Back Pain 1/499 (0.2%) 1 2/481 (0.4%) 2
Bacterial Infections 0/499 (0%) 0 3/481 (0.6%) 3
Bacterial Infections of the Skin 2/499 (0.4%) 3 1/481 (0.2%) 1
Benign Mass 0/499 (0%) 0 1/481 (0.2%) 1
Bipolar Disorder 2/499 (0.4%) 2 0/481 (0%) 0
Birth Defect 0/499 (0%) 0 1/481 (0.2%) 1
Bleeding 3/499 (0.6%) 3 1/481 (0.2%) 1
Blood Loss 0/499 (0%) 0 1/481 (0.2%) 1
Bowel Obstruction 4/499 (0.8%) 5 2/481 (0.4%) 2
Brain Abcess 0/499 (0%) 0 1/481 (0.2%) 1
Brain Tumor 0/499 (0%) 0 2/481 (0.4%) 2
Breast Cancer 6/499 (1.2%) 6 2/481 (0.4%) 2
Bronchiolitis 0/499 (0%) 0 1/481 (0.2%) 1
Bronchitis 0/499 (0%) 0 1/481 (0.2%) 1
Burns 1/499 (0.2%) 1 1/481 (0.2%) 1
Caesarean Section 5/499 (1%) 5 3/481 (0.6%) 4
Cancer 5/499 (1%) 6 7/481 (1.5%) 7
Cardiac Arrest 1/499 (0.2%) 1 3/481 (0.6%) 3
Cardiac Perforation 1/499 (0.2%) 1 0/481 (0%) 0
Cardiac Thrombus 2/499 (0.4%) 2 0/481 (0%) 0
Cardiomyopathy 1/499 (0.2%) 1 0/481 (0%) 0
Cellulitis 2/499 (0.4%) 3 6/481 (1.2%) 6
Cerebral Aneurysm 0/499 (0%) 0 2/481 (0.4%) 2
Cerebral Infarct - Asymptomatic*** 0/499 (0%) 0 2/481 (0.4%) 2
Cerebrospinal Fluid (CSF) Leak 0/499 (0%) 0 1/481 (0.2%) 1
Cervical Spondylosis 1/499 (0.2%) 1 0/481 (0%) 0
Cervical Stenosis 2/499 (0.4%) 2 1/481 (0.2%) 1
Chest Pain 18/499 (3.6%) 19 15/481 (3.1%) 16
Chest Tightness 1/499 (0.2%) 1 0/481 (0%) 0
Chills/Rigors 1/499 (0.2%) 1 0/481 (0%) 0
Cholecystitis 1/499 (0.2%) 1 5/481 (1%) 5
Choledochal Cysts 1/499 (0.2%) 1 0/481 (0%) 0
Choledocholithiaisis 1/499 (0.2%) 1 0/481 (0%) 0
Cholelithiasis 3/499 (0.6%) 3 0/481 (0%) 0
Chronic Obstructive Airway Disorders 0/499 (0%) 0 1/481 (0.2%) 1
Chronic Obstructive Pulmonary Disease (COPD) 0/499 (0%) 0 1/481 (0.2%) 1
Chronic Pancreatitis 1/499 (0.2%) 2 0/481 (0%) 0
Closed Head Injury 1/499 (0.2%) 1 1/481 (0.2%) 1
Colitis 3/499 (0.6%) 3 2/481 (0.4%) 2
Colon Cancer 1/499 (0.2%) 3 1/481 (0.2%) 1
Common Cold/Upper Respiratory Tract Infection 0/499 (0%) 0 1/481 (0.2%) 1
Compartment Syndrome 1/499 (0.2%) 1 0/481 (0%) 0
Complex Partial Seizures 1/499 (0.2%) 1 0/481 (0%) 0
Confusion 0/499 (0%) 0 2/481 (0.4%) 3
Congestive Heart Failure 1/499 (0.2%) 1 0/481 (0%) 0
Conversion Reaction 2/499 (0.4%) 3 0/481 (0%) 0
Coronary Artery Disease 3/499 (0.6%) 3 2/481 (0.4%) 2
Cutaneous Abcesses 2/499 (0.4%) 2 1/481 (0.2%) 1
Deep Vein/Venous Thrombosis 5/499 (1%) 5 1/481 (0.2%) 1
Dehydration 0/499 (0%) 0 2/481 (0.4%) 2
Delirium 0/499 (0%) 0 1/481 (0.2%) 1
Depression 2/499 (0.4%) 3 4/481 (0.8%) 5
Disc Protrusion 1/499 (0.2%) 1 0/481 (0%) 0
Diverticulitis 3/499 (0.6%) 3 1/481 (0.2%) 1
Dizziness 2/499 (0.4%) 3 2/481 (0.4%) 2
Drug Side Effect 0/499 (0%) 0 1/481 (0.2%) 1
Duodenal Cancer 0/499 (0%) 0 1/481 (0.2%) 1
Dysarthria/Slurred Speech 1/499 (0.2%) 1 0/481 (0%) 0
Dyspnea 3/499 (0.6%) 3 1/481 (0.2%) 1
Elective Surgery 26/499 (5.2%) 32 17/481 (3.5%) 20
Emesis/Vomiting 0/499 (0%) 0 1/481 (0.2%) 1
Encephalopathy 0/499 (0%) 0 2/481 (0.4%) 2
Eye Lacerations 0/499 (0%) 0 1/481 (0.2%) 1
Failure to Thrive 1/499 (0.2%) 1 0/481 (0%) 0
Fall 3/499 (0.6%) 3 2/481 (0.4%) 2
Fenestrated Atrial Septum 2/499 (0.4%) 2 0/481 (0%) 0
Fever 1/499 (0.2%) 2 0/481 (0%) 0
Fracture 3/499 (0.6%) 4 0/481 (0%) 0
Gastritis 0/499 (0%) 0 1/481 (0.2%) 1
Gastroenteritis 1/499 (0.2%) 1 0/481 (0%) 0
Gastroesophageal Reflux Disease 0/499 (0%) 0 2/481 (0.4%) 2
Gastrointestinal Bleeding 6/499 (1.2%) 6 4/481 (0.8%) 4
Generalized Seizures 1/499 (0.2%) 1 1/481 (0.2%) 1
Generalized Tonic-Clonic Seizures 1/499 (0.2%) 1 1/481 (0.2%) 1
Headache 4/499 (0.8%) 4 1/481 (0.2%) 1
Hematoma 1/499 (0.2%) 2 2/481 (0.4%) 2
Hemiparesis/Weakness 2/499 (0.4%) 2 0/481 (0%) 0
Hemorrhagic Stroke 0/499 (0%) 0 1/481 (0.2%) 1
Hepatic and Biliary Disorders 1/499 (0.2%) 1 0/481 (0%) 0
Hernia 0/499 (0%) 0 1/481 (0.2%) 1
Herniated Disc 2/499 (0.4%) 2 0/481 (0%) 0
Hip Dislocation 0/499 (0%) 0 1/481 (0.2%) 2
Hip Fracture 1/499 (0.2%) 1 3/481 (0.6%) 3
Hip Pain 0/499 (0%) 0 1/481 (0.2%) 1
Homicide 0/499 (0%) 0 1/481 (0.2%) 1
Hydrocephalus 1/499 (0.2%) 1 0/481 (0%) 0
Hypercarbia 1/499 (0.2%) 1 0/481 (0%) 0
Hypertensive Encephalopathy 2/499 (0.4%) 2 1/481 (0.2%) 1
Hypoglycemia 1/499 (0.2%) 2 0/481 (0%) 0
Hyponatremia 1/499 (0.2%) 1 0/481 (0%) 0
Hysterectomy 5/499 (1%) 5 4/481 (0.8%) 4
Infective/Bacterial Endocarditis 1/499 (0.2%) 1 0/481 (0%) 0
Inferior Myocardial Infarction 1/499 (0.2%) 1 1/481 (0.2%) 1
Inguinal Hernia 0/499 (0%) 0 1/481 (0.2%) 1
Intracerebral Haemorrhage 1/499 (0.2%) 1 0/481 (0%) 0
Intraparenchymal Haemorrhage 1/499 (0.2%) 1 1/481 (0.2%) 1
Ischemic Eighth Nerve 1/499 (0.2%) 1 0/481 (0%) 0
Ischemic Stroke 18/499 (3.6%) 19 28/481 (5.8%) 31
Knee Pain 1/499 (0.2%) 1 2/481 (0.4%) 2
Lacerations 0/499 (0%) 0 1/481 (0.2%) 1
Leukemias 1/499 (0.2%) 1 0/481 (0%) 0
Long Q-T 1/499 (0.2%) 1 0/481 (0%) 0
Low Back Pain 1/499 (0.2%) 1 0/481 (0%) 0
Lung Cancer 1/499 (0.2%) 1 0/481 (0%) 0
Melanoma 0/499 (0%) 0 1/481 (0.2%) 1
Melena 0/499 (0%) 0 1/481 (0.2%) 1
Menorrhagia 1/499 (0.2%) 1 2/481 (0.4%) 2
Microcytic Anemia 1/499 (0.2%) 1 0/481 (0%) 0
Migraine 12/499 (2.4%) 15 7/481 (1.5%) 9
Missed Abortion 0/499 (0%) 0 2/481 (0.4%) 2
Multiple Sclerosis 1/499 (0.2%) 1 0/481 (0%) 0
Musculoskeletal Pain 1/499 (0.2%) 1 0/481 (0%) 0
Myocardial Infarction 6/499 (1.2%) 6 1/481 (0.2%) 1
Nausea 1/499 (0.2%) 1 0/481 (0%) 0
Neck Pain 1/499 (0.2%) 1 0/481 (0%) 0
Non-Endpoint Transient Ischemic Attack (TIA) 1/499 (0.2%) 1 0/481 (0%) 0
Numbness 3/499 (0.6%) 3 4/481 (0.8%) 4
Obesity 1/499 (0.2%) 1 1/481 (0.2%) 1
Orthostatic Hypotension 1/499 (0.2%) 1 0/481 (0%) 0
Osler Weber Rendu Syndrome 0/499 (0%) 0 1/481 (0.2%) 1
Osteoarthritis/Degenerative Joint Disease 3/499 (0.6%) 4 6/481 (1.2%) 7
Other - Preterm labor 0/499 (0%) 0 1/481 (0.2%) 1
Other - SIRS 1/499 (0.2%) 1 0/481 (0%) 0
Other - Splenic infarcts 1/499 (0.2%) 1 0/481 (0%) 0
Overdose 4/499 (0.8%) 7 3/481 (0.6%) 5
Pain 1/499 (0.2%) 1 0/481 (0%) 0
Palpitations 1/499 (0.2%) 1 1/481 (0.2%) 1
Pancreatic Cancer 0/499 (0%) 0 2/481 (0.4%) 3
Panic Attack 1/499 (0.2%) 1 0/481 (0%) 0
Paresthesia/Paraesthesia 0/499 (0%) 0 1/481 (0.2%) 1
Pericardial Effusion 1/499 (0.2%) 1 1/481 (0.2%) 1
Pericardial Tamponade 2/499 (0.4%) 2 0/481 (0%) 0
Pericarditis 0/499 (0%) 0 1/481 (0.2%) 1
Peripheral Arterial Occlusion 1/499 (0.2%) 1 0/481 (0%) 0
Peripheral Venous Thrombus 1/499 (0.2%) 1 0/481 (0%) 0
Pleurisy 1/499 (0.2%) 1 0/481 (0%) 0
Pneumonia 5/499 (1%) 9 6/481 (1.2%) 6
Pneumonia Caused By Haemophilus Influenzae 0/499 (0%) 0 1/481 (0.2%) 1
Pneumothorax 0/499 (0%) 0 1/481 (0.2%) 1
Possible Seizure 2/499 (0.4%) 2 2/481 (0.4%) 2
Pre-eclampsia 0/499 (0%) 0 1/481 (0.2%) 1
Pregnancy 2/499 (0.4%) 2 0/481 (0%) 0
Pregnancy Related Symptoms 0/499 (0%) 0 1/481 (0.2%) 1
Premature Ventricular Contraction 0/499 (0%) 0 1/481 (0.2%) 1
Presyncope 0/499 (0%) 0 1/481 (0.2%) 1
Prostate Discomfort 1/499 (0.2%) 1 0/481 (0%) 0
Pulmonary AVM 2/499 (0.4%) 2 0/481 (0%) 0
Pulmonary Congestion 1/499 (0.2%) 2 0/481 (0%) 0
Pulmonary Embolism 12/499 (2.4%) 13 3/481 (0.6%) 3
Radiculopathy 0/499 (0%) 0 1/481 (0.2%) 1
Residual Shunt Requiring Closure 2/499 (0.4%) 2 0/481 (0%) 0
Respiratory Illness 1/499 (0.2%) 1 0/481 (0%) 0
Rhabdomyolysis 0/499 (0%) 0 1/481 (0.2%) 1
Right Hepatic Trocar Injury 1/499 (0.2%) 1 0/481 (0%) 0
Rotator Cuff Tear 0/499 (0%) 0 1/481 (0.2%) 1
Seizure Disorder 1/499 (0.2%) 1 1/481 (0.2%) 1
Seizure/Convulsions/Epilepsy 1/499 (0.2%) 1 2/481 (0.4%) 2
Sepsis 4/499 (0.8%) 8 3/481 (0.6%) 5
Simple Partial Seizures 0/499 (0%) 0 1/481 (0.2%) 2
Sinus Bradycardia/Sinus Bradycardia (Cardiac Arrhythmia) 1/499 (0.2%) 1 1/481 (0.2%) 1
Spells 2/499 (0.4%) 2 3/481 (0.6%) 3
Spinal Stenosis 1/499 (0.2%) 1 0/481 (0%) 0
Spontaneous Abortion 3/499 (0.6%) 4 1/481 (0.2%) 1
Subarachnoid Haemorrhage 0/499 (0%) 0 1/481 (0.2%) 1
Subdural Haemorrhage 0/499 (0%) 0 2/481 (0.4%) 2
Suicide Attempt 4/499 (0.8%) 4 1/481 (0.2%) 1
Swelling 0/499 (0%) 0 1/481 (0.2%) 1
Syncope 3/499 (0.6%) 3 5/481 (1%) 5
TEE-Related Event 1/499 (0.2%) 1 0/481 (0%) 0
Thyroid Cancer 1/499 (0.2%) 1 1/481 (0.2%) 1
Thyroid Disorders 0/499 (0%) 0 1/481 (0.2%) 1
Thyrotoxicosis 0/499 (0%) 0 1/481 (0.2%) 1
Tingling 1/499 (0.2%) 1 0/481 (0%) 0
Transient Global Amnesia 1/499 (0.2%) 1 0/481 (0%) 0
Transient Ischemic Attack (TIA) 8/499 (1.6%) 8 11/481 (2.3%) 14
Trauma 4/499 (0.8%) 4 3/481 (0.6%) 3
Tubal Ligation 1/499 (0.2%) 1 1/481 (0.2%) 1
Uncontrolled Blood Sugar 0/499 (0%) 0 1/481 (0.2%) 1
Unmasking Old Stroke Symptoms 3/499 (0.6%) 3 2/481 (0.4%) 2
Unstable Angina 1/499 (0.2%) 1 0/481 (0%) 0
Unsustained/Nonsustained Ventricular Tachycardia/Cardiac Arrhythmia 1/499 (0.2%) 1 0/481 (0%) 0
Urinary Calculi 2/499 (0.4%) 2 2/481 (0.4%) 2
Urinary Incontinence 1/499 (0.2%) 1 0/481 (0%) 0
Urinary Tract Infections 3/499 (0.6%) 3 1/481 (0.2%) 1
Uterine Fibroid 1/499 (0.2%) 1 0/481 (0%) 0
Uterine Prolapse 1/499 (0.2%) 1 1/481 (0.2%) 1
VASC Bleeding 2/499 (0.4%) 2 0/481 (0%) 0
VASC Hematoma 1/499 (0.2%) 1 0/481 (0%) 0
Vaginal Child Birth 10/499 (2%) 10 5/481 (1%) 7
Vaso Vagal Response 1/499 (0.2%) 1 1/481 (0.2%) 1
Vertigo 5/499 (1%) 5 2/481 (0.4%) 2
Viral Gastroenteritis 1/499 (0.2%) 1 0/481 (0%) 0
Weakness 1/499 (0.2%) 2 0/481 (0%) 0
Worsening Vision 0/499 (0%) 0 1/481 (0.2%) 1
Wound Infection 1/499 (0.2%) 1 0/481 (0%) 0
Other (Not Including Serious) Adverse Events
Device Medical Management
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 285/499 (57.1%) 70/481 (14.6%)
General disorders
Abdominal Pain 3/499 (0.6%) 3 1/481 (0.2%) 1
Abnormal Coagulation Parameter 0/499 (0%) 0 1/481 (0.2%) 1
Abnormal Lab Value 1/499 (0.2%) 1 0/481 (0%) 0
Acute Erosive Gastritis 0/499 (0%) 0 1/481 (0.2%) 1
Acute Pulmonary Edema 1/499 (0.2%) 1 0/481 (0%) 0
Allergic Drug Reaction 7/499 (1.4%) 7 1/481 (0.2%) 1
Allergic Dye Reaction 1/499 (0.2%) 1 0/481 (0%) 0
Anxiety 2/499 (0.4%) 2 1/481 (0.2%) 1
Asthma 1/499 (0.2%) 1 0/481 (0%) 0
Atelectasis 3/499 (0.6%) 3 0/481 (0%) 0
Atrial Ectopic Beats/Premature Atrial Beats/Premature Atrial Contractions/Ectopic Atrial Rhythm 10/499 (2%) 10 0/481 (0%) 0
Atrial Fibrillation 7/499 (1.4%) 7 0/481 (0%) 0
Atrial Flutter 1/499 (0.2%) 1 0/481 (0%) 0
Atrial Tachycardia 1/499 (0.2%) 1 0/481 (0%) 0
Back Pain 5/499 (1%) 5 0/481 (0%) 0
Bleeding 4/499 (0.8%) 5 8/481 (1.7%) 8
Borderline Prolongation of QT Interval 1/499 (0.2%) 1 0/481 (0%) 0
Bruise/Purpura Simplex 46/499 (9.2%) 49 26/481 (5.4%) 28
Buzzing In Chest 1/499 (0.2%) 1 0/481 (0%) 0
Calf Pain 1/499 (0.2%) 1 0/481 (0%) 0
Cardiac Thrombus 1/499 (0.2%) 1 0/481 (0%) 0
Cellulitis 2/499 (0.4%) 2 0/481 (0%) 0
Chest Pain 47/499 (9.4%) 48 1/481 (0.2%) 1
Chest Tightness 3/499 (0.6%) 3 0/481 (0%) 0
Chronic Obstructive Pulmonary Disease (COPD) 1/499 (0.2%) 1 0/481 (0%) 0
Contact Dermatitis 0/499 (0%) 0 1/481 (0.2%) 1
Cough 1/499 (0.2%) 1 0/481 (0%) 0
Couplet 1/499 (0.2%) 1 0/481 (0%) 0
Deep Vein/Venous Thrombosis 1/499 (0.2%) 1 0/481 (0%) 0
Dental Trauma 1/499 (0.2%) 1 0/481 (0%) 0
Device Malposition or Malfunction 1/499 (0.2%) 1 0/481 (0%) 0
Diarrhea 1/499 (0.2%) 1 3/481 (0.6%) 3
Difficulty Catching Breath 1/499 (0.2%) 1 0/481 (0%) 0
Dizziness 4/499 (0.8%) 4 0/481 (0%) 0
Drug Rash 2/499 (0.4%) 2 0/481 (0%) 0
Drug Side Effect 4/499 (0.8%) 4 5/481 (1%) 5
Dyspepsia 1/499 (0.2%) 1 0/481 (0%) 0
Dyspnea 7/499 (1.4%) 7 0/481 (0%) 0
Emesis/Vomiting 3/499 (0.6%) 3 0/481 (0%) 0
Epistaxis 7/499 (1.4%) 7 6/481 (1.2%) 6
Esophagitis 0/499 (0%) 0 1/481 (0.2%) 1
Fainting/Blackout 1/499 (0.2%) 1 0/481 (0%) 0
First Degree Heart/AV Block/Cardiac Arrhythmia - 1st degree AV Block 3/499 (0.6%) 3 0/481 (0%) 0
Flushing 1/499 (0.2%) 1 0/481 (0%) 0
Gastritis 3/499 (0.6%) 3 2/481 (0.4%) 2
Gastroenteritis 1/499 (0.2%) 1 0/481 (0%) 0
Gastroesophageal Reflux Disease 1/499 (0.2%) 1 2/481 (0.4%) 2
Gastrointestinal Bleeding 1/499 (0.2%) 1 2/481 (0.4%) 2
Gastrointestinal Illness 1/499 (0.2%) 1 0/481 (0%) 0
Gingival Bleeding 1/499 (0.2%) 1 1/481 (0.2%) 1
Headache 8/499 (1.6%) 8 8/481 (1.7%) 8
Heartburn 2/499 (0.4%) 2 0/481 (0%) 0
Heaviness of Legs 1/499 (0.2%) 1 0/481 (0%) 0
Hematochezia 0/499 (0%) 0 2/481 (0.4%) 2
Hematoma 4/499 (0.8%) 4 2/481 (0.4%) 2
Hematuria 0/499 (0%) 0 2/481 (0.4%) 2
Hemoptysis 0/499 (0%) 0 1/481 (0.2%) 1
Hypotension 5/499 (1%) 5 0/481 (0%) 0
Hypoxemia 1/499 (0.2%) 1 0/481 (0%) 0
Incomplete Right Bundle Branch Block 3/499 (0.6%) 3 0/481 (0%) 0
Increased Shunt 3/499 (0.6%) 3 0/481 (0%) 0
Instillation Site Foreign Body Sensation 1/499 (0.2%) 1 0/481 (0%) 0
Leg Cramps 1/499 (0.2%) 1 0/481 (0%) 0
Low Back Pain 5/499 (1%) 5 0/481 (0%) 0
Low Hematocrit 1/499 (0.2%) 1 0/481 (0%) 0
Menorrhagia 2/499 (0.4%) 2 5/481 (1%) 5
Meralgia Paraesthetica 1/499 (0.2%) 1 0/481 (0%) 0
Mid-Sternal Chest Pressure 3/499 (0.6%) 3 0/481 (0%) 0
Migraine 2/499 (0.4%) 2 0/481 (0%) 0
Musculoskeletal Pain 3/499 (0.6%) 3 0/481 (0%) 0
Nausea 11/499 (2.2%) 11 0/481 (0%) 0
Non-Specific EKG Change 3/499 (0.6%) 3 0/481 (0%) 0
Pain 5/499 (1%) 5 0/481 (0%) 0
Pain Due to a Catheter Drainage Tube 2/499 (0.4%) 2 0/481 (0%) 0
Palpitations 42/499 (8.4%) 44 0/481 (0%) 0
Paresthesia/Paraesthesia 1/499 (0.2%) 1 0/481 (0%) 0
Paroxysmal Atrial Fibrillation 1/499 (0.2%) 1 0/481 (0%) 0
Paroxysmal Supraventricular Tachycardia 4/499 (0.8%) 4 0/481 (0%) 0
Peptic Ulcer Disease 0/499 (0%) 0 1/481 (0.2%) 1
Pinching Sensation in Chest 2/499 (0.4%) 2 0/481 (0%) 0
Pleural Effusion 1/499 (0.2%) 1 0/481 (0%) 0
Post-Menopausal Bleeding 0/499 (0%) 0 1/481 (0.2%) 1
Presyncope 1/499 (0.2%) 1 0/481 (0%) 0
Pruritus/Itching 3/499 (0.6%) 3 1/481 (0.2%) 1
Pulmonary Congestion 1/499 (0.2%) 1 0/481 (0%) 0
Right Axis Deviation 1/499 (0.2%) 1 0/481 (0%) 0
Right Bundle Branch Block/Complete Right Bundle Branch Block 2/499 (0.4%) 2 0/481 (0%) 0
ST Segment Changes 1/499 (0.2%) 1 0/481 (0%) 0
ST-T Wave Abnormality 3/499 (0.6%) 3 0/481 (0%) 0
Sick Sinus Syndrome 1/499 (0.2%) 1 0/481 (0%) 0
Sinus Bradycardia/Sinus Bradycardia (Cardiac Arrhythmia) 19/499 (3.8%) 20 0/481 (0%) 0
Sinus Tachycardia 1/499 (0.2%) 1 0/481 (0%) 0
Sore Throat 3/499 (0.6%) 3 0/481 (0%) 0
T-Wave Abnormalities 1/499 (0.2%) 1 0/481 (0%) 0
TEE-Related Event 10/499 (2%) 10 1/481 (0.2%) 1
Trigeminy 1/499 (0.2%) 1 0/481 (0%) 0
Unsustained/Nonsustained Ventricular Tachycardia/Cardiac Arrhythmia 4/499 (0.8%) 4 0/481 (0%) 0
VASC Bleeding 16/499 (3.2%) 16 0/481 (0%) 0
VASC Bruise 1/499 (0.2%) 1 0/481 (0%) 0
VASC Hematoma 36/499 (7.2%) 36 1/481 (0.2%) 1
VASC Pain 32/499 (6.4%) 32 0/481 (0%) 0
Vaso Vagal Response 6/499 (1.2%) 6 1/481 (0.2%) 1

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

Results Point of Contact

Name/Title Dr. Laura O'Brien
Organization Abbott
Phone
Email laura.obrien@abbott.com
Responsible Party:
Abbott Medical Devices
ClinicalTrials.gov Identifier:
NCT00465270
Other Study ID Numbers:
  • AGA-006
  • G990318
First Posted:
Apr 24, 2007
Last Update Posted:
Feb 18, 2019
Last Verified:
Jan 1, 2019