Personalized Therapy Study - Intrinsic Antitachycardia Pacing Post-Approval Study (iATP PAS)

Sponsor
Medtronic (Industry)
Overall Status
Recruiting
CT.gov ID
NCT04496518
Collaborator
(none)
2,200
114
78
19.3
0.2

Study Details

Study Description

Brief Summary

Medtronic is sponsoring the Intrinsic Antitachycardia Pacing Post-Approval Study (iATP PAS) to further confirm safety and effectiveness of ventricular iATP therapy in routine clinical practice, following commercial release of iATP-capable devices.

The iATP PAS is conducted within Medtronic's Product Surveillance Registry platform (NCT01524276).

Condition or Disease Intervention/Treatment Phase
  • Device: Intrinsic Antitachycardia Pacing (iATP) Therapy

Detailed Description

The iATP PAS is a global, prospective, observational, multi-site registry study. Patients enrolled in the iATP PAS will be prospectively followed in the registry until registry closure, patient death, or patient exit from the registry (i.e., withdrawal of consent).

Patient and device status will be assessed at least annually or as prompted by reportable adverse events. Remote device data transmissions are recommended to occur at least quarterly. Primary objective analysis will occur when 241 iATP-treated eligible ventricular episodes in the fast ventricular tachycardia (FVT) zone have been collected and reviewed by the study episode review committee (ERC). The total study duration is approximately 5 years.

Study Design

Study Type:
Observational [Patient Registry]
Anticipated Enrollment :
2200 participants
Observational Model:
Cohort
Time Perspective:
Prospective
Official Title:
Personalized Therapy Study - Intrinsic Antitachycardia Pacing Post-Approval Study (iATP PAS)
Actual Study Start Date :
Aug 1, 2020
Anticipated Primary Completion Date :
Jan 31, 2025
Anticipated Study Completion Date :
Jan 31, 2027

Arms and Interventions

Arm Intervention/Treatment
Patients with ICD/CRT device with iATP programmed on

Patients implanted with an iATP-capable device with iATP on in at least one device detection zone will be enrolled in the iATP PAS. Patients must also be enrolled in the CareLink network for remote monitoring. All patients must have provided signed informed consent.

Device: Intrinsic Antitachycardia Pacing (iATP) Therapy
iATP is a fully automated ATP therapy for monomorphic ventricular tachycardia (MVT).

Outcome Measures

Primary Outcome Measures

  1. To demonstrate the success rate of iATP in the fast VT (FVT) zone is greater than 60% [Approximately 5 years]

    Demonstrating success rate of iATP

Secondary Outcome Measures

  1. To demonstrate the success rate of iATP in the FVT zone is greater than 70% [Approximately 5 years]

    Demonstrating success rate of iATP

  2. To characterize arrhythmia-related syncope events [Approximately 5 years]

    characterizing arrhythmia-related syncope events

  3. To characterize unnecessary and inappropriate shocks [Approximately 5 years]

    characterizing unnecessary and inappropriate shocks

Eligibility Criteria

Criteria

Ages Eligible for Study:
N/A and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • Patient or legally authorized representative provides written authorization and/or consent per institution and geographical requirements

  • Patient is intended to receive or is implanted with an iATP-capable device with iATP on in any zone with ventricular ATP therapies programmed.

  • Patient is enrolled in the CareLink network for remote device monitoring

Exclusion Criteria:
  • Patient who is, or is expected to be inaccessible for follow-up

  • Patient with exclusion criteria required by local law

  • Patient is currently enrolled in or plans to enroll in any concurrent drug and/or device study that may confound results

Contacts and Locations

Locations

Site City State Country Postal Code
1 Alaska Heart Anchorage Alaska United States 99508
2 Southwest EP Chandler Arizona United States 85226
3 Cardiology Associates of Northeast Arkansas Jonesboro Arkansas United States 72410
4 Saint Vincent Heart Clinic Arkansas Little Rock Arkansas United States 72205-6202
5 Chula Vista Cardiac Center Chula Vista California United States 91910
6 San Diego Arrhythmia Associates San Diego California United States 92103
7 COR Healthcare Torrance California United States 90505
8 Cardiovascular Consultants Medical Group (Van Nuys CA) Van Nuys California United States 91405
9 Cardiology Associates Medical Group Ventura California United States 93003
10 Colorado Springs Cardiology Colorado Springs Colorado United States 80907
11 Denver Heart Denver Colorado United States 80220
12 Colorado Heart and Vascular, PC Lakewood Colorado United States 80228
13 Hartford Hospital Hartford Connecticut United States 06102
14 Yale New Haven Hospital New Haven Connecticut United States 06510
15 Clearwater Cardiovascular Consultants Clearwater Florida United States 33756
16 Heart Rhythm Solutions Hollywood Florida United States 33021-3552
17 Baptist Health Jacksonville Florida United States 32207-8208
18 Cardiovascular Institute of Northwest Florida Panama City Florida United States 32405
19 Heart & Vascular Institute of Florida Safety Harbor Florida United States 34695-6604
20 Heart Rhythm Consultants P.A. (Sarasota Memorial Research) Sarasota Florida United States 34233
21 Deaconess Specialty Physicians Evansville Indiana United States 47710
22 Iowa Heart Center (West Des Moines IA) Des Moines Iowa United States 50266
23 The University of Kansas Medical Center Kansas City Kansas United States 66160-8500
24 Saint Elizabeth Healthcare Edgewood Kentucky United States 41017
25 Norton Heart Specialists Louisville Kentucky United States 40205
26 Our Lady of the Lake Office of Research Baton Rouge Louisiana United States 70808
27 Tidal Health Peninsula Regional Salisbury Maryland United States 21801
28 Associates in Cardiology PA Silver Spring Maryland United States 20910-1265
29 MedStar Health Research Institute (Baltimore) Towson Maryland United States 21204-7733
30 Massachusetts General Hospital Boston Massachusetts United States 02114
31 Brigham and Women's Hospital (Boston MA) Boston Massachusetts United States 02115-6110
32 Sparrow Clinical Research Institute Lansing Michigan United States 48912
33 UP Health System - Marquette Marquette Michigan United States 49855-2705
34 Michigan Heart Ypsilanti Michigan United States 48197-8633
35 North Memorial Health Heart & Vascular Center Robbinsdale Minnesota United States 55422-2926
36 Mayo Clinic (Rochester MN) Rochester Minnesota United States 55902-1906
37 Missouri Cardiovascular Specialists Columbia Missouri United States 65201-8023
38 University Hospital (Columbia MO) Columbia Missouri United States 65201
39 Saint Lukes Health System Kansas City Missouri United States 64111-5934
40 Washington University School of Medicine Saint Louis Missouri United States 63110-1010
41 Nebraska Medicine Omaha Nebraska United States 68105
42 Monmouth Cardiology Associates Ocean City New Jersey United States 07712-4764
43 Presbyterian Heart Group Albuquerque New Mexico United States 87106-4921
44 South Shore University Hospital Bay Shore New York United States 11706
45 Huntington Hospital Huntington New York United States 11743
46 North Shore University Hospital Manhasset New York United States 11030
47 Northern Westchester Hospital Mount Kisco New York United States 10549
48 Long Island Jewish Medical Center New Hyde Park New York United States 11040
49 New York-Presbyterian Hospital/Weill Cornell Medical Center New York New York United States 10021
50 NewYork-Presbyterian/Columbia University Irving Medical Center New York New York United States 10032
51 Lenox Hill Hospital New York New York United States 10075
52 Hudson Valley Heart Center Poughkeepsie New York United States 12601-3923
53 Staten Island University Hospital Staten Island New York United States 10305-3436
54 Duke University Medical Center (DUMC) Durham North Carolina United States 27705
55 WakeMed Health & Hospitals Raleigh North Carolina United States 27610
56 Summa Center for Clinical Trials-Northeast Ohio Cardiovascular Specialists Akron Ohio United States 44304-1473
57 The Christ Hospital Health Network Cincinnati Ohio United States 45219
58 University of Cincinnati Cincinnati Ohio United States 45267-0542
59 Cleveland Clinic Cleveland Ohio United States 44195
60 St Luke's University Health Network Bethlehem Pennsylvania United States 18015-1000
61 Geisinger Medical Center Danville Pennsylvania United States 17822
62 UPMC Heart and Vascular Institute at UPMC Hamot Erie Pennsylvania United States 16507-1579
63 Geisinger Wyoming Valley Medical Center Wilkes-Barre Pennsylvania United States 18711
64 Saint Thomas Research Institute Nashville Tennessee United States 37205-2018
65 Vanderbilt University Medical Center Nashville Tennessee United States 37232
66 Texas Cardiac Arrhythmia Research Foundation Austin Texas United States 78705-1852
67 Heart Center of North Texas Fort Worth Texas United States 761014
68 Consultants in Cardiology (Fort Worth TX) Fort Worth Texas United States 76104
69 EP Heart The Woodlands Texas United States 77384
70 Kootenai Heart Clinics Northwest Spokane Washington United States 99204-2352
71 Aurora Cardiovascular Services Milwaukee Wisconsin United States 53215-3678
72 Clinique Rhône Durance Avignon France 84082
73 Centre Hospitalier de la Côte Basque Bayonne France 64109
74 CHU de Brest Brest France 29609
75 Générale de Santé - Hôpital Privé Saint Martin Caen France 14000
76 CHU de Caen - Hôpital Côte de Nacre - Centre Esquirol Caen France 14033
77 CHU Clermont-Ferrand - Gabriel-Montpied Clermont-Ferrand France 63003
78 CHU de Dijon - Hospital Le Bocage Dijon France 21079
79 CHRU La Rochelle La Rochelle France 17019
80 Hopital prive Clairval - Ramsay Sante Marseille France 13009
81 Nouvelles Cliniques Nantaises Nantes France 44277
82 Centre hospitalier de la région d'Annecy Pringy France 74374
83 Centre Hospitalier Universitaire Saint Étienne Saint-Priest-en-Jarez France 42270
84 Capio - Clinique du Tonkin Villeurbanne France 69100
85 Hygeia Hospital Athens Greece 15123
86 Athens Medical Center Maroúsi Greece 15125
87 Policlinico Sant' Orsola - Malpighi Bologna Italy 40138
88 Azienda Sanitaria Provinciale di Cosenza"Ospedale di Castrovillari" Castrovillari Italy 87012
89 Ospedale "Vito Fazzi" Lecce Lecce Italy 73100
90 Azienda Ospedaliera ospedale Niguarada ca Granda Milano Italy 20162
91 Presidio Ospedaliero Centrale - SS.Annunziata Taranto Italy 74024
92 Azienda ospedaleria Santa Maria dellaMisericordia di Udine Udine Italy 33100
93 Hospital da Senhora da Oliveira -Guimarães Guimarães Portugal 4835-044
94 Hospital de Santa Maria-Centro HospitalarLisboa Norte, EPE Lisbon Portugal 1649-035
95 Centro Hospitalar Universitário de SãoJoão Alameda Porto Portugal 4200-319
96 Hospital Distrital de Santarém Santarém Portugal 2000-177
97 Národný ústav srdcových a cievnych chorôb, a.s. (NUSCH, a.s.) Bratislava Slovakia
98 Hospital Universitario da coruna Coruna Spain 15006
99 Hospital Universitario Virgen de las Nieves Granda Spain 18014
100 Hospital Universitario Clínico San Cecilio Granda Spain 18016
101 Hospital Universitario 12 de Octubre Madrid Spain 28041
102 Complejo Universitario de Salamanca Salamanca Spain 37007
103 Complejo Hospitalario Universitario de Santiago de Compostela Santiago Spain 15706
104 Hospital Universitario Nuestra Señora de Candelaria Tenerife Spain 38010
105 Hospital Clínico Universitario de Valladolid Valladolid Spain 47006
106 Hôpitaux Universitaires de Genève Geneva Switzerland 1205
107 Cardiopark Zurich Zürich Switzerland 8027
108 University Hospitals of Birmingham NHS Foundation Trust - Queen Elizabeth Hospital Birmingham United Kingdom B15 2GW
109 Blackpool, Fylde and Wyre Hospitals NHSFoundation Trust - Blackpool Victoria Hospital Blackpool United Kingdom FY3 8NR
110 Liverpool Heart and Chest Hospital NHS Foundation Trust Liverpool United Kingdom L14 3PE
111 Imperial College Healthcare NHS Trust Hammersmith Hospital London United Kingdom W12 0HS
112 Central Manchester University Hospitals NHS - mancester Royal Infirmary Manchester United Kingdom M13 9WL
113 The James Cook University Hospital - SouthTees Hospitals NHS Middlesbrough United Kingdom TS4 3BW
114 Sheffield Vascular Institute, Sheffield TeachingHospitals NHS - Northern Genera Sheffield United Kingdom S5 7AU

Sponsors and Collaborators

  • Medtronic

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Medtronic
ClinicalTrials.gov Identifier:
NCT04496518
Other Study ID Numbers:
  • iATP PAS
First Posted:
Aug 3, 2020
Last Update Posted:
Aug 1, 2022
Last Verified:
Jul 1, 2022
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
Yes
Additional relevant MeSH terms:

Study Results

No Results Posted as of Aug 1, 2022