The LEADLESS II IDE Study for the Aveir VR Leadless Pacemaker System
The LEADLESS II IDE Study (Phase II): A Safety and Effectiveness Trial for a Leadless Pacemaker System
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Alberta
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Calgary, Alberta, Canada
- Foothills Medical Centre
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Newfoundland and Labrador
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St. John's, Newfoundland and Labrador, Canada, A1B 3V6
- HSC, Eastern Health
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Ontario
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Kingston, Ontario, Canada
- Kinsgston General Hospital
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Newmarket, Ontario, Canada
- Southlake Regional Health Centre
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Quebec
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Montreal, Quebec, Canada
- Institut de Cardiologie de Montreal (Montreal Heart Inst.)
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Québec, Quebec, Canada
- Institut de Cardiologie de Quebec (Hospital Laval)
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Prague, Czechia, 150 30
- Na Homolce Hospital
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Grenoble, France
- CHRU Albert Michallon
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Marseille, France
- Hopital d'adulte de la Timone
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Rennes, France
- CHRU Hopital de Pontchaillou
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Milan, Italy
- Centro Cardiologico Monzino
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Amsterdam, Netherlands
- Amsterdam Academic Medical Centre (AMC)
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Zwolle, Netherlands
- Isala - ZWolle
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Badajoz, Spain, 6080
- Hospital Universitario Infanta Cristina
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London, United Kingdom
- Royal Brompton Hospital
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Alabama
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Birmingham, Alabama, United States, 35294
- University Hospital - University of Alabama at Birmingham (UAB)
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Huntsville, Alabama, United States, 35801
- The Heart Center PC
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Arizona
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Scottsdale, Arizona, United States, 85258
- Honor Health
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California
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Long Beach, California, United States, 90803
- University of Southern California
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Newport Beach, California, United States, 92663
- Premier Cardiology Inc
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Pasadena, California, United States, 91105
- Huntington Memorial Hospital
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Colorado
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Littleton, Colorado, United States, 80120
- South Denver Cardiology Associates PC
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Florida
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Naples, Florida, United States, 34119
- Naples Heart Rhythm Specialists PA
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Orlando, Florida, United States, 32806
- Orlando Health
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Georgia
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Athens, Georgia, United States, 30306
- Piedmont Athens Regional Medical Center
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Rome, Georgia, United States, 30165
- Redmond Regional Medical Center
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Kansas
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Kansas City, Kansas, United States, 66160
- Kansas University Medical Center
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Overland Park, Kansas, United States, 66211
- Kansas City Cardiac Arrhythmia Research Foundation
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Kentucky
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Edgewood, Kentucky, United States, 41017
- St. Elizabeth Medical Center - South Unit
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Lexington, Kentucky, United States, 40536
- University of Kentucky
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Lexington, Kentucky, United States, 40503
- Baptist Health Lexington
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Louisiana
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New Orleans, Louisiana, United States, 70121
- Ochsner Medical Center
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Massachusetts
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Burlington, Massachusetts, United States, 01805
- Lahey Clinic Medical Center
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Michigan
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Detroit, Michigan, United States, 48236
- Ascension St. John Hospital
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Lansing, Michigan, United States, 48912
- Sparrow Clinical Research Institute
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Traverse City, Michigan, United States, 49684
- Munson Medical Center
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Minnesota
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Rochester, Minnesota, United States, 55905
- Mayo Clinic
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Missouri
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St Louis, Missouri, United States, 63141
- Mercy Hospital St. Louis
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New Jersey
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Ocean Township, New Jersey, United States, 07712
- Jersey Shore University Medical Center
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New York
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New York, New York, United States, 10029
- Mount Sinai Hospital
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New York, New York, United States, 10021
- New York Presbyterian Hospital/Cornell University
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Roslyn, New York, United States, 11576
- Cardiac Arrhythmia & Pacemaker Center
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North Carolina
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Greensboro, North Carolina, United States, 27401
- Cone Health Medical Group HeartCare
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Ohio
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Cleveland, Ohio, United States, 44106
- University Hospitals Cleveland Medical Center
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Cleveland, Ohio, United States, 44195
- The Cleveland Clinic Foundation
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73112
- Integris Baptist Medical Center
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Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15213
- University of Pittsburgh Medical Center
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York, Pennsylvania, United States, 17405
- Wellspan Health
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Tennessee
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Memphis, Tennessee, United States, 38104
- Methodist University Hospital
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Texas
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San Antonio, Texas, United States, 78201
- South Texas Cardiovascular Consultants
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The Woodlands, Texas, United States, 77380
- Memorial Hermann Hospital
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Utah
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Salt Lake City, Utah, United States, 84132
- University of Utah Hospital
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Virginia
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Falls Church, Virginia, United States, 22042
- INOVA Fairfax Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Subject must have one of the clinical indications before device implant in adherence with Medicare, ACC/AHA/HRS/ESC single chamber pacing guidelines including:
- Chronic and/or permanent atrial fibrillation with 2° or 3° AV or bifascicular bundle branch block (BBB block), including slow ventricular rates (with or without medication) associated with atrial fibrillation; or
- Normal sinus rhythm with 2° or 3° AV or BBB block and a low level of physical activity or short expected lifespan (but at least one year); or
- Sinus bradycardia with infrequent pauses or unexplained syncope with EP findings; and
- Subject is ≥18 years of age; and
- Subject has a life expectancy of at least one year; and
- Subject is not enrolled in another clinical investigation; and
- Subject is willing to comply with clinical investigation procedures and agrees to return for all required follow-up visits, tests, and exams; and
- Subject has been informed of the nature of the study, agrees to its provisions and has provided a signed written informed consent, approved by the IRB/EC; and
- Subject is not pregnant and does not plan to get pregnant during the course of the study.
Exclusion Criteria:
- Subject has known pacemaker syndrome, has retrograde VA conduction, or suffers a drop in arterial blood pressure with the onset of ventricular pacing; or
- Subject is allergic or hypersensitive to < 1 mg of dexamethasone sodium phosphate (DSP);
- Subject has a mechanical tricuspid valve prosthesis; or
- Subject has a pre-existing endocardial pacing or defibrillation leads; or
- Subject has current implantation of either conventional or subcutaneous implantable cardioverter defibrillator (ICD) or cardiac resynchronization therapy (CRT) device; or
- Subject has an implanted vena cava filter; or
- Subject has evidence of thrombosis in one of the veins used for access during the procedure; or
- Subject had recent cardiovascular or peripheral vascular surgery within 30 days of enrollment; or
- Subject has an implanted leadless cardiac pacemaker or
- Subject is implanted with an electrically-active implantable medical device with stimulation capabilities (such as neurological or cardiac stimulators).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: Aveir VR Leadless Pacemaker
VVIR pacing
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Patients will undergo an attempted leadless pacemaker implant
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Complication-Free Rate (CFR)
Time Frame: 6 weeks
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Complication is any device-or-procedure related serious adverse event, or serious adverse device effect, including those that prevented initial implantation.
Complications possibly related or related to COVID-19 were excluded.
Percentage of participants free from complications are reported
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6 weeks
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Complication-Free Rate (CFR)
Time Frame: 12 months
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Complication is any device-or-procedure related serious adverse event, or serious adverse device effect, including those that prevented initial implantation.
Complications possibly related or related to COVID-19 were excluded.
The complication free rate reported describes the Kaplan-Meier estimate of the percentage of patients that had no complications at the given time point.
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12 months
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Pacing Thresholds and R-wave Amplitudes Within the Therapeutic Range
Time Frame: 6 Weeks (Aveir VR Leadless Pacemaker arm)
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Success Rate is percentage of subjects who have acceptable pacing threshold and sensing amplitudes, which are defined as pacing threshold <=2.0V at 0.4 ms pulse width and R-wave amplitude =>5.0 mV or => value at implant.
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6 Weeks (Aveir VR Leadless Pacemaker arm)
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Pacing Thresholds and R-wave Amplitudes Within the Therapeutic Range
Time Frame: 12 months
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Success Rate is percentage of subjects who have acceptable pacing threshold and sensing amplitudes at 12-Month post-implant visit, which are defined as pacing threshold <=2.0V at 0.4 ms pulse width and R-wave amplitude =>5.0 mV or => value at implant.
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12 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Appropriate and Proportional Rate Response During Graded Exercise Testing
Time Frame: 3 month follow up
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Temperature-based rate response feature was evaluated to determine whether an appropriate and proportional rate response was achieved during maximal effort graded treadmill exercise testing protocol (CAEP).
Subjects were asked to perform a six-minute walk test to identify optimal sensor parameters prior to conducting a CAEP test.
Exercise test data provide an estimate of the slope of the normalized increase in sensor-indicated rate versus normalized workload for each subject.
Normalizing a variable eliminates the unit.
Since both axes are normalized, there is no unit of measure.
The vertical axis is derived from the difference of the sensor indicated rate at each exercise stage and the base rate, divided by the difference of the age-predicted maximum heart rate and base rate.
Values on the horizontal axis are derived from the difference in the workload at each exercise stage and resting workload, divided by the difference of the maximum achieved workload and resting workload.
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3 month follow up
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Survival Rate of Patients Implanted With the Nanostim Leadless Pacemaker
Time Frame: 2 years
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All-Cause Mortality through 2 years among subjects implanted with the Nanostim Leadless Pacemaker.
The Nanostim Leadless Pacemaker is functionally similar to the Aveir VR Leadless Pacemaker, and was evaluated in The LEADLESS II IDE Study (Phase I) - NCT02030418.
For detailed demographic and study information including adverse events, refer to NCT02030418
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2 years
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Nicole Harbert, Abbott
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- ABT-CIP-10355
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.